A Practical Manual to Labor and Delivery

Shad Deering

Описание

Preface
There are few experiences in medicine that are more emotionally charged than the delivery
of a child, and almost nothing is more rewarding than taking care of a pregnant patient and
being able to place a healthy baby into her arms. To achieve this, every person on the labor
and delivery unit must do their job. Every resident, nurse, staff member, and student plays a
critical part in ensuring the best outcome possible.
On obstetric rotations, however, providers are placed in a fast-paced environment where
there is often minimal time for instruction in the procedures performed and little explanation of why certain treatment plans are made. Similarly, when first working on labor and
delivery, providers are expected to be able to perform many “basic” tasks and examinations
for which there are no good teaching references available – or, if there are, they are buried in
the middle of a large and cumbersome reference book. When you add to this the common
variations in clinical practice patterns, you have the perfect setup for confusion as you try to
learn how to take care of laboring patients.
This book is intended to bridge the gap between small handbooks that do not contain
enough material to understand why you are doing certain things and large textbooks that
lack the practical information you need for how to do specific procedures, and write notes,
orders, and dictations. After reading it, you will be prepared to care for an obstetric patient
from the moment she arrives in triage until the time she is discharged. You will understand
not only how to perform both simple and complicated procedures, but why they are
necessary. The most up-to-date literature and evidence-based recommendations have
been used to create simple treatment algorithms for the most common issues you will
face, and numerous illustrations are included for clarity as well.
This book should also be a valuable resource for staff physicians who need an updated
text on current obstetric care, as well as for those who regularly interact with and teach
residents, medical students, and nursing students.
In just the past few years, since the publication of the first edition of this book, there have
been important changes in the practice of obstetrics. Some of the most notable include
expanding the use of steroids for fetal lung maturity, new definitions for progress in labor,
and more evidence-based guidelines for cesarean section techniques. For these reasons, the
second edition has been updated to include the most recent literature and evidence for these
and many other facets of obstetrics. What has not changed, however, are the basic principles
that are included in this manual. The need for a solid foundation of practical knowledge will
never go away, and this new edition retains this mission at its core.
You have the opportunity and privilege to be part of one of the most important moments
in your patients’ lives on every shift, and also the responsibility to do your job well. This
book is the place to begin. Welcome to the adventure, and thank you for all you do for each
and every patient.

Детали

Год издания
2018
Format
pdf