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Optimal Care in Childbirth
The Case for a Physiologic Approach
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Main description:

What practices and policies best promote safe, healthy, satisfying labor and birth? What harms do routine or frequent use of tests, procedures, and restrictions introduce? What nonmedical factors drive the current maternity care system? Meticulously documented, Optimal Care in Childbirth: The Case for a Physiologic Approach pulls back the curtain on medical-model management of childbirth. Written for those who want to practice according to the best evidence, assist women in making informed decisions, or advocate for maternity care reforms, Optimal Care in Childbirth provides an in-depth analysis of the evidence basis for physiologic care as the standard of care.

The book examines: - why the research shows so little benefit for physiologic care and so little harm from medical-model management - what's behind the cesarean epidemic - what the research establishes as optimal care for initiating labor, facilitating labor progress, guarding maternal and fetal safety, birthing the baby, and promoting safety for mother and baby after the birth - the true, quantified risks of primary cesarean surgery, planned VBAC versus elective repeat cesarean, instrumental vaginal delivery, and regional analgesia - how the organization of the maternity care system adversely impacts care outcomes


Contents:

Section I: Introduction Chapter 1: Why This Book? The Failure of Obstetric Management Chapter 2: Why This Book? The Failure of Obstetric Research Chapter 3: About This Book: The Nuts and Bolts Section II: The Cesarean Epidemic Chapter 4: The Chase to the Cut Chapter 5: The Case Against Liberal Use of Cesarean Surgery Chapter 6: The Case Against Elective Repeat Cesarean Section III: Optimal Care for Initiating Labor Chapter 7: Inducing Labor: Patience Is a Virtue Section IV: Optimal Care for Promoting Labor Progress Chapter 8: Promoting Progress in First-Stage Labor: Yes We Can Chapter 9: Augmentation: Forced Labor Section V: Optimal Care for Guarding Safety and Wellbeing in Labor Chapter 10: Electronic Fetal Monitoring (Cardiotocography): Minding the Baby Chapter 11: Routine IVs Versus Oral Intake in Labor: "Water, Water Everywhere, Nor Any Drop to Drink" Chapter 12: Epidurals and Combined Spinal-Epidurals: The "Cadillacs" of Analgesia Section VI: Optimal Care for Birthing the Baby Chapter 13: Second-Stage Labor: Lead, Follow, or Get out of the Way? Chapter 14: Instrumental Vaginal Delivery and Fundal Pressure: When Push Comes to Pull - or Shove Chapter 15: Episiotomy: The Unkindest Cut Section VII: Optimal Care for After the Birth Chapter 16: Third-Stage Labor Active Management: The Wrong Answer to the Right Question Chapter 17: Newborn Practices: Don't Just Do Something; Sit There! Section VIII: Optimal Practice for a Maternity Care System Chapter 18: Supportive Care in Labor: Mothering the Mother Versus Serving the Doctor Chapter 19: Midwife-Led Care: Organizing an Optimal Maternity Care System Chapter 20: The Place of Birth: Birth Homes Chapter 21: The Place of Birth: Home Births Appendices Index About the Authors


PRODUCT DETAILS

ISBN-13: 9781780661100
Publisher: Pinter & Martin Ltd.
Publication date: June, 2013
Pages: 582
Dimensions: 153.00 x 228.00 x 32.00
Weight: 960g
Availability: Available
Subcategories: Obstetrics and Gynaecology

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