This manual encompasses a comprehensive approach to the management of labour. Based on the simple proposition that effective uterine action is the key to normal delivery, Active Management of Labour covers all aspects of delivery for nulliparous women with vertex presentation and single foetus. This is an accessible and practical guide for obstericians and midwives as well as anaesthetists and the auxiliary staff of maternity units. Encourages an active interest in labour by all professional staff Emphasises the importance of constant personal attention and good communication in labour Discusses in detail the need to distinguish between: - first and subsequent births - single cephalic and all other pregnancies - induction and acceleration of labour Fosters the development of a team spirit between midwife and obstetrician Demonstrates how good labour ward organisation can improve care Proves the importance of audit in ensuring quality of care Updated chapters on dystocia and caesarean section New key points summary at the end of each chapter Updated review of clinical outcomes at the National Maternity Hospital

It comprises a collection of chapters covering all aspects of waterbirth as well as a look at how waterbirth practices differ around the world. Topics include: * Why a waterbirth? Marsden Wagner, Janet Balaskas and Michel Odent * The physiology of waterbirth. Gerd Eldering and Konrad Selke and Paul Johnson * Waterbirth and the family. Jayn Ingrey and Roger Lichy * Technology and childbirth. Beverley Lawrence Beech and Rosemary Jenkins * Waterbirth and the mid-wife. Caroline Flint, Cass Nightingale and Dianne Garland. * Waterbirth and the obstetician. Jole Muscat, Michael Adam, Patrick Snora, Michael J Rosenthal and Faith Haddad. * Waterbirth internationally. Athena Vassie, Piera Maghella and Anne Uller. * Waterbirth - the way forward.Judy Bothamley, Joanne Chadwick, Yehudi Gordon and Lesley Page.

Child development comprises children's cognitive, linguistic, motor, social and emotional development, communication, and self-care skills. Understanding developmental periods means that possible problems or roadblocks can be planned for or prevented. Knowledge of child development is necessary for achieving educational goals and is integral to promoting children's healthy and timely development. Global Perspectives on Prenatal, Postnatal, and Early Childhood Development is an essential scholarly reference source that compiles critical findings on children's growth periods and characteristics as well as the principles that affect their development. Covering a wide range of topics such as at-risk children, early intervention, and support programs, this book is ideally designed for child development specialists, pediatricians, educators, program developers, administrators, psychologists, researchers, academicians, and students. Additionally, the book provides insight and support to health professionals working in various disciplines in the field of child development and health.

It astounds the western world that such a highly industrialized nation as the Netherlands, with all the resources of modern medicine and technology, has a marked preference for home birth assisted by midwives. Van der Mark examines Dutch attitudes and practices surrounding birth from a sociohistorical point of view, explaining the importance of ideological consensus, the private nature of the Dutch family, the high regard for comfort and well being, and the professional development of midwives as trained and licensed practitioners. This volume will be welcomed by those convinced of the value of low-intervention home birth, but it will also be of interest to practitioners who must rely on technological procedures to manage the birth process. Since the Dutch hold one of the world records of pregnancy outcome statistics, readers will be interested in the Dutch midwifery model described here by various contributors.

A woman's childbirth care choices have a profound effect on her pregnancy and childbirth experience. Today, some pregnant women have three different options to choose from: obstetrical care and a hospital birth, a midwife-assisted birth in a hospital, and a midwife-assisted birth at an out-of-hospital birthing center. By using a combination of qualitative and quantitative methods, this volume examines how and why 200 women made their choices, how satisfied they were with the care they received, and the impact of their choices on the availability of options in the future. Although most women in the U.S. still choose an obstetrician and a hospital setting, the number of women who choose to be assisted by a Certified Nurse Midwife is growing, with the result that this profession is acquiring new strength and jurisdiction over childbirth care.

Featured on BBC Radio 2 and BBC Radio 5 Live Selected as one of the Independent's 10 best pregnancy books for expectant parents Birth is a feminist issue. It's the feminist issue nobody's talking about. FEATURING A BRAND NEW CHAPTER 'A powerful read, whether you're pregnant or not' Independent Finally blasting the feminist spotlight into the labour ward, Milli Hill encourages women everywhere to stand and deliver, insisting that birth is no longer left off the list in discussions about female power, control and agency. From the importance of birth plans to your human rights in childbirth, and including birth stories from women across the world, this call-to-arms will help you find your voice, take an active role in your choices, and change the way you think about childbirth. Praise for Give Birth Like a Feminist 'I feel so lucky to have read Milli's book while pregnant, she completely changed my way of looking at giving birth' Ella Mills, author of Deliciously Ella

For counselor Nancy Wainer Cohen, this book is the sibling to "Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean "(Bergin & Garvey, 1983) her critically-acclaimed expose on America's growing reliance on cesarean sections. "Open Season "provides fresh insights and new information on the subject, offering guidance to childbearing couples, educators, health professionals, and scholars who value the natural path of childbirth.

