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.

Decision-making pervades all aspects of midwifery practice across the world. Midwifery is informed by a number of decision-making theories, but it is sometimes difficult to marry these theories with practice. This book provides a comprehensive exploration of decision-making for midwives irrespective of where in the world they practice or in which model of care. The first part critically reviews decision-making theories, including the Enhancing Decision-making Assessment in Midwifery (EDAM) tool, and their relevance to midwifery. It explores the links between midwifery governance, including professional regulation and the law, risk and safety and decision-making as well as how critical thinking and reflection are essential elements of decision-making. It then goes on to present a number of diverse case studies, demonstrating how they interrelate to and impact upon optimal midwifery decision-making. Each chapter presents examples that show how the theory translates into practice and includes activities to reinforce learning points. Bringing together a diverse range of contributors, this volume will be essential reading for midwifery students, practising midwives and midwifery academics.

Critical Qualitative Health Research seeks to deepen understandings of the philosophies, politics and practices shaping contemporary qualitative health related research. This accessible, lively, controversial introduction draws on current empirical examples and critical discussion to show how qualitative research undertaken in neoliberal healthcare contexts emerges and the complex issues qualitative researchers confront. This book provides readers with a critical, interrogative discussion of the histories and the legacies of qualitative research, as well as of the more recent calls for renewed criticality in research to respond to global health concerns. Contributions further showcase a range of contemporary work engaging with these issues and the complex encounters with philosophies, politics and practices this involves; from seeking explicit engagements with posthuman ideas or detailed explorations of deeply engaged humanist approaches, to critical discussions of the politics and practices of emerging novel, digital and creative methods. This book offers postgraduate researchers, health researchers and students alike opportunities to engage more deeply with the emergent, complex and messy terrain of qualitative health related research.

Bodies that Birth puts birthing bodies at the centre of questions about contemporary birth politics, power, and agency. Arguing that the fleshy and embodied aspects of birth have been largely silenced in social science scholarship, Rachelle Chadwick uses an array of birth stories, from diverse race-class demographics, to explore the narrative entanglements between flesh, power, and sociomateriality in relation to birth. Adopting a unique theoretical framework incorporating new materialism, feminist theory, and a Foucauldian 'analytics of power', the book aims to trace and trouble taken-for-granted assumptions about birthing bodies. Through a diffractive and dialogical approach, the analysis highlights the interplay between corporeality, power, and ideologies in the making of birth narratives across a range of intersectional differences. The book shows that there is no singular birthing body apart from sociomaterial relations of power. Instead, birthing bodies are uncertain zones or unpredictable assortments of physiology, flesh, sociomateriality, discourse, and affective flows. At the same time, birthing bodies are located within intra-acting fields of power relations, including biomedicine, racialized patriarchy, socioeconomics, and geopolitics. Bodies that Birth brings the voices of women from different sociomaterial positions into conversation. Ultimately, the book explores how attending to birthing bodies can vitalize global birth politics by listening to what matters to women in relation to birth. This is fascinating reading for researchers, academics, and students from across the social sciences.

The right for every woman to have a 'natural' birth has been recognized for many years, yet surgical interventions continue to rise and, paradoxically, complaints and the degree of litigation for disappointing labor outcomes escalate. Proactive Support of Labor enhances professional skills by providing the expertise for preventing long labors - the root-cause of traumatic birth experiences and the cesarean pandemic. Step-by-step, evidence-based guidance on expert care and support during labor is given. Emphasis is placed on pre-labor education, personal attention, and well-defined birth planning - including strict diagnoses and timely corrective measures in abnormal labor - and constant audit of all procedures and outcomes. Striking a new balance between natural birth and intervention, and invariably enhancing women's satisfaction with the childbirth experience, the fully updated revision of this groundbreaking work will be essential reading for obstetricians, midwives, nurses, and trainees. For peer and reader reviews of the first edition see: www.proactivesupportoflabor.com.

Good intentions to do our best in healthcare are not enough. Healthcare professionals need to know how to close the gap between best evidence and practice, by understanding and applying quality improvement principles and processes. Improving Healthcare is a practical guide, providing healthcare staff with the knowledge and skills that enable them to implement, evaluate and disseminate a quality improvement project in their own workplace. With a comprehensive coverage, chapters cover the history, selection and application of quality improvement philosophies and methods in clinical healthcare at team, unit, organisational and system levels. The book also considers social processes of implementation as well as technical aspects of measuring and improving quality. As an essential guide for healthcare practitioners at any level who are new to service improvement, Improving Healthcare includes practical examples and case studies of healthcare improvements that illustrate the concepts discussed.

