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Problems During Labor and Delivery

  • Stephen D. Ratcliffe
  • Kent Petrie

Abstract

Family physicians must be well prepared to anticipate and respond to problems that can arise during labor and delivery. As this chapter demonstrates, problems may arise during labor as a result of contemporary labor management practices. Practitioners are in a place, as never before, to assess the evidence that supports various labor strategies and interventions to determine the optimal care for their patients. The monumental work that went into the creation of the Oxford Perinatal Database Base, now known as the Cochrane Collaboration, provides numerous perinatal reviews or meta-analyses of well designed randomized controlled clinical trials that are published or unpublished in the world.1 Although meta-analyses are imperfect tools, they represent the strongest form of evidence other than a single randomized controlled megatrial, which is neither feasible nor affordable for every clinical area faced by family physicians.2 This source of evidence is cited throughout this chapter to provide the reader with an evidenced-based approach to problems that arise in the intrapartum arena.

Keywords

Fetal Heart Rate Placenta Previa Shoulder Dystocia Placental Abruption Nulliparous Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Stephen D. Ratcliffe
  • Kent Petrie

There are no affiliations available

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