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These evidence-based guidelines cover topics like fetal heart rate monitoring, labor induction, neonatal skin care, [4] care of the late preterm infant, [5] breastfeeding, HPV counseling, neonatal hyperbilirubinemia, nursing staffing, [6] and care of the patient in the second stage of labor.
Trial of labor after caesarean (TOLAC) is the term for an attempted birth in a patient who has had a previous caesarean section. It may result in a successful VBAC (vaginal birth after caesarean) or a repeat caesarean section.
Most deaths can be attributed to infection, maternal bleeding, and obstructed labor, and their incidence of mortality vary widely internationally. [10] The Society for Maternal-fetal Medicine (SMFM) strives to improve maternal and child outcomes by standards of prevention, diagnosis and treatment through research, education and training. [11]
Postgraduate training programs for both fields are usually combined, preparing the practising obstetrician-gynecologist to be adept both at the care of female reproductive organs' health and at the management of pregnancy, although many doctors go on to develop subspecialty interests in one field or the other.
Fernand Lamaze visited the Soviet Union in the 1950s, and was influenced by birthing techniques which involved breathing and relaxation methods. [3] The Lamaze method gained popularity in the United States after Marjorie Karmel wrote about her experiences in her 1959 book Thank You, Dr. Lamaze, as well as Elisabeth Bing's book Six Practical Lessons for an Easier Childbirth (1960).
Throughout labor and delivery the mother's vital signs (temperature, blood pressure, and pulse) are closely monitored and her fluid intake and output are measured. The midwife also monitors the baby's pulse rate, palpates the mother's abdomen to monitor the baby's position, and does vaginal examinations as indicated.
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Based on observations of mammals during labor and birth, he developed a childbirth method to teach women to do the things that animal mothers do instinctively. Soon after starting to implement his new childbirth method with pregnant nurses as a trial, Dr. Bradley began to believe that the presence and support of the father during labor and ...