Care in Normal Birth (WHO, 1996, 60 p.): 8. LIST OF PARTICIPANTS

Care in Normal Birth (WHO, 1996, 60 p.)

(introduction...)

ACKNOWLEDGEMENTS

1. INTRODUCTION

1.1 Preamble

1.2 Background

1.3 Risk Approach in Maternity Care

1.4 Definition of Normal Birth

1.5 Aim of the Care in Normal Birth, Tasks of the Caregiver

1.6 The Caregiver in Normal Birth

2. GENERAL ASPECTS OF CARE IN LABOUR

2.1 Assessing the Well-being of the Woman during Labour

2.2 Routine Procedures

2.3 Nutrition

2.4 Place of Birth

2.5 Support in Childbirth

2.6 Labour Pain

(introduction...)

2.6.1 Non-pharmacological methods of pain relief

2.6.2 Pharmacological pain relief in labour

2.7 Monitoring the Fetus during Labour

(introduction...)

2.7.1 Assessment of amniotic fluid

2.7.2 Monitoring the fetal heart rate

2.7.3 Fetal scalp blood examination

2.7.4 Comparison of auscultation and electronic fetal monitoring

2.8 Cleanliness

3. CARE DURING THE FIRST STAGE OF LABOUR

3.1 Assessing the Start of Labour

3.2 Position and Movement during the First Stage of Labour

3.3 Vaginal Examination

3.4 Monitoring the Progress of Labour

3.5 Prevention of Prolonged Labour

(introduction...)

3.5.1 Early amniotomy

3.5.2 Intravenous infusion of oxytocin

3.5.3 Intramuscular oxytocin administration

4. CARE DURING THE SECOND STAGE OF LABOUR

4.1 Physiological Background

4.2 The Onset of the Second Stage

4.3 The Onset of Pushing during the Second Stage

4.4 The Procedure of Pushing during the Second Stage

4.5 Duration of the Second Stage

4.6 Maternal Position during the Second Stage

4.7 Care of the Perineum

(introduction...)

4.7.1 “Guarding the perineum” during delivery

4.7.2 Perineal tear and episiotomy

5. CARE DURING THE THIRD STAGE OF LABOUR

5.1 Background

5.2 Prophylactic use of Oxytocics

5.3 Controlled Cord Traction

5.4 Active Versus Expectant Management of the Third Stage

5.5 Timing of Cord Clamping

5.6 Immediate Care of the Newborn

5.7 Care of the Mother Immediately after Delivery of the Placenta

6. CLASSIFICATION OF PRACTICES IN NORMAL BIRTH

(introduction...)

6.1 Practices which are Demonstrably Useful and Should be Encouraged

6.2 Practices which are Clearly Harmful or Ineffective and Should be Eliminated

6.3 Practices for which Insufficient Evidence Exists to Support a Clear Recommendation and which Should be Used with Caution while Further Research Clarifies the Issue

6.4 Practices which are Frequently Used Inappropriately

7. REFERENCES

8. LIST OF PARTICIPANTS

SAFE MOTHERHOOD RESOURCE LIST

BACK COVER

8. LIST OF PARTICIPANTS

Dr Yusuf Ahmed, Senior Lecturer, Department of Obstetrics and Gynaecology, University Teaching Hospital, P. O. Box 50001, Lusaka, Zambia

Dr Raj Baveja, Honorary Medical Superintendent, Kamala Nehru Memorial Hospital, Allahabad, India

Ms Frances Foord, Dunn Nutrition Group (Keneba), MRC Laboratories, Fajara, Nr Banjul, P.O. Box 273, The Gambia

Dr Ricardo Gonzales, Dr Jose Fabella Memorial Hospital, Lope de Vega St. Sta Cruz, Manila, The Philippines

Mrs Stella Mpanda, Lecturer, Faculty of Nursing, P. O. Box 65004, Dar Es Salaam, Tanzania

Ms Azizah Musbah, Principal Nurse Midwife Tutor, School of Midwifery, Hospital Kuala Lumpur, Jala Pahang, 50586 Kuala Lumpur, Malaysia

Dr Philip N. Mwalali, MSCI Chief Technical Adviser, Family Health Division, Ministry of Health and Social Welfare, Maseru, Lesotho

Miss Margaret Peters, Director, International Confederation of Midwives, Royal Women’s Hospital, 132 Grattan Street, Carlton 3053, Victoria, Australia

Dr Ezzat H. Sayed, Professor of Obstetrics and Gynaecology, Faculty of Medicine, Assiut University, P. O. Box 174, Assiut, Egypt

Dr Ricardo Schwarcz, Director, Center for Perinatology and Human Development (CLAP), Hospital de Clinicas, Casilia de Correo 627, Piso 16, 11000 Montevideo, Uruguay

Ms Delia S. Veraguas Segura, Avenida Gomez Carre3443, V Sector, DTO 4, Viel Mar, Chile

Professor Ulla Waldenstrom, La Trobe University, RWH Campus, Royal Women’s Hospital, Kathleen Syme Education Centre, 132 Grattan Street, Carlton 3053, Victoria, Australia

OBSERVERS

Ms Jeanne McDermott, MotherCare Project, John Snow Incorporated, 1616 N. Fort Myer Drive, Suite 1100, Arlington, Virginia 22209, United States of America

Ms Susan F. Murray, Senior Lecturer, Institute of Child Health, 30 Guildford Street, London WCIN IEH, United Kingdom

SECRETARIAT

Dr Susan Holck, Director, Reproductive Health

Mrs Carla AbouZahr, Maternal Health and Safe Motherhood

Dr Agostino Borra, Maternal Health and Safe Motherhood Programme

Ms Karen Christiani, Maternal Health and Safe Motherhood Programme/Human Resources for Health

Dr Richard Guidotti, Maternal Health and Safe Motherhood Programme

Dr Suman Mehta, Maternal Health and Safe Motherhood Programme

Sister Anne Thompson, Maternal Health and Safe Motherhood Programme

Dr Josillar, Special Programme of Research, Development and Research Training in Human Reproduction

Dr Jelka Zupan, Maternal Health and Newborn Care

Mrs Petra ten Hoope-Bender, Temporary Adviser, Jac Van Vessemsingel 37, 3065 NH Rotterdam, The Netherlands

Professor Pieter Eric Treffers, Temporary Adviser, Henriette Bosmansstraat 4, 1077 XH Amsterdam, The Netherlands