The Alliance for
Global Women’s Medicine
A worldwide fellowship of health professionals working together to
promote, advocate for and enhance the Welfare of Women everywhere
The Alliance for
Global Women’s Medicine
A worldwide fellowship of health professionals working together to
promote, advocate for and enhance the Welfare of Women everywhere
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Edited by David Southall
Associate Editors: Alice Clack, Johan Creemers, Angela Gorman, Assad Hafeez, Brigid Hayden, Ejaz Khan, Grace Kodindo, Rhona MacDonald, Yawar Najam, Barbara Phillips, Diane Watson, Dave Woods, Ann Wright
This textbook is written to help health workers treating pregnant women and adolescents, their newborn infants, and children admitted to hospitals in countries all over the world. It is especially aimed at those working in settings in which material and human resources are limited, where borders and infrastructures are insecure, and in rural areas where health workers may find it particularly difficult to work. Building on existing global efforts, dedicated doctors, nurses and midwives in these settings are already providing life-saving healthcare, but often find their work hard and sometimes overwhelming. Access to up-to-date evidence-based guidelines in such settings is often extremely difficult. The Internet is often too slow, printing from computers is often too expensive, and so, in our experience, books remain essential.
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Section 1:
General issues regarding hospital care
Section 2:
Pregnancy-related problems
Section 3:
Neonatal care
Section 4:
Children in hospital
Section 5:
The child presenting with a system or organ dysfunction
Section 6:
Infections in children
Section 7:
Major injuries in pregnancy and childhood
Section 8:
Procedures in children and newborn infants
Section 9:
Appendix
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Sections
1: Triage
2: Infection control and handwashing
3: Fluid administration: oral and intravenous
4: Blood transfusion
5: Pain Management
6: Transport of ill patients
7: Structured approach to emergency care
8: Basic life support and cardiopulmonary resuscitation in pregnancy
9: Skills in an emergency
10: WHO safe childbirth checklist
11: Symptoms and signs of emergencies in pregnancy
12: Shock during pregnancy and after birth
13: Severe anaemia in pregnancy including sickle cell disease
14: Septic abortion or miscarriage
15: Major obstetric haemorrhage:
Ruptured ectopic pregnancy
Miscarriage
Antepartum haemorrhage: APH
Post partum haemorrhage: PPH
16: Hypertension, pre-eclampsia and eclampsia
17: Prolonged and obstructed labour
Uterine rupture
Shoulder dystocia
18: Severe infection after birth: puerperal sepsis
19: Pulmonary embolism
20: Amniotic fluid embolism
21: Reduced fetal movements and fetal death
22: Fetal distress during labour
23: Multiple births
24: Malpositions and malpresentations
Occipito posterior
Face
Breech
25: Preterm pre-labour rupture of membranes and preterm labour
26: Prolapsed umbilical cord
27: Inverted uterus
28: Hyperemesis gravidarum
29: Heart failure
30: Severe asthma
31: Anaphylaxis
32: Diabetes and diabetic ketoacidosis
33: Reduced conscious level and coma
34: Pneumonia
35: Severe dehydration and gastroenteritis
36: Severe malaria
37: Appendicitis
38: Cystitis and pyelonephritis
39: Varicella zoster
40: Postnatal depressive illness
41: Emergency obstetric procedures:
Urethral catheter
Ventouse (vacuum) delivery
Forceps delivery
Caesarean section
Symphisiotomy
Destructive procedures
Episiotomy
Cervical tear repair
Manual removal of placenta
Pudendal nerve block
42: Major trauma in pregnancy Procedures:
Surgical cricothyrotomy
Cervical spine immobilization
Needle thoracocentesis
Chest drain
Needle pericardiocentesis
Abdominal paracentesis
Log roll
43: Burns
44: Poisoning
45: Care of the newborn and neonatal resuscitation
46: Appendix
Index