Recollections of birth and death, joy and tragedy that reveal the reality of maternity care in a remote setting. In 2016, English midwife Indie joined the staff at Attat Hospital in south-western Ethiopia, where Atsede led the midwifery services. It was a meeting that would change their lives. Their close professional relationship, and deep personal friendship, led to them opening a birth centre serving the Gurage women and families of Cheha Woreda, bringing compassionate midwifery care into the heart of traditional communities. Through the two midwives' eyes, as they recount stories from the women they have cared for over the years, we experience the lives of the Gurage people in rich detail. From one night shift which saw Atsede attend 16 births, and 17 babies born, to the day there was a donkey mysteriously tied up inside the hospital. By way of undiagnosed birth defects, the ramifications of female circumcision, obstetric emergencies, and long hours of ordinary, extraordinary births, what shines through is a deep and abiding love for the women in their care, and respect for each other and the colleagues they work alongside. A must-read for anyone with an interest in birth or maternal health, With Two Souls, the translation of the Chehaguraginya word hwetarwa, meaning pregnant, is a fascinating and moving insight into what birth can tell us about people and places, and how, when our eyes and hearts are open, we can embrace our differences and work together to benefit our communities.

Most aged in India are experiencing a highly protracted death in hospitals, entangled in tubes and machines. Such 'medicalised death' entails huge psychological, social and financial costs for both patients and their caregivers. There are also many who are dying in abject neglect. However, Government response to end-of-life care has been almost negligible and there is an acute information deficit on dying matters. This book examines different settings where elderly die, including hospitals, family homes and palliative set-ups. The discourse is set in the backdrop of international attempts to restructure and reconfigure the health delivery system for ageing population. It makes critical commentaries on global developments, offers state-of-art reviews of recent advances, substantiates and corroborates facts by personal narratives and case histories. The book overcomes a segmental understanding of the field by weaving various sociological, medical, legal and cultural issues together. Finally, the authors critically examine biomedicine's potential to meet the complex needs of the dying elderly. In an attempt to bring cultural sensitivity in end-of-life care, they explore the lost Indic 'art of dying' which has the potential to de- medicalise death. Increasing public sensitivity to poor dying conditions of the elderly in India and facilitating changes to improve care systems, this book also demonstrates the limitations of the western specialization of death. It will be of interest to academics in the field of Medical Sociology/Anthropology, Medicine, Palliative care, Public Health and Social Work, Social Policy and Asian Studies.

Written by experienced nurse lecturers and a theatre nurse, Perioperative Practice highlights and explains the biological processes which can be disrupted by a major surgical procedure. Using the concept of homeostasis as a framework, the authors look at issues common to all surgical procedures such as the influence of anaesthesia on the nervous system or perioperative pain management. Individual chapters cover:
* the human body and principles of homeostasis * the surgical approach and endoscopic procedures * perioperative influences on body fluid homeostasis
* perioperative influences on immunological homeostasis and wound healing
* perioperative influences on cardiovascular homeostasis
* perioperative influences on respiratory homeostasis
* anaesthesia, stress and surgery
* pain and pain relief in the perioperative patient.
Generously illustrated in colour and black and white, the text features further learning activities and useful summaries of key points. It provides an important resource and supporting text for all nurses undertaking courses in theatre work or related areas or already working in such areas.

In How to Run Reflective Practice Groups: A Guide for Healthcare Professionals, Arabella Kurtz explores the use of reflective practice in the modern healthcare context. Responding to the rapidly increasing demand for reflective practice groups in healthcare and drawing on her extensive experience as a facilitator and trainer, Kurtz presents a fully developed, eight-stage model: The Intersubjective Model of Reflective Practice Groups. The book offers a guide to the organisation, structure and delivery of group sessions, with useful suggestions for overcoming commonly-encountered problems and promoting empathic relationships with clients and colleagues. Clearly and accessibly written, using full situational examples for each stage of the presented model, How to Run Reflective Practice Groups offers a comprehensive guide to facilitating reflective practice in healthcare.