Readers will find this book timely, informative, shocking, irreverent, and extremely readable. Cohen's intimate writing style presents a compendium of knowledge on childbirth in the fashion of a personal letter. Her aim is to lower America's alarming reliance on cesarean section, which is currently at 25 percent of all births, and to return the responsibility for childbirth to women by encouraging them to choose the kind of birthing experience they wish to have. In addition to cesarean section, Cohen discusses many other generally unnecessary interventions performed on women during pregnancy and childbirth--such as fetal monitoring and routinized hospital procedures.

This is a wide range of material relating to childbirth gathered in one volume. From witches, wet nurses and lullabies to postpartum depression and bonding, leading authorities in various disciplines explore the topic of childbirth and related phenomena. Basic subjects covered are birth and demographics, history, political science, anthropology, ethics and psychology. Also discussed are the different organizations and support groups that have emerged out of the childbirth and reproductive rights movements in the US since the late 1950s.

Risk, Age and Pregnancy provides an in-depth case study of the operation of a prenatal genetic screening and testing system. The methodology integrates observational, qualitative interview and survey data. The perspectives of pregnant women, hospital doctors and midwives are explored in depth, as is the communication between women and the hospital doctors who advise them. The book offers insights which are relevant to those concerned with the rapidly growing field of genetic risk management.

This book investigates why women choose 'birth outside the system' and makes connections between women's right to choose where they birth and violations of human rights within maternity care systems. Choosing to birth at home can force women out of mainstream maternity care, despite research supporting the safety of this option for low-risk women attended by midwives. When homebirth is not supported as a birthplace option, women will defy mainstream medical advice, and if a midwife is not available, choose either an unregulated careprovider or birth without assistance. This book examines the circumstances and drivers behind why women nevertheless choose homebirth by bringing legal and ethical perspectives together with the latest research on high-risk homebirth (breech and twin births), freebirth, birth with unregulated careproviders and the oppression of midwives who support unorthodox choices. Stories from women who have pursued alternatives in Australia, Europe, Russia, the UK, the US, Canada, the Middle East and India are woven through the research. Insight and practical strategies are shared by doctors, midwives, lawyers, anthropologists, sociologists and psychologists on how to manage the tension between professional obligations and women's right to bodily autonomy. This book, the first of its kind, is an important contribution to considerations of place of birth and human rights in childbirth.

Highlighting the experiences of midwives who provide care to women opting outside of guidelines in the pursuit of physiological birth, Claire Feeley looks at the impact on midwives themselves, and explores how teams and organisations can support or discourage the promotion of women's birth choices. This book investigates the processes, experiences, and sociocultural-political influences upon midwives who support women's alternative birthing choice and argues for a shift in perspective from notions of an individual's professional responsibility to deliver woman-centred care, to a broader, collective responsibility. The book begins by exploring the normal birth debates to demonstrate how hegemonic birth discourse and maternity practices have detrimentally affected physiological birth rates, as well as the wellbeing of women who opt outside of maternity guidelines. It also provides real life examples of how midwives can facilitate a range of birthing decisions within mainstream midwifery services. The second part develops a new model to explore how a midwife's socio-political context can significantly mediate or exacerbate the vulnerability, conflict and stigmatisation that they may experience as a result of promoting alternative birth choices. Part three further explores the implications of the model, looking at how team and organisational culture can be developed to better support women and midwives, making recommendations for a systems approach to improving maternity services. Discussing the invisible nature of midwifery work, what it means to deliver woman-centred care, and the challenges and benefits of doing so, this is a thought-provoking read for all midwives and future midwives. It is also an important contribution to interprofessional concerns around workforce development, sustainability, moral distress and compassion in health and social care.

