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Over the last ten years, pregnancy has not only become more complicated for many women, but the traditional provision of general intensive care units has been reduced. To bridge this gap, critical care units, usually staffed by midwives, have been set up in many maternity units. This textbook is an accessible and comprehensive introduction to this emerging area of practice. Critical Care Assessment by Midwives also notably sets out a template for assessment of women that will enable early identification of deteriorating health. Serious illness can arise subsequent to an emergency, a pre-existing illness or a complication of pregnancy but can also occur in the context of what appears to be a low risk pregnancy. For this reason, all midwives need to be skilled in assessment that facilitates timely, appropriate referrals and saves lives. It covers: ABCDE assessment tailored for midwives; assessment of cardiac conditions; aassessment of respiratory conditions; assessment of neurological conditions; pre-eclampsia; haemorrhage; shock, including hypovolaemia, sepsis and anaphylaxis; haemodynamic monitoring; fluid replacement and balance; ketoacidosis, hypoglycaemia and sickle cell crisis. Covering the context of care, relevant pathophysiology, signs and symptoms, specific assessment in detail, relevant drugs, assessment of the fetus, summaries of management, psychosocial support and the specific professional responsibilities of the midwife, this is an essential guide for all midwives and midwifery students.
Over the last hundred years, pregnancy and childbirth has become increasingly safe - yet it is still a site of risk, and a contested ground on which health professionals and pregnant women both face high costs of error. In this context, all those involved in managing pregnancy and birth are expected to identify and mitigate risk: pregnant women are subject to increasing surveillance to ensure the safety of the unborn foetus, and every aspect of childbearing is increasingly medicalised. This publication brings together fascinating social science research to explore the ways in which risk is both created and managed in pregnancy and childbirth. The introductory chapters reflect on the changing social context of childbirth, in particular the medicalisation of both pregnancy and childbirth with development of specialist practitioners, such as obstetricians and midwives who claim to have the knowledge, technology and skills to identify and manage the risks involved. The next three chapters that examine the ways in which women's behaviour during pregnancy is constructed as potentially risky -- for example smoking, drinking alcohol and taking drugs, and how these risks are monitored and mitigated. The final two parts of the book address the construction of and responses to both medicalisation and risk in childbirth. Altogether, it represents a valuable insight into the complex world of pregnancy, childbirth and risk. This book brings together editorials and articles originally published in special and open issues of Health, Risk and Society.
This book is the first comprehensive international overview of maternity services. Drawing on concepts of risk and social citizenship, it explores the relationship between welfare regimes and health policy by comparing and contrasting provision for childbearing women. Each substantive chapter focuses on a different country, presenting detailed contextual information on health care provision, maternity interventions and birth outcomes there. They discuss key issues such as birth rates and fertility patterns, the role of patient choice, attitudes to place of birth and maternity entitlements among others, and the countries covered represent diverse welfare regimes, including Ireland, Scotland, Sweden, the Netherlands, Germany, Italy, Japan, the United States, Canada, Australia and New Zealand. An extended introduction and a conclusion draw the book together and place it in the context of the literature on comparative welfare regimes. It is an important reference for students and academics interested in comparative social policy, health services research, and maternity services and policies.
Qualitative research, particularly phenomenology, is increasingly popular as a method for midwifery and health-related research. These approaches enable rich and detailed explanations to be uncovered and bring experience to life. Important recommendations and practice- based implications may then be raised and debated for future use. This book brings together a range of phenomenological methods and insights into one accessible text.
Illustrated with plenty of examples of successful phenomenological research, Qualitative Research in Midwifery and Childbirth keeps the focus applied to midwifery and childbirth and makes clear the links to practice throughout. The book introduces three key phenomenological approaches - descriptive, interpretive and the life world - and includes a comparative chapter which discusses the differences between these varied perspectives and methods. Each chapter focuses on how these approaches are used within midwifery research. The remaining chapters present a number of different research projects. These demonstrate how different phenomenological approaches have been used to explore and uncover experiences of childbirth and maternity as well as offering important insights into how women experience different facets of the birth experience during the antenatal, intra-partum and postnatal period.
Designed for researchers and students undertaking research projects on midwifery and childbirth, this text includes contributions from a range of international and highly regarded phenomenological authors and researchers.
Written by a team of researchers and educators, this reference for practitioners describes the assessment of breastfeeding mothers and infants. Topics include, for example, the physiology of breastfeeding, possible causes of blisters on the breast, and the use of nipple comfort devices. The text is accompanied throughout by b&w drawings. Clinical c
Quick Reference for the Lactation Professional, Second Edition is an easy-to-use resource for healthcare professionals working with breastfeeding women and their families. An invaluable tool for clinicians, educators, students, and interns, each chapter includes clinical management strategies, key clinical competencies, and tutorials that test comprehension and clinical application with short answer questions and counselling scenarios. Completely updated and revised, the Second Edition incorporates inclusive language throughout to provide an equal and diverse approach to assisting breastfeeding families.
