Managing Complications in Pregnancy and Childbirth: - IAWG

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xAbbreviations
LIST OF DIAGNOSESNormal labour and childbirth C-57Shock S-1Abnormal fetal heart rate S-95Abortion S-8Abruptio placentae S-18Acute pyelonephritis S-100Amnionitis S-136Anaemia, severe S-126Appendicitis S-116Atonic uterus S-27Breast infection S-108Breast engorgement S-108Breech presentation S-74Bronchial asthma S-126Brow presentation S-73Cephalopelvic disproportion S-57Chronic hypertension S-38Coagulopathy S-19Compound presentation S-74Cystitis S-100Eclampsia S-38Ectopic pregnancy S-8Encephalitis S-39Epilepsy S-39Excess amniotic fluid S-87Face presentation S-73False labour S-57Fetal death S-132Haemorrhage, antepartum S-17Haemorrhage, postpartum S-27Heart failure S-126Inadequate uterine activity S-57Infection of wounds S-108Inverted uterus S-27Large fetus S-87Malaria, severe/complicated S-39Malaria, uncomplicated S-100Meconium S-95Meningitis S-39Metritis S-108Migraine S-39Molar pregnancy S-8Multiple pregnancy S-87Obstructed labour S-57Occiput posterior position S-72Occiput transverse position S-72Ovarian cysts S-116Pelvic abscess S-108Peritonitis S-108Placenta praevia S-18Pneumonia S-126Pre-eclampsia, mild orsevere S-38Pregnancy-inducedhypertension S-38Prelabour rupture ofmembranes S-136Preterm labour S-120Prolapsed cord S-97Prolonged latent phase S-57Prolonged expulsive phase S-57Retained placenta orplacental fragments S-27Ruptured uterus S-18Scarred uterus S-93Shoulder presentation S-75Shoulder dystocia S-83Tears of cervix and vagina S-27Tetanus S-38Transverse lie S-75xi
Page 1 and 2: WHO/RHR/00.7Distr: GeneralIntegrate
Page 4 and 5: ©World Health Organization, 2000Th
Page 6 and 7: iiTable of contentsLoss of fetal mo
Page 8 and 9: ivPreface
Page 10 and 11: viIntroduction
Page 12 and 13: viiiHow to use the manualprocedure,
Page 16 and 17: xiiList of diagnoses
Page 18 and 19: RAPID INITIAL ASSESSMENT C-1When a
Page 20 and 21: Rapid initial assessmentC-3Abdomina
Page 22 and 23: TALKING WITH WOMEN AND THEIR FAMILI
Page 24 and 25: EMOTIONAL AND PSYCHOLOGICAL SUPPORT
Page 26 and 27: Emotional and psychological support
Page 33 and 34: C-16 Emotional and psychological su
Page 35 and 36: C-16 Emergencies• If the woman is
Page 37 and 38: C-18 General care principles- after
Page 39 and 40: C-20 General care principlesaGloves
Page 41 and 42: C-22 General care principles- weari
Page 43 and 44: C-24 General care principles• Nev
Page 45 and 46: C-24 Clinical use of blood, blood p
Page 57 and 58: ANTIBIOTIC THERAPY C-35Infection du
Page 59 and 60: ANAESTHESIA AND ANALGESIA C-37Pain
Page 61 and 62: Anaesthesia and analgesiaC-39• Gi
Page 63 and 64: Anaesthesia and analgesiaC-41TABLE
Page 65 and 66:
Anaesthesia and analgesiaC-43MANAGE
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Anaesthesia and analgesiaC-45- Give
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Anaesthesia and analgesiaC-47Proced
Page 71 and 72:
OPERATIVE CARE PRINCIPLES C-47The w
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Operative care principlesC-49• Ho
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Operative care principlesC-51HAEMOS
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Operative care principlesC-53- Plac
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Operative care principlesC-55A urin
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NORMAL LABOUR AND CHILDBIRTH C-57NO
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Normal labour and childbirthC-59- E
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Normal labour and childbirthC-61•
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Normal labour and childbirthC-69FIG
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Normal labour and childbirthC-71FIG
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Normal labour and childbirthC-75Not
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Normal labour and childbirthC-77Nev
Page 103 and 104:
NEWBORN CARE PRINCIPLES C-77When a
Page 105 and 106:
PROVIDER AND COMMUNITY LINKAGES C-7
Page 107 and 108:
Provider and community linkagesC-81
Page 109 and 110:
SHOCK S-1Shock is characterized by
Page 111 and 112:
ShockS-3BEDSIDE CLOTTING TEST• As
Page 113 and 114:
ShockS-5• If trauma is suspected
Page 115 and 116:
VAGINAL BLEEDING IN EARLY PREGNANCY
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Vaginal bleeding in early pregnancy
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
S-18 Vaginal bleeding in later preg
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Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
S-26 Vaginal bleeding after childbi
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
HEADACHE, BLURRED VISION, CONVULSIO
Page 147 and 148:
Headache, blurred vision, convulsio
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
UNSATISFACTORY PROGRESS OF LABOUR S
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Unsatisfactory progress of labourS-
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Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
MALPOSITIONS AND MALPRESENTATIONS S
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Malpositions and malpresentationsS-
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Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
S-84 Shoulder dystociaFIGURE S-26As
Page 201 and 202:
S-86 Shoulder dystocia
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S-88 Labour with an overdistended u
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
S-94 Labour with a scarred uterus-
Page 211 and 212:
S-96 Fetal distress in labour- If t
Page 213 and 214:
S-98 Prolapsed cord- If breech pres
Page 215 and 216:
S-100 Fever during pregnancy and la
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
Page 223 and 224:
FEVER AFTER CHILDBIRTH S-107PROBLEM
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Fever after childbirthS-109Presenti
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Fever after childbirthS-111aGive he
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Fever after childbirthS-113• If t
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Fever after childbirthS-115- apply
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Fever after childbirthS-117• Remo
Page 235 and 236:
ABDOMINAL PAIN IN EARLY PREGNANCY S
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Abdominal pain in early pregnancyS-
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Abdominal pain in early pregnancyS-
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S-120 Abdominal pain in later pregn
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Page 245 and 246:
Page 247 and 248:
Page 249 and 250:
S-126 Difficulty in breathingDIAGNO
