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

Discover the top 10 bestselling Cornish Midwives series!Midwife Izzy is devastated to learn that her beloved grandmother is dying. Abandoned as a baby by her own mother, her grandparents have been the only family Izzy has ever known and she wants to spend every last precious moment with them. New locum vicar, Noah, is a wonderful support – kind, considerate and always there for Izzy whenever she needs a shoulder to cry on. But secretly Noah is battling his own doubts about his faith – how can he offer Izzy comfort if he doesn’t truly believe his own words? When Izzy and Noah are brought together to support grieving parents, Noah reaches breaking point. He can't stay in Port Agnes and live a lie. But Izzy is adamant it’s the only place she can be…. Will love find a way or will Izzy's hopes of a future be dashed? 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

The new edition of this popular paperback continues to offer student midwives with a wealth of information about the key medical conditions seen during pregnancy and childbirth. Each disorder - which has been selected because of its commonality or potential seriousness to health - is accompanied by a clear description of the associated anatomy and physiology thereby affording the reader with a clear understanding of the presenting complaint. Containing almost 60 carefully reproduced line diagrams and an abundance of tables and 'pull out' boxes, this friendly, accessible volume explores the epidemiology of each disease, and its impact on maternal and child health. Relevant physiological changes in pregnancy are also provided, together with a clear discussion of associated pathophysiology. Throughout the book, prenatal, intra-partum and postnatal management advice is given, with particular emphasis given to the care of the acutely ill patient and medical emergencies. The Midwives' Guide to Key Medical Conditions is designed to help practitioners manage pregnancy and childbirth in women with systemic disease, recognize the early onset of disease-related pregnancy complications, and determine when it may be necessary to refer patients to another member of the healthcare team. The volume will ideal for all midwives, whether qualified or in training. Written by well-known authorities in the field to ensure that the information is perfectly tailored to the midwifery student Accessible writing style and clear artwork program helps make learning easy Recaps on the underlying anatomy and physiology for the relevant body system Explains the normal physiological changes that occur during pregnancy Summarises the relative risk of the specific disorder in the context of overall maternal mortality Explains the pathophysiology of a given condition, with emphasis on its impact on pregnancy Explores the relevant management the neonate and the likely impact of the medical disorder on future pregnancies Places particular emphasis on the management of critical illness and medical emergencies Risk management and the use of pathways of care Management of obesity Sepsis and infectious diseases Additional pre-existing chronic disorders

Starting at the turn of the century, most African American midwives in the South were gradually excluded from reproductive health care. Gertrude Fraser shows how physicians, public health personnel, and state legislators mounted a campaign ostensibly to improve maternal and infant health, especially in rural areas. They brought traditional midwives under the control of a supervisory body, and eventually eliminated them. In the writings and programs produced by these physicians and public health officials, Fraser finds a universe of ideas about race, gender, the relationship of medicine to society, and the status of the South in the national political and social economies.

Fraser also studies this experience through dialogues of memory. She interviews members of a rural Virginia African American community that included not just retired midwives and their descendants, but anyone who lived through this transformation in medical care--especially the women who gave birth at home attended by a midwife. She compares these narrations to those in contemporary medical journals and public health materials, discovering contradictions and ambivalence: was the midwife a figure of shame or pride? How did one distance oneself from what was now considered "superstitious" or "backward" and at the same time acknowledge and show pride in the former unquestioned authority of these beliefs and practices?

In an important contribution to African American studies and anthropology, "African American Midwifery in the South" brings new voices to the discourse on the hidden world of midwives and birthing.

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

From the top 10 bestselling author of The Cornish Midwife. Perfect for fans of Call The Midwife.A secret love… As winter descends on the coastal town of Port Agnes, midwife Toni Samuels’ mood is as dark as the winter clouds that roll in. Toni loves her job as a midwife, but her private life is falling apart. Because Toni is keeping a secret– a relationship with fellow male midwife Bobby that no one can ever know about. A damaged hope… Kind and gorgeous, Bobby is a huge hit at the midwifery centre, but he’s tired of keeping his feelings for Toni a secret – of always coming second best. He knows that Toni’s past is painful, but unless she can be open with her feelings for him, he’s prepared to walk away from their love. Can love find a way? Toni loves Bobby and wishes things could be different between them. But torn between her past and a future with him, everything seems hopeless. Until fate hands Toni one last chance… Now Toni’s secret wish is in her hands…if only she can be brave enough to take a chance and make her dreams come true. An uplifting and escapist read, perfect for fans of Christie Barlow, Jessica Redland and Holly Martin! What readers are saying about The Cornish Midwife... 'I love second chance stories. I love returning home stories. So a book combining both is an absolute winner for me. The Cornish Midwife is simply gorgeous. Stunning setting, wonderful characters, and oozing with warmth. A triumph from Jo Bartlett and a cracking start to what promises to be a fabulous series' 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

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.

Discover the the top 10 bestselling Cornish Midwives series! Midwife Jess knows she’ll never have a baby of her own, but she’s determined to still be a mum. So Jess decides to foster, providing love and support for children who desperately need it – something Jess never had as a child when she was in foster care. Jess loves caring for the precious babies who come into her life, but letting them go again breaks her heart every time - can she really be a mum after all? But then Jess finds a surprise on her doorstep – a newborn baby! As the search for the missing mum begins, Jess cares for the precious babe day and night. She desperately wants to reunite mum and baby, but knows that when the day comes, her own heart will shatter. Praise for Jo Bartlett: '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

The Top 10 Bestseller.For fans of Call The Midwife!A fresh start... Midwife Ella Mehenick left the small Cornish town of Port Agnes for London and never looked back. But when her seemingly perfect life crashes down around her, there's only one place she can heal her battered heart - the place she once called home. A new arrival... Ella is quickly welcomed into the small community midwife team and loves her new job caring for mums and their precious babies - it's what she does best! But being back also means facing ex-flame Dan Ferguson...the first man to break her heart. A second chance at love? Dan is still as gorgeous as ever, but he's never forgiven Ella for leaving. And now she's back it's clear that there is unfinished business between them. As Ella settles into her new/old life, she can't stop the memories of how she once loved Dan so completely - and maybe never stopped. Maybe coming home to Cornwall is Ella's chance to love again... Meet The Cornish Midwives of Port Agnes- where community, friendship and love are always delivered. An uplifting and escapist read, perfect for fans of Christie Barlow, Jessica Redland and Holly Martin! What readers are saying about The Cornish Midwife...'I love second chance stories. I love returning home stories. So a book combining both is an absolute winner for me. The Cornish Midwife is simply gorgeous. Stunning setting, wonderful characters, and oozing with warmth. A triumph from Jo Bartlett and a cracking start to what promises to be a fabulous series' 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 This book was previously published as Return to Port Agnes.