Practical Management of Labour Arun Nagrath, Manjula Singh
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1Practical Management of Labour
2Practical Management of Labour
Editors Arun Nagrath MS FICOG FIAJAGO FICMCH FICMU Professor of Obstetrics and Gynaecology SN Medical College Agra Manjula Singh MS (Obst and Gynae) SN Medical College Agra
3Published by
Jitendar P Vij
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Practical Management of Labour
© 2003, Arun Nagrath, Manjula Singh
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
This book has been published in good faith that the material provided by editors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only.
First Edition: 2003
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4
to
the enhancement of Medical Services to women throughout the world…
5
to
Prof. Nawal Kishore
This initiative is dedicated with inexpressible gratitude to my Guru, my inspiration, my role model, my benefactor, my uncle, who tutored, nursed and nurtured generations of outstanding Obstetricians and Gynaecologists with virtual divinity flowing through his surgical hands accompanied by a rare insight into the theory and practice of Obstetrics and Gynaecology —Prof. Nawal Kishore, former Principal of the Sarojini Naidu Medical College and former Head of the Department of Obstetrics and Gynaecology at the same institution.
6Contributors 7Preface
Labour over the last many centuries has been practiced in the form of ‘midwifery’ and gradually was introduced into the domain of the obstetrical section of ‘medical’ practice.
Over the years’ understanding of the subject, development of newer and safer instruments and operative techniques, advances in anaesthesia and obstetrical analgesia make labour almost free of risk. The advent of computerized monitoring of the parturient lady may on one hand have contributed to increased safety of both the mother and the child but at the same time has taken away from the budding obstetricians the romance of developing their clinical skills through the two ‘wonder fingers’ of the obstetrician, on the other.
Caught in these two extremes a person is at times at a cross-road not knowing whether to adopt the old system, thinking that ‘old is gold’ or to put the patient under the computer and let the machine decide what is right for the patient. Does it not mean that future research should more be aimed at developing computer software and computerized robots who may perhaps operate with much greater dexterity as compared with their ‘human inferiors’?
If this manual can imbibe in the students the ‘human factor’ in labour, evoke interest and get us a critical feedback we would have succeeded in our mission.
Arun Nagrath
Manjula Singh