Obstetrics Book

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Spontaneous Vaginal DeliveryAka: Vaginal Delivery, Vaginal Birth

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  1. Epidemiology
    1. Vaginal birth accounts for 70% of deliveries in the United States
  2. Contraindications
    1. Complete Placenta Previa
    2. Active genital Herpes Simplex Virus (or prodromal symptoms) at time of labor
    3. Prior uterine surgery that raises risk of labor-induced Uterine Rupture
      1. History of classic uterine incision
      2. History of significant transfundal uterine surgery
    4. Untreated HIV Infection
  3. Management: Vertical Transmission Prevention
    1. See Group B Streptococcus Prophylaxis
    2. See Genital Herpes
    3. See HIV in Pregnancy
  4. Management: Labor Stage 1
    1. See First Stage of Labor
    2. See Fetal Heart Tracing
    3. Labor Progression
      1. See Labor Dystocia
      2. See Labor Augmentation and Labor Induction
      3. See Active Management of Labor
      4. See Labor Coaching
    4. Pain management
      1. See Latent Labor Anesthesia
      2. See Active Labor Anesthesia
      3. See Non-Pharmacologic Pain Control in Labor
  5. Management: Labor Stage 2
    1. Labor Progression
      1. See Labor Augmentation
      2. See Active Management of Labor
      3. See Labor Coaching
    2. See Assisted Delivery
      1. See Vacuum Assisted Delivery
      2. See Forceps Assisted Delivery
      3. See Manual Rotation in Occipitoposterior Presentation
      4. See Shoulder Dystocia Management
    3. Newborn Care
      1. See Newborn Resuscitation
    4. Other procedures
      1. See Perineal Laceration Repair
  6. Management: Labor Stage 3
    1. See Third Stage of Labor
    2. See Postpartum Hemorrhage
    3. See Retained Placenta
    4. See Uterine Inversion

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