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.

Research is a fundamental part of midwifery practice. However, not everyone finds it easy to understand the basic principles, and particularly the language of research. This accessible handbook enables midwives and student midwives to firstly understand how to search and make sense of research evidence, how to write a research proposal and finally how to undertake a research study. The Handbook of Midwifery Research specifically focuses on the needs of midwives and students and helps increase the knowledge and understanding of midwifery research, enabling the reader to undertake research with confidence. With case studies, learning objectives and clear examples throughout, this is an essential purchase for any midwife or student wanting to understand or undertake research. This handbook includes useful tools and techniques to assist midwives and students to keep themselves up-to-date with the best available evidence, enabling them to apply this evidence to their own clinical practice. * An essential resource for midwifery students as well as qualified midwives * Clear, straightforward, and accessible in style * Provides midwives and students with the skills to undertake research with confidence * Provides examples throughout to apply research to midwifery practice * Includes a glossary of research terms

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.

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.

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.

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.

This book includes the key findings and recommendations of the Confidential Enquiries summarised in a clear, simple and accessible way, emphasising the implications for clinical practice.A clear, concise summary of the key points of the Confidential Enquiries Links findings with clinical practice, providing examples of clinical scenarios An essential purchase for every health professional involved in maternity care

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.

Birth In Focus offers the reader a chance to see birth made real. Water birth, breech birth, twin birth, Caesarean birth - all are shown in 'photo stories', with accompanying text written both by the woman and her midwife, and sometimes also the partner or a child who was present. Clear images of the birth process provide an excellent educational tool for students, as well as offering inspiration to those who may not have had the opportunity to see birth in this way. A chapter on reflection points for practitioners will help professionals and birth supporters explore further the issues highlighted in the individual stories. Foreword by Ina May Gaskin.

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.

Contents:
Acknowledgements Part One: Ideology and Policy Introduction 1. The Condition of the Working Class in England Fredrick Engles 2. National Health Service Bill Ministry of Health 3. The Road to Serfdom F.A. Hayek 4. Working for Patients Secretaries of State for Health 5. Everyone A Private Patient David Green 6. Supporting Families Home Office 7. The New NHS Secretary of State for Health 8. Saving Lives Secretary of State for Health 9. A New Universalism ^iWorld Organisation Part Two: Social Stratification and Health Introduction 10. The Poor and the Poorest Brian Abel-Smith and Peter Townsend 11. The Black Spot Sir Douglas Black (chairman) 12. Widening Inequality of Health in Northern England, 1981-91
eter Phillimore, Alastair Beattie and Peter Townsend 13. What Makes Women Sick Lesley Doyle 14. You Are Dangerous to your Health Robert Crawford 15. Beyond the Black Report Mel Bartley, David Blane and George Davey Smith 16. The Acheson Report Sir Donald Acheson (chairman) Part Three: Professionalisation and Health Introduction 17. The Profession of Medicine Eliot Freidson 18. Governmentality and the Institutionalization of Expertise Terry Johnson 19. The Rise of Surveillance Medicine David Armstrong 20. The Diagnostic Test and the Danger Within Deborah Lupton 21. The Modern Rise of Population Thomas McKeown 22. From Tribalism to Corporatism: The Managerial Challenge to Medical Dominance David J. Hunter 23. Disability and the Myth of the Independent Researcher Colin Barnes Part Four: Experiencing Health and Illness Introduction 24. Lay Concepts of Health Mildred Blaxter 25. Pathways to the Doctor - From Person to Patient Irving Kenneth Zola 26. Going to See the Doctor Gerry Stimson and Barbara Webb 27. Managing Courtesy Stigma: The Case of Alzheimer's Disease ^Hazel MacRae 28. Researching Women's Health Work Hilary Graham 29. The Body in Consumer Culture Mike Featherstone 30. Containing the Body Wendy Seymour 31. A Good Enough Death Beverley McNamara Index

