Essential obstetric and newborn care

Essential obstetric and newborn care

Practical guide for midwives, doctors with obstetrics training and health care personnel who deal with obstetric emergencies

© Médecins Sans Frontières, 2019

All rights reserved for all countries. No reproduction, translation and adaptation may be done without the prior permission of the Copyright owner.

Médecins Sans Frontières. Essential obstetric and newborn care. 2019 Edition.
ISBN 978-2-37585-039-8

Table of contents

• Contributors
• Introduction
• Abbreviations and acronyms
• Chapter 1: Diagnosing and monitoring pregnancy
  • 1.1 Diagnosing pregnancy
  • 1.2 Antenatal consultations
  • 1.3 Monitoring complicated pregnancies
  • References Chapter 1
• Chapter 2: Bleeding during the first half of pregnancy
  • 2.1 Abortion
  • 2.2 Ectopic pregnancy
  • 2.3 Molar pregnancy (hydatidiform mole)
  • 2.4 Cervicitis
  • 2.5 Functional bleeding
  • References Chapter 2
• Chapter 3: Bleeding during the second half of pregnancy
  • 3.1 Placenta praevia
  • 3.2 Abruptio placentae
  • 3.3 Uterine rupture
  • 3.4 Diagnosis of bleeding during the second half of pregnancy (summary)
  • References Chapter 3
• Chapter 4: Pathologies during pregnancy and pregnancy-related disorders
  • 4.1 Iron deficiency anaemia
  • 4.2 Bacterial infections
  • 4.3 Parasitic infections
  • 4.4 Viral infections
  • 4.5 Hypertensive disorders in pregnancy
  • 4.6 Eclampsia
  • 4.7 Abnormally large uterus
  • 4.8 Polyhydramnios
  • 4.9 Premature rupture of membranes
  • 4.10 Threatened preterm delivery
  • 4.11 Intrauterine foetal death
  • References Chapter 4
• Chapter 5: Normal delivery and procedures related to vaginal delivery
  • 5.1 Normal delivery
  • 5.2 Monitoring labour and delivery
  • 5.3 Artificial rupture of the membranes
  • 5.4 Prolapsed cord
  • 5.5 Nuchal cord
  • 5.6 Instrumental delivery
  • 5.7 Symphysiotomy
  • 5.8 Episiotomy
  • 5.9 Perineal repair
  • 5.10 Deinfibulation
  • References Chapter 5
• Chapter 6: Special deliveries
  • 6.1 Breech presentation
  • 6.2 Twin pregnancy
  • 6.3 Total breech extraction
  • 6.4 Caesarean section
  • References Chapter 6
• Chapter 7: Labour dystocia and malpresentations
  • 7.1 Prolonged labour
  • 7.2 Obstructed labour
  • 7.3 Labour induction
  • 7.4 The use of oxytocin during labour
  • 7.5 Shoulder dystocia
  • 7.6 Transverse lie and shoulder presentation
  • 7.7 External version
  • 7.8 Internal version
  • 7.9 Face presentation
  • 7.10 Brow presentation
  • References Chapter 7
• Chapter 8: Third stage of labour
  • 8.1 Normal third stage of labour
  • 8.2 Early postpartum haemorrhage
  • 8.3 Late postpartum haemorrhage
  • 8.4 Uterine inversion
  • 8.5 Cervical and vaginal tears
  • References Chapter 8
• Chapter 9: Intrauterine procedures
  • 9.1 Precautions required for intrauterine procedures
  • 9.2 Manual removal of the placenta
  • 9.3 Uterine exploration
  • 9.4 Digital curettage
  • 9.5 Manual vacuum aspiration (MVA)
  • 9.6 Instrumental curettage
  • 9.7 Embryotomy
  • References Chapter 9
• Chapter 10: Newborn care in the maternity hospital
  • 10.1 Routine care and examination
  • 10.2 Neonatal resuscitation
  • 10.3 Care of the sick newborn
  • 10.4 Specific care when the mother has a transmissible infection
  • 10.5 Care of the low birth weight neonates (< 2500 g)
  • 10.6 Criteria for discharge from the maternity hospital
  • References Chapter 10
• Chapter 11: Postpartum period
  • 11.1 Normal postpartum events
  • 11.2 Postpartum care for the mother
  • 11.3 Postnatal consultations
  • 11.4 Postpartum complications
  • 11.5 Contraception
  • References Chapter 11
• Chapter 12: Termination of pregnancy
  • 12.1 Care before termination of pregnancy
  • 12.2 Medication abortion
  • 12.3 Aspiration
  • References Chapter 12
• Appendices
  • Appendix 1. Antenatal care card
  • Appendix 2. Intrauterine balloon tamponade
  • Appendix 3. Breastfeeding
  • Appendix 4. Daily amounts required for feeding
  • Appendix 5. Intravenous maintenance fluids for sick neonates
  • Appendix 6. Postnatal care card
  • Appendix 7. Pain management in pregnant or lactating women
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