Jane Dwinell has written an important book using real-life scenarios to illustrate her unique philosophy of childbirth, one that can only inspire women to take greater control over how and where they give birth. From her vantage point as a birth attendant, Dwinell recounts the moving birth experiences of twenty different women. Thus the reader learns that there are no right or wrong ways to give birth. In fact, the author shows how satisfying it can be for women to exercise their own strength, power and choice in the birth process instead of yielding to unnecessary technological and medical interventions. Birth, she says, is a process of wellness, not illness. Hence, most women don't need medication to help them deal with normal birth pains if they have the proper empowering support during labor.

When women give birth in a comfortable setting of their choice, the medical wrongs against them, committed in hospitals in the name of safety and technology, are prevented. In the face of opposition from an entrenched segment of the medical establishment, Dwinell dares the view that hospital care should not be routine but should be given only with good reason and the women's permission. For pregnant women and their partners, "Birth StorieS" makes a convincing argument that under normal circumstances wach women's intuitive knowledge and individual resources can help her to labor and deliver successfully in her own way. Nurses, midwives, doctors, and birth educators will find it useful to realize that there are many ways to give birth . . . that it is important for the family to be together and make their own choices . . . and that pregnant women can have safe births without excessive medical intervention. This book can also serve as a guide for professionals who want to develop this type of birthing model within their own institution.

Children have the right to be safe in our world and we all have a responsibility to ensure this happens. Midwives play a key role in enhancing relationships between a child and its parents for future well being. The book explores how the pressures inherent in the transition to parenting, and individual and social circumstances may make it difficult for mothers to respond sensitively to their babies' needs. Midwives are encouraged to use their skills of observation and analysis to recognise and provide appropriate emotional, educational and practical support to assist vulnerable women to bond with their baby and the baby in turn forming a secure attachment with it's mother. Midwives are also in a unique position to recognise potential or actual child abuse and are required to take such action as is necessary to safeguard the child from harm. This book provides midwives with confidence to undertake this role effectively. * Accessible easy to read style for busy working midwives * A sensitive approach to the subject of child protection * Step by step guidance through child protection procedures * Non judgemental approach considering both the needs of the child and the plight of the parent * Case histories link theory to practice

Based on a philosophy of active learning, this innovative and refreshing study aid is designed to help students learn the fundamentals of maternal-child nursing through unfolding case studies. Nursing content is woven into vivid case vignettes that evolve over time, thus engaging students and helping them develop critical thinking and clinical decision-making skills. The text also serves as a comprehensive workbook for students preparing for the NCLEX-RN(R). It is the only maternal-child nursing review text to integrate content with practice and professional responsibilities to foster an engrossing real-world learning experience.

The case vignettes are based on actual cases and incorporate all core content topics (assessment, planning, intervention, and evaluation of patient care) for maternal-child nursing and NCLEX-RN(R) success. The book includes multiple choice, matching, true/false and calculation questions, each related to the unfolding clinical situation. Exercise answers with rationale appear at the end of each chapter. References at the end of the book facilitate self-remediation. Nurse-educators will also find this resource helpful for simulation experiences, classroom cases, group projects, and clinical conferences. Key Features:

Reviews maternal-child nursing core content for course learning and test review prep, as well as for NCLEX-RN(R) success Uses unfolding, real-life case vignettes to integrate core content with practice and professional responsibilities Covers all types of NCLEX-style questions for greater test familiarity Incorporates online resources for use in clinical settings Develops critical thinking skills to help students "think like a nurse"

Through seven editions, Protocols for High-Risk Pregnancies has helped busy obstetricians keep pace with a constantly evolving field. Providing just-in-time content, its focus on protocols and guidelines helps organize medical thinking, avoid heuristic errors of omission and commission, and optimize maternal and fetal outcomes. As with the prior six editions, the editors have once again assembled some of the world's top obstetrical and medical experts. This seventh edition has also been expanded to include a number of new topics, including: Protocols on opioid use, misuse and addition in pregnancy and postpartum Noninvasive prenatal diagnosis of aneuploidy Periconceptual genetic screening Expanded protocols on maternal valvular heart disease and cardiomyopathies Protocols on arboviruses, including Zika and malaria Protocols for High-Risk Pregnancies: An Evidence-Based Approach will be an essential reference for obstetricians, medical students, general practitioners and all medical professionals who are seeking the most up-to-date information and guidance on high-risk pregnancies.

