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The right for every woman to have a 'natural' birth has been recognized for many years, yet surgical interventions continue to rise and, paradoxically, complaints and the degree of litigation for disappointing labor outcomes escalate. Proactive Support of Labor enhances professional skills by providing the expertise for preventing long labors - the root-cause of traumatic birth experiences and the cesarean pandemic. Step-by-step, evidence-based guidance on expert care and support during labor is given. Emphasis is placed on pre-labor education, personal attention, and well-defined birth planning – including strict diagnoses and timely corrective measures in abnormal labor – and constant audit of all procedures and outcomes. Striking a new balance between natural birth and intervention, and invariably enhancing women's satisfaction with the childbirth experience, the fully updated revision of this groundbreaking work will be essential reading for obstetricians, midwives, nurses, and trainees. For peer and reader reviews of the first edition see: www.proactivesupportoflabor.com.
	Foreword to the first edition
	Preface
	Dedication
	Web-links
	1. General introduction
	Part I. A Wake-up Call:
	2. Medical excess in normal childbirth 3. Avoidable causes of failed labors
	4. Harmful birth care practices
	5. Destructive territorial disputes
	6. Self-sustaining mechanisms
	Part II. Back to Basics:
	7. Forgotten lessons from nature
	8. Elementary biophysics of birth
	9. Definitions and verbal precision
	10. First-stage labor revisited
	11. Second-stage labor redefined
	Part III. Proactive Support of Labor:
	12. Leading principles
	13. Nulliparous versus parous labor
	14. Diagnosis of labor
	15. Prevention of long labor
	16. Personal attention and support
	17. Amniotomy and oxytocin
	18. Pre-labor preparation
	19. Affective dimensions of labor pain
	20. Pain relief re-examined
	21. Dynamic dystocia unraveled
	22. Obstructed labor
	23. Curtailed use of induction
	24. Safe care of the fetus
	25. Organizational reforms
	26 Implementation and ongoing audit cycle
	27. External audit of procedures and outcomes
	Index.
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