All cardiologists will be called on to assess and manage pregnant women, however the majority have had little or no training in the subject. In the same way, obstetricians assess women with cardiac conditions, and therefore require the knowledge to both refer patients with heart disease as well as to manage them through the pregnancy. However a recent enquiry into maternal deaths has highlighted that morbidity and mortality of women with heart disease in pregnancy has continued to increase over the last 15 years and substandard care has been identified in 40% of cases. Recommendations have been made that women with, or at risk of, heart disease are screened and counselled on the appropriate risks of undergoing a pregnancy, and as a result all physicians involved need a good understanding of the subject and access to the relevant information.
A concise handbook written for cardiology and obstetric trainees and consultants, as well as specialist nurses and midwives, Heart Disease in Pregnancy provides a detailed introduction to the physiological changes of pregnancy and gives practical advice on the management of women with heart disease who are pregnant or who are considering pregnancy. It also provides the relevant obstetric knowledge and processes needed for a cardiologist to successfully manage a pregnant woman.

This textbook is written in line with the Council of International Neonatal Nurses, Inc. (COINN) vision for global unity for neonatal nursing. The core values and goals of COINN are based on excellence and advocacy for high quality newborn care, as well as respecting diversity by integrating cultural norms and values among the care of newborns and their families. The book promotes neonatal nursing as a global speciality through evidence, research, and education of neonatal nurses; and offers key examples of the millennium goals and global outcomes, as well as variations in outcomes for babies. The first part focuses on global perspectives of neonatal nursing from different continents aligning with the World Health Organizations' global regions: (The Americas -USA, Canada and South America-, Western Pacific region -Australia and New Zealand-, European region -UK and Europe-, African region, South-East Asia and Eastern Mediterranean region. For each region, education and competencies, challenges and opportunities, research and evidence-based practice (EBP) as well as practice regulations are described. The second part elaborates on key topics for neonatal nursing across the globe, such as the continuity of neonatal care in the community, patient and family centered care in neonatal settings, sleep and brain development, the fundamental care needs of the neonate and family and global perspectives on hypothermia, hypoglycaemia and hypoxia. Written in a formal academic but reader style, using key literature and evidence, this textbook enables an understanding from a large audience with academic levels and experience, both staff and students, bedside nurses, advanced practice nurses, midwifes and allied professionals. In addition, first person story based reflective narrative are interspersed throughout the book to capture the perspectives of nurses, staff and parents, in the form of vignettes. This textbook is aimed at neonatal nurses across the world as well as current and aspiring students in this field.

Now in its third edition, this remains the only comprehensive source of current, evidence-based information for busy nurse practitioners and related professionals who provide preconception, prenatal, and postpartum care in outpatient settings. This resource encompasses essential clinical topics and practice standards in an easy-to-read, outline format with a convenient spiral binding. The third edition presents important new information on Thyroid Disorders in Pregnancy, COVID-19 during Pregnancy and Lactation, Rural Maternity Services, Utilization of Telehealth Services in Pregnancy, Adverse Child Experiences, LGBTQ Considerations, Genetic Counseling, and more. Additionally, unique topics of emerging clinical relevance address the complex and evolving nature of prenatal care in the 21st century, such as the latest trends in preterm labor prevention, disaster planning, managing exposure to the Zika virus, obesity, dermatoses, and HIV in pregnancy.New to the Third Edition: New chapters on Thyroid Disorders in Pregnancy and COVID-19 during Pregnancy and Postpartum Updated sections on rural maternity services, telehealth services, adverse childhood experiences, nutrition, and LGBTQ considerations Clinical updates on genetic screening and testing, nausea and vomiting, use of low-dose aspirin to prevent complications, HIV prevention, using PrEP, breastfeeding, avoidance of non-medically indicated early-term delivery, use of marijuana and heroin Greatly expanded section on options for noninvasive prenatal testing for aneuploidy New information from the FDA on drug labeling New recommendations on anemia screening in pregnancy Updated imaging recommendations New and updated guidelines from Association of Women's Health, Obstetric and Neonatal Nurses; American Congress of Obstetricians and Gynecologists; American Academy of Pediatricians; American College of Nurse Midwives; National Certification Corporation; National Association of Nurse Practitioners in Women's Health; the Centers for Disease Control and Prevention, and the US Preventive Services Task Force Two new appendices covering Telehealth Resources, Best Practice Guides, and LGBTQIA+ resources Key Features: Ensures speedy access to clinical information through clear organization, outline format, and spiral-bound text Presents complete guidelines for each topic in consistent format Provides guidelines on identifying complications and when to refer for specialist care Offers detailed information on genetic counseling, health promotion and assessment, lactation issues, and medications during pregnancy Includes downloadable patient teaching guides

