Category ‐ Labour Ward Management

Evidence-based labour ward guidelines for the diagnosis, management and treatment of spontaneous preterm labour.

Currently, there is considerable variation in the way spontaneous preterm labour is diagnosed and managed internationally. As a result, 12 international leading experts from 10 countries met to establish consensus on clinical recommendations and guidelines regarding the diagnosis, management and treatment of spontaneous preterm labour. The consensus was supported by evidence from quality litera...

The Student's Guide to the Labour Ward

Obstetricians on the labour ward: implications of medical staffing structures.

The 1981 Short report onmedical education in Britain recommended changes in the medical career structure.' Many other reports have addressed the fundamental problem associated with the traditional three tier structure of the consultant led team consisting of consultants, registrars, and house officers. In essence this problem arises from two conflicting requirements: the need to provide trainin...

Management of preterm labour.

The above quote testifies to the complexity of preterm labour, a process that ultimately results in considerable neonatal morbidity and mortality. It is diYcult to quantify the incidence of spontaneous preterm labour, as many studies relating to preterm birth do not discriminate between spontaneous preterm labour and iatrogenic/therapeutic preterm delivery. The picture is further complicated as...

Active management of labour.

The active management of labour in the National Maternity Hospital in Dublin has the general aim that labour will not last longer than 12 hours. Since the outstanding cause of dystocia is inefficient uterine action the proper use of oxytocin has a position of great importance, especially in primigravidae. In 1984 under this procedure perinatal mortality was 12/1000 and the rate of caesarean sec...