ROBuST: RCOG Assisted Birth Simulation Training Course Manual, 2nd Edition

Assisted vaginal birth (AVB) remains a key aspect of respectful, effective care for women in labour. In trained hands, it is associated with better maternal and neonatal outcomes than the alternative of a caesarean section in late labour. Written to accompany the RCOG Assisted Birth Simulation Training (ROBuST) course, this book provides guidance on the only RCOG-approved, evidence-based techniques for when and how to perform AVB and complex caesarean sections. There are clear descriptions of techniques, plus photographs, diagrams and videos to improve learning. Internationally recognised contributors discuss all aspects of assisted birth, including vacuum and forceps-assisted birth; caesarean section at full dilatation; safe and effective practice of Kielland’s forceps; and essential non-technical skills. This second edition includes chapters on providing care within the medico-legal context of modern obstetric practice and on exploring the worldwide trends in AVB. This remains a much-valued, and much-consulted, part of any accoucheur’s library.

• The text has been written to accompany the course but the content is also useful as a stand-alone read for all obstetric trainees
• Chapters by internationally renowned experts give readers the information they need to learn and apply best-practice
• Explains the rationale for each type of instrumental birth and gives real world examples of where they could be chosen, allowing readers to build mental models for what they should use and when
• Gives clear guidance on how to explain options to women and practice within a medico-legal framework of UK legislation, helping practitioners maximise maternal choice and reduces liability to practitioners and their organisations
• Key learning points are identified clearly, and many illustrations, flowcharts and step-by-step instructions are included to aid learning

Contents

List of Contributors
Preface
List of Abbreviations
1. Trends in assisted vaginal birth and future practice Stephen O'Brien, George Attilakos, Kim Hinshaw and Dimitrios Siassakos
2. Indications and assessment for assisted vaginal birth Deirdre Murphy and Meenakshi Ramphul
3. Non-technical skills Rachna Bahl and Bryony Strachan
4. Vacuum-assisted birth Glen Mola, Stephen O'Brien and Aldo Vacca
5. Non-rotational forceps delivery Kim Hinshaw and Shilpa Mahadasu
6. Rotational forceps Karl Oláh
7. Caesarean section at full cervical dilatation Patrick O'Brien and Sadia Bhatti
8. Medico-legal aspects of assisted vaginal birth (AVB) Milena Petrovic, Dimitrios Siassakos and Derek Tuffnell
9. Analgesia and anaesthesia for assisted vaginal birth Rowena Pykett, George Bugg and David Levy
Index.