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 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.

The third and final book in the bestselling CALL THE MIDWIFE series, the basis of the major BBC TV series. This final book in Jennifer Worth's memories of her time as a midwife in London's East end brings her story full circle. As always there are heartbreaking stories such as the family devastated by tuberculosis and a ship's woman who 'serviced' the entire crew, as well as plenty of humour and warmth, such as the tale of two women who shared the same husband! Other stories cover backstreet abortions, the changing life of the docklands, infanticide, as well as the lives of the inhabitants of Nonnatus House. We discover what happens with the gauche debutant Chummy and her equally gauche policeman; will Sister Monica Joan continue her life of crime? Will Sister Evangelina ever crack a smile? And what of Jennifer herself? The book not only details the final years of the tenements but also of Jennifer's journey as she moves on from the close community of nuns, and her life takes a new path.

Superpower your maternal-neonatal skills, with the fully updated Maternal-Neonatal Facts Made Incredibly Quick! (R), 3rd Edition , the indispensable pocket guide that offers at-your-fingertips answers on maternal-neonatal nursing essentials. Flip quickly to the section on which you need guidance with the help of brightly colored tabs. Then scan the quick-read bulleted text for vital direction on the four stages of labor, interpreting stress test results, Lamaze techniques, interpreting lab values, and more. This handy quick-reference guide offers both classroom and on-the-unit support for nursing students, nurses, and all maternal-neonatal healthcare professionals. Use this reference for maternal-neonatal assessments, tests, monitoring, and care, with these featues: NEW and updated bulleted content with quick-read tables, charts, and drawings Wipeable laminated pages that make notetaking and erasing quick and easy Pocket-sized, spiral-bound format that offers instant access to expert nursing guidance Dozens of colorful diagrams, charts, and images that offer practical direction for areas including: Classifying fetal presentation Distinguishing between true and false labor Noting systemic changes in the active phase of labor Assessing glucose challenge values Assessing the three categories of pregnancy signs Distinguishing the signs and symptoms of separation between the placenta and uterine wall Patient teaching Easy-to-follow definitions and guidance on areas including: Internal and external fetal monitoring-reading a fetal heart rate (FHR) monitoring strip and identifying FHR patterns Potential complications of medication administration Comfort measures in labor Primary indications for cesarean birth-maternal, placental, and fetal Understanding lacerations and umbilical cord prolapse Prenatal care - taking an obstretric and medical history, adaptations to pregnancy, fundal height, Leopold's maneuvers, fetal development, cultural practices, and more Intrapartum - spontaneous abortion, ectopic pregnancy, female pelvis, labor, cervical effacement and dilation, drug administration, cesarean birth, and more Postpartum - postpartum phases, fundal palpation, uterine involution, postpartal hemorrhage, pulmonary embolism, maternal self-care, lactation, and more Neonatal - neonatal flow algorithm, physiology and assessment, Apgar score, sutures and fontanels, infections, HIV, oxygen therapy, circumcision, neonatal labs, and more About the Clinical Editor Stephanie C. Evans, PhD, APRN, CPNP, is an Assistant Professor of Nursing at Texas Christian University in Fort Worth, Texas.

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."

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.

