Problems During Labor and Delivery

  • Stephen D. Ratcliffe


Family physicians must be well prepared to anticipate and respond to problems that can arise during labor and delivery. Most pregnancies end with a healthy infant, particularly if there are few or no unnecessary interventions. As an example, the widespread use of continuous electronic fetal monitoring since the 1970s not only did not improve neonatal morbidity and mortality outcomes, it increased cesarean section rates in the United States.1 This chapter explores common intrapartum complications in such a manner as to sharpen family practitioners’ clinical skills to more accurately know when and how to intervene with a given complication. The corollary to this approach is that practitioners will further develop the ability to know when “watchful waiting” is indicated because of an improved ability to assess and improve the health of the mother and fetus.


Obstet Gynecol Fetal Heart Rate Fetal Distress Cesarean Section Rate Placenta Previa 
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Copyright information

© Springer Science+Business Media New York 1994

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  • Stephen D. Ratcliffe

There are no affiliations available

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