This popular guide uses illustrations and concise, integrated text to describe the essentials of obstetric practice today. From the physiology of reproduction through antenatal care and disorders in pregnancy to labour and the puerperium period, readers will find an easy-to-grasp presentation of the field's most important issues. Features nearly 20 new line drawings to show the latest in obstetric practice. All other illustrations and content thoroughly revised and updated. New material includes: Current uses and types of IUCDs (including the Mirena IUS); Management of early pregnancy including ectopic pregnancy; Preterm labour; and Ventouse (to include Kiwi-style Ventouse Cup).

From prenatal through postpartum care, Gloria Leifer's Maternity Nursing: An Introductory Text provides an essential foundation for promoting the health and wellness of mothers and newborns. This edition includes the latest advances and practice standards in maternity nursing care, highlighting Healthy People 2020 and the 2011 Joint Commission National Patient Safety Goals. Part of the popular LPN Threads series, this text addresses the knowledge, skills, and scope of practice appropriate for LPN/LVN and LPN/LVN-to-ADN ladder programs. Chronological organization of content follows a sequence from family issues, fetal development, pregnancy, labor, birth, and care of the newborn, to postpartum issues with special social, familial, and cultural considerations. Organization of concepts in each chapter by simple to complex and from health to illness makes it easier to locate and understand the material. Complete, concise coverage includes a table of physiologic and psychosocial changes throughout the pregnancy, unique content on CPR for the pregnant patient and infectious diseases acquired during pregnancy, a pictorial story of a vaginal birth, cultural considerations of pregnancy and maternal care, and nursing responses to loss, death, and grief. UNIQUE! A FREE Study Guide in the back of the book reinforces understanding with multiple-choice, fill-in-the-blank, scenario-based clinical situation questions, and online activities. Nursing Care Plans with critical thinking questions help in understanding how a care plan is developed, how to evaluate care of a patient, and how to apply your knowledge to clinical scenarios. Health Promotion boxes and content focus on family-centered care, health promotion, illness prevention, and women's health issues. Clinical Pathways use an interdisciplinary, collaborative-care approach in tracking interventions along a timeline from assessment to discharge and follow up. Online resources for further research and study are included at the end of each chapter. UNIQUE! LPN Threads make learning easier, featuring a 10th-grade reading level, key terms with phonetic pronunciations and text page references, chapter objectives, special features boxes, and full-color art, photographs, and design. Coverage of the latest advances in nursing care includes fetal heart rate monitoring during labor and delivery and revised diabetes classifications. Get Ready for the NCLEX (R) Examination! section at the end of each chapter includes key points, review questions, and critical thinking questions for individual, small group, or classroom review. Safety Alert! boxes highlight 2011 Joint Commission National Patient Safety Goals, with special consideration for serious and potentially fatal medication errors. Easily recognizable icons for standard steps are included in each skill (e.g., hand hygiene). UNIQUE! Icons in page margins point to relevant animations and video clips on the companion Evolve website.