Biological variations in sex development, also known as intersex, are greatly misunderstood by the wider public. This unique book discusses psychological practice in healthcare for people and families impacted by a range of 'intersex' variations. It highlights the dilemmas facing individuals and their loved ones in the social context and discusses the physical and psychological complexities of irrevocable medical interventions to approximate social norms for bodily appearance and function. It exposes the contradictions in medical management and suggests valuable theoretical and practice tools for psychosocial care providers to navigate them. Uniquely featuring theory and research informed practice vignettes, the book explores interpersonal work on the most salient psychosocial themes, ranging from grief work with impacted caretakers to sex therapy with impacted adults. An indispensable resource for working ethically, pragmatically and creatively for a variety of healthcare specialists and those affected by variations in sex development and their families and communities.

Multiple pregnancies are associated with higher risks for both mother and babies. Women with multiple pregnancies have an increased risk of miscarriage, anemia, hypertensive disorders, haemorrhage, and postnatal illness. These pregnancies are more likely to need an operative delivery, and maternal mortality is generally 2.5 times that of singleton births. Fetuses are at increased risk for anatomic and genetic anomalies, growth abnormalities, prematurity, and several physiological problems related to monochorionicity. This book provides a much needed, up-to-date guide to the management of multiple pregnancies. Presented with a uniform approach to all chapters, information is easily navigable, evidence-based, and highly practical. Heavily illustrated, particularly with ultrasound images - the cornerstone of management of multiple pregnancies - this book will appeal to obstetricians and specialists in maternal-fetal medicine, midwives and ultrasonographers and will improve outcomes for mothers and babies.

New addition to the popular Midwifery Essentials series designed to help readers understand and master a range of core issues safely and with confidence! Written by leading midwifery academics, each book in the series provides a user-friendly source of information which has been fully updated throughout to reflect the latest evidence-base for current practice. Now with an improved design to make learning as easy as possible, each paperback in the series focuses on the importance of communication and contemporary women-centred care and presents helpful 'scenarios' to encourage debate and reflection. The Midwifery Essentials series is ideal for all midwives - whether qualified or in training - and is also helpful to nurses and HCAs working in the maternity environment. Provides a useful, friendly source of information Strong focus on contemporary women-centred care Designed to stimulate debate and reflection upon current practice, local policies and procedures Scenarios enable practitioners to understand the context of maternity care and explore their role in safe and effective service provision Helpful 'jigsaw' approach enables readers to explore specific topics from a variety of perspectives e.g. consent, safety and health promotion Explains the professional and legal issues surrounding clinical procedures Chapters designed to be read as a 'standalone' or in succession Emphasises the crucial role of effective communication

'A must have for all aspiring and current student midwives and Newly Qualified Midwives.' - Carinna Griffiths, lecturer in Midwifery Written in a friendly and uplifting tone, Becoming a Midwife provides students and newly-qualified midwives with the tools and support they need to thrive on their course, on placement and in the early stages of their careers. The first part of the book focuses on core academic skills, including chapters on time management, writing essays and reflections, delivering presentations and preparing for exams. The book then establishes the fundamentals of clinical practice, and presents tried-and-tested strategies for developing clinical skills alongside guidance on managing workplace relationships and challenges. The final chapters help students make the transition to newly-qualified, with guidance on job applications, advocacy and career options. Acknowledging that midwifery can be a challenging and emotionally-demanding profession, this book has a strong focus on self-care and seeking support, as well as managing stress, avoiding burnout and juggling work, study and life. Chapters are enriched with insights from students and practising midwives, practical tips, worksheets to promote reflective practice and suggestions for further reading. Accompanying online resources for this title can be found at midwifediaries.com, including videos, blogs and interviews with practising midwives.

The revised and updated second edition covers practical approaches to caring for healthy and high-risk infants. The book covers maternal and fetal health, care of the newborn after delivery, breastfeeding, follow-up care, common congenital anomalies, the newborn with a heart murmur or cyanosis, neurologic findings, primary care issues relating to infants requiring intensive care, and health and developmental outcomes. More than 40 chapters cover step-by-step recommendations on what to do, when to admit, and when to refer. Recommendations and lists detailed references within each chapter. New in the second edition: 8 new chapters added including: Prenatal Diagnosis Fetal Interventions Optimizing Nutrition for the Preterm, Very Low-Birth-Weight Infant After Discharge From Neonatal Intensive Care Newborn Immunizations and Immune Prophylaxis Balancing Safe Sleep and Other Newborn Recommendations Vascular Anomalies Endocrine Disorders Presenting in the Newborn Period Shared Decision Making Around Home Technologies

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.

