Summary of PTP3 – Labour

The Royal Australian and New Zealand College of Obstetricians and Gynaecologists

Djeembana, 1 Bowen Crescent, Naarm (Melbourne) Victoria 3004, Australia.

RANZCOG acknowledges and pays respect to the Traditional Custodians of the lands, waters and communities across Australia, on which our members live and work, and to their Elders, past, present and future. RANZCOG recognises the special status of Māori as tangata whenua in Aotearoa New Zealand and is committed to meeting its obligations as Te Tiriti o Waitangi partners.

General Information

Management of labour

Care during labour and birth | Safer Care Victoria

RANZCOG Statement: Provision of routine intrapartum care in the absence of pregnancy complications

RANZCOG Statement: Use of prostaglandins for induction of labour

RANZCOG Statement: Water immersion during labour and birth

Article: Understanding Women's Business and Traditional Birthing | Gemma Pol, Common Ground

Normal Labor | Williams Obstetrics, 26e (2022)

Normal &amp; Abnormal Labor &amp; Delivery | CURRENT Diagnosis &amp; Treatment: Obstetrics &amp; Gynecology, 12e, (2019)

Normal labour and delivery quiz 01

Normal labour and delivery quiz 02

WHO Labour Care Guide (2020)

Watch: Stages of labour | Osmosis

Watch: Stages of labour | Ninja Nerd Nursing

Watch: Mechanism of labour | Health E-Learning and Media - HELM UoN

Cochrane - Position in the second stage of labour for women without epidural anaesthesia | Gupta et al 2017

Cochrane - Active versus expectant management for women in the third stage of labour | Begley et al 2019

Analgesia & pain management

Joint RANZCOG/ANZCA/RACGP Position Statement on the provision of Obstetric Anaesthesia and Analgesia Services (2022)

King Edward Memorial Hospital: Pain Management Clinical Practice Guideline (2019)

ANZCA Management of Regional Analgesia for Labour (n.d.)

Obstetrical Analgesia and Anesthesia | Williams Obstetrics, 26e (2022)

Medication Use and Pain Management in Pregnancy: A Critical Review | Black et al (2019)

Non-pharmacological pain management strategies for labour: Maintaining a physiological outlook | Sanders &amp; Lamb (2017)

ANZCA/RACGP/ACRRM | Curriculum statement in anaesthesia for advanced rural skills and advanced specialised training (2010)

Fetal wellbeing & fetal surveillance

Intrapartum fetal surveillance clinical guideline (4th edition) | RANZCOG, 2019

Intrapartum fetal surveillance clinical guideline (clinical algorithm) | RANZCOG, 2019

Clinical Practice Guideline for the Care of Women with Decreased Fetal Movements | Perinatal Society of Australia &amp; NZ / Stillbirth Centre of Research Excellence, 2017

RANZCOG Online Fetal Surveillance Education Program (OFSEP)

Cochrane Review - CTG as a form of electronic fetal monitoring for fetal assessment during labour

RWH - CTG interpretation and response (Example of hospital based protocol)

Obstetric emergencies

RCOG Green-top guideline No.42 | Shoulder dystocia

RCOG Green-top guideline No.52 | Prevention and Management of Postpartum Haemorrhage

WA health O&amp;G Clinical practice Guideline | Labour (third stage): Retained placenta

RCOG Green-top Guideline No. 56 | Maternal Collapse in Pregnancy and the Puerperium

Management of Postpartum Hemorrhage | Cunningham and Gilstrap's Operative Obstetrics, 3e (2017)

Shoulder dystocia | Cunningham and Gilstrap's Operative Obstetrics, 3e (2017)

Webinar: Obstetric emergencies | Dr Vicki Woodward, 2020

Bloodsafe Postpartum Haemorrhage (PPH) Online Learning

Maternal collapse - case scenario

NICE guideline | Intrapartum care for healthy women and babies

Royal Women's Hospital clinical guideline | Shoulder dystocia

QLD Health Clinical Guideline | Primary Postpartum Haemorrhage (PPH)

SA Health Perinatal Practice Guideline | Collapse (Maternal)

Australian Resuscitation Guidelines

Procedures & perineal trauma

Needles, Sutures, and Knots | Cunningham and Gilstrap's Operative Obstetrics, 3e 2017

Surgical Instruments | Cunningham and Gilstrap's Operative Obstetrics, 3e 2017

Anatomy | Cunningham and Gilstrap's Operative Obstetrics, 3e 2017

Incisions and Closures | Cunningham and Gilstrap's Operative Obstetrics, 3e 2017

RCOG Greentop Guideline - 3rd and 4th degree perineal tear repair

RWH Clinical Guideline - Perineal Tears – 3rd and 4th degree

Episiotomy and Obstetric Anal Sphincter Lacerations | Cunningham and Gilstrap's Operative Obstetrics, 3e (2017)

Watch: 1st and 2nd Degree Perineal Tear Repair on a Episiotomy and Suturing Simulator

Watch: How To - Perineal Repair | UBC Medicine Educational Media

Instrumental vaginal birth

Self test questions

Maternal & fetal complications

Managing Complications in Pregnancy and Childbirth - a guide for midwives and doctors | WHO, 2017

RCOG Green-top guideline No.64a | Sepsis in Pregnancy, Bacterial

NICE Guideline | Quality statement 4: Recognising and treating sepsis

Maternal Sepsis | Obstetric Intensive Care Manual, 5e (2018)

Safer Care Victoria | Antepartum haemorrhage: assessment and management

Watch: PROMPT Antepartum Haemorrhage virtual drill | PROMPT Maternity Foundation

Watch: Antepartum Haemorrhage | Sarah Xuereb (05:06)

RCOG Green-top guideline No.50 | Umbilical Cord Prolapse

Watch: Cord prolapse | PROMPT Maternity Foundation

Malpresentation &amp; Cord Prolapse | CURRENT Diagnosis &amp; Treatment: Obstetrics &amp; Gynecology, 12e, (2019)

The Royal Women's Hospital (RWH) guideline | Vaginal Birth - Assisted or Instrumental

RANZCOG statement: Instrumental vaginal birth

RANZCOG statement: Categorisation of urgency for caeserian section

Watch: Placenta previa - causes, symptoms, diagnosis, treatment, pathology | Osmosis

Watch: Placental abruption - causes, symptoms, diagnosis, treatment, pathology | Osmosis

Links

Archive (2022)

PTP3 – Labour

Normal & Abnormal Labor & Delivery | CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e, (2019)

Non-pharmacological pain management strategies for labour: Maintaining a physiological outlook | Sanders & Lamb (2017)

Clinical Practice Guideline for the Care of Women with Decreased Fetal Movements | Perinatal Society of Australia & NZ / Stillbirth Centre of Research Excellence, 2017

WA health O&G Clinical practice Guideline | Labour (third stage): Retained placenta

Malpresentation & Cord Prolapse | CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 12e, (2019)