Making good nutritional choices can mean women optimise the outcomes of their birthing experience and offer their babies the best possible start in life. To support this, all health professionals who work with women during pregnancy, birth and the postnatal period need to have an appropriate knowledge of nutrition, healthy eating and other food related issues. This evidence-based text provides an informative and accessible introduction to nutrition in pregnancy and childbirth. As well as allowing readers to recognise when nutritional deficiency may be creating challenges, it explores the psychosocial and cultural context of food and considers their relevance for women's eating behaviour. Finally, important emerging issues, such as eating during labour, food supplements and maternal obesity, are discussed. An important reference for health professionals working in midwifery or public health contexts especially, this book is also the ideal companion for a course on nutrition in pregnancy and childbirth.

The second edition of this successful text is an essential and accessible guide to legal aspects of midwifery for all midwife supervisors, midwives, and midwifery students. Midwives will find this book provides them with the knowledge and understanding they require to make sense of the legal principles that affect their day-to-day work and allay their anxieties, encouraging them to extend and develop their practice safely and with confidence.
This new edition includes new and revised case studies throughout. It also contains new sections on NHS accountability, the Human Rights Act, the Data Protection Act, reproductive technologies and disciplinary pathways.
? Relates legal issues to everyday midwifery practice
? Written by an experienced midwife for midwives
? Accessible, relevant and up-to-date

This fully revised, new edition of Innovations in Hospice Architecture responds to the need for an up-to-date, theoretically based reference book summarizing key historical and recent developments with respect to this rapidly evolving building type. This Second Edition presents: an overview of the historical origins of the contemporary hospice the diverse variations on the basic premise of hospice care a review of the scant architectural literature published on this subject to date a broad series of case studies of exemplary hospices around the world planning and design concepts for palliative care environments. Case study projects are from Japan, Canada, Europe, Africa, Australia, Indonesia, China, the United States and South America. Thirty-six case studies are individually presented and comparatively analysed, and prognostications for the future of hospice architecture are examined. Each case includes floor plans, technical drawings and beautiful, full colour illustrations. Through an in-depth discussion of the inner profundities of hospice architecture, the book presents this type as a humane, genuine expression of the spiritual, physical and psychosocial dimensions of the contemporary death and dying movement. Written with a broad audience in mind, the book provides both technical and conceptual information, blending narrative, images and diagrammation so that the audience may understand and articulate the complexities of this specialized building type in professional practice contexts.

This workbook addresses the vital questions helpers, responders, and organizations have about self-care and its relationship to resilience and sustained effectiveness in the midst of daily exposure to trauma victims and or situations. Packed with activities, worksheets, and interactive learning tools, the text provides neuro-based and trauma-sensitive recommendations for improving the ways clinicians care for themselves. Each 'session' helps clinicians identify their personal self-care needs and arrive at an effective self-care plan that promotes resilience in the face of daily exposure to trauma-inducing situations and reduces the effects of compassion fatigue and burnout. Reducing Compassion Fatigue, Secondary Traumatic Stress, and Burnout is an essential workbook for any helper or organization looking to enhance compassionate care.

Nurses typically go in to the profession of nursing because they want to "care" for patients, not knowing that the inherent stresses of the work environment put them at risk for developing psychological disorders such as burnout syndrome, posttraumatic stress disorder (PTSD), anxiety and depression. Symptoms of these disorders are often debilitating and affect the nurse's functioning on both a personal and professional level. While environmental and/or organizational strategies are important to help combat stress, oftentimes the triggers experienced by nurses are non-modifiable including patient deaths, prolonging life in futile conditions, delivering post-mortem care and the feeling of contributing to a patient's pain and suffering. It is paramount that nurses enhance their ability to adapt to their work environment. Resilience is a multidimensional psychological characteristic that enables one to thrive in the face of adversity and bounce back from hardships and trauma. Importantly, resilience can be learned. Factors that promote resilience include attention to physical well-being and development of adaptive coping skills. This book provides the nurse, and the administrators who manage them, with an overview of the psychological disorders that are prevalent in their profession, first-person narratives from nurses who share traumatic and/or stressful situations that have impacted their career and provide detailed descriptions of promising coping strategies that can be used to mitigate symptoms of distress.

Supporting Women to Give Birth at Home describes and discusses the main challenges and issues that midwives and maternity services encounter when preparing for and attending a home birth. To ensure that a home birth is a real option for women, midwives need to be able to believe in a woman's ability to give birth at home and to promote this birth option, providing evidence-based information about benefits and risks. This practical guide will help midwives to have the necessary skills, resources and confidence to support homebirth. The book includes: the present birth choices a woman has the implications homebirth has upon midwifery practice how midwives can prepare and support women and their families the midwife's role and responsibilities national and local policies, guidelines and available resources pain management options With a range of recent home birth case studies brought together in the final chapter, this accessible text provides a valuable insight into those considering homebirth. Supporting Women to Give Birth at Home will be of interest to students studying issues around normal birth and will be an important resource for clinically based midwives, in particular community based midwives, home birth midwifery teams, independent midwives, and all who are interested in homebirth as a genuine choice.

