 |  | 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 |