Preface Acknowledgements About the Author Abbreviations Glossary Bleep/crash calls Part I: Approach to care 1. The biopsychosocial approach to care of the woman in labour 2. Communication between care providers 3. Documentation 4. A dmission to, and discharge home from, the delivery suite 5. Learning from clinical incidents 6. T ransfer of care between professionals 7. Reviewing what happened Part II: Normal and Low-Risk Labour 8. Vaginal examination 9. Intravenous cannulation 10. Management of normal labour 11. Prelabour rupture of membranes at term (37–42 weeks) 12. Management of the first stage of labour 13. Fetal monitoring 14. Fetal scalp blood sampling 15. Augmentation of labour 16. Cord-blood sampling 17. Epidural analgesia in labour 18. Management of the second stage of labour 19. Criteria for paediatric attendance at delivery 20. Management of the third stage of labour 21. Immediate postpartum care 22. Care of the newborn 23. Meconium-stained amniotic fluid 24. Neonatal resuscitation 25. Babies born before arrival at hospital 26. Episiotomy 27. The woman with a history of childhood sexual abuse 28. Use of birthing pool Part III: Abnormal and high-risk labour SECTION 1. Powers, passenger, passage 29. Caesarean section 30. Recovery of obstetric patients 31. High-dependency care 32. Failed intubation drill 33. Instrumental delivery 34. Trial of vaginal delivery after a previous caesarean section 35. Induction of labour 36. Antenatal corticosteroid therapy 37. Preterm prelabour rupture of membranes 38. Preterm uterine contractions 39. Deliveries at the lower margin of viability 40. Multiple pregnancy 41. Abnormal lie in labour 42. Occipito-posterior position 43. Malpresentation 44. Breech presentation 45. External cephalic version 46. The woman with genital cutting 47. The obese woman in labour 48. Perineal tear SECTION 2. Medical conditions 49. Heart disease in labour 50. Peripartum cardiomyopathy 51. Pre-eclampsia 52. Eclampsia 53. Diabetes mellitus 54. Asthma (acute exacerbation in labour) 55. Epilepsy 56. Systemic lupus erythematosus 57. Connective tissue disorders SECTION 3. Haemorrhage and haematological disorders 58. The rhesus-negative woman 59. Thromboembolism prophylaxis 60. Acute venous thromboembolism and pulmonary embolism 61. Major haemoglobinopathy 62. Inherited coagulation disorders: Haemophilia and von Willebrand disease 63. Immune thrombocytopenic purpura 64. Thrombophilia 65. Gestational thrombocytopenia 66. Antepartum haemorrhage 67. Major placenta praevia 68. Placenta accreta spectrum 69. Retained placenta 70. Postpartum haemorrhage 71. Disseminated intravascular coagulopathy 72. Delivery of the woman at known risk of haemorrhage 73. Standards for administering blood transfusion 74. Management of the woman who declines blood transfusion SECTION 4. Infection 75. Prophylactic antibiotics 76. Intrapartum sepsis 77. Hepatitis B and C 78. Intrapartum antibiotic prophylaxis for Group B streptococci 79. Genital herpes 80. Human immunodeficiency virus 81. The woman with COVID-19 SECTION 5. Other obstetric emergencies 82. Paravaginal haematoma and cervical tear 83. Rupture of the uterus 84. Shoulder dystocia 85. Cord prolapse 86. Anaphylaxis 87. Inverted uterus 88. Amniotic fluid embolism 89. Sudden maternal collapse 90. Latex allergy SECTION 6. Stillbirths and congenital abnormalities 91. Checklist for fetal loss at 13–23 weeks 92. Intrauterine fetal demise 93. Mid-trimester termination of pregnancy for fetal abnormality Appendix Index