Midwives are encountering more and more women whose pregnancies are complicated by medical conditions, including cardiac disease, obesity and diabetes. This new edition is completely up-to-date and offers highly practical solutions for everyday midwifery practice, acknowledging the importance of promoting normality where possible. This text includes physiology, explanations of conditions and principles of care for preconception, pregnancy, labour, birth and the postnatal period. Each chapter brings together the basic knowledge of a condition and how it changes during pregnancy in an integrated and accessible way, including a new chapter dedicated to obesity. Explanations of laboratory tests, diagnostic tests, common drugs and illustrative colour pictures are included in relevant chapters. Medical Conditions Affecting Pregnancy and Childbirth is a vital guide for student midwives, as well as a useful reference for practising midwives.

Yatdjuligin: Aboriginal and Torres Strait Islander Nursing and Midwifery Care introduces students to the fundamentals of health care of Indigenous Australians, encompassing the perspectives of both the client and the health practitioner. Written for all nurses and midwives, this book addresses the relationship between Aboriginal and Torres Strait Islander cultures and mainstream health services and introduces readers to practice and research in a variety of healthcare contexts. This new edition has been fully updated to reflect current research and documentation, with an emphasis on cultural safety. Three new chapters cover Torres Strait Islander health and wellbeing, social and emotional wellbeing in mainstream mental health services and quantitative research. Chapter content is complemented by case study scenarios, author reflections and reflection questions. These features illustrate historical and contemporary challenges, encourage students to reflect on their own attitudes and values, and provide strategies to deliver quality, person-centred health care.

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.

Nurses, midwives and health visitors have a statutory duty to safeguard and promote the welfare of children and young people. In this clear and invaluable guide, Catherine Powell focuses on the practical aspects of safeguarding and how healthcare professionals should respond to safeguarding children concerns. Key features of the book include: * Setting out the roles and responsibilities of nurses, midwives and health visitors working in a range of settings, including those working primarily with adult clients * Realistic case scenarios of physical, emotional and sexual abuse and neglect, covering infants, toddlers, school-age children and adolescents * Explanations of inter-agency working and the roles of other key players such as children's social care, the police and education services * 'Markers of Good Practice' boxes highlighting lessons for practice. The book covers the full spectrum of safeguarding children work; from prevention and early help through to statutory intervention and serious case review. New for this expanded Second Edition are: * A new chapter on child sexual exploitation, and more consideration of risks for children online * More detail on the links between domestic violence and abuse and child maltreatment * New 'Child Perspective' boxes to encourage further thought about the voice and role of the child Safeguarding and Child Protection for Nurses, Midwives and Health Visitors 2e is an essential tool for students and will be invaluable for practicing healthcare staff who face an array of complex and sensitive issues in the field of safeguarding. "Dr Catherine Powell is the Institute of Health Visiting safeguarding expert, advising us on any national safeguarding issues or changes of policy. I am personally delighted that she has updated this important book. Safeguarding is the practice area that nurses, midwives and health visitors must not shy away from. It can however provide their greatest professional challenges as well as making them feel anxious about providing correct professional responses. This is a very well-structured and comprehensive book. The author very effectively brings safeguarding responsibilities to life with the use of case studies. The recurring features in the book are helpful and I very much like the inclusion of the child or young person's perspective boxes. For the inexperienced professional this can be forgotten when swamped with a complex situation. By keeping the child's perspective at the centre of all decision-making the right decisions are more likely to be made. Perhaps of particular value to learning will be the chapter on child death and serious case reviews, something professionals seek to avoid ever being involved in, but sometimes find themselves having to face. It is therefore important to learn from these reviews of what went wrong, a breakdown in professional communication so often being a feature. This chapter explains how a serious case review is carried out and allows the reader to understand how they might be asked to contribute to the process. To have a book such as this to use as a professional companion, not only to refer to and check facts, or underpin decision making, but also to expand professional knowledge, will lead to improved safeguarding practices, prompt, appropriate interventions, and better outcomes for children and families. Safeguarding is of course everyone's business and others needing to refresh or update their skills in this area will also find the information included of great value." Dr Cheryll Adams, Director, Institute of Health Visiting, UK "This is a very readable and practical book which achieves its aim to raise awareness about good safeguarding and child protection practice. The book is intended to prepare nursing, midwifery and specialist community public health nursing students and those 'returning to practice', but it will also be of use to more experienced practitioners who work with children, young people and their families, wanting to update their learning in the field. The book clearly reflects the author's expertise and knowledge in safeguarding and child protection practice. It contains a wealth of extremely useful information presented in an easily accessible fashion. The range of case examples, practice points and new for this second edition, a 'child's perspective' box, brings the text to life and focuses the reader's attention on practice needing to be 'child-centred'. This is an excellent book, which I thoroughly recommend." Jane V. Appleton, Professor in Primary and Community Care, Faculty of Health and Life Sciences at Oxford Brookes University, UK "All nurses have a duty to inform and alert appropriate personnel if they suspect a child has been abused, and to know where they can seek expert advice and support if they have concerns. This comprehensive text providing the link between legislation, policy, research and practice will enable students and practitioners to expand their knowledge and understanding of the key issues involved in safeguarding children and young people." Fiona Smith, Professional Lead for Children and Young People's Nursing, Royal College of Nursing, UK

