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

The technologies that underpin antenatal investigations are changing rapidly and it is essential that midwives and all health professionals involved in antenatal care are informed about current research and have the skills needed to understand the tests they instigate. Midwife's Guide to Antenatal Investigations explores a comprehensive range of investigations used in pregnancy. It links routine antenatal care with specialist investigations, describing when follow up is required and how to interpret results. The book is written in a clear, accessible style and explains all terminology as well as discussing the relevant technological developments. The book is an ideal source of reference in clinical situations and is designed to enable the midwife to make evidence-based decisions. Antenatal testing can reveal problems or abnormalities with the fetus and the midwife then faces the difficult task of giving this news to the parents. The authors have provided guidance on how to approach discussions on particularly sensitive issues and advise on how a midwife can provide non-intrusive support when parents receive bad news. A chapter written by the charity Antenatal Results and Choices gives an account of parents' experiences when an abnormality was diagnosed in their baby. This gives direct insight into the parents' feelings and helps the midwife to understand how best to provide the sensitive care needed in such cases. The fundamental principles underlying genetic and chromosomal testing are explored and the authors consider the historical and cultural aspects of antenatal investigations as well as looking forward to the potential impact of these technologies on the future role of the midwife. This book is an essential resource for all health professionals involved in delivering antenatal care to women and their families. The only book of its kind, developed to provide midwives with a comprehensive guide to antenatal investigations in an accessible format. Includes a range of clinical scenarios and considers the parents' point of view, which brings the tests to life and helps midwives understand the clinical application and impact of investigations. A chapter written by the national charity ARC (Antenatal Results and Choices) relates first-hand accounts from parents whose newborns have been diagnosed with an abnormality, providing insight into how best to provide sensitive care to parents facing difficult situations. Extensive illustrations, diagrams, summary tables and ultrasound scan images make the information in the book clear and understandable. Best practice guidance from National Screening Committee (NSC) are provided to ensure all practitioners are aware of the NSC policy. Clinical guidance is supported by explanations of common and specialist terminology and developments in technology. The fundamental principles underlying genetic and chromosomal testing are described. The historical and cultural aspects of antenatal investigations are discussed, as well as the potential impact of these technologies on the future role of the midwife.

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

Myles Professional Studies for Midwifery Education and Practice Concepts and Challenges explores the non-clinical areas of the midwifery curriculum (e.g. law, ethics, leadership, employer-led supervision and professional development) in a helpful, user-friendly format brought to readers by a team of experts under the guidance of Jayne Marshall, editor of Myles Textbook for Midwives. The volume will be suitable for all student midwives, whether undertaking pre-registration education programmes or post-graduate studies, as well as practising midwives preparing for revalidation and/or undertaking CPD. Whilst prepared predominantly by contributors from the UK, Myles Professional Studies for Midwifery Education and Practice Concepts and Challenges will be suitable for an international readership. Specialist contributors ensure accuracy and currency of key information Underlying theory supported by a rich array of helpful learning features such as 'real-life' case studies and reflective activities Includes the latest initiatives such as employer-led supervision and the principles of coaching Includes a section on the ICM and EU standards of education and international regulation covering the USA, Australia, New Zealand, Africa, Denmark and Norway Explores the global context of the midwife's scope of practice with specific examples from the UK, Canada and the USA Includes discussion of CPD and overseas careers opportunities Annotated reading lists and significant websites provide additional sources of information

This U.K. book is written by Faye Thompson, who has thirty years experience as a midwife and educator. She studied philosophy and the humanities as an undergraduate in Australia, and now lectures on health care ethics. As a feminist, she seeks to reunite morality and personal interest so that the woman is not subordinated in women's health and childbirth practices.
From this experience, she offers a framework of ethics specific to midwifery and derived from midwifery practice that takes ethical discourse beyond current literature, proposing strategies for ethical practice based on findings arising out of the profession itself.

This is a comprehensive and practical guide to all aspects of breastfeeding babies with special care needs. The language is clear and direct and the references up to date. The author covers the basics of breastfeeding and lactation, positioning and attachment, milk supply, the impact of common drugs, as well as breast conditions and problems and their resolution. Particular attention is paid to feeding the vulnerable baby and to alternative methods of feeding.Crystal clear and practical in writing and approach Full coverage of a topic which is poorly covered elsewhere Simple and explanatory with helpful up-to-date drawings, tables and photographs New material and expanded/updated current chapters Tackles issues which all midwives and neonatal intensive care nurses have to face at some point This revised edition includes new material on:the instinctive nature of breastfeeding at birth skin-to-skin contact and care many new concepts relating to positioning and attachment how long it takes to acquire these skills non-nutritive sucking breast conditions, especially sore and cracked nipples areolar massage breastfeeeding and HIV