Build the knowledge and clinical judgment you need to succeed in maternity and pediatric nursing! Written in a clear, easy-to-read style, Introduction to Maternity and Pediatric Nursing, 9th Edition describes how you can provide effective, evidence-based care for women during pregnancy, labor, and delivery, and for newborns and growing children. The text spans the continuum of child development, organizing topics from simple to complex and from health to illness; this approach makes it easy to locate information. Another hallmark of the book is its strong focus on family-centered care, health promotion, and illness prevention. Written by noted nursing educator Gloria Leifer, this bestselling text includes new Next Generation NCLEX (R) exam-style case studies plus updates on infection control, pandemic responses, and more. Unfolding case studies follow one family through the conception and birth process, and include open-ended critical thinking questions applying the content to practice. More than 25 nursing care plans include nursing diagnoses plus goals, nursing interventions, and rationales, along with critical thinking questions to promote clinical decision-making skills. Detailed nursing skills cover a wide range of maternal and pediatric nursing interventions. Safety alerts highlight the importance of protecting patients and others from accidents, medication errors, and the spread of disease. Nursing tips include practical, evidence-based information applicable in the clinical setting. Nursing guidelines reflect the World Health Organization's Baby Friendly Hospital Initiative, alternative therapies, immunization mandates, emergency preparedness, preventing medication errors, and more. Get Ready for the NCLEX (R) Examination! at the end of each chapter includes a summary of key points, additional online resources, review questions, and critical thinking questions. Cultural Considerations boxes help you address the needs of culturally diverse patients and families. Patient Teaching boxes help you communicate instructions for self-care with patients and families. Medication tables provide quick access to information about commonly used medications. NEW! Next-Generation NCLEX (R) examination-style case studies include new-format questions to help you prepare for the licensure examination. NEW! Discussion of the NCSBN Clinical Judgment Measurement Model helps you learn decision making and develop the skills needed to plan effective nursing interventions. NEW! Thorough updates include infection control, pandemic responses, pharmacologic tables, and pediatric treatments.

Midwives and other health care professionals need to have a deep understanding of the various lives childbearing women live in order to support them insightfully and practise in a nuanced manner. The Social Context of Birth has been revised, updated and enlarged to provide an essential understanding of the different lives women live and in which they birth their children. For the first time, it also contains original primary research on the perspectives of student midwives as they progress through their three year training. This comprehensive guide provides countless valuable insights into the many different lives, experiences and expectations of women in their childbearing years in the twenty-first century, especially vulnerable women. Written by a team of highly experienced health professionals, it also covers contentious areas of maternity care, such as new reproductive technologies and fetal surveillance. A true essential for all healthcare professionals who work with women giving birth, such as midwives, nurses, health visitors and obstetricians, and wish to deepen their knowledge of women's lives.

Bringing together experts in the field, this important book considers the underlying risk factors that create situations of psychosocial vulnerability and marginalisation for mothers, from their baby's conception up to a year after birth. Adopting a strengths-based approach, the book looks not only at the incidence and impact of disadvantageous circumstances on women but also explores protective factors at an individual, family, community and service level. It identifies promising evidence-based interventions and sources of resilience. With a distinctive focus on social and cultural diversity, Psychosocial Resilience and Risk in the Perinatal Period considers a wide range of personal circumstances and social groups, including women's experiences of traumatic birth, domestic and family violence, drug and alcohol use and mothering by indigenous, same-sex and disabled women. Throughout, case studies and service user experiences are used to illuminate the issues and illustrate exemplary care practice. International in scope, this book is particularly strong on the implications for care practices and health service delivery within Western models of maternity care. Its applied focus and evidence base makes it eminently suitable for study purposes and professional reference. Of relevance to midwives, health visitors and other health and social care practitioners, Psychosocial Resilience and Risk in the Perinatal Period's final chapters focus on developing resilience amongst professionals and multiprofessional and interagency working.