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 first resource of its kind, this authoritative handbook holistically addresses the multidimensional aspects of perinatal and neonatal palliative care. Written by an interprofessional team of renowned specialists, it is both a text and evidence-based reference for all members of the palliative care team. The book helps individual team members forge interdisciplinary approaches to care, assess current programs, improve the quality of care, and tailor new models of care.Encompassing the perspectives of neonatologists, maternal-fetal medicine and other physicians, neonatal and perinatal nurse practitioners, midwives, nurses in all sectors of perinatal care, and child life specialists, chaplains, social workers, genetic counselors, lactation consultants, and others, the book underscores the unique aspects of perinatal and neonatal palliative care, with a focus on improving quality of life, as well as comfort at the end of life. It describes healthcare for neonates and pregnant mothers, care and support of the family, planning and decision making, and effective support for grief and bereavement. It addresses all palliative and neonatal palliative care settings, including home care, and covers elements of comfort care, such as pain medication and oxygen. Other chapters focus on the prenatal period after diagnosis of the expected baby's life-threatening condition. These include such topics as care of the mother, delivering devastating news, and advance care planning. Each chapter contains photos, figures, and/or tables and case studies with clinical implications and critical thinking-focused questions. Some chapters also include supportive online materials, such as video clips of interactions between healthcare professionals and the family, demonstrating family support and clinician skills. Also included is an extensive listing of relevant palliative care organizations. Paintings and poetry provide an artistic backdrop to the authors' inspiring words. Key Features: Comprehensive and authoritative knowledge from recognized leaders in the field Addresses a growing need for specific provider resources in neonatal palliative care Covers the clinical and emotional aspects of palliative care for babies and their families Abundant resources for effective and compassionate family-centered care Case studies with critical thinking questions Accompanying video clips of healthcare and family interactions

The Basics of Bioethics, Fourth Edition offers an easy-to-follow introduction to this dynamic field, intended for healthcare professionals, teachers, students, and anyone interested in bioethics. Accessible and enjoyable for readers of all backgrounds, the book contains numerous cases-including ones that recently have dominated international headlines-to help anchor the broader discussion. The text is suitable for use in short courses in schools of medicine, nursing, and other health professions; continuing professional education; various undergraduate departments; and adult education. Chapters are organized around common moral themes in order to help readers understand the values and other connections that tie together different positions in bioethics. This fourth edition adds a new chapter on alternative frameworks in bioethics, including narrative ethics and casuistry, feminist approaches, care ethics, and virtue ethics. Due to significant advances in genetics and reproductive possibilities, this new edition devotes a full chapter to each. The combined teaching, research, and clinical experience of the two authors helps make this edition current with the evolving field of bioethics, while still embedding the major issues in a systematic framework that allows readers easily to navigate the larger field. Key Changes to the Fourth Edition: * An added chapter on new and emerging approaches in bioethics, including those based on virtue ethics, casuistry and narrative ethics, feminist ethics, and care ethics * Updates throughout the book based on developments in ethical theory and new medical research * Revisions and updates to the Learning Objectives, Key Terms, Bibliographies, and URLs * The addition of multiple recent case studies, including: Jahi McMath an undocumented patient who needs a rule bent a pediatrician who turns away unvaccinated patients a minor eligible for pediatric bariatric surgery a daughter suing a hospital for non-disclosure of her father's Huntington's diagnosis CRISPR-edited newborn babies

This concise guide offers a comprehensive step-by-step framework for midwifery students to learn about all aspects of the newborn infant physical examination (NIPE), a screening assessment completed on all babies between 6 and 72 hours of age. The Student Guide to the Newborn Infant Physical Examination encourages the reader to approach the examination in a system-based format, with case studies and practice tips to support learning. The book offers: * Evidence-based, well-illustrated assessment tools, which take into account the national screening committee standards, and is written by authors with both academic and clinical experience; * A clear direction on how to perform the NIPE in practice while exploring the wider context of screening in healthcare today; * Coverage of the changing role of the midwife, and the importance of understanding the whole context of the mother's care, health promotion and starting the practitioner-parent conversation. The Student Guide to the Newborn Infant Physical Examination is a core text for all pre-registration midwifery students and a useful resource for qualified midwives, neonatal nurses and practice nurses.

