Active Management of Labour,
Edition 4
By K. O'Driscoll, MD, D. Meagher, MD and Michael Robson, MD

Publication Date: 24 Nov 2003
This manual encompasses a comprehensive approach to the management of labour. Based on the simple proposition that effective uterine action is the key to normal delivery, Active Management of Labour covers all aspects of delivery for nulliparous women with vertex presentation and single foetus.

This is an accessible and practical guide for obstericians and midwives as well as anaesthetists and the auxiliary staff of maternity units.

Key Features

  • Encourages an active interest in labour by all professional staff
  • Emphasises the importance of constant personal attention and good communication in labour
  • Discusses in detail the need to distinguish between:
    - first and subsequent births
    - single cephalic and all other pregnancies
    - induction and acceleration of labour
  • Fosters the development of a team
  • spirit between midwife and obstetrician
  • Demonstrates how good labour ward organisation can improve care
  • Proves the importance of audit in ensuring quality of care

New Features

  • Updated chapters on dystocia and caesarian section
  • New key points summary at the end of each chapter
  • Updated review of clinical outcomes at the National Maternity Hospital
  • About the author
    By K. O'Driscoll, MD; D. Meagher, MD and Michael Robson, MD
    Table of Contents

    Section 1: Text
    1. Nulliparous v parous women
    2. Induction v acceleration
    3. Malpresentations, malformation, twins
    4. Duration of labour
    5. Diagnosis of labour
    6. Progress: first stage
    7. Progress: second stage
    8. Acceleration of slow labour
    9. Oxytocin in labour
    10. Normal and abnormal labour (dystocia)
    11. Inefficient uterine action
    12. Cephalopelvic disproportion
    13. Occipitoposterior position
    14. Trauma
    15. Pain
    16. Antenatal preparation
    17. Analgesic drugs
    18. Epidural anaesthesia
    19. Personal attention
    20. Role of the doctor
    21. Role of the nurse/midwife
    22. Role of the mother
    23. Care of the fetus
    24. Induction
    25. Organization
    26. Cervix in labour
    27. Caesarean section rates
    28. Cerebral palsy

    Section II: Visual Records
    1. Nulliparous labour
    2. Duration of labour
    3. Diagnosis of labour
    4. Progress in labour
    5. Care of the fetus
    6. Oxytocin
    7. Analgesia
    8. Method of delivery and additional items
    9. Normal labour (1)
    10. Normal labour (2)
    11. Normal labour (3)
    12. Abnormal labour: slow progress (1)
    13. Abnormal labour: slow progress (2)
    14. Abnormal labour: slow progress (3)
    15. Abnormal labour: secondary arrest (1)
    16. Abnormal labour: secondary arrest (2)
    17. Method of treatment: artificial rupture of membranes
    18. Method of treatment: oxytocin infusion (1)
    19. Method of treatment: oxytocin infusion (2)
    20. Failure to respond to treatment: error in diagnosis
    21. Failure to respond to treatment: membranes intact
    22. Failure to respond to treatment: hesitant use of oxytocin
    23. Failure to respond to treatment: cephalopelvic disproportion
    24. Induction: success
    25. Induction: failure (1)
    26. Induction: failure (2)
    27. Fetal distress: placental insufficiency/accident of labour
    28. Parous labour

    Section III: Clinical Data
    1. Comparative figures for 35 years
    2. Analysis of hospital population
    3. Clinical circumstances of perinatal deaths
    4. Rupture of uterus
    5. Traumatic intracranial haemorrhage in firstborn infants
    6. Cerebral dysfunction in mature infants
    7. Diagnosis of labour
    8. Duration of labour in nulliparous women
    9. Spontaneously labouring nulliparous women with a single cephalic pregnancy at term
    10. Obstetrical norms in nulliparous women
    Book details
    ISBN: 9780723432029
    Page Count: 236
    Illustrations : 40 ills.
    Retail Price : £52.99

    James: High Risk Pregnancy 2e 0702022233 1999 WBS
    Chamberlain: Turnbull's Obstetrics 3e , due to publish Summer 2001, CL
    Ramsay: Normal Values in Pregnancy 2e , Spring 2000, WBS
    Kean: Best Practice in Labor Ward Management, 1999, 0702024309, WBS

    Page: The New Midwifery, 0443055726, 2000, CL
    Sweet: Mayes' Midwifery 12 e, 0702017574, 1997, BT ( or new edition thereof )
    Other midwifery titles
    Obstetricians, midwives, anaesthetists, childbirth educators, physiotherapists