Highlighting the experiences of midwives who provide care to women opting outside of guidelines in the pursuit of physiological birth, Claire Feeley looks at the impact on midwives themselves, and explores how teams and organisations can support or discourage the promotion of women's birth choices. This book investigates the processes, experiences, and sociocultural-political influences upon midwives who support women's alternative birthing choice and argues for a shift in perspective from notions of an individual's professional responsibility to deliver woman-centred care, to a broader, collective responsibility. The book begins by exploring the normal birth debates to demonstrate how hegemonic birth discourse and maternity practices have detrimentally affected physiological birth rates, as well as the wellbeing of women who opt outside of maternity guidelines. It also provides real life examples of how midwives can facilitate a range of birthing decisions within mainstream midwifery services. The second part develops a new model to explore how a midwife's socio-political context can significantly mediate or exacerbate the vulnerability, conflict and stigmatisation that they may experience as a result of promoting alternative birth choices. Part three further explores the implications of the model, looking at how team and organisational culture can be developed to better support women and midwives, making recommendations for a systems approach to improving maternity services. Discussing the invisible nature of midwifery work, what it means to deliver woman-centred care, and the challenges and benefits of doing so, this is a thought-provoking read for all midwives and future midwives. It is also an important contribution to interprofessional concerns around workforce development, sustainability, moral distress and compassion in health and social care.

Management, Organization and Childbirth: Towards a New Model for the Birth Path explores the complex topic of the birth path with a multidisciplinary magnifying glass on the paradigms, languages, and tools critical to the organization, management, and clinical science. The work consists of five chapters. The first chapter provides a multidimensional analysis of childbirth. The second chapter presents an organizational analysis that moves in unison with different models of health. The third chapter studies the birth path in organizational and cynical terms by describing it in its core processes. The fourth chapter proposes a study conducted in the Italian context, which identifies some useful determinants for redesigning the birth path. The fifth chapter formulates a proposal for redesigning the birth path based on a new health paradigm. The proposed model offers useful insights for multiple categories of readers. To students of medicine and higher education tracks in healthcare management, it can offer opportunities to raise awareness not only regarding multi-professional practice but also regarding confrontation with complementary disciplines. To practitioners and policy makers, it can provide useful stimuli to promote rational and informed decisions around the childbirth. To researchers studying the health context within different disciplinary domains, the model can offer unexplored research spaces within the new business complex system.

Management, Organization and Childbirth: Towards a New Model for the Birth Path explores the complex topic of the birth path with a multidisciplinary magnifying glass on the paradigms, languages, and tools critical to the organization, management, and clinical science. The work consists of five chapters. The first chapter provides a multidimensional analysis of childbirth. The second chapter presents an organizational analysis that moves in unison with different models of health. The third chapter studies the birth path in organizational and cynical terms by describing it in its core processes. The fourth chapter proposes a study conducted in the Italian context, which identifies some useful determinants for redesigning the birth path. The fifth chapter formulates a proposal for redesigning the birth path based on a new health paradigm. The proposed model offers useful insights for multiple categories of readers. To students of medicine and higher education tracks in healthcare management, it can offer opportunities to raise awareness not only regarding multi-professional practice but also regarding confrontation with complementary disciplines. To practitioners and policy makers, it can provide useful stimuli to promote rational and informed decisions around the childbirth. To researchers studying the health context within different disciplinary domains, the model can offer unexplored research spaces within the new business complex system.

Childbirth guru Dr Gowri Motha, who practises with Dr Yehudi Gordon - author of Birth and Beyond - shows women how her revolutionary method helps women carry the baby to full term, have less intervention in the birth; feel less pain in labour, and feel happy and in control. The Gentle Birth method is a concise pregnancy programme combining diverse therapies such as 'creative healing' massage, a simple diet, self-hypnosis, reflexology and affirmation techniques The method was created by Dr Gowri Motha as an alternative to conventional obstetric practise, when she became alarmed at the increasing number of women needing intervention during their births. It teaches expectant mothers how to train their bodies and minds in order to reduce or prevent complications during pregnancy and labour. This book outlines the Method, with a month-by-month programme explaining how to rebalance the body and tailor it to the optimum condition for the birthing process. It includes guides to treating problems such as: - back pain - nausea - heartburn - fluid retention - stretch marks The programme offers women a formal framework in which to prepare their bodies and so avoid facing a labour that is unnecessarily long, arduous and traumatic, with significantly lower uptakes of pain relief.