"Sisters on a Journey makes these astonishing women real, in all their diversity, in all their glory". -- Barbara Katz Rothman, author of Recreating Motherhood and In Labor.
Sisters on a journey is a moving collection of twenty seven profiles -- interviews and photographs -- of contemporary American midwives. These extraordinary women speak with unusual frankness about what brought them to midwifery, what they see as their greatest challenges and rewards, their recollections of their first home births, and their thoughts about the place of midwives in (or out) of the American health care system.
Midwifery in North America has had a long and volatile history. Persecuted by the medical establishment for centuries, midwives have long had to suffer for their craft. Not only have external forces threatened the stability of the profession; internal conflicts too have helped to push midwifery close to the edge of extinction. Midwives are a diverse group. Ranging from the original midwives who learned their skills from their mothers and grandmothers, to the independent midwives who of the 1970s who worked to give women an alternative to hospital birth, to the certified nurse-midwives who have extensive formal training, midwives have as many differences between them as they do similarities.
This book celebrates midwives from very different ethnic,
religious, and ideological backgrounds -- in all of their richness
and diversity. Chester presents a community of voices of women who
share a commitment to other women and who strive together to ensure
for a practice with such a long history, a successful and vibrant
In this work, Christa Craven presents a nuanced history of women's reproductive rights activism in the US. She also provides an examination of contemporary organizing strategies for reproductive rights in an era increasingly driven by 'consumer rights'.
Awarded second place in the 2013 AJN Book of the Year Awards in the
Maternal-Child Nursing/Childbirthing category
"This book provides a well-rounded examination of the issues we face in using evidence to inform our everyday clinical decisions...The authors have gathered current evidence and created practice scenarios to help the reader visualize EBP in action."
"In a country that has more independent midwives and group
practices than hospital based midwives this type of book could
possibly become the cornerstone in terms of the standards of
midwifery care."--Nursing Times From the Foreword by Holly Powell
Kennedy, CNM, PhD, FACNM, FAAN
Nurse-midwives often find themselves in situations where current research-based treatment conflicts with established practices that may be ineffective or even harmful. This text provides a roadmap for nurse-midwives who strive to implement change through evidence-based practice by presenting the most current evidence-based research on the care of childbearing women. It is the only book about evidence-based practice for nurse-midwives that encompasses the most controversial areas of practice. The text incorporates the foundations of midwifery and the midwifery model of care throughout.
The book discusses the use of electronic databases in examining evidence and identifying best practices. It considers how the current workforce environment affects the practice of nurse-midwifery, and describes evidence-based practices in the care of childbearing women. Each chapter reviews current literature, describes contemporary practices and explores whether these practices are based on scientific evidence. Case studies enhance the examination of evidence and the identification of best practices. Key Features:
Focuses on scientific evidence as the framework for the practice of nurse-midwifery Incorporates the hallmarks of midwifery and the midwifery model of care Examines practices that are in conflict with scientific evidence Provides guidance for practicing nurse-midwives in implementing best practices based upon scientific evidence
This book focuses on the homeostatic principles of human physiology and anatomy, discussing the influence of homeostatic control failure in producing some of the common illnesses that nurses and healthcare practitioners are likely to encounter during their careers.
This book takes the developing advanced practitioners and non-medical prescribers step by step through the procedures necessary for comprehensive clinical and physical examination, detailing the evidence base and providing working scenarios and case histories based on real-life experiences.
Sadly, women often feel they have no alternative but to give up breastfeeding, having been prescribed or purchased medication. In many cases, however, this is unnecessary. This book outlines the evidence base for the use of medication during breastfeeding. Breastfeeding and Medication presents a comprehensive A to Z guide to the most frequently prescribed drugs and their safety for breastfeeding mothers. Evaluating the evidence for interventions and using a simple format for quickly identifying medications that are safe or unsafe to use, it also highlights those drugs where there is inconclusive evidence. Additional contextual information makes this the most complete text for those practitioners who support and treat breastfeeding women. It: provides an overview of the anatomy and physiology of the breast together with hormonal influences to better understand how complications, such as mastitis, arise and inform the approach to their treatment; includes a section on conditions that affect women specifically when they are lactating where prescription of medication may be necessary; discusses the importance of breastfeeding and its advantages, as well as its disadvantages; and explores how to support breastfeeding mothers, and presents a counselling model approach. This new edition contains information on more drugs and a chapter on the management of some chronic conditions which may affect breastfeeding mothers. In most cases there are options to support the mother's optimal care whilst allowing her to continue to breastfeed her baby as long as she wishes. This is a topic which raises many questions on social media, which informed the choice of conditions to consider. This is an invaluable reference for all health practitioners and volunteers who work with, support and treat breastfeeding women, including lactation consultants, breastfeeding support workers, health visitors, GPs, practice nurses, pharmacists and midwives.
