Recollections of birth and death, joy and tragedy that reveal the reality of maternity care in a remote setting. In 2016, English midwife Indie joined the staff at Attat Hospital in south-western Ethiopia, where Atsede led the midwifery services. It was a meeting that would change their lives. Their close professional relationship, and deep personal friendship, led to them opening a birth centre serving the Gurage women and families of Cheha Woreda, bringing compassionate midwifery care into the heart of traditional communities. Through the two midwives' eyes, as they recount stories from the women they have cared for over the years, we experience the lives of the Gurage people in rich detail. From one night shift which saw Atsede attend 16 births, and 17 babies born, to the day there was a donkey mysteriously tied up inside the hospital. By way of undiagnosed birth defects, the ramifications of female circumcision, obstetric emergencies, and long hours of ordinary, extraordinary births, what shines through is a deep and abiding love for the women in their care, and respect for each other and the colleagues they work alongside. A must-read for anyone with an interest in birth or maternal health, With Two Souls, the translation of the Chehaguraginya word hwetarwa, meaning pregnant, is a fascinating and moving insight into what birth can tell us about people and places, and how, when our eyes and hearts are open, we can embrace our differences and work together to benefit our communities.

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

Supervising and Assessing Student Nurses and Midwives in Clinical Practice is a practical guide for healthcare practitioners responsible for the supervision and assessment of students. The book is designed to help practice supervisors and practice assessors: to identify and plan for a range of learning opportunities to consider what is possible for learning and assessment in their area to get ready for and deliver the best learning experiences that they can to prepare students for their role as future nurses and midwives. Activities, top tips, examples and scenarios all help the reader to set the principles in context and to support students in achieving the NMC's standards of proficiency. Covering the learning environment and culture, interprofessional supervision, coaching models and feedback, methods and types of assessment, simulation-based learning, and the future of practice learning, the book aims to help individuals and organisations to create the best environment for supporting, supervising and assessing students in practice. "This is a contemporary text that is truly a practical guide that steers and supports. It is written in an accessible and user-friendly way, helping the reader see through the complexities that are inherently associated with practice assessment... I sincerely recommend this book to students and practitioners who learn and practise together with the overall goal of offering high-quality care that is safe and effective." From the Foreword by Professor Ian Peate, OBE FRCN

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

The latest edition of this popular book is essential reading for all midwives and doctors working in the labour ward. It has been fully updated but retains the essential features that have contributed to its popularity - an accessible writing style, easy-to-understand explanation of CTGs, and case studies and illustrations to make the content as accessible and practical as possible. Fetal monitoring is a challenging area that requires skill and experience to practise well. This volume explores the subject matter in a detailed but straightforward manner, thus becoming an invaluable resource for health practitioners as well as midwifery and medical students. Fully updated by internationally renowned editors Illustrations and case histories make content applicable to practice Clear and friendly writing demystifies a potentially challenging subject area Explains the correct use of terminology to help ensure safe and accurate communication Covers the basics of interpretation, common pitfalls associated with equipment usage, and clinical trial data in context Explains the underlying pathophysiology associated with abnormal changes seen on the CTG Clinical scenarios demonstrate common presentations such as breech birth, twin pregnancies, brow presentation, hypertension, and eclampsia Real CTG traces demonstrate more complex presentations such as prolonged deceleration, placental abruption, and fetal bleeding

This popular textbook provides a clear and comprehensive introduction to the principles and practice of clinical oncology. Ideal for medical undergraduates, clinicians and other health professionals who want to increase their understanding of the challenges of managing patients with cancer, the book enables readers to learn and then test themselves on all aspects of cancer medicine, from epidemiology, aetiology, pathogenesis and presentation, through to diagnosis, staging, management and prognosis.

