Obstetrics on the labour ward.

The Student's Guide to the Labour Ward

Obstetricians on the labour ward: implications of medical staffing structures.

The 1981 Short report onmedical education in Britain recommended changes in the medical career structure.' Many other reports have addressed the fundamental problem associated with the traditional three tier structure of the consultant led team consisting of consultants, registrars, and house officers. In essence this problem arises from two conflicting requirements: the need to provide trainin...

Evidence-based labour ward guidelines for the diagnosis, management and treatment of spontaneous preterm labour.

Currently, there is considerable variation in the way spontaneous preterm labour is diagnosed and managed internationally. As a result, 12 international leading experts from 10 countries met to establish consensus on clinical recommendations and guidelines regarding the diagnosis, management and treatment of spontaneous preterm labour. The consensus was supported by evidence from quality litera...

OBSTETRICS Intrathecal morphine reduces breakthrough pain during labour epidural analgesia

Methods. This was a randomized, double-blind, placebo-controlled trial. Subjects were randomized to receive either 100 mg of morphine (MS) or placebo (PLCB) with the spinal injection of bupivacaine and fentanyl. Assessments included need for supplementation during labour analgesia, use of pain medications for 24 h after delivery, and side-effects. The primary endpoint was the rate of breakthrou...

Comparative evaluation of neonatal and obstetrics outcomes of labour between Iranian and Afghan ethnicities

Objective: There are major differences in neonatal and obstetrics outcomes of labour among different ethnicities. The present study compared the neonatal and obstetrics outcomes of labour between the Iranian and Afghan ethnicities. Methods: Neonatal and obstetrics problems were evaluated in Iranian and Afghan pregnant women, who had referred to Ar...