Evidence-based care is a well established principle in contemporary healthcare and a worldwide health care movement. However, despite the emphasis on promoting evidence-based or effective care without the unnecessary use of technologies and drugs, intervention rates in childbirth continue to rise rapidly. This new edition emphasises the importance of translating evidence into skilful practice. It updates the evidence around what works best for normal birth, aspects of which still remain hidden and ignored by some maternity care professionals. Beginning with the decision about where to have a baby, through all the phases of labour to the immediate post-birth period, it systematically details research and other evidence sources that endorse a low intervention approach. The second edition: has been expanded with new chapters on Preparation for Childbirth and Waterbirth highlights where the evidence is compelling discusses its application where women question its relevance to them and where the practitioner's expertise leads them to challenge it gives background and context before discussing the research to date includes questions for reflection, skills sections and practice recommendations generated from the evidence. Using evidence drawn from a variety of sources, Evidence and Skills for Normal Labour and Birth critiques institutionalised, scientifically managed birth and endorses a more humane midwifery-led model. Packed with up-to-date and relevant information, this text will help all students, practising midwives and doulas keep abreast of the evidence surrounding normal birth and ensure their practice takes full advantage of it.
Concise, simplified and easy to use, this student-friendly presentation helps to build leadership skills in nurses and understand the management responsibility. It helps to provide total quality care to the patients
Facsimiles of primary texts on eighteenth-century midwifery and childbirth. Gives readers an understanding of midwives, midwifery students, and women in labour. This twelve-volume collection comprises pamphlets, treatises, lectures for midwifery students, texts on the establishment of lying-in hospitals, and catalogues of obstetrical apparatuses collected by male-midwives. Important themes include medical developments, 'freaks of nature', women's 'conduct' and the legal and societal implications of birth and motherhood. Gender is a central issue in works that address the efficacy and propriety of midwifery practice and whether men or women are best suited to the job.
With the increasing demand for midwives, activists are lobbying to loosen restrictions that deny legal access to homebirth options. In "Pushing for Midwives," Christa Craven presents a nuanced history of womenOCOs reproductive rights activism in the U.S. She also provides an examination of contemporary organizing strategies for reproductive rights in an era increasingly driven by OC consumer rights.OCO
An historical and ethnographic case study of grassroots organizing, "Pushing for Midwives" is an in-depth look at the strategies, successes, and challenges facing midwifery activists in Virginia. Craven examines how decades-old race and class prejudices against midwives continue to impact opposition toOCoas well as divisions withinOCowomenOCOs contemporary legislative efforts for midwives. By placing the midwifery struggle within a broader reproductive rights context, "Pushing for Midwives" encourages activists to reconsider how certain political strategies have the potential to divide women. This reflection is crucial in the wake of neoliberal political-economic shifts that have prioritized the rights of consumers over those of citizensOCoparticularly if activists hope to maintain their commitment to expanding reproductive rights for all women. "
This set of four spiral-bound manuals is designed to help countries implement standards for midwifery practice aimed at the reduction of maternal mortality. The standards, which cover the management of selected obstetric complications and emergencies, were developed specifically for use in South-East Asian countries, where rates of maternal mortality and morbidity remain unacceptably high. The 27 standards were finalized following extensive field testing, which demonstrated positive effects on the quality of midwifery services, client satisfaction and the competence and self-confidence of midwifery personnel.
This book highlights the reality of malnutrition among school-age children in India and relates it with dietary adequacy, diversity and choice. Using empirical data from field research conducted in Karnataka, India, it documents the nutritional status of school-going children, and examines the socio-economic determinants. It provides insights into changing dietary patterns by analysing case studies from households and schools; and documents the impact of changing dietary choices on the daily nutritional intake of young children. As the issue of nutrition for school-age children is one that is largely neglected in the literature, the book fills an important gap. The book also investigates the policy framework for addressing the nutritional needs of school-going children, and assesses the available government-sponsored interventions in terms of their efficiency and effectiveness, measured by their impact on the nutritional indices of the target group. It offers concrete recommendations for changing the nutritional intake of school-going children. Navigating through the socio-cultural causes for changing food choice and their impact on children's nutritional outcomes, this book shows a viable path to addressing malnutrition, taking into account both macro-level policy constraints and the micro-level perspectives of families, schools and communities.
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