A Guide to Effective Care in Pregnancy and Childbirth

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The second edition of A guide to effective care in pregnancy and childbirth will be invaluable to anyone involved in the care of pregnant women, and to expectant parents. The book is about the effects of care given and received during pregnancy and childbirth. Fifteen years ago the authors began a systematic review of the evidence. They analysed more than 7000 of the best clinical research studies, and classified the elements of care as effective, promising, not proven either way, or not worth using. The result ...
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Overview

The second edition of A guide to effective care in pregnancy and childbirth will be invaluable to anyone involved in the care of pregnant women, and to expectant parents. The book is about the effects of care given and received during pregnancy and childbirth. Fifteen years ago the authors began a systematic review of the evidence. They analysed more than 7000 of the best clinical research studies, and classified the elements of care as effective, promising, not proven either way, or not worth using. The result of this work was two major publications: Effective care in pregnancy and childbirth and a regularly updated electronic database of reviews. All the main findings and conclusions of these publications are available here in an easily readable, inexpensive, and updated form. The new edition is extensively revised and rewritten, incorporating the results of the important evidence about the effects of care during pregnancy and childbirth that has accumulated since the first edition was published. The first edition received critical acclaim because its conclusions were based on sound evidence and has become a unique reference source for evaluating care policies and practices.
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Product Details

  • ISBN-13: 9780192619174
  • Publisher: Oxford University Press, USA
  • Publication date: 12/7/1989
  • Series: Oxford Medical Publications
  • Pages: 400
  • Product dimensions: 5.50 (w) x 8.81 (h) x 1.00 (d)

Meet the Author


Murray W. Enkin is Professor of Obstetrics at McMaster University, Canada. Mar J. N. C. Keirse is professor of Obstetrics at the University of Leiden, Netherlands. james Neilson is Professor of Obstetrics and Gynaecology at Liverpool University. Mary Renfre is a Midwife Researcher at the National
Perinatal Epidemiology Unit, the Radcliffe Hospital, Oxford.

McMaster University

University of Leiden

University of Leeds

Liverpool

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Table of Contents

1 Effective care in pregnancy and childbirth 3
2 Evaluating care in pregnancy and childbirth 5
3 Social, financial, and psychological support during pregnancy and childbirth 12
4 Antenatal classes 17
5 Life-style during pregnancy 21
6 Dietary modification in pregnancy 26
7 Formal risk scoring 37
8 Imaging ultrasound in pregnancy 40
9 Screening for congenital anomalies 45
10 Screening for pre-eclampsia 52
11 Gestational diabetes 57
12 Assessment of fetal growth, size, and well-being 60
13 Unpleasant symptoms in pregnancy 75
14 Prevention of miscarriage 84
15 Hypertension in pregnancy 90
16 Fetal compromise 100
17 Multiple pregnancy 105
18 Rhesus isoimmunization 109
19 Infection in pregnancy 114
20 Diabetes in pregnancy 126
21 Bleeding in the latter half of pregnancy 134
22 Suspected fetopelvic disproportion and abnormal lie 140
23 Prelabour rupture of the membranes 148
24 Preterm labour 161
25 Promoting pulmonary maturity 173
26 Post-term pregnancy 179
27 Fetal death 183
28 Social and professional support in childbirth 191
29 Hospital practices 197
30 Care of the fetus during labour 207
31 Monitoring the progress of labour 220
32 The second stage of labour 226
33 The third stage of labour 236
34 Control of pain in labour 247
35 Prolonged labour 262
36 Repair of perineal trauma 269
37 Preterm birth 273
38 Labour and delivery after previous caesarean section 284
39 Preparing for induction of labour 297
40 Methods of inducing labour 304
41 Instrumental vaginal delivery 314
42 Caesarean section 318
43 Prophylactic antibiotics with caesarean section 322
44 Immediate care of the newborn infant 331
45 Care of the new mother and baby 340
46 Breastfeeding 349
47 Perineal pain and discomfort 364
48 Breast symptoms in women who are not breastfeeding 371
49 Loss and grief in the perinatal period 376
50 Effective care in pregnancy and childbirth: a synopsis 389
Table 1 Beneficial forms of care 391
Table 2 Forms of care likely to be beneficial 394
Table 3 Forms of care with a trade-off between beneficial and adverse effects 400
Table 4 Forms of care of unknown effectiveness 402
Table 5 Forms of care unlikely to be beneficial 406
Table 6 Forms of care likely to be ineffective or harmful 410
Index 413
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