This is Volume 5 in the Midwifery: Best Practice series. Each of the volumes in this Series is built around the familiar core of four main topic areas relevant to midwifery: pregnancy, labour / birth, postnatal and stories / reflection - and also includes a number of 'focus on.' sections. These are different in each volume and reflect a wide range of key and topical issues within midwifery. Each volume builds upon the others to provide a comprehensive library of articles that shows the development of thought in key midwifery areas. Volume 5 offers a range of wholly new topic areas within the 'focus on.' sections covering: 'the birthing environment', 'women, midwives and risk', 'holistic health' and 'working/international stories'. A practical reference source containing a wide range of articles, research and original material in an easily accessible format Volume 5 offers a more interactive learning experience by inviting midwives to create their own questions before reading the articles, and then returning to these afterwards for reflective thought Diverse opinions on selected topics provide a comprehensive resource for debate and discussion Unique approach includes ideas on how to turn reading into professional development activities Includes 60 articles from The Practising Midwife (2004-5);4 research articles from Midwifery (2004-5); 3 articles from The Journal of Midwifery and Women's Health (2003-5); and 5 original articles commissioned for this book. . 60 articles from The Practising Midwife (2004-05). . 4 research articles from Midwifery (2004-05). . 3 articles from The Journal of Midwifery and Women's Health 2003-05 . 5 original articles commissioned for this book.

Midwives and other healthcare providers are grappling with the issue of rising intervention rates in childbirth and trying to identify ways to reverse the trend. It is increasingly accepted that intervention in childbirth has long-term consequences for women and their children. Birth Territory provides practical, evidence-based ideas for restructuring the birth territory to facilitate normal birth. Links new research findings to birth environments and outcomes. Describes the elements of an ideal birthing environment. Suggests how to modify existing maternity services to achieve optimal results. Investigates the links between the experiences of women and babies, and outcomes. Explores the effects of legal and socio-political factors.

Liu's Labour Ward Manual has for many years been the standard work for all personnel working on the labour ward. It gives instruction on the best application of technical procedures employed in the labour ward whilst promoting the ethos that the labouring mother and the unborn child must be the prime focus of attention. Offers a one-stop guide to all aspects of labour and birth in a hospital environment Covers everything from admittance procedures through to emergency drills and multiple births User-friendly layout with clear diagrams provide easy access to information Panel of international specialists ensure contemporary and representative content Incorporation of latest NICE and RCOG Guidelines as well as those of CNST New section on Emergency Drills Expanded segment on mental health

"I still have the confidence of that whole period. And I think that will stay with me for the rest of my life. Definitely a great sense of triumph really. It's incredible." Being a midwife today requires not only good clinical skills but also a broad understanding of the social and emotional changes a woman goes through before and after birth. The New Midwifery Second Edition looks at combining scientific knowledge with the more intangible skills needed in sensitive communication to provide the best possible care for the mother and her family. "There was a kind of silence in the relationship, a stillness which was very important. And we'd done all the talking in the build up. So the talking was done. I felt confident that she [the midwife] knew where I was coming from and vice versa. It was like we'd done all our dress rehearsal - what if, what if. And on the day there was nothing left to say really. So it just felt very calm, and I think that was the most important thing." The second edition of this celebrated text explores vividly the various skills and approaches that lead to successful midwifery practice and uses care stories to bring these to life. Building on a thorough grounding of theory and research evidence, The New Midwifery will enable all midwives to practise with a more effective range of skills and, as these real-life quotes from mothers bear out, provide unique professional support before, during and after birth. "I think we had a really good relationship actually. It was more of a friend relationship, but a friend you could trust in - a professional friend you could rely on." Provides a refreshingly new approach to key areas of midwifery practice in a way that brings practice to life. Illustrates and supports the fundamental changes currently taking place in midwifery around the world. Builds on the most up-to-date, evidence-based research to suggest guidelines for best practices. Explores the impact of parenthood and offers strategies for effectively supporting individuals during this period of transition. Includes "care stories" - case studies that highlight positive midwifery care and successful childbirth experiences. Offers contrasting stories from around the world, illustrating how maternity care in industrialized society differs from that in a non-industrial or third world environment. Provides up-to-date research and reference material.