Being an effective midwife requires a range of knowledge and skills, all of which are essential to provide competent and safe care to childbearing women and their infants. Midwifery Skills at a Glance offers an invaluable, straightforward guide for students and practitioners - offering readable, easily digestible information, supported with illustrations throughout to enhance application to practice. Clear and concise throughout, Midwifery Skills at a Glance covers a wide range of skills - exploring issues such as infection control, personal hygiene care, and safeguarding; assessment, examination and screening skills; how to care for the woman and neonate with complex needs; drug administration and pain relief. A comprehensive, highly visual guide to the skills essential for safe, effective, and compassionate midwifery practice Written by experts in their field Briefly describes each skill and provides clear illustrations -- making it an ideal companion in clinical practice Offers instruction on the safe use of a wide range of essential skills required to deliver safe, evidence-based maternity care Includes service user viewpoints and key points to help consolidate learning and reflect on the experience of receiving care Written with the student midwife in mind, Midwifery Skills at a Glance is equally invaluable for all others providing care, including Maternity Support Workers, mentors, registered midwives and medical students.

Covering both the pharmacological and the more controversial non-pharmacological management of pain relief, this comprehensive text, edited by an internationally renowned specialist, provides practical guidance to all involved in this aspect of labour care.

In order to become skilled and competent practitioners, student midwives need to understand the complex individual, family and societal issues they will encounter. By introducing the contemporary context of midwifery practice, this book helps students to understand the problems many women face in society. The book covers topics including violence, mental and sexual health, the rising obesity epidemic and increases in numbers of women from non-UK countries. The authors emphasise the fact that students need to be aware of their public health responsibilities and discuss various health promotion strategies.

Exploring one of the most prevalent yet contentious subjects in contemporary maternity care, Denise Tiran's new book on postdates pregnancy balances discussion of midwifery care and the obstetric management of women who are overdue. The book gives comprehensive coverage of a range of complementary therapies and natural remedies and how they may be effective in facilitating spontaneous onset of labour. It also takes into consideration the debate on the safety and effectiveness of natural remedies which women often self-administer. Illustrated with case studies and referenced to authoritative review papers, Complementary Therapies for Postdates Pregnancy is a must-have guide for midwives and maternity professionals.

The study of sociology is now an essential part of all midwifery training, but it can often seem removed from the reality of midwifery practice. Midwives often ask: what is sociology? Why do I need sociology to be a midwife? How can sociology help improve my clinical practice? This major new textbook answers these important questions and shows how sociology can inform the practice of midwifery in the twenty-first century. It provides a comprehensive, jargon-free introduction to sociology for midwifery students with no prior knowledge of the subject, as well as practising midwives with experience of dealing with sociological issues in their daily work. Although the book assumes little or no previous knowledge of sociology it provides enough depth to meet the needs of those with some background in the field. At every stage the links between sociology and everyday practice are emphasised and explained, using a wealth of case studies and examples. The book provides: * Clearly defined learning aims and objectives * Structured activities and questions for discussion * A glossary of key sociological concepts * Annotated suggestions for further reading The editors and contributors have considerable experience teaching sociology at diploma, undergraduate and postgraduate levels to students from many different disciplines. This book will be an indispensable teaching aid within midwifery education, and other relevant health and social care disciplines.

Over the last hundred years, pregnancy and childbirth has become increasingly safe - yet it is still a site of risk, and a contested ground on which health professionals and pregnant women both face high costs of error. In this context, all those involved in managing pregnancy and birth are expected to identify and mitigate risk: pregnant women are subject to increasing surveillance to ensure the safety of the unborn foetus, and every aspect of childbearing is increasingly medicalised. This publication brings together fascinating social science research to explore the ways in which risk is both created and managed in pregnancy and childbirth. The introductory chapters reflect on the changing social context of childbirth, in particular the medicalisation of both pregnancy and childbirth with development of specialist practitioners, such as obstetricians and midwives who claim to have the knowledge, technology and skills to identify and manage the risks involved. The next three chapters that examine the ways in which women's behaviour during pregnancy is constructed as potentially risky -- for example smoking, drinking alcohol and taking drugs, and how these risks are monitored and mitigated. The final two parts of the book address the construction of and responses to both medicalisation and risk in childbirth. Altogether, it represents a valuable insight into the complex world of pregnancy, childbirth and risk. This book brings together editorials and articles originally published in special and open issues of Health, Risk and Society.