"Jacki Pritchard has done an excellent job in writing her new book. The many scripts are immensely creative and wide-ranging. Any Hypnotherapist working with childbirth should have this book in their tool-bag; I totally recommend it." - Steve Burgess, Hypnotherapist and Director of Lionheart Training This practical volume provides resources and guidance for practising hypnotherapy with pregnant women and their birthing partners. Hypnotherapy for Pregnancy and Birthing begins with an overview of the topic and discusses a range of complex issues and vulnerabilities that might arise during sessions, before moving onto setting up and running group and/or individual sessions. Then, presenting techniques to work with pregnancy and birthing draws on a range of methodologies including solution-focused, metaphors (Ericksonian), Gestalt therapy, benefits approach and regression therapy. It covers: * Hypnosis, pregnancy and birthing * Getting into trance and relaxation * Breathing * Practising self-hypnosis and working on issues * Preparing for birthing * Bonding with baby * Working with worries, fears and phobias * Dealing with trauma and the unexpected * Loss and bereavement * Ego boosting. Containing over 70 customisable scripts and designed to stimulate reflection, this book is a valuable resource for student, newly qualified and experienced hypnotherapists working with pregnancy and birthing.

"Jacki Pritchard has done an excellent job in writing her new book. The many scripts are immensely creative and wide-ranging. Any Hypnotherapist working with childbirth should have this book in their tool-bag; I totally recommend it." - Steve Burgess, Hypnotherapist and Director of Lionheart Training This practical volume provides resources and guidance for practising hypnotherapy with pregnant women and their birthing partners. Hypnotherapy for Pregnancy and Birthing begins with an overview of the topic and discusses a range of complex issues and vulnerabilities that might arise during sessions, before moving onto setting up and running group and/or individual sessions. Then, presenting techniques to work with pregnancy and birthing draws on a range of methodologies including solution-focused, metaphors (Ericksonian), Gestalt therapy, benefits approach and regression therapy. It covers: * Hypnosis, pregnancy and birthing * Getting into trance and relaxation * Breathing * Practising self-hypnosis and working on issues * Preparing for birthing * Bonding with baby * Working with worries, fears and phobias * Dealing with trauma and the unexpected * Loss and bereavement * Ego boosting. Containing over 70 customisable scripts and designed to stimulate reflection, this book is a valuable resource for student, newly qualified and experienced hypnotherapists working with pregnancy and birthing.

Our book aims to provide those working in the maternity services, including those in general practices, with an understanding of what it means to be on the receiving end of care. Together with a description of various types of traumatic birth, we explain some of the reasons why women vary in terms of how traumatised they are by their birth experience. We provide information, encouragement and support for maternity staff to help them lessen the incidence of birth trauma, and to develop the confidence to help women when birth trauma does occur. The authors are a senior counsellor and an obstetrician, each with a long experience of helping women who have had difficult births. The approach of each to the subject is different but complementary. The book covers the psychological and emotional aspects of traumatic birth as well as the medical issues and includes a section on the effect of traumatic birth on the staff themselves. The market for this book is practising midwives and obstetricians, who by understanding the prevalence of traumatic birth and some of its causes can contribute to its reduction. Those in their training years will find it helpful at the outset of their practice. It will also be of interest to general practitioners, health visitors and counsellors.

HypnoBirthing(R) has gained momentum around the globe as a positive and empowering method of childbirth. Here's why: HypnoBirthing helps women to become empowered by developing an awareness of the instinctive birthing capability of their bodies. It greatly reduces the pain of labor and childbirth; frequently eliminates the need for drugs; reduces the need for caesarian surgery or other doctor-controlled birth interventions; and it also shortens birthing and recovery time, allowing for better and earlier bonding with the baby, which has been proven to be vital to the mother-child bond. What's more, parents report that their infants sleep better and feed more easily when they haven't experienced birth trauma. HypnoBirthing founder Marie Mongan knows from her own four births that it is not necessary for childbirth to be a terribly painful experience. In this book she shows women how the Mongan Method works and how parents they can take control of the greatest and most important event of their lives. So, why is birth such a traumatic event for so many women? And why do more than 40% of births now end in caesarian section, the highest percentage in history? The answer is simple: because our culture teaches women to fear birth as a painful and unsettling experience. Fear causes three physical reactions in the body--tightening of the muscles, reduced blood flow to the birthing muscles, and the release of certain hormones--which increase the pain and discomfort of childbirth. This is not hocus-pocus this is science.

Our book aims to provide those working in the maternity services, including those in general practices, with an understanding of what it means to be on the receiving end of care. Together with a description of various types of traumatic birth, we explain some of the reasons why women vary in terms of how traumatised they are by their birth experience. We provide information, encouragement and support for maternity staff to help them lessen the incidence of birth trauma, and to develop the confidence to help women when birth trauma does occur. The authors are a senior counsellor and an obstetrician, each with a long experience of helping women who have had difficult births. The approach of each to the subject is different but complementary. The book covers the psychological and emotional aspects of traumatic birth as well as the medical issues and includes a section on the effect of traumatic birth on the staff themselves. The market for this book is practising midwives and obstetricians, who by understanding the prevalence of traumatic birth and some of its causes can contribute to its reduction. Those in their training years will find it helpful at the outset of their practice. It will also be of interest to general practitioners, health visitors and counsellors.

