‘You only know what you measure and what you cannot measure must be made measurable’. Galileo Introduction From the available literature, it is clear that intrapartum care is provided in many different ways and with variable outcomes, for which there…
Women will always choose the type of delivery that seems safest for them and their babies. If women choose a type of delivery that we disagree with then either they may be right and we may be wrong, the care…
Once a Caesarean Always a Caesarean ‘One thing must always be borne in mind, viz., that no matter how carefully a uterine incision is sutured, we can never be certain that the cicatrized uterine wall will stand a subsequent pregnancy…
Malpresentations are all presentations of the fetus other than the vertex. Malpositions are abnormal positions of the normal presenting part (the vertex) of the fetal head with the occiput as the reference point relative to the maternal pelvis . Fetal…
Oxytocin Oxytocin is a mammalian neurohypophysial hormone and is produced in the supraoptic and paraventricular nuclei of the hypothalamus. It is a neuropeptide that physiologically is a potent uterotonic, stimulating the smooth muscles of the uterus. It also causes contraction…
On the qualifications of an accoucheur: ‘Those who intend to practice midwifery, ought first of all to make themselves masters of anatomy, and acquire competent knowledge in surgery and physic … and of practising under a master, before he attempts…