THIS book, 240 pages crammed full of obstetric facts and figures, is written by two doctors who, after junior obstetric hospital posts, pursued careers in other areas of medicine. It is constructed along traditional lines with introductory chapters on anatomy, physiology and applied embryology. There follow accounts of antenatal care, abnormal pregnancy and pregnancyrelated systemic illness. In...

OBJECTIVE To compare intrapartum and neonatal mortality in low-risk term women starting labour in midwife-led versus obstetrician-led care. STUDY DESIGN We performed a propensity score matched study using data from our national perinatal register, completed with data from medical files. We studied women without major risk factors with singleton pregnancies who gave birth at term between 2005 ...

The incidence of substance abuse in pregnancy is substantial and affects pregnancy health and outcomes. Multiple challenges exist in the identification of women with substance abuse disorders in pregnancy and the provision of care. A multidisciplinary approach has been shown to be most successful in providing comprehensive and effective care. This article outlines key aspects of prenatal and po...

The Australian government has announced major reforms with the move to a primary maternity care model. The direction of the reforms remains contentious; with the Australian Medical Association warning that the introduction of non-medically led services will compromise current high standards in maternity services and threaten the safety of mothers and babies. The purpose of this paper is to cond...

OBJECTIVES To evaluate the clinical, behavioral and health-care associated risk factors of intrapartum perinatal mortality (IPPM). DESIGN Prospective cohort study. SETTING Labor room and postnatal wards of a teaching hospital in North India. PARTICIPANTS Pregnant women were eligible for enrollment in the study if period of gestation at delivery was 35 weeks or more or baby weighed at leas...

Purpose: We propose that using remifentanil in ex utero intrapartum treatment (EXIT) procedures reduces the need for maternal exposure to general anesthesia. Using remifentanil along with spinal anesthesia eliminates the fetal and maternal risks associated with inhalational general anesthesia, allows the mother to be awake, and obviates the need for and costs associated with general anesthesia ...

As most pregnancy-related deaths and morbidities are clustered around the time of childbirth, quality of care during this period is critical to the survival of pregnant women and their babies. Despite the wide acceptance of partograph as the central tool to optimize labour outcomes for over 40 years, its use has not successfully improved outcomes in many settings for several reasons. There are ...

2 occur in developing countries . Prenatal care that a woman recieves during pregnancy, labor and in the post partum period is vital for the survival of both the mother as well as the baby. In the developing countries, there is low utilization of both antenatal and intrapartum care and many pregnant patients present to the hospital only as a last resort, and thus the opportunity to detect women...

THIS book, 240 pages crammed full of obstetric facts and figures, is written by two doctors who, after junior obstetric hospital posts, pursued careers in other areas of medicine. It is constructed along traditional lines with introductory chapters on anatomy, physiology and applied embryology. There follow accounts of antenatal care, abnormal pregnancy and pregnancyrelated systemic illness. In...