Section 1 - Approach to care: Bleep/ crash calls; Communication; Documentation; Admission to, and discharge home from, delivery suite; Clinical incident reporting; Transfer of care between professionals; Reviewing what happened; Further reading; Section 2 - Normal and low- risk labour: Vaginal examination; Intravenous cannulation; Management.
Section 1 - Approach to care: Bleep/ crash calls; Communication; Documentation; Admission to, and discharge home from, delivery suite; Clinical incident reporting; Transfer of care between professionals; Reviewing what happened; Further reading; Section 2 - Normal and low-risk labour: Vaginal examination; Intravenous cannulation; Management of normal labour; Prelabour rupture of membranes at term (37- 42 weeks); Management of first stage of labour; Fetal monitoring; Fetal scalp blood sampling; Augmentation of labour; Cord-blood sampling; Epidural analgesia in labour; Repair of episiotomy and first- / second-degree perineal tear; Management of second stage of labour; Management of third stage of labour; Care of the newborn; Criteria for paediatric attendance at delivery; Meconium-stained amniotic fluid; Neonatal resuscitation; Babies born before arrival at hospital; Woman with a history of childhood sexual abuse; Use of birthing pool; Immediate postpartum care; Further reading; Section 3 - Abnormal and high-risk labour: . Part I - Powers, passenger, passage; Caesarean section; Recovery of obstetric patients; High-dependency care; Failed intubation drill; Instrumental delivery; Trial of vaginal delivery after caesarean section; Induction of labour; Antenatal corticosteroid therapy; Preterm prelabour rupture of membranes; Preterm uterine contractions; Deliveries at the lower margin of viability; Multiple pregnancy; Occipitoposterior position; Malpresentation; Breech presentation; External cephalic version; The circumcised woman; Perineal tear. Part II - Medical conditions: Heart disease in labour; Peripartum cardiomyopathy; Pre-eclampsia; Eclampsia; Diabetes mellitus; Epilepsy; Systemic lupus erythematosus; Other connective tissue disorders. Part III - Haemorrhage and haematological disorders; The Rhesus-negative woman; Thromboembolism prophylaxis; Acute venous thromboembolism and pulmonary embolism; Major haemoglobinopathy; Inherited coagulation disorders - haemophilia and von Willebrand disease; Immune thrombocytopenic purpura; Thrombophilia; Gestational thrombocytopenia; Antepartum haemorrhage; Major placenta praevia; Retained placenta; Postpartum haemorrhage; Disseminated intravascular coagulopathy; Delivery of woman at known risk of haemorrhage; Management of the woman who declines blood transfusion. Part IV: Prophylactic antibiotics; Intrapartum pyrexia; Hepatitis B/C; Intrapartum antibiotic prophylaxis for group B streptococci; Genital herpes; Human immunodeficiency virus (HIV). Part V: Cervical tear and paravaginal haematoma; Rupture of the uterus; Shoulder dystocia; Cord prolapse; Anaphylaxis; Inverted uterus; Amniotic fluid embolism; Sudden maternal collapse; Latex allergy. Part VI - Stillbirths and congenital abnormalities: Checklist for fetal loss at 13-23 weeks; Intrauterine fetal demise; Mid-trimester termination of pregnancy for fetal abnormality; Protocol for medical termination of mid-trimester pregnancy; Further reading.