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

How can future parents best be prepared for parenting? And what kind of support and help can health professionals really give all parents? This book explores the skills that health professionals need in order to support parents' efforts to be "good enough" . It looks at the basic skills of adult education and how these can be applied, and it also takes a practical approach to the realistic support health professionals can give. The book looks not only at the needs of every parent but also of those with particular needs and issues. It asks and attempts to answer:what are the challenges facing parents who adopt a child? How does it feel to have carried, given birth to and parent a child whose genetic material is not your own? What are the most effective ways of communicating with parents who have learning difficulties? How can you help the parent of a child with a disability to celebrate the child rather than focus on the disability? How can women in prison be helped to make the transition to motherhood? Each chapter will include both a theoretical and a practical element. Hugely topical and key area for healthcare currently Based on a "real world" perspective and offers realistic aims Examples of and/or suggestions for good practice Assist readers in acquiring educational skills, which can be used to help parents achieve optimum parenting. Well-known and respected editor and contributors working in this field

Pregnant Women: Violent Men is written by an experienced midwifery educator and health professional, and by a social scientist and Open University Lecturer who has considerable experience in supporting women who survive violence. Case studies and scenarios illustrate how to apply theory to clinical midwifery practice, taking into account contemporary society, exploring the causes of violence and focusing on violence in pregnancy and childbirth. Pregnant Women: Violent Men is an essential purchase for every midwife and health care professional involved in offering childbearing women care and support. * Offers sound advice and ideas on how the midwife can support, influence and stand alongside women as they experience both childbirth and the crime of domestic violence; and discusses who else can help, including the law and the Women's Aid network * Explores the shape of society and examines the roots of violence * Sensitively considers the role of the midwife when faced with domestic violence among childbearing women

This updated and expanded edition of The Pregnant Drug Addict (1995) explores the difficulties of managing the maternity care of those who are drug dependent. Catherine Siney has brought together a number of specialists whose combined expertise provides an essential guide to this problematic subject. Key issues include the medical and obstetric problems of mothers, the consequences for the child, pregnant women who are HIV positive or have hepatitis B, outreach work and counselling.

This important book makes the case for placing maternity care in the community. It has been written by a multidisciplinary group. The first section considers the role and function of the participants in community-based maternity care; the woman, the midwife, and the GP. The second section discusses four major contemporary issues: the radically changing social background, the economics of care, audit, and education of the carers. Next the major clinical challenges in maternity care are tackled: how to reduce the differences in morbidity and mortality which are associated with differences in age, social class and ethnicity; the care of disadvantaged groups; prematurity and low birth weight and their prevention; technology used in childbirth; and the fetal origins of adult disease. Finally, all aspects of the clinical care carried out by Gps and midwives are covered. The editors hope that after reading this book midwives, Gps, and obstetricians should find the theory underpinning their work has been sharply defined and that their work will be more effective and evidence-based. The editors, a GP and a midwife, anticipate the resolution of the current tensions between midwife, GP, and obstetrician and look forward to a responsive, effective and sensitive service for mothers and babies in the next millennium.

Following on from the success of the first edition of The Independant Midwife, this second edition has been updates to include changes that have occurred since 1993, such as professional indemnity insurance. This book will be of great interest to and assistance to those wishing to set up an independent practice or partnership, providing practical advice on the different aspects that are involved in working as an independant practitioner. Useful sample documents and contact addresses are also included.

This is a concise introduction to homoeopathy for the midwife (and nurse-midwife). It starts with a brief introduction to the principles of homoeopathy and the use of remedies. It then presents a series of full page tables to aid the midwife in rapid and clear assessment of the client's needs and the remedy most likely to be appropriate for pregnancy, labour, the puerperium, breastfeeding problems and the newborn. The final section looks at the complete picture of symptoms most closely matched to each of aselected number of remedies. This section acts as a back-up reference for the midwife wishing to check or decide on a particular choice. The text aims to give a quick and clear set of options for treatment by homoeopathy.Interest among midwives in complementary methods of pain control and other symptoms/problems of pregnancy and labour is growing The author is a homoeopath and the editorial advisers are midwives A ready reference for midwives on selection of appropriate and effective homoeopathy treatments Covers pregnancy, labour and post-natal care Uses tables to make selection of remedy as clear as possible

You've discovered that you or someone you care about is pregnant. After that initial rush of excitement, you start to have a lot of questions. Is the baby healthy? Is he or she growing well? From the moment a woman suspects that she is pregnant, the testing begins, and so do the questions. Can she trust the home pregnancy test kits? When is it time to go to the doctor or midwife? After coming to terms with the fact that pregnancy has occurred, the next step is often to worry about whether everything is progressing normally. With this book, expectant parents will find a clear timeline and explanation of all the tests they can expect to receive at each stage of pregnancy, as well as how and why they are performed, and the risks involved. This book clarifies the pros and cons of each type of test, enabling parents to choose the testing options with which they are most comfortable. It does this in a positive, factual way so as not to exacerbate fears or implant worries in parents' minds of all the worst-case scenarios. Prenatal Tests and Ultrasound: The Facts is an invaluable source of information for expectant parents and their friends and families, and will also be of interest to professionals in general practice, obstetrics and gynaecology, and midwifery.