This book is a practical guide for medical practitioners as they navigate through breastfeeding problems that occur in day-to-day practice. If mothers have a breastfeeding complication they are often directed to their GP. In complex situations, medical staff will be making decisions around what treatment plan to follow and whether a mother can keep breastfeeding. In recent years there has been growing evidence that medical professionals often advise mothers to stop breastfeeding while undergoing treatment, when in reality this was not a necessary step. In a time when breastfeeding rates are decreasing, it is important that medical professionals give accurate advice and support a mother's choice to breastfeed if the situation allows it. A Guide to Supporting Breastfeeding for the Medical Profession includes contributions from a wide range of medical professionals and each chapter is written with the practitioner in mind. Contributors include GPs, paediatricians, neonatologists, lactation specialists and midwives. Doctors have a vital role to play in supporting and facilitating breastfeeding, and without the appropriate knowledge they can often inadvertently sabotage it. This book will be of interest to GPs and paediatricians as well as nurse prescribers, midwives and health visitors.

The second book from Sunday Times bestselling author Linda Fairley. 'No matter how many babies I deliver, each and every one is a miracle, connecting me to the world like nothing else, reminding me that we are all equal in the beginning, and in the end. It's a great leveller, childbirth.' It's January 1972 and times have changed since Linda first stepped onto a maternity ward four years earlier. Gone are the starched skirts and steaming milk kitchens of the 1960s; these are the exhilarating days of disposable equipment and new technology. The Pill will soon be free to all women, and more and more fathers are daring to brave the delivery room. At the newly-opened Ashton maternity unit the midwives' spirits are high, and, in spite of the dark cloud of laundry strikes on the horizon, there's the scent of a new era on the cold winter wind. But one thing has stayed the same - the babies keep coming. Year after year, Linda faithfully helps the women of Greater Manchester through their most vulnerable and emotional hours, whether it is by giving calm instructions over the phone to a panicking husband, delivering a baby unexpectedly in a hospital lift, or by dashing headlong to the rescue of a snowed-in mum-to-be. As 25-year-old Linda becomes a mother herself she understands, more than ever, what a precious gift it is to bring children into the world, and she holds each new baby just that little bit tighter. As the years roll by Linda finds herself delivering the babies of mothers and fathers she helped to bring into the world decades earlier - making her something of a local celebrity. Through the highs and lows, through the modernisations that transform the hospital and the world outside, Linda's passion for midwifery burns as bright as ever. With 42 years of experience Linda is one of Britain's longest-serving midwives, and reaching the retirement age in 2008 didn't stop her doing the job she loves. Although she has seen generations of women give birth and delivered more than 2,000 babies, she treats every new arrival like the new miracle it is.

First published in 1999, this volume discusses how the nursing and health care fields are developing rapidly. This series of monographs offers up-to-date reports of recently completed research projects in the fields of nursing and health care. The aim of the series is to report studies that have relevance to contemporary nursing and health care practice. It includes reports of research into aspects of clinical nursing care, management and education. The series is of interest to all nurses and health care workers, researchers, managers and educators in the field.

