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Titlebook: Clinical Obstetrics and Gynaecology; Isabel Stabile,Tim Chard,Gedis Grudzinskas Book 19961st edition Springer-Verlag London Limited 1996 O

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https://doi.org/10.1007/3-540-52497-5dequate analgesia. Diagnosis of labour is based on satisfactory cervical dilatation in the one-hour period following admission. Subsequent assessment should take place every 1–2 h. The personal attention of one nurse provides social and psychological support and reduces the need for augmentation and caesarean section.
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https://doi.org/10.1007/3-540-52497-5Heart disease affects approximately 1% of all pregnancies, of which the majority are now thought to be congenital in origin. The incidence of rheumatic heart disease has declined.
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Assessment of Gestational AgeTraditionally estimation of gestational age is based on the menstrual history and the findings of bimanual and abdominal examination. Both of these may be subject to considerable error. Many units now perform ultrasound measurements as a routine in all pregnancies to provide an objective estimate of gestational age.
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Antenatal CareThe primary aim of antenatal care is to predict, and thereby hopefully to prevent, one or more of the untoward outcomes listed in Table 4.1.
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