The greatest postnatal killer of the nineteenth century was puerperal fever. A vicious and usually fatal form of septicaemia, puerperal or childbed fever was known to occur in maternity hospitals far more frequently than at home births, and to spread faster in crowded wards than in those with fewer patients. Its cause was unknown. In this precise statistical analysis of the facts, gathered from several sources across the major cities of Europe, Florence Nightingale (1820-1910) explores the mystery of puerperal fever and its possible causes. She stresses the necessity of good ventilation in hospitals, condemning those with overcrowded wards, and cites instances where the layout of wards has a noticeable correlation with the number of deaths. Published in 1871, just before Pasteur's work on germ theory proved that the problem could be all but eradicated if doctors washed their hands more rigorously, this work remains clear, scholarly and engaging.

Legal and ethical competence is a cornerstone of professional midwifery practice and an essential part of midwifery training. Law and Ethics for Midwifery is a unique and practical resource for student midwives. Written by an experienced midwifery lecturer, this text draws on a wide variety of real life case studies and focuses particularly on the core areas of accountability, autonomy and advocacy. Opening with two chapters providing overviews respectively of ethical theories and legislation, the book is then arranged thematically. These chapters have a common structure which includes case studies, relevant legislation, reflective activities and a summary, and they run across areas of concern from negligence through safeguarding to record-keeping. Grounded in midwifery practice, the text enables student midwives to consider and prepare for ethical and legal dilemmas they may face as midwives in clinical practice.

Selected as a Doody's Core Title for 2022! Essential for ob/gyn physicians, primary care physicians, and any health care provider working with pregnant or postpartum women, Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk, 12th Edition, puts must-know information at your fingertips in seconds. An easy A-to-Z format lists more than 1,400 of the most commonly prescribed drugs taken during pregnancy and lactation, with detailed monographs designed to provide the most essential information on possible effects on the mother, embryo, fetus, and nursing infant. Each templated monograph includes: Generic US name (trade names in index) Risk factors Pharmacologic class Pregnancy and breastfeeding recommendations Pregnancy, fetal risk, and breastfeeding summaries Updated references NEW in the 12th Edition: 100 new drugs, with thorough updates of all existing drugs Subheadings with each review for faster reference List of cross-referenced combination drugs List of drugs contraindicated in breastfeeding women List of drugs contraindicated in pregnancy List of drugs that affect human development Quarterly updates, available online, to keep you at the forefront of the field Greatly improved eBook searchability Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

Care for Children Born Small for Gestational Age is a comprehensive handbook that serves to synthesize the extensive recent literature in the area to provide a practical resource aimed at a wide range of healthcare professionals, including obstetricians, midwives, neonatologists, and primary care physicians. This comprehensive handbook includes an in-depth survey of the prevention, diagnosis, treatment and long-term monitoring of children born small for gestational age, as well as related conditions such as intrauterine growth restriction, metabolic syndrome and type 2 diabetes. Additionally, the short and long-term psychiatric and social consequences of this condition are addressed.

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.

How to be a Nurse or Midwife Leader is an indispensable guide for all nurses and midwives who wish to develop and improve their practice as leaders. Written in collaboration with the NHS Leadership Academy, this practical book draws on the real experience of over 10,000 nurses and midwives to bring leadership dilemmas to life in specific situations. Key learning features include: * How to develop your self-awareness * How to develop your personal impact and presence * How to survive and thrive * How to get your message across * How to get the best out of others * How to work with and lead other professionals and patients * How to have courageous conversations * How to balance conflicting demands and needs Containing exercises and reflective questions to help apply theory to leadership practice, How to be a Nurse or Midwife Leader is an ideal companion for all nurses and midwives, whether you are newly qualified, or stepping into a team leader role.

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.

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

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

A Textbook of Community Nursing is a comprehensive and evidence-based introduction covering the full range of professional topics, including professional approaches to care, public health, eHealth, therapeutic relationships and the role of community nursing in mental health. The new edition has been updated throughout, including new guidelines and policies. It also provides a stronger focus on evidence-based practice. This user-friendly and accessible textbook includes: Current theory, policy, and guidelines for practice. All chapters are underpinned by a strong evidence base; Learning objectives for each chapter, plus exercises and activities to test current understanding, promote reflective practice, and encourage further reading; Case studies and examples from practice which draw on all branches of community nursing to illustrate practical application of theory. This is an essential text for all pre-registration nursing students, students on specialist community nursing courses, and qualified nurses entering community practice for the first time.

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

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

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

Now in its 3rd edition, Lecture Notes: Obstetrics and Gynaecology has been extensively revised and updated to provide a concise and practical introduction to obstetrics and gynaecology for medical students and junior doctors. Starting with a section on basic science, the text is divided into six sections that explain female health needs and their management from the early years to old age. The self-assessment section is now a separate chapter, and includes Extended Matching Questions (EMQs), scenarios for practical history taking for the Objective Structured Clinical Examination (OSCE) and Multiple Choice Questions (MCQs). Part 1 looks at female reproductive anatomy and physiology. Part 2 covers the puberty and menstrual problems of young women, sub-fertility, pregnancy prevention, and sexual problems. Part 3 examines the reproductive years including pregnancy and childbirth. Part 4 covers the mature woman including menstrual problems of the older woman and pelvic pain. Part 5 discusses the older woman including the menopause, incontinence and malignancy including breast cancer. Part 6 demonstrates the importance of public health statistics on the provision of services in obstetrics and gynaecology. Now in two-colour throughout, with a new colour plate section, Lecture Notes: Obstetrics and Gynaecology covers the core material needed for O&G courses, written specifically for medical students, nursing students, junior doctors on the Foundation Programme and the first two years of specialist training, midwives, and GPs.