The Sunday Times bestseller 'Delivering my first baby is a memory that will stay with me forever. Just feeling the warmth of a newborn head in your hands, that new life, there's honestly nothing like it... I've since brought more than 2,200 babies into the world, and I still tingle with excitement every time.' It's the summer of 1968 and St Mary's Maternity Hospital in Manchester is a place from a bygone age. It is filled with starched white hats and full skirts, steaming laundries and milk kitchens, strict curfews and bellowed commands. It is a time of homebirths, swaddling and dangerous anaesthetics. It was this world that Linda Fairley entered as a trainee midwife aged just 19 years old. From the moment Linda delivered her first baby - racing across rain-splattered Manchester street on her trusty moped in the dead of night - Linda knew she'd found her vocation. 'The midwife's here!' they always exclaimed, joined in their joyful chorus by relieved husbands, mothers, grandmothers and whoever else had found themselves in close proximity to a woman about to give birth. Under the strict supervision of community midwife Mrs Tattershall, Linda's gruellingly long days were spent on overcrowded wards pinning Terry nappies, making up bottles and sterilizing bedpans - and above all helping women in need. Her life was a succession of emergencies, successes and tragedies: a never-ending chain of actions which made all the difference between life and death. There was Mrs Petty who gave birth in heartbreaking poverty; Mrs Drew who confided to Linda that the triplets she was carrying were not in fact her husband's; and Muriel Turner, whose dangerously premature baby boy survived - against all the odds. Forty years later Linda's passion for midwifery burns as bright as ever as she is now celebrated as one of Britain's longest-serving midwives, still holding the lives of mothers and children in her own two hands. Rich in period detail and told with a good dose of Manchester humour, The Midwife's Here! is the extraordinary, heartwarming tale of a truly inspiring woman.

Psychodynamic Interventions in Pregnancy and Infancy builds on Bjoern Salomonsson's experiences as a psychoanalytic consultant working with parents and their babies. Emotional problems during the perinatal stages can arise and be observed and addressed by a skilled midwife, nurse or health visitor. Salomonsson has developed a method combining nurse supervision and therapeutic consultations which has lowered the thresholds for parents to come and talk with him. The brief consultations concern pregnant women, mother and baby, husband and wife, toddler and parent. The theoretical framework is psychoanalytic, but the mode of work is eclectic and adapted to the family's situation and its members' motivation. This book details such work, which can be applied globally; perinatal psychotherapy integrated with ordinary medical health care. It also explains how psychotherapy can be made more accessible to a larger population. Via detailed case presentations, the author takes the reader through pregnancy, childbirth and the first few years of life. He also brings in research studies emphasizing the importance of early interventions, with the aim of providing therapists with arguments for such work in everyday family health care. To further substantiate such arguments, the book ends with theoretical chapters and, finally, the author's vision of the future of a perinatal health care that integrates medical and psychological perspectives. Psychodynamic Interventions in Pregnancy and Infancy will appeal to all psychoanalysts and psychoanalytic psychotherapists working in this area, as well as clinical psychologists, clinical social workers and medical personnel working with parents and infants.

Arguing that contemporary maternity services provide a toxic environment both in which to practise and to give birth, this book looks at how we can change this. Its aim is promoting the best possible experiences of childbearing, and confident, strengthening and loving contexts for new parenthood. Designed to create awareness about the professional and political realities which enmesh maternity care, this inspiring volume features an in-depth and research-oriented analysis of the challenges faced by contemporary maternity services. Recognising the frequently hostile environment in which midwives practise, the contributors go on to explore its impact on women and families, as well as on midwives themselves. They then look at woman-centred and community-based ways of contributing to a much better birthing experience for all. Important and relevant for all those with an interest in improving maternity care, this book is particularly suited to midwives - practising and student, doulas, birth educators and activists, policymakers and health service managers.

