Vaginal Delivery, as the Obstetrician Would Say

Wilmar Saldarriaga Gil; Javier Enrique Fonseca Perez; Hoover Orlando Canaval Erazo

doi:10.25100/peu.839

Vaginal Delivery, as the Obstetrician Would Say

https://doi.org/10.25100/peu.839

Palabras clave:

Childbirth, Obstetrics, Postpartum, Labor

Autores

Wilmar Saldarriaga Gil Universidad del Valle, Cali, Colombia

Javier Enrique Fonseca Perez Universidad del Valle, Cali, Colombia

Hoover Orlando Canaval Erazo Universidad del Valle, Cali, Colombia

Resumen

This book aims to describe in-depth decisions about maternal care with up-to-date and practical knowledge that improves obstetric and perinatal outcomes of the mother-baby binomial.

Developed in seven chapters, with dozens of figures, it begins by describing the physiological, hormonal, immunological, and enzymatic events produced in mother-fetus communication between the onset of regular uterine contractions, through labor, birth, and delivery, until the puerperium. In this context, the Friedman curve and the new studies and definitions established by Dr. Zhang and his group are compared. It is explained how the partograph must be filled out properly, relating to the alterations of labor known as dystocia, and recommendations are given for timely diagnosis and relevant interventions.

A chapter on electronic fetal monitoring is included, emphasizing antepartum and intrapartum interpretation and its clinical utility. Multiple examples are presented with recording graphs and correlated with fetal acid-base status.

Postpartum hemorrhage is addressed. It is a foreseeable event secondary to childbirth, whose mortality is almost always avoidable. For this reason the authors develop the topic including pathophysiology, etiology, risk factors, prevention, diagnosis, and diagnostic aids, medical and surgical interventions according to the cause.

For the authors, this book could not fail to include a chapter on labor induction. Bearing in mind that a properly carried out practice can reduce the number of cesarean sections and maternal and fetal morbidity and mortality, the indications, contraindications, risks, and different methods to end the pregnancy by vaginal delivery are presented.

The last chapter deals with the normal puerperium and the pathologies frequently found in women after childbirth and ends with the protocol of the postpartum control appointment.

This book has been created after the simple observation of three professors from the Universidad del Valle who, from their day-to-day work, mainly at the Hospital Universitario del Valle “Evaristo García,” concluded that students and professionals from different health careers involved in maternal care could improve their knowledge regarding labor, delivery and the puerperium; and that although there are texts available in the literature on obstetrics in general, and that most of them are of good academic quality, none of them is dedicated exclusively to addressing physiological processes and their alterations during labor, delivery, and the puerperium as in the book Vaginal Delivery, as the Obstetrician Would Say.

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Biografía del Autor

Wilmar Saldarriaga Gil, Universidad del Valle, Cali, Colombia

Physician and surgeon, gynecologist-obstetrician, master’s degree and doctor in Biomedical Sciences with an emphasis in medical genetics, from the Universidad del Valle. The last year of his doctorate was spent as a visiting professor at the University of California in Davis. At the Universidad del Valle, he is a tenured and distinguished professor in the Morphology and Gynecology-Obstetrics department, director of the MACOS research group (category A), and a senior researcher, according to Minciencias. He is a gynecologist and obstetrician at the Hospital Universitario del Valle “Evaristo García.” He has authored over 105 papers published in indexed journals and 5 books. He has received multiple national and international recognitions for his research work and his activity as a university professor.

Javier Enrique Fonseca Perez, Universidad del Valle, Cali, Colombia

Physician and surgeon specializing in Gynecology-Obstetrics and a Master’s degree in Epidemiology from the Universidad del Valle. Associate professor at the School of Medicine (Department of Gynecology and Obstetrics) and the School of Public Health (Master’s degree in Epidemiology) of the Universidad del Valle, director of the MUGER research group (Universidad del Valle Working Group on Gestation, Endocrinology and Reproduction, by its acronym in Spanish). Within his investigative work, he has published 15 articles in indexed journals, 12 categorized in Scopus, directed 12 theses for a Master’s in Epidemiology, and published multiple chapters on topics in the specialty. His research work has obtained distinction in national congresses.

Hoover Orlando Canaval Erazo, Universidad del Valle, Cali, Colombia

Assistant professor in the Gynecology-Obstetrics and Family Medicine department at the Universidad del Valle. Physician specializing in Gynecology and Obstetrics from the Universidad del Valle and a specialist in Health Services Administration from the Universidad de Antioquia.

He worked as a specialist physician at the Hospital Universitario del Valle “Evaristo García,” also holding positions in the Management of the UES of Gynecology, Medical Direction, and as the director of the Teaching-Attending Office.

His professional journey includes several published articles in books and medical journals, and author of the book ‘Pharmacology of Iron.’ Prof. Canaval has been recognized for their leadership in various scientific societies, where he has held senior management positions, including Fecopen, Sovogin, and Asomenopausia. Currently, Prof. Carnaval is the first vice president of the Latin American Federation of Climacteric and Menopause Societies (FLAS- CYM). He is also a regular academic speaker at national and international medical congresses focusing on gynecology and obstetrics, where share his expertise and insights. He coordinates the undergraduate Medicine students in the Department of Gynecology and Obstetrics at the Universidad del Valle.