Critical Care in Childbearing for Midwives is a comprehensive, up-to-date guide surrounding the support, care and management of critically ill women in childbearing specifically written for midwives.
Many women who have higher-risk pregnancies, complications or medical conditions require specialist obstetric or multidisciplinary care. Increasingly women, whose condition deteriorates and becomes critical during childbirth, are being cared for by midwives in obstetric high dependency units within the labour ward, rather than being cared for by nurses in ITU.
Critical Care in Childbearing for Midwives explores all aspects of management, support and care of childbearing women who become critically ill due to pre-existing conditions or who develop critical illness as a result of complications of childbearing. It examines predisposing factors which result in the need for critical care, addresses specialist monitoring technology and skills, and explores autonomous practice and team approaches to providing care for critically ill women in childbearing.

Beyond Self-Care for Helping Professionals is an innovative guide to professional self-care focused not just on avoiding the consequences of failing to take care of oneself, but on optimal health and positive psychology. This new volume builds upon the Expressive Therapies Continuum to introduce the Life Enrichment Model, a strengths-based model that encourages mindful participation in a broad array of enriching experiences. By enabling therapists and other Helping Professionals to develop a rich emotional, intellectual, and creative foundation to their lives and clinical practices, this guide sets a new standard for self-care in the helping professions.

This workbook addresses the vital questions helpers, responders, and organizations have about self-care and its relationship to resilience and sustained effectiveness in the midst of daily exposure to trauma victims and or situations. Packed with activities, worksheets, and interactive learning tools, the text provides neuro-based and trauma-sensitive recommendations for improving the ways clinicians care for themselves. Each 'session' helps clinicians identify their personal self-care needs and arrive at an effective self-care plan that promotes resilience in the face of daily exposure to trauma-inducing situations and reduces the effects of compassion fatigue and burnout. Reducing Compassion Fatigue, Secondary Traumatic Stress, and Burnout is an essential workbook for any helper or organization looking to enhance compassionate care.

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

Psychodynamic Interventions in Pregnancy and Infancy builds on Bjoern Salomonsson's experiences as a psychoanalytic consultant working with parents and their babies. Emotional problems during the perinatal stages can arise and be observed and addressed by a skilled midwife, nurse or health visitor. Salomonsson has developed a method combining nurse supervision and therapeutic consultations which has lowered the thresholds for parents to come and talk with him. The brief consultations concern pregnant women, mother and baby, husband and wife, toddler and parent. The theoretical framework is psychoanalytic, but the mode of work is eclectic and adapted to the family's situation and its members' motivation. This book details such work, which can be applied globally; perinatal psychotherapy integrated with ordinary medical health care. It also explains how psychotherapy can be made more accessible to a larger population. Via detailed case presentations, the author takes the reader through pregnancy, childbirth and the first few years of life. He also brings in research studies emphasizing the importance of early interventions, with the aim of providing therapists with arguments for such work in everyday family health care. To further substantiate such arguments, the book ends with theoretical chapters and, finally, the author's vision of the future of a perinatal health care that integrates medical and psychological perspectives. Psychodynamic Interventions in Pregnancy and Infancy will appeal to all psychoanalysts and psychoanalytic psychotherapists working in this area, as well as clinical psychologists, clinical social workers and medical personnel working with parents and infants.