The concept of a "good death" has been hotly debated in medical circles for decades. This volume delves into the possibility and desirability of a "good death" by presenting the psychosocial measures of care as a crucial component, such as religion, existentialism, hope and meaning-making. The volume also focuses on oncologic psychiatry and the influence of technology as a means to alleviate pain and suffering, and potentially provide relief to those at the end of life. Such initiatives are aimed at diminishing pain and are socially bolstering and emotionally comforting to ensure a peaceful closure with life as opposed to a battle waged. Utilizing the most recent information from medical journals and books to present the latest on healthcare and dying today, this volume crosses the boundaries of thanatology, psychology, religion, spirituality, medical ethics and public health.

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.

A concise, pocket-sized, rapid reference handbook on all key areas of midwifery, aimed at students and newly qualified staff. * Covers a broad range of midwifery topics which are mapped against the 6Cs essential to compassionate midwifery care * Each section is structured around the key criteria used in midwifery examinations * Bite-sized information supported by the latest evidence-base, making it the perfect revision tool for OSCEs and written examinations * Every chapter includes key points, essentials of midwifery care, professional accountability, and links to further resources

Selected as a Doody's Core Title for 2022! Essential for ob/gyn physicians, primary care physicians, and any health care provider working with pregnant or postpartum women, Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk, 12th Edition, puts must-know information at your fingertips in seconds. An easy A-to-Z format lists more than 1,400 of the most commonly prescribed drugs taken during pregnancy and lactation, with detailed monographs designed to provide the most essential information on possible effects on the mother, embryo, fetus, and nursing infant. Each templated monograph includes: Generic US name (trade names in index) Risk factors Pharmacologic class Pregnancy and breastfeeding recommendations Pregnancy, fetal risk, and breastfeeding summaries Updated references NEW in the 12th Edition: 100 new drugs, with thorough updates of all existing drugs Subheadings with each review for faster reference List of cross-referenced combination drugs List of drugs contraindicated in breastfeeding women List of drugs contraindicated in pregnancy List of drugs that affect human development Quarterly updates, available online, to keep you at the forefront of the field Greatly improved eBook searchability Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Despite research which highlights parents' increased anxiety and risk of attachment issues with the pregnancy that follows a perinatal loss, there is often little understanding that bereaved families may need different care in their subsequent pregnancies. This book explores the lived experience of pregnancy and parenting after a perinatal loss. Meeting the Needs of Parents Pregnant and Parenting After Perinatal Loss develops a helpful framework, which integrates continuing bonds and attachment theories, to support prenatal parenting at each stage of pregnancy. Giving insight into how a parent's world view of a pregnancy may have changed following a loss, readers are provided with tools to assist parents on their journey. The book discusses each stage of a pregnancy, as well as labor and the postpartum period, before examining subjects such as multi-fetal pregnancies, reluctant terminations, use of support groups, and the experiences of fathers and other children in the family. The chapters include up-to-date research findings, vignettes from parents reflecting on their own experiences and recommendations for practice. Written for researchers, students and professionals from a range of health, social welfare and early years education backgrounds, this text outlines what we know about supporting bereaved families encountering the challenges of a subsequent pregnancy.

Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.

As rates of multiple births increase, birth professionals are discovering a distinct lack of resources to support parents who wish to breastfeed. Written in an accessible format, Breastfeeding Twins and Triplets is a source of information for parents, lactation consultants, birthing professionals and healthcare workers wishing to support multiple birth families. Stagg's evidence-based guide discusses the discovery of a multiple pregnancy, how families can prepare for breastfeeding, premature birth, hand expressing and pumping as well as transitioning premature babies onto the breast and moving away from tube feeds. Stagg's own experience of breastfeeding her twins and career as a breastfeeding counsellor and lactation consultant with the IBCLC (International Board-Certified Lactation Consultants) ensures this guide is filled with practical knowledge to support multiple birth families in their journey.

Listening Visits in Perinatal Mental Health focuses on how women and families suffering from perinatal mental illness can be supported by a wide range of practitioners. Based on the skills of attentive listening, it is designed for use by health professionals and support workers concerned with maternal mental health and the mental health of the family. This accessible guide: Covers the process and progression of perinatal mental health Discusses the types of anxiety and depression which may occur during the perinatal period Examines the impact of maternal mental illness of the infant, father and family Explores the available assessment tools, such as the EPDS Presents the theories behind the efficacy of listening and counselling skills, as well as the evidence which recommends this type of therapy Gives suggestions of alternative therapeutic approaches and further resources to explore around perinatal mental health Emphasises the importance of looking after yourself and making use of supervision and peer support. With chapters focused on listening to mothers, fathers and infants and paying attention to cultural diversity, Listening Visits in Perinatal Mental Health builds on the knowledge that many professionals working with new mothers already have about perinatal mental health. It focuses on developing the skills needed to put this knowledge into practice and includes case examples and follow-up activities throughout.

