Sudhir R Shah MD DGO FLCOG
Head of Obstetrics and Gynecology Department Dashashrimali Hospital, Kotharia Naka Rajkot, India
Beena N Trivedi MD
Senior Gynecologist Dashashrimali Hospital, Kotharia Naka Rajkot, India
Manish R Pandya MD
Associate Professor of Ob/Gyn CUS Medical College Dr Manish Pandya Hospital Lati Plot, Surendranagar, India
Dipal D Solanki MD
Gynecologist Dashashrimali Hospital, Kotharia Naka Rajkot, India
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Active Management of Labor
© 2009, Jaypee Brothers Medical Publishers
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 author and the publisher.
First Edition: 2009
9788184485561
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset & Packagings Ltd., New Delhi
5
7Preface
Obstetricians are always in the learning curve so far as conduction of labor is concerned. An apprehensive obstetrician tried to study the progress of labor in graphical manner and developed partogram.
Active Management of Labor is the need of the present era in the field of Obstetrics. Undue prolong labor causes fetal, maternal and obstetrician's distress. Fetal and maternal morbidity and mortality can be reduced to a great level by managing the labor in most scientific way, instead of non-active watchful expectancy. All the ‘primigravida’ gives a test for vaginal delivery in a fearful and stressful mental status. Obstetrician's duty is to help them professionally and with humanity level. This will make their first labor experience stressless and enjoyable.
We have tried to describe the basics of active management of labor in this small and ready reference book, keeping a primigravida in picture. The book has been written out of our 25 years’ experience with this subject Active Management of Labor. It was the subject of the dissertation of Dr Sudhir R Shah in the year 1979 for Master Degree in our field of Obstetrics and Gynecology, under the guidance of Dr Raman M Nadkarni at VS Hospital, Ahmedabad, India. Those days, this concept was new and Philpott and O'Driscoll set the ball running with this idea having inserted Alert line and Action line in Friedmann's Nomogram in 1974. 8Dr Shirish Daftary–O'Driscoll of India is one of the pioneers to bring the concept of active management of labor to India. He has the credit to form Indian Nomogram. We salute to Dr Shirish Daftary for his great achievement.
Wishing you a good and grand new reading.
Sudhir R Shah
Beena N Trivedi
Manish R Pandya
Dipal D Solanki
9Reference
As a matter of fact, this small booklet is the result of knowledge gained after reading number of books on this subject ranging from Indian authors to International authors, publications of our FOGSI, journals, recent advances added with the personal experience gained by private practice and treating patients for number of years, attending and participated in workshops and seminars on this interesting subject.
For the details of each chapter, readers are requested to go through the textbooks.
11Acknowledgements
We are thankful to:
- Our idols and friends in this fraternity who encouraged us to pen this book.
- Jaypee Brothers Medical Publishers (P) Ltd, New Delhi for constant encouragement and provoking us to write this book.
- Our Trustees, Superintendent and Medical Director for encouragement and support to write this book.
- Our family members Mrs Jyoti Shah, Dr Nimish Trivedi (MCh Neurosurgeon), Dr Nehal Pandya (MD DVD) and Dr Dharmesh Solanki (DM Cardiologist) have provided us constant encouragement to come up with this novel subject.
- Number of other friends who helped us in many ways.