Sadly, women often feel they have no alternative but to give up breastfeeding, having been prescribed or purchased medication. In many cases, however, this is unnecessary. This book outlines the evidence base for the use of medication during breastfeeding. Breastfeeding and Medication presents a comprehensive A to Z guide to the most frequently prescribed drugs and their safety for breastfeeding mothers. Evaluating the evidence for interventions and using a simple format for quickly identifying medications that are safe or unsafe to use, it also highlights those drugs where there is inconclusive evidence. Additional contextual information makes this the most complete text for those practitioners who support and treat breastfeeding women. It: provides an overview of the anatomy and physiology of the breast together with hormonal influences to better understand how complications, such as mastitis, arise and inform the approach to their treatment; includes a section on conditions that affect women specifically when they are lactating where prescription of medication may be necessary; discusses the importance of breastfeeding and its advantages, as well as its disadvantages; and explores how to support breastfeeding mothers, and presents a counselling model approach. This new edition contains information on more drugs and a chapter on the management of some chronic conditions which may affect breastfeeding mothers. In most cases there are options to support the mother's optimal care whilst allowing her to continue to breastfeed her baby as long as she wishes. This is a topic which raises many questions on social media, which informed the choice of conditions to consider. This is an invaluable reference for all health practitioners and volunteers who work with, support and treat breastfeeding women, including lactation consultants, breastfeeding support workers, health visitors, GPs, practice nurses, pharmacists and midwives.

Arguing that contemporary maternity services provide a toxic environment both in which to practise and to give birth, this book looks at how we can change this. Its aim is promoting the best possible experiences of childbearing, and confident, strengthening and loving contexts for new parenthood. Designed to create awareness about the professional and political realities which enmesh maternity care, this inspiring volume features an in-depth and research-oriented analysis of the challenges faced by contemporary maternity services. Recognising the frequently hostile environment in which midwives practise, the contributors go on to explore its impact on women and families, as well as on midwives themselves. They then look at woman-centred and community-based ways of contributing to a much better birthing experience for all. Important and relevant for all those with an interest in improving maternity care, this book is particularly suited to midwives - practising and student, doulas, birth educators and activists, policymakers and health service managers.

Providing in-depth information on natural remedies that midwives, doulas, GPs and other health professionals can use to advise and inform their clients, this reference guide focuses on safety in their application. The book brings together herbal medicine, homeopathy, essential oils, flower remedies and traditional remedies from other cultures, and applies them directly to pregnancy, childbirth and the postnatal period. Containing an alphabetical listing of 220 remedies covering common uses, contraindications and precautions, adverse effects and interactions, Using Natural Remedies Safely in Pregnancy and Childbirth is a vital resource for healthcare professionals working in conventional maternity care who wish to learn about the safe application of natural remedies.

A Pocket Guide for Student Midwives is an accessible, portable book offering student midwives everything they need to grasp the key elements of midwifery language, knowledge and skills.

The new edition of this useful aide-memoire is divided into two parts. The first includes relevant terms, abbreviations and definitions. The second part is a quick A-Z reference guide to common conditions, procedures, emergency situations, and supporting information, enhanced by visual material to aid comprehension of normality and anomalies. The innovative action flow charts enable rapid access to information that logically guides the reader through procedures in potentially life-threatening situations, in both home and hospital settings.

A Pocket Guide for Student Midwives is essential reading for the new non-nurse student midwife, the experienced nurse entering the midwifery profession, and senior student midwives.

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.

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.

Highlighting aspects of birth often taken for granted, ignored or left silenced, this book questions the art and meaning of childbirth. Addressing spirituality in and around the start of life from a variety of thought-provoking perspectives, it examines the apparent paradox of impersonal biomedical-technocratic systems operating alongside the meaningful experiences encountered by those involved. Themes covered include: Notions of holism and spirituality, culture, religion and spirituality Childbirth significance at societal level Spiritual care in maternity care provision Birth environment, mood, space and place Spiritual experience of all those involved, including health professionals Spiritual experience when birth is complex and challenging When birth and death are juxtaposed. Although there is considerable literature on spirituality at the end of life, this is the only book that draws together a global and multidisciplinary selection of academic researchers and practitioners to reflect on spirituality at the start of life. Each chapter explores the relevant theoretical background and makes links to practice, using case studies from research and practice. The chapters conclude by discussing: how spiritual care is, and should be, provided in this context; what practice approaches are beneficial; cross-cultural perspectives; and future directions for research. It is an important read for all those interested in childbirth, maternity care, social science perspectives on health and illness, and spirituality.