La sordita prelinguale consiste in una grave perdita uditiva, congenita oppure acquisita, insorta prima dei 18 mesi di vita. Essa impedisce al bambino l'accesso al mondo sonoro e al linguaggio orale. La tecnologia dell'impianto cocleare puo fornire risultati migliori rispetto alle protesi acustiche tradizionali, a patto che venga iniziato il piu presto possibile un intervento multiprofessionale, specifico e regolare. Dopo un'accurata valutazione, e compito del logopedista programmare un piano di trattamento individualizzato.

Il volume e rivolto a logopedisti e genitori e mira al graduale sviluppo delle abilita percettivo-uditive e delle competenze linguistiche.

I contenuti sono suddivisi in quattro livelli gerarchici di difficolta crescente che si incontrano nel fisiologico sviluppo percettivo-uditivo (detezione, discriminazione, identificazione, riconoscimento), dapprima con sonorita ambientali, successivamente con suoni linguistici, parole e frasi. I tre criteri seguiti per la selezione delle parole sono stati la loro presenza nel vocabolario medio dei bambini di circa tre anni di eta."

This book provides a guide for midwives and doulas who want to establish a maternity-related business offering services such as pregnancy complementary therapies, antenatal classes, lactation support or full doula care. The book is designed to help potential entrepreneurs explore whether this is the right decision for them and provides guidance on the legal, financial and business aspects of setting up in private practice, specifically tailored to maternity care. Advice is given on marketing and pricing and there is debate around the professional and ethical issues for midwives and doulas, including avoiding conflicts of interest and maintaining professional integrity. Case studies of midwives and doulas who have taken the step to set up in private practice are included, and there are various activities to help the reader with their personal plans for their business.

Gaining a first job as a nurse or midwife is becoming not only highly competitive but an increasingly more complex process. This practical guide will help students get ahead of other applicants by picking apart the experience of applying for a job from start to finish. Readers will discover a wealth of information on career planning, continuing professional development and next steps. Accessible and user-friendly, this is an essential text for student nurses and midwives at any stage in their pre-registration education, and more especially for those in their final year, as they prepare for the move into qualified employment or further discipline specific study.

Nurses who are new to the labour and delivery (L&D) environment will welcome this succinct, easy-to-use orientation guide for everyday labour and birth management practices. It is designed for speedy access to fundamental information about the most common practices in the L&D unit and encourages the development of independence and confidence for new RNs orienting to this practice environment. This well-formatted reference covers the more commonly occurring L&D situations, terminology, equipment, labs, medications, complications, and algorithms to help foster critical thinking and establish a concrete obstetric knowledge base. A wealth of clearly rendered illustrations are included to aid learning. The book also provides space for nurses to enter personal notes and protocol observed in their particular hospital. This book was originally published under the Fast Facts series by Springer Publishing Company.

Midwives increasingly have faced challenging ethical issues that have clinical and legal implications, they have not always been adequately prepared to deal with them. This book adopts a multi-disciplinary approach to guide the student and practitioner through dilemmas that commonly occur in clinical practice and to highlight the changing face of the midwifery profession.Provides a multi-disciplinary approach to guide midwives through dilemmas which occur in clinical practice Anexcellent team of contributors from the field of midwifery and ethics make this an essential purchase for every midwifery student and practitioner

Groups for parents, babies and toddlers, spanning the 1001 critical days from late pregnancy up to age two, are an effective way of supporting expectant and new parents by helping them to become more attuned, sensitive and empathic towards their child. Contributors bring together a range of theoretical perspectives to show different ways to facilitate groups that combine mindfulness and psychological insight to promote bonding, attunement and mind-mindedness, and to prevent abuse and neglect. Case examples show a range of techniques that can be used, including baby massage, movement therapy, Video Interaction Guidance, Watch Wait Wonder and psychotherapeutic interventions. Examples include an in-patient mother-baby unit, community and health centres in the UK, to international examples in Greece, Kenya and New Zealand. Chapters illustrate practical and clinical aspects of running groups, the associated challenges, and highlights the importance of professional collaboration in a benign environment. Weaving the Cradle is full of ideas and insights for those already running groups, as well as for those considering it, across health, social care and education settings.

Breastfeeding Management for the Clinician: Using the Evidence is the perfect tool for busy clinicians who need a quick, accurate, and current reference. It provides the essentials of breastfeeding management to support best outcomes for breastfeeding families. Now in an updated and modernized fifth edition, this unique resource features new information on the political and social landscape of breastfeeding, LGBTQI+ families, milk sharing, exclusive pumping, new breastfeeding products, breastfeeding in emergencies, additional feeding care plans, and access to downloadable Patient Care Plan Handouts to help both patients and clinicians navigate common breastfeeding challenges and questions. Breastfeeding Management for the Clinician: Using the Evidence, Fifth Edition includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge and a problem-solving approach, this reference helps busy clinicians integrate the latest research into their everyday clinical practice.