The Objective Structured Clinical Examination (OSCE) was developed for all undergraduate nursing programmes, with the aim of emphasising the need for nursing students to be competent in clinical skills, to assess clinical reasoning skills and as a means of standardizing the assessment process. This practical, easy to read and interactive study guide helps nursing and midwifery students at all levels to maximise their chances of success with OSCEs. It features case studies, quick quizzes, recap and recall summaries and an OSCE preparation plan; all of which help to prepare the student for the examination. Hints and tips on what to expect during the examination and pointers on what the examiner will be looking for, together with a comprehensive chapter on personal learning will help to guide the student through the process and maximise their chances of success! "Very readable with useful tips and information for students" Cath Hill, Keele University "I found the book extremely relevant from the students' perspective, reader friendly and well structured. Quizzes and activities excellent." - Liz Day, Senior Lecturer, Nursing and Health Care Practice, University of Derby "A useful and easily digested text on this important assessment strategy", Ms. Karen Lumsden, Faculty of Nursing and Applied Clinical Studies, Canterbury Christchurch University "Useful for students as they prepare... Easy to read and understand." Kirsty Wedgbury, Faculty of Health and Community Care, Birmingham City University

The greatest postnatal killer of the nineteenth century was puerperal fever. A vicious and usually fatal form of septicaemia, puerperal or childbed fever was known to occur in maternity hospitals far more frequently than at home births, and to spread faster in crowded wards than in those with fewer patients. Its cause was unknown. In this precise statistical analysis of the facts, gathered from several sources across the major cities of Europe, Florence Nightingale (1820-1910) explores the mystery of puerperal fever and its possible causes. She stresses the necessity of good ventilation in hospitals, condemning those with overcrowded wards, and cites instances where the layout of wards has a noticeable correlation with the number of deaths. Published in 1871, just before Pasteur's work on germ theory proved that the problem could be all but eradicated if doctors washed their hands more rigorously, this work remains clear, scholarly and engaging.

Legal and ethical competence is a cornerstone of professional midwifery practice and an essential part of midwifery training. Law and Ethics for Midwifery is a unique and practical resource for student midwives. Written by an experienced midwifery lecturer, this text draws on a wide variety of real life case studies and focuses particularly on the core areas of accountability, autonomy and advocacy. Opening with two chapters providing overviews respectively of ethical theories and legislation, the book is then arranged thematically. These chapters have a common structure which includes case studies, relevant legislation, reflective activities and a summary, and they run across areas of concern from negligence through safeguarding to record-keeping. Grounded in midwifery practice, the text enables student midwives to consider and prepare for ethical and legal dilemmas they may face as midwives in clinical practice.

Midwifery: The Basics provides an engaging and authentic insight into the midwife's world. It explores the role of the midwife as a clinician and professional, showing how midwives can support women both to achieve a healthy full-term pregnancy and a smooth transition to motherhood. This book begins with a discussion of the context of birth and parenthood, placing midwifery in its broader social context. Topics covered include: the midwife as an autonomous professional; becoming a midwife; pre-conceptual and antenatal care; intrapartum care; postnatal care; and the specialist midwife. Midwifery: The Basics uses the voices of mothers, fathers and midwives to illustrate the complex world of becoming, being and supporting parents. This is an essential introduction for students at undergraduate and A-Level who are approaching midwifery for the first time.

Decision-making pervades all aspects of midwifery practice across the world. Midwifery is informed by a number of decision-making theories, but it is sometimes difficult to marry these theories with practice. This book provides a comprehensive exploration of decision-making for midwives irrespective of where in the world they practice or in which model of care. The first part critically reviews decision-making theories, including the Enhancing Decision-making Assessment in Midwifery (EDAM) tool, and their relevance to midwifery. It explores the links between midwifery governance, including professional regulation and the law, risk and safety and decision-making as well as how critical thinking and reflection are essential elements of decision-making. It then goes on to present a number of diverse case studies, demonstrating how they interrelate to and impact upon optimal midwifery decision-making. Each chapter presents examples that show how the theory translates into practice and includes activities to reinforce learning points. Bringing together a diverse range of contributors, this volume will be essential reading for midwifery students, practising midwives and midwifery academics.

