This practical manual promotes an evidence-based paradigm of fetal heart rate monitoring during labour, moving away from the traditional 'pattern-based' interpretation to physiology-based interpretation. Aimed at obstetricians and midwives, it is useful to all those involved in multiprofessional intrapartum care.

This book promotes an evidence-based paradigm of fetal heart rate monitoring during labour, with a move away from the traditional 'pattern-based' interpretation to physiology-based interpretation. Chapters are presented in a systematic and accessible format, covering topics such as non-hypoxic causes of fetal brain injury, pre-existing hypoxia, types of intrapartum hypoxia, erroneous monitoring of maternal heart rate, fetal scalp blood sampling and fetal ECG (STAN), intermittent auscultation and medico-legal issues. Sections on 'pearls' and 'pitfalls' highlight good practice and common errors to promote best practice. End-of-chapter exercises allow the reader to engage with the theory and test their knowledge of key areas. This is a highly practical manual aimed at obstetricians and midwives, particularly those undergoing CTG training. The book will also be very useful to midwifery and medical students and to all those involved in multiprofessional intrapartum care.

This title is now available under ISBN 9780702052149. CTG Made Easy 4th edition continues the successful format of previous editions, offering a practical guide to all health professionals involved in monitoring the fetal heart rate during labour, and specifically in the interpretation of CTG traces. The workbook approach remains, with many new and updated case histories and CTGs, all using current terminology and a recommended proforma for interpretation. The book will aid health professionals to acquire competence and confidence in all aspects of fetal heart rate monitoring during labour, improving the care offered to women and babies. In-depth debate on choice of intermittent or continuous electronic fetal heart rate monitoring enables correct identification of the appropriate method Updated references and recommendations from latest national guidelines ensure readers have access to current research-based evidence and expert opinion Clear explanation of the physiology of baseline and periodic abnormalities provides vital information for interpretation and assessment of fetal compromise CTG features are described following up-to-date recommendations from NICE Charts describe the classification of CTGs and illustrations describe variable decelerations to aid understanding Discussion of current adjuncts to electronic fetal heart rate monitoring give the reader insight into current developments and possible future practice RCOG and NICE proforma and classifications aid consistency in interpretation and use of terminology Recent cases of litigation are used to demonstrate the difficulties encountered with monitoring techniques and interpretation of the data, giving the reader an insight into cases that proceed to litigation New to this edition Evidence relating to fetal monitoring in labour updated to current national guidance Expanded section debating the issues surrounding intermittent auscultation versus continuous electronic fetal heart rate monitoring Expanded section on the physiological control of the fetal heart rate, fetal blood sampling and acid base balance. Risk management updated, including risks and benefits of current methods of fetal heart rate monitoring, future developments, and legal issues References comprehensively reviewed, including NICE and RCOG clinical guidelines New online resources 20 additional CTGs and case histories are available online

Praise for the previous edition: “…An outstanding handbook. It will be a familiar volume on most midwifery bookshelves, providing an excellent guide to midwifery focused care of both woman and child in the birthing setting.” - Nursing Times Online Providing a practical and comprehensive guide to midwifery care, The Midwife’s Labour and Birth Handbook continues to promote best practice and a safe, satisfying birthing experience with a focus on women-centred care. Covering all aspects of care during labour and birth, from obstetric emergencies to the practicalities of perineal repair (including left-hand suturing), the fourth edition has been fully revised and updated to include: Full colour photographs of kneeling extended breech and footling breech births New water birth and breech water birth photographs Female genital mutilation Sepsis Group B streptococcus Care of the woman with diabetes /Neonatal hypoglycaemia Mental health Seeding/microbirthing It also addresses important issues such as: Why are the numbers of UK women giving birth in stirrups RISING rather than falling? Why are so few preterm babies given bedside resuscitation with the cord intact? Would the creation of midwife breech practitioners/specialists enable more women to choose vaginal breech birth and is breech water birth safe? What is the legal position for women who choose to free birth – and their birth partners? Why are midwives challenging the OASI care bundle? Incorporating research, evidence and anecdotal observations, The Midwife’s Labour and Birth Handbook remains an essential resource for both student midwives and experienced practising midwives.

In light of revised recommendations for intrapartum care, this updated edition reviews best practice in all aspects of labour and delivery.

This unique and bestselling handbook provides midwives with everything they need for successful practice. It contains concise, practical and expert guidance on all aspects of the midwife's role, from pre-conceptual advice to the final post-natal examination of the mother and baby.

Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.