The book looks at a broad perspective of decision making and each chapter focuses on a specific aspect related to making crucial decisions. Following an initial introduction the book explores the concept of autonomy and the many factors that influence autonomous practise. The role of knowledge in decision making, using evidence to inform decisions, as well as different approaches to decision making are also examined - including the traditional or rational approach, decision analysis and the development of professional judgement. Dilemmas arise when decisions are made and therefore ethical decision making is an important component of this book. Management decisions may be different from those related to giving specific care to women, hence one chapter focuses on making management decisions. Emphasis is also placed on the role of the midwife in helping women make their own decisions, the role of reflection in enhancing the decisions midwives make and the support midwives can receive from their Supervisor of Midwives. Flowcharts explain and facilitate the decision-making process. A very practical approach to decision-making in midwifery, with contributions from midwives who have considerable experience in this area Provides guidelines on how to achieve successful autonomous midwifery practice, enabling theory to be effectively applied to practice Includes coverage of management roles and decision-making as well as clinical scenarios, offering frameworks and flowcharts to guide the inexperienced Suggests different approaches to making difficult decisions

To be at the birth of a baby is special, yet there is an increasing secularisation and reliance on technology in contemporary maternity care, particularly in the western context. Through exploration of experiences at birth this book explores joy at birth, which is often ignored and overlooked beyond the activities that help to ensure survival. This book draws on a collection of stories of birth from mothers, birth partners, obstetricians and midwives, that demonstrate joy at birth across professional groups and in different types of births and locations with or without technological interventions. Each chapter introduces stories of joy that highlight embodied, spatial and relational meanings. Employing the Heideggerian notion of a human being, it sketches out an ontological focus that draws our gaze to the everyday taken-for-granted ways of being at birth. Based on phenomenological experiential data and rigorous interpretive analysis underpinned by seminal philosophical writings, this book calls for readers to attend to the wholeness of birth in all situations and at all births in ways not attempted before. It will be of great interest to midwives, and those working in and studying maternity, obstetrics and neonatology, as well as social and medical anthropology, sociology, cultural, organisational and clinical psychology and spirituality.

Leading Antenatal Classes second edition takes a practical approach to antenatal education. It leads the reader step by step through a range of issues involved with leading classes, including the role of the class leader, planning and monitoring course content, teaching aids and active learning techniques.Expanded, updated and fully referenced new edition of this popular text aimed primarily at midwives Describes in detail a range of tried and tested practical approaches to inspire both new and experienced class leaders Written by authors with extensive experience of leading antenatal classes and training health professionals to lead classes

Stress is an increasingly popular subject and is studied across a range of areas within psychology. Examples relate to everyday issues like school, family and stress within the workplace. New edition examines stress related to current hot topics, like stress and technology.

This book examines the principles and realities of ethics in midwifery practice today. It explains basic ethical theory, looking at how dilemmas occur and the ethical bases on which conflicts can be resolved. Through a series of case studies, options and issues for consideration are reviewed, particularly in areas of increasing concern and debate such as confidentiality, autonomy, screening, abortion, assisted conception and withholding treatment. This book will be of value to all students and practicing midwives who need to understand the principles and practice of ethics, especially how to apply ethical thought and action in their own day-to-day work.Explains clearly ethical theory, especially how dilemmas occur, the bases for ethical decisions and how conflicts may be resolved Outlines specifically how ethical principles can be applied in real-life practice, and in situations which may involve midwives in team decisionsOutlines detailed case studies which illustrate key ethical dilemmas and ways to consider resolutions within these Explores and clearly delineates the ethical dimensions of the midwifes role (new chapter in the second edition)Includes a new chapter on conscientious objection to participation in abortion Has greater focus on assisted conception and issues surrounding this, as this becomes a topic of more widespread interestAdds a new chapter on withholding and withdrawing treatment, mainly in relation to neonates, again to reflect an area of growing concern and controversy All of Part One the general foundations are updated and revised New chapter on ethical dimensions of the midwifes role, with an emphasis on the midwife as the researcherNew case in the confidentiality chapter New case in the accountability chapter on client abuse, with a focus on the accountability of the midwife who knew about this but did nothingNew case in the autonomy and consent chapter looking at enforced caesarian section, with a focus on ethics rather than the law (where the focus usually lies in reviewing this area) New chapter on assisted conception, replacing resource allocation which looked only briefly at thisNew chapter on withholding and withdrawing treatment relating mainly to neonates

