The process of labor and delivery has been one of the most perilous activities in human life. The awkward evolutionary compromises giving rise to humans makes birthing potentially life threatening for both mother and child. Despite the development of modern care, labor and delivery continues to be a dangerous process even though the levels of fatality have decreased over the past several decades.

This clinically focused guide to modern labor and delivery care covers low and high-risk situations, the approach of the team in achieving a successful outcome and what to consider when quick decisions have to be made. Aimed at both trainee and practicing obstetrician-gynecologists, this new edition includes practical guidance such as algorithms, protocols, and quick-reference summaries. It is squarely focused on the process of birth and concentrates on modern clinical concerns, blending science with clinical applications.

George A. Macones, MD, MSCE, Mitchell and Elaine Yanow Professor and Chair, Department of Obstetrics and Gynecology, Washington University of St Louis, St Louis, MO, USA. Dr Macones is an obstetrician-gynecologist and perinatal epidemiological researcher. His research interests are along two main lines: prediction and prevention of preterm birth, and general obstetrical issues (vaginal birth after cesarean, labor induction). Dr Macones has authored over 300 peer-reviewed papers, and serves as Deputy Editor of
Obstetrics for the American Journal of Obstetrics & Gynecology.