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

This book is a comprehensive and detailed study of early modern midwives in seventeenth-century London. Until quite recently, midwives, as a group, have been dismissed by historians as being inadequately educated and trained for the task of child delivery. The Midwives of Seventeenth-Century London rejects these claims by exploring the midwives' training and their licensing in an unofficial apprenticeship by the Church. Dr Evenden also offers an accurate depiction of the midwives in their socioeconomic context by examining a wide range of seventeenth-century sources. This expansive study not only recovers the names of almost one thousand women who worked as midwives in the twelve London parishes, but also brings to light details about their spouses, their families and their associates.

Qualitative research, particularly phenomenology, is increasingly popular as a method for midwifery and health-related research. These approaches enable rich and detailed explanations to be uncovered and bring experience to life. Important recommendations and practice- based implications may then be raised and debated for future use. This book brings together a range of phenomenological methods and insights into one accessible text.

Illustrated with plenty of examples of successful phenomenological research, Qualitative Research in Midwifery and Childbirth keeps the focus applied to midwifery and childbirth and makes clear the links to practice throughout. The book introduces three key phenomenological approaches - descriptive, interpretive and the life world - and includes a comparative chapter which discusses the differences between these varied perspectives and methods. Each chapter focuses on how these approaches are used within midwifery research. The remaining chapters present a number of different research projects. These demonstrate how different phenomenological approaches have been used to explore and uncover experiences of childbirth and maternity as well as offering important insights into how women experience different facets of the birth experience during the antenatal, intra-partum and postnatal period.

Designed for researchers and students undertaking research projects on midwifery and childbirth, this text includes contributions from a range of international and highly regarded phenomenological authors and researchers.

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

The rhetoric of choice is much used in UK health policy and home birth is one of the three options that women are entitled to choose between when deciding where to have their baby. However, many women making this choice run into considerable opposition from the maternity service. Home Birth: the politics of difficult choices focuses on the experiences of women whose choices were opposed by health professionals during their pregnancy journey. It confronts why and how women are being denied home birth and raises some challenging issues for current midwifery practice. Using ten women's narratives, this important volume explores why women might want to give birth at home and considers ideas of risk and informed choice in pregnancy and birth. The book includes chapters on communication and language; fear and stress; advocacy and autonomy; fathers' experience of contested place of birth and free birthing. Pointers to best practice are presented whilst the text incorporates women's narratives throughout, making this a practical and relevant read for midwifery students as well as practising midwives and childbirth educators, all of whom have a duty to make home birth a real option for women.

Few experiences can compare to the trauma and pain of losing a baby; and the wall of silence that often surrounds that loss can make grieving even harder. Loving You From Here explores the traumatic impact of losing a baby through stillbirth and neonatal death. It features the moving stories of multiple families; some affected recently, some decades ago, but still living with the loss. This book is a practical guide for grieving parents in the grips of tragedy, and those around them who want to be able to offer support. From managing those initial feelings of shock, grief, guilt and anger, this book will also show families how it is possible to grow around that grief and eventually form an enduring bond with their baby. This profound and insightful book will help everyone impacted by the loss of a baby - before, during or after birth - including those who have suffered an early or a late miscarriage and those who have had an ectopic pregnancy, and provides sensitive and reassuring advice on all aspects of loss and bereavement, as well as practical advice on how to find a new normal. This groundbreaking book breaks through the suffocating silence that surrounds the death of a baby and gives a voice to all those affected by baby loss.

The Objective Structured Clinical Examination (OSCE) was developed for all undergraduate nursing programmes, with the aim of emphasising the need for nursing students to be competent in clinical skills, to assess clinical reasoning skills and as a means of standardizing the assessment process. This practical, easy to read and interactive study guide helps nursing and midwifery students at all levels to maximise their chances of success with OSCEs. It features case studies, quick quizzes, recap and recall summaries and an OSCE preparation plan; all of which help to prepare the student for the examination. Hints and tips on what to expect during the examination and pointers on what the examiner will be looking for, together with a comprehensive chapter on personal learning will help to guide the student through the process and maximise their chances of success! "Very readable with useful tips and information for students" Cath Hill, Keele University "I found the book extremely relevant from the students' perspective, reader friendly and well structured. Quizzes and activities excellent." - Liz Day, Senior Lecturer, Nursing and Health Care Practice, University of Derby "A useful and easily digested text on this important assessment strategy", Ms. Karen Lumsden, Faculty of Nursing and Applied Clinical Studies, Canterbury Christchurch University"Useful for students as they prepare... Easy to read and understand." Kirsty Wedgbury, Faculty of Health and Community Care, Birmingham City University

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.

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

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