Maternity services and choices for labour and birth are fast evolving. Hypnobirth involves preparation for childbirth using tried and tested hypnotherapy techniques in harmony with midwifery best practices and increasing numbers of women are turning to the technique. Written by two experienced practitioners, this is the first evidence-based practice book for medical professionals on this subject. Chapters include coverage of: What hypnosis is and the history of hypnobirth The power of the mind and the effect of language Relaxation and breathing techniques The neocortex and hormones Birth partners, relationships, women's advocates and primary supporters Throughout the book the authors provide health professionals working in clinical midwifery practice with information and evidence-based findings to support the use of hypnobirth. The book includes case studies, scripts and reflective questions to encourage a deeper understanding of the techniques and issues and to engage and inspire the reader. Hypnobirth is essential reading for midwives, obstetricians, student midwives, doulas and any practitioner involved in preparing and supporting pregnant women for labour.

The rhetoric of choice is much used in UK health policy and home birth is one of the three options that women are entitled to choose between when deciding where to have their baby. However, many women making this choice run into considerable opposition from the maternity service. Home Birth: the politics of difficult choices focuses on the experiences of women whose choices were opposed by health professionals during their pregnancy journey. It confronts why and how women are being denied home birth and raises some challenging issues for current midwifery practice. Using ten women's narratives, this important volume explores why women might want to give birth at home and considers ideas of risk and informed choice in pregnancy and birth. The book includes chapters on communication and language; fear and stress; advocacy and autonomy; fathers' experience of contested place of birth and free birthing. Pointers to best practice are presented whilst the text incorporates women's narratives throughout, making this a practical and relevant read for midwifery students as well as practising midwives and childbirth educators, all of whom have a duty to make home birth a real option for women.

During the past several years, there has been an extensive reappraisal of the physiologic changes of pregnancy and their associated disorders, along with a refinement of diagnostic procedures and evaluation of the therapeutic approaches that are of primary concern to the physician. In Shoulder Dystocia and Birth Injury: Prevention and Treatment, Third Edition, noted authority James A. O'Leary, M.D., with 40 years experience as an M.D. academician, lecturer, practitioner and clinical researcher with almost 200 contributions to the OB-GYN literature and textbooks, shares his insight on treatment techniques, identification and treatment of predisposing risk factors, current statistical data, ultrasound diagnosis and the necessary steps toward prevention, along with a thorough review of the important medical-legal issues. Shoulder Dystocia and Birth Injury: Prevention and Treatment, Third Edition supplements the limits of personal experience with the accumulated experience of many talented clinicians to aid physicians, midwives, and professionals in training with the most current information in this vital field.

Concentrating specifically on research into midwifery and related disciplines, Appraising Research into Childbirth is designed to equip midwives and midwifery students with the necessary tools to navigate the maze of evidence-informed practice and the very different kinds of research that are published in midwifery, medical and related journals. The book appraises eight previously published research articles that present both qualitative and quantitative research studies. Each of the various elements is analysed - from the methodology through to the interpretation of the results. Each article is annotated with notes and questions, thereby enabling the reader to actively participate in the appraisal. Tips, tools and checklists aid orientation and quick recall of salient advice and a guide to statistics helps to demystify what is generally considered to be a daunting element of most research. Each chapter is pulled together by the ongoing discussion about how we can "find out" and "know" by doing research and the advantages, disadvantages, potential for philosophical and methodological bias and political ramifications of such work. Presents a range of quantitative and qualitative research articles relevant to midwifery practice in a unique workbook format Enables readers to gain hands-on, practical experience of critiquing research Supplementary tools, checklists, mnemonics and tables enable deeper understanding of the process of appraising research Commentary and expert critique provided by lecturers in midwifery research Contains a user-friendly guide to statistics

This new edition of a groundbreaking work reflects important developments in the general understanding of, and research into, loss and death. Providing a wealth of information for both experienced and inexperienced midwives, the book covers topics including:

• perinatal and neonatal loss
• miscarriage and termination for foetal abnormality
• death of a mother in third world and first world settings
• difficulties encountered during future childbearing.

Combining an authoritative research-based orientation with a critical yet human approach to this sensitive topic, the book aids midwives in providing effective care and support to those who experience loss. The author draws on relevant and largely research-based literature from a wide range of related disciplines to inform this area, which is only now receiving the attention it has long deserved.