This book explores how the links between midwifery research and practice can be developed and strengthened, in order to lead directly to care based on the best available evidence. Based on the realities of midwifery practice, contributions by researchers, practitioners and consumers explore the core issues, which challenge midwives in their practice, and how these challenges may be met. Comprising two sections, the book deals clearly and in detail with the complex issues involved in developing evidence-based practice. The first section considers the context of research in todays healthcare structure, after reflecting on the current and past positions of research in midwifery. Issues such as ethical decisions and the involvement of women and babies in research are explored prior to a discussion of the different stages of the research process. Continual professional and practice development through education and audit are also examined. Section Two highlights some of the core skills for research in midwifery and offers guidance and tips from experts in their fields. Throughout the book, examples from practice and reflective exercise illustrate and underpin theoretical points.Explores the key issues in midwifery research which a midwife has to understand before being able to interpret research accurately Focuses on how research can drive and improve everyday practiceHelps the reader to be clear about what issues have to be understood form research findings in order to build future research projects Gives a clear guide to how midwifery research fits the national picture, how research priorities affect maternity services, and the importance of collaborating with other professionals in developing research

Midwives in all the developed countries are also taking increased professional responsibility for the management of all aspects of labour including pain control. Alternative methods of pain relief by midwives are being used increasingly, and will continueto be while the use of drugs such as pethidine for controlling labour pain is no longer routine. No book has existed till now which looks at the subject in the light of these changes from the midwife's point of view. Existing titles are very medical and pharmacological in approach. This book looks at all aspects of pain relief in labour, covering the physiological processes involved in the perception of pain and relates them to the physiological process of labour. Management of pain in labour is dealt with from the midwife's point of view and particular emphasis is given to non-pharmacological methods of pain control, including complementary therapies. Pharmacological methods of pain control are also included.Examines pain management in labour from the point of view of the modern professional midwife Includes coverage of the physiological processes of pain and relates them to the physiological process of labour and the practical aspects of pain management in labour At the right level for today's more academic courses (including post-basic diploma students), and for the midwife as an independent professional Illustrated with clear line drawings to supplement and clarify the text Written by an experienced clinical midwife and midwifery teacher (Sue Moore), with 14 years of previous clinical experience in both hospital and the community

enables readers to better appreciate the ways in which language functions simultaneously as an instrument to encode and communicate meaning, build and sustain interpersonal relationships, and to express identity. Provides readers with well-grounded tools that they can use to inform their daily work as well as to reflect upon their own communicative practices and – where necessary – to improve them. Features ‘discussion points’ in the form of questions, suggestions for reflection, and small analysis tasks throughout.

Few experiences can compare to the trauma and pain of losing a baby; and the wall of silence that often surrounds that loss can make grieving even harder. Loving You From Here explores the traumatic impact of losing a baby through stillbirth and neonatal death. It features the moving stories of multiple families; some affected recently, some decades ago, but still living with the loss. This book is a practical guide for grieving parents in the grips of tragedy, and those around them who want to be able to offer support. From managing those initial feelings of shock, grief, guilt and anger, this book will also show families how it is possible to grow around that grief and eventually form an enduring bond with their baby. This profound and insightful book will help everyone impacted by the loss of a baby - before, during or after birth - including those who have suffered an early or a late miscarriage and those who have had an ectopic pregnancy, and provides sensitive and reassuring advice on all aspects of loss and bereavement, as well as practical advice on how to find a new normal. This groundbreaking book breaks through the suffocating silence that surrounds the death of a baby and gives a voice to all those affected by baby loss.

This book reconstructs the role of midwives in medieval to early modern Islamic history through a careful reading of a wide range of classical and medieval Arabic sources. The author casts the midwife's social status in premodern Islam as a privileged position from which she could mediate between male authority in patriarchal society and female reproductive power within the family. This study also takes a broader historical view of midwifery in the Middle East by examining the tensions between learned medicine (male) and popular, medico-religious practices (female) from early Islam into the Ottoman period and addressing the confrontation between traditional midwifery and Western obstetrics in the first half of the nineteenth century.