Originally published 1995 The Making of Man-Midwifery looks at how the eighteenth century witnessed a revolution in childbirth practices. By the last quarter of the century increasing numbers of babies were being delivered by men - a dramatic shift from the women-only ritual that had been standard throughout Western history. This authoritative and challenging work explains this transformation in medical practice and remarkable shift in gender relations. By tracing the actual development and transmission of the new midwifery skills through the period, the book addresses both technological and feminist arguments of the period. The study is distinctive in treating childbirth as both a bodily and a social event and in explaining how the two were intimately connected. Practical obstetrics is shown to have been shaped by the social relations surrounding deliveries, and specific techniques were associated with distinctive places and political allegiances. The books studies how increasing numbers emergent male-midwives had overtaken women in the skill of delivering children and how as such expectant mothers chose to use these male-midwives, thus heralding the growth of male-midwives in the period.

Postnatal PTSD, often referred to as birth trauma, is an underdiagnosed and misunderstood condition. Often mistaken for postnatal depression and with 4% of women developing the condition after giving birth, it is essential that health professionals learn to recognise and prevent postnatal PTSD. The book supports professionals to better understand, recognise, treat and help prevent birth trauma. It covers the impact of postnatal PTSD on bonding and relationships, birth trauma in Black, Asian and minority ethnic communities, how to support women having another baby and more. An accessible guide to supporting parents with postnatal PTSD, this book is essential reading for healthcare professionals and those involved with the birthing process.

Bringing together the stories and experiences of LGBT+ parents as well as professionals in the field, this guide explains what healthcare and birth workers can do to improve care for their clients. It broadens the ability to understand those who birth and parent beyond the heteronormative and cisgender binary. Covering topics such as LGBT+ and neurodiversity, surrogacy and lactation, as well as including interviews from Jake Graf, Freddy McConnell and Sabia Wade, AJ Silver brings to light the failures of the maternity system for LGBT+ parents and discusses how these mistakes can be avoided. A compelling, educational, and motivational book, Supporting Queer Birth is essential reading for birth workers and healthcare professionals.

Supervising and Assessing Student Nurses and Midwives in Clinical Practice is a practical guide for healthcare practitioners responsible for the supervision and assessment of students. The book is designed to help practice supervisors and practice assessors: to identify and plan for a range of learning opportunities to consider what is possible for learning and assessment in their area to get ready for and deliver the best learning experiences that they can to prepare students for their role as future nurses and midwives. Activities, top tips, examples and scenarios all help the reader to set the principles in context and to support students in achieving the NMC's standards of proficiency. Covering the learning environment and culture, interprofessional supervision, coaching models and feedback, methods and types of assessment, simulation-based learning, and the future of practice learning, the book aims to help individuals and organisations to create the best environment for supporting, supervising and assessing students in practice. "This is a contemporary text that is truly a practical guide that steers and supports. It is written in an accessible and user-friendly way, helping the reader see through the complexities that are inherently associated with practice assessment... I sincerely recommend this book to students and practitioners who learn and practise together with the overall goal of offering high-quality care that is safe and effective." From the Foreword by Professor Ian Peate, OBE FRCN

Written by midwives for midwives, Myles Textbook for Midwives has been the seminal textbook of midwifery for over 60 years. It offers comprehensive coverage of topics fundamental to 21st midwifery practice. Co-edited for the second time, by internationally renowned midwife educationalists, Professor Jayne E Marshall and Maureen D Raynor from the United Kingdom with a team of contributors from across the midwifery community it retains its clear, accessible writing style. Most chapters provide useful case studies, websites of key organisations and charities for individuals to access further information. Reflective questions at the end of each chapter as well as annotated further reading aid reflective learning and stimulate discussions relating to continuing professional development. The book covers key frameworks that govern midwifery practice, exploring ethical and legal frameworks that are essential to every accountable, autonomous, professional midwife. Includes employer-led models of supervision, vital elements of leadership and clinical governance that supports the provision of high quality maternity services and standards of midwifery practice. The concept of resilience is introduced for the reader to contemplate their personal contribution in creating an environment that is conducive to protecting the wellbeing of themselves and colleagues within the workplace. The text covers the UN 2030 Agenda for Sustainable Development, highlighting the importance of midwives as global citizens with common goals, and together they form a strong global community prepared to challenge social inequalities and take action to help end extreme poverty. Covers designing and implementing high quality midwifery care using evidence, policy and models of care. Highlights why a holistic and evidence-informed approach is necessary to achieve effective care for all. Working examples will help the reader to think critically about their own practice. For this edition several new chapters are introduced covering concealed pregnancy, fear of childbirth (tocophobia), care of the acutely unwell woman and end of life issues including rights of the fetus/neonate and ethical considerations.