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.

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

The third volume of this successful Series brings together studies of particular relevance to the care provided by midwives for childbearing women and their families. midwifery research is essential for sound practice and is of importance as a basis for education and management. Topics in this volume include: care during pregnancy, tabour and delivery, and the post natal period midwifery education midwives responsibilities midwives careers.;The maternity services' continue to be in the public eye in the UK and the West. Debate on consumer satisfaction with the experience of pregnancy and childbirth and perinatal mortality is increasing.;This Series is intended primarily for midwives but it will be of interest to other health professionals involved in the provision of maternity care and members of social science disciplines concerned with women's health.;Sarah Robinson is Senior Research Fellow, Nursing Research Unit, King's College, London, England. Ann M Thomson is Senior Lecturer in Midwifery, School of Nursing Studies, University of Manchester and Director, Health Care Research Unit, Stockport, Tameside & Glossop College of Nursing, England.

This work looks specifically at research relevant to the care provided by midwives for childbearing women and their families.;The studies encompass many areas of midwifery practice, education and management and topics covered include antenatal care, supportive care in labour, reasons for not breast feeding, the role and responsibilities of the midwife and women's experiences of childbirth.;These studies illustrate the diversity of research methods appropriate to the study of midwifery, ranging from randomized controlled trials to evaluate the effects of clinical procedures, to detailed observational studies to describe interactions between midwives and women in their care.

Over the last ten years, pregnancy has not only become more complicated for many women, but the traditional provision of general intensive care units has been reduced. To bridge this gap, critical care units, usually staffed by midwives, have been set up in many maternity units. This textbook is an accessible and comprehensive introduction to this emerging area of practice. Critical Care Assessment by Midwives also notably sets out a template for assessment of women that will enable early identification of deteriorating health. Serious illness can arise subsequent to an emergency, a pre-existing illness or a complication of pregnancy but can also occur in the context of what appears to be a low risk pregnancy. For this reason, all midwives need to be skilled in assessment that facilitates timely, appropriate referrals and saves lives. It covers: ABCDE assessment tailored for midwives; assessment of cardiac conditions; aassessment of respiratory conditions; assessment of neurological conditions; pre-eclampsia; haemorrhage; shock, including hypovolaemia, sepsis and anaphylaxis; haemodynamic monitoring; fluid replacement and balance; ketoacidosis, hypoglycaemia and sickle cell crisis. Covering the context of care, relevant pathophysiology, signs and symptoms, specific assessment in detail, relevant drugs, assessment of the fetus, summaries of management, psychosocial support and the specific professional responsibilities of the midwife, this is an essential guide for all midwives and midwifery students.

Consumer demand for integrative medicine has increased over recent decades, and cutting-edge research in neuroscience has identified opportunities for new treatment options. This text outlines the evidence behind mind-body medicine and provides rich case-based examples.. It is written by a clinician, for clinicians, to help practitioners stay current in this emerging field. Including foundational chapters on the relevance of mind-body medicine, the effects of stress, communication skills, and methods for incorporating mind-body medicine into consultation, this book then introduces various mind-body therapies and considers their use in selected clinical conditions. The therapies are grouped into chapters on breath work and relaxation; hypnosis and guided imagery; meditation, mindfulness, spirituality, and compassion-based therapies; creative arts therapies; and movement therapies. Each chapter includes case studies, background and history, best use, training requirements, risks and benefits. The part focusing on specific conditions updates research and provides pediatric and adult examples in the areas of: anxiety and depression; acute and chronic pain; gastrointestinal and urologic conditions; auto-immune, inflammatory; and surgery, oncology, and other conditions. Providing resources and practical tools to help clinicians incorporate evidence-based mind-body medicine therapies into patient care, this book is an invaluable reference for medical and nursing students, as well as for residents, fellows, nurse practitioners and physician assistants across a wide variety of specialties.

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.

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.