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S-128 Difficulty in breathing- Give
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S-130 Difficulty in breathing
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LOSS OF FETAL MOVEMENTS S-131PROBLE
Page 257 and 258:
Loss of fetal movementsS-133• Alt
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PRELABOUR RUPTURE OF MEMBRANES S-13
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Prelabour rupture of membranesS-137
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Prelabour rupture of membranesS-139
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IMMEDIATE NEWBORN CONDITIONS OR S-1
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Immediate newborn conditions or pro
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Page 273 and 274:
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SECTION 3PROCEDURES
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P-2 Paracervical blocktry again. Ne
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P-4 Pudendal blockFIGURE P-2Perinea
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P-6 Pudendal block• Inject 10 mL
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P-8 Local anaesthesia for caesarean
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P-10 Local anaesthesia for caesarea
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P-12 Spinal anaesthesia• If the n
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KETAMINE P-13TABLE P-5Indications a
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EXTERNAL VERSION P-15• Review for
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INDUCTION AND AUGMENTATION OF LABOU
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Induction and augmentation of labou
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Page 301 and 302:
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VACUUM EXTRACTION P-27Figure P-6 sh
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Vacuum extractionP-29• With the p
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Vacuum extractionP-31FAILURE• Vac
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FORCEPS DELIVERY P-33• Review for
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Forceps deliveryP-35- fetal heart r
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BREECH DELIVERY P-37• Review for
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Breech deliveryP-39• Hold the bab
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Breech deliveryP-41Note: Ask an ass
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Breech deliveryP-43extended at hip
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CAESAREAN SECTION P-43• Review fo
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Caesarean sectionP-45• Use two fi
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Caesarean sectionP-47• Hand the b
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Caesarean sectionP-49CLOSING THE AB
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Caesarean sectionP-51• Women with
Page 333 and 334:
Caesarean sectionP-53• Grasp the
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P-54 SymphysiotomyAbduction of the
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P-56 Symphysiotomy• After separat
Page 339 and 340:
P-58 Craniotomy and craniocentesis
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P-60 Craniotomy and craniocentesisA
Page 343 and 344:
P-62 Dilatation and curettage- Take
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P-64 Dilatation and curettage- feve
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P-66 Manual vacuum aspiration• Di
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P-68 Manual vacuum aspiration• Qu
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CULDOCENTESIS AND COLPOTOMY P-69CUL
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Culdocentesis and colpotomyP-71•
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P-72 EpisiotomyFIGURE P-39Infiltrat
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P-74 Episiotomy- At the opening of
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P-76 Episiotomy
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P-78 Manual removal of placenta•
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P-80 Manual removal of placenta•
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P-2 Repair of cervical tears
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REPAIR OF VAGINAL AND PERINEAL TEAR
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P-84 Repair of vaginal and perineal
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Page 373 and 374:
Page 375 and 376:
Page 377 and 378:
CORRECTING UTERINE INVERSION P-91
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P-92 Correcting uterine inversionHY
Page 381 and 382:
P-94 Correcting uterine inversion-
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P-96 Repair of ruptured uterus• S
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P-98 Repair of ruptured uterus• I
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UTERINE AND UTERO-OVARIAN ARTERY P-
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Uterine and utero-ovarian artery li
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POSTPARTUM HYSTERECTOMY P-103Postpa
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Postpartum hysterectomyP-105FIGURE
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Postpartum hysterectomyP-107• Clo
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Postpartum hysterectomyP-109POSTOPE
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P-110 Salpingectomy for ectopic pre
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P-112 Salpingectomy for ectopic pre
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INDEX A-3Abdominal distensiondiagno
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IndexA-5Atonic uterusdiagnosis, S-2
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IndexS-97transverse lie and, P-49tu
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IndexDescentassessment of, C-61Dext
Page 413 and 414:
IndexFetal skull landmarks, C-62Fev
Page 415 and 416:
Indexpostoperative care, P-108subto
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IndexA-15Maintenance fluid therapy,
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IndexA-17syphilis, management, S-15
Page 421 and 422:
Indexgeneral management, S-25Pre-ec
Page 423 and 424:
IndexA-21Stillbirthemotional consid
Page 425 and 426:
IndexA-23anaesthesia options, C-45b
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Managing Complications in Pregnancy and Childbirth: - IAWG

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