 |  | 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 |