LEARN–APPLY–ASSESS Text An expertly designed, balanced presentation of evidence-based nursing care that meets the needs of today’s students and instructors in person, online, or hybrid for combination or separate courses. A unique emphasis on optimizing outcomes, evidence-based practice, compassionate care, and research supporting the goal of caring for women, families and children in in traditional and community settings. A thematic organization reflects the state-of-the-art in nursing today through ‘Holistic Care,’ ‘Critical Thinking,’ ‘Validating Practice,’ and ‘Tools of Care,’ each with special features to foster the development of the skills and clinical judgment integral to the delivery of quality nursing care. Davis Advantage (Personalized Learning, Clinical Judgment, and Quizzing) Personalized Learning engages students through videos and interactive activities that present key concepts in a way that makes content more relatable and understandable. Clinical Judgment challenges students with complex questions that align with the cognitive areas of the NCSBN’s Clinical Judgment Measurement Model, requiring careful analysis, synthesis of the data, and critical thinking Quizzing provides thousands of NCLEX®-style questions (including alternate format questions) and detailed rationales to test students’ knowledge and promote in-depth understanding Personalized Learning Plans and dashboards track students’ progress across their assignments and highlight where they need to focus their study time Actionable analytics allow instructors to track comprehension and participation, monitor performance, and identify areas for remediation Personalized Teaching Plans provide instructors with engaging lesson plans and activities that can be leveraged in both virtual and in-person classroom settings Integrated ebook allows students to reference the textbook anytime, anywhere Davis Advantage for Maternal-Child Nursing Care combines an innovative text with an immersive online program that make this challenging but must-know content easier to master by making learning personal. Together, they create a seamless experience that tracks each student’s progress and assesses their knowledge until they have mastered the concepts and are ready to apply them in class, clinical, and practice. An access code inside new, printed textbooks unlocks an ebook, as well as access to Davis Advantage. Or choose the all-digital Instant Access option, which includes the ebook and immediate access to Davis Advantage. TEXTBOOK Streamlined, redesigned, and revised by a new author team, the 3rd Edition of this AJN Book-of-the-Year Award winner offers the perfect balance of maternal and child nursing care with the right depth and breadth of coverage for students in today’s maternity/pediatric courses. And, it’s accompanied by six online bonus chapters covering the role of the nurse in promoting women’s health. A unique emphasis on optimizing outcomes, evidence-based practice, and research supports the goal of caring for women, families, and children, not only in traditional hospital settings, but also wherever they live, work, study, or play. Clear, concise, and easy to follow, the content is organized around four major themes, holistic care, critical thinking, validating practice, and tools for care that help students to learn and apply the material. ONLINE (DAVIS ADVANTAGE) Using a unique and proven approach across a Learn-Apply-Assess continuum, Davis Advantage engages students and helps them make the connections to key topics. Whether teaching in-person or online, this complete, integrated solution aligns seamlessly with the textbook and equips instructors with actionable analytics to track students’ progress, remediate where needed, and facilitate an active learning environment. LEARN—Personalized Learning The foundation of the Davis Advantage platform, Personalized Learning, immerses students in an online learning experience tailored to their needs. Students are assessed on their comprehension of key topics from the text, and then are guided through animated mini-lecture videos and dynamic activities to reinforce learning and bring concepts to life. APPLY—Clinical Judgment Clinical Judgment develops students’ critical thinking and clinical reasoning, helping them to build the clinical judgment skills they need to practice safe and effective nursing care and to prepare for the Next Generation NCLEX® with confidence. Progressive case studies featuring real-life, complex clinical situations challenge students to apply knowledge, make informed decisions, and evaluate outcomes. ASSESS—Quizzing Quizzing uses NCLEX®-style questions for assessment and remediation. Its adaptive, question-based format provides the additional practice students need to test their knowledge, master course content, and perform well on course and board exams. New To This Edition: FREE, 3-year access to Davis Advantage Thoroughly revised and updated to reflect the art and science of nursing practice today Streamlined and redesigned to make the content more relevant, student friendly and easier to teach.

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.