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Problems During Labor and Delivery

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Abstract

Family physicians must be well prepared to anticipate and respond to problems that can arise during labor and delivery. As this chapter demonstrates, problems may arise during labor as a result of contemporary labor management practices. Practitioners are in a place, as never before, to assess the evidence that supports various labor strategies and interventions to determine the optimal care for their patients. The monumental work that went into the creation of the Oxford Perinatal Database Base, now known as the Cochrane Collaboration, provides numerous perinatal reviews or meta-analyses of well designed randomized controlled clinical trials that are published or unpublished in the world.1 Although meta-analyses are imperfect tools, they represent the strongest form of evidence other than a single randomized controlled megatrial, which is neither feasible nor affordable for every clinical area faced by family physicians.2 This source of evidence is cited throughout this chapter to provide the reader with an evidenced-based approach to problems that arise in the intrapartum arena.

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Authors
  1. Stephen D. Ratcliffe
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  2. Kent Petrie
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Editor information

Editors and Affiliations

  1. Department of Family Medicine, Oregon Health Sciences University, Portland, OR, 97201, USA

    Robert B. Taylor M.D. (Professor and Chairman) (Professor and Chairman)

  2. Department of Family Medicine, University of Cincinnati College of Medicine, Cincinnati, OH, 45267, USA

    Alan K. David M.D. (The Fred Lazarus, Jr., Professor and Director) (The Fred Lazarus, Jr., Professor and Director)

  3. Department of Family Medicine, St. John’s Mercy Medical Center, St. Louis, MO, 63141, USA

    Thomas A. Johnson Jr. M.D. (Chairman) (Chairman)

  4. Department of Family Medicine, University of Mississippi School of Medicine, Jackson, MS, 39216, USA

    D. Melessa Phillips M.D. (Professor and Chairman) (Professor and Chairman)

  5. Department of Family Medicine, University of California—Irvine College of Medicine, Orange, CA, 92697, USA

    Joseph E. Scherger M.D., M.P.H. (Associate Dean for Primary Care and Chair) (Associate Dean for Primary Care and Chair)

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© 1998 Springer Science+Business Media New York

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Ratcliffe, S.D., Petrie, K. (1998). Problems During Labor and Delivery. In: Taylor, R.B., David, A.K., Johnson, T.A., Phillips, D.M., Scherger, J.E. (eds) Family Medicine. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-2947-4_14

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  • DOI: https://doi.org/10.1007/978-1-4757-2947-4_14

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-2949-8

  • Online ISBN: 978-1-4757-2947-4

  • eBook Packages: Springer Book Archive

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