This is a comprehensive and empowering guide to facilitating a positive pregnancy and birth experience, and ensuring lasting emotional and physical health for mother and baby. Countering increasingly medicalized attitudes towards pregnancy and birth among many healthcare providers, this research-based book discusses the benefits of a more natural approach. It reveals the often undisclosed effects on a child's long-term development of accepted medical practices, such as induction, C-section, surgical interventions and pain-relief medications. It offers advice on how these practices can be avoided, for example with techniques to encourage optimal fetal positioning, by optimising the birth environment, and through drug-free pain management methods. Ultimately, it enables practitioners to support parents in informed, confident decision-making by giving a balanced account of the complex array of options available throughout pregnancy and birth. With invaluable contributions from midwives, doulas, mothers, and doctors, and tried-and-tested advice on sleep, exercise, diet and therapies, this will a very useful reference for anyone working with women and babies. The information will also be relevant to prospective and new parents.

The brand new instalment in the top 10 bestselling Cornish Midwife series!It’s the most wonderful time of the year… But for single mum and busy midwife Nadia, it’s quickly turning into her worst Christmas ever. Her marriage is over, and whilst her husband has moved on, Nadia finds herself back home, squashed into her mum’s spare room with her two small children. They might not be a perfect family anymore, but Nadia is determined to make this Christmas special for them. Dr Hamish Spencer totally understands Nadia’s pain. As a fellow single parent, he’s struggling to cope with a rebellious teen daughter and a precocious six-year-old! Perhaps if he and Nadia join forces, they could make this Christmas slightly more memorable for everyone? The last thing Nadia wants is a new man in her life, but she’d definitely like lovely Hamish as a friend. But Christmas has a way of melting the hardest of hearts and maybe a kiss under the mistletoe could change everything? Praise for The Cornish Midwife Series: 'Stunning setting, wonderful characters, and oozing with warmth. A triumph from Jo Bartlett.' Jessica Redland 'Perfectly written and set in the beating heart of a community, this story is a wonderful slice of Cornish escapism.' Helen J Rolfe “I absolutely love the Cornish Midwife series, especially being an aspiring midwife from Cornwall. Despite being fiction, these books never fail to motivate me to carry on studying when things get tough and really become The Cornish Midwife myself.” Tegan from Reading with Tegs (book blogger and trainee midwife) “I get so absorbed in the books from the Cornish Midwife series, I can’t put them down. The characters are like my colleagues, a tight group of people who love the job they do. The stories are truly captivating and make me feel like I am working alongside the characters, as the series mirrors my working life as a Midwifery Care Assistant so well.” Sandra Twyman, Midwifery Care Assistant and avid reader

New addition to the popular Midwifery Essentials series which continues to help readers understand and master a range of core issues safely and with confidence! Written by leading midwifery academics, each book in the series provides a user-friendly source of information which has been fully updated throughout to reflect the latest evidence-base for current practice. Now with an improved design to make learning as easy as possible, each paperback in the series focuses on the importance of communication and contemporary women-centred care and presents helpful 'scenarios' to encourage debate and reflection. The Midwifery Essentials series is ideal for all midwives - whether qualified or in training - and is also helpful to nurses and HCAs working in the maternity environment. Provides a useful, friendly source of information Strong focus on contemporary women-centred care Designed to stimulate debate and reflection upon current practice, local policies and procedures Scenarios enable practitioners to understand the context of maternity care and explore their role in safe and effective service provision Helpful 'jigsaw' approach enables readers to explore specific topics from a variety of perspectives e.g. consent, safety and health promotion Explains the professional and legal issues surrounding clinical procedures Chapters designed to be read as a 'standalone' or in succession Emphasises the crucial role of effective communication