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.

A midwife's heartwarming and inspirational true story Catching Babies is a moving account of an extraordinary career. It reveals the unique experiences that filled midwife Sheena Byrom's days as she looked after mums and dads and helped to bring their precious babies into the world. From her very first day as a nervous student nurse in Blackburn to the dedicated completion of her midwifery qualifications in Burnley, Sheena has never once looked back, enjoying a thirty-five-year career with the NHS. At the forefront of evolving medical practices, she was the first midwife to oversee a home water birth in her area, but also found herself at the centre of a traumatic delivery that tested her to her limits. Yet, whatever has come Sheena's way, ultimately, there are the strong mothers who taught her so much and the little miracles who have made every single moment as a midwife truly magical.

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.

A young midwife's account of her training in the Midlands in the 1950s. A SUNDAY TIMES bestseller. It's 1957, and in a shattered post-war world, life goes on. Dot, a pupil midwife, negotiates the streets on her trusty old bicycle - come rain or shine - to help women in need. Living and working under the supervision of the strict Mrs O'Reilly, she must complete her training with twelve deliveries: there's Mrs Wardle who lives in a seedy slum; the eighth Clarke baby, born in an unusual place; the superstitious Wests, desperate for a boy; baby Murphy who is received with laughter; and brothel-worker Mrs Maloney. Amid lectures, textbooks and university dances, Dot must saddle up at any time of the day and night to attend deliveries. But just when she thinks she's got the measure of the job, fate deals her an unexpected hand...

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.

Concentrating specifically on research into midwifery and related disciplines, Appraising Research into Childbirth is designed to equip midwives and midwifery students with the necessary tools to navigate the maze of evidence-informed practice and the very different kinds of research that are published in midwifery, medical and related journals. The book appraises eight previously published research articles that present both qualitative and quantitative research studies. Each of the various elements is analysed - from the methodology through to the interpretation of the results. Each article is annotated with notes and questions, thereby enabling the reader to actively participate in the appraisal. Tips, tools and checklists aid orientation and quick recall of salient advice and a guide to statistics helps to demystify what is generally considered to be a daunting element of most research. Each chapter is pulled together by the ongoing discussion about how we can "find out" and "know" by doing research and the advantages, disadvantages, potential for philosophical and methodological bias and political ramifications of such work. Presents a range of quantitative and qualitative research articles relevant to midwifery practice in a unique workbook format Enables readers to gain hands-on, practical experience of critiquing research Supplementary tools, checklists, mnemonics and tables enable deeper understanding of the process of appraising research Commentary and expert critique provided by lecturers in midwifery research Contains a user-friendly guide to statistics

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.

Rapid Research Methods for Nurses, Midwives and Health Professionals is designed to help you find and understand the meaning of key research terminology and, more importantly, develop your knowledge of some of the essential ideas and concepts they describe. This A-Z dictionary of terms is a collection of over 200 entries with a definition of each word put in context with additional tips on its use in assignment work. Alphabetically arranged in an accessible, reader-friendly format, this book: * Answers a clear demand for a practical, fast and concise introduction to the key ideas, concepts and methods in nursing and healthcare research * Provides students with fast and accessible information designed for revision and writing research-based assignments * Demystifies a field of study that students often find daunting

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.

This book is a practical guide for medical practitioners as they navigate through breastfeeding problems that occur in day-to-day practice. If mothers have a breastfeeding complication they are often directed to their GP. In complex situations, medical staff will be making decisions around what treatment plan to follow and whether a mother can keep breastfeeding. In recent years there has been growing evidence that medical professionals often advise mothers to stop breastfeeding while undergoing treatment, when in reality this was not a necessary step. In a time when breastfeeding rates are decreasing, it is important that medical professionals give accurate advice and support a mother's choice to breastfeed if the situation allows it. A Guide to Supporting Breastfeeding for the Medical Profession includes contributions from a wide range of medical professionals and each chapter is written with the practitioner in mind. Contributors include GPs, paediatricians, neonatologists, lactation specialists and midwives. Doctors have a vital role to play in supporting and facilitating breastfeeding, and without the appropriate knowledge they can often inadvertently sabotage it. This book will be of interest to GPs and paediatricians as well as nurse prescribers, midwives and health visitors.

Trusted by generations of nursing educators and updated to meet the needs of today's nursing students, Maternal & Child Health Nursing, 9th Edition, presents maternal-newborn and child healthcare not as two separate disciplines, but as a continuum of knowledge. This proven, approachable text employs a nursing process framework and combines clear, accessible content with a wide range of engaging learning aids to help students master essential concepts and build the skills for success in today's changing healthcare environment. This extensively revised 9th Edition reflects the latest evidence-based research, recent changes in healthcare delivery, and the importance of meeting the culturally diverse needs of various populations, guiding students to a practical understanding of emerging approaches while promoting a sensitive, holistic outlook on nursing practice

This book provides an in-depth guide to how shiatsu can form part of modern maternity care. Based on traditional Chinese and Japanese approaches to health, shiatsu can be used to alleviate many of the chronic symptoms of pregnancy such as backache, insomnia and morning sickness. It can also help during labour and birth, as well as relieve postnatal problems such as heavy postpartum bleeding or difficulties with lactation. A shiatsu treatment simply encourages the body to balance its own natural energy by gentle stimulation of its energy pathways, the meridians - the same pathways used in acupuncture. The age-old midwifery skills of touching and stroking are an intrinsic part of nurturing and cherishing - the essence of 'being with woman'. Shiatsu takes this simple healing technique one stage further. You will find tips on how to use core midwifery skills of touch, gentle pressure and massage in a more systematic and focused way. The authors also discuss the actions necessary to establish its use in a maternity unit, including training and professional issues. Suzanne Yates is the leading shiatsu teacher world-wide to have made maternity work her main focus. She has been working with midwives and pregnant women for the last 13 years and developed a course of applied shiatsu for midwives that fulfils NMC requirements for training. Tricia Anderson, midwife lecturer and supervisor and past editor of Practising Midwife, has collaborated with her to ensure the content is appropriate to midwives' Code of Practice. This is a key text for anyone wishing to explore this new area.This practical guide offers effective alternatives to orthodox treatment and provides a valuable addition to modern midwifery care Focuses on a range of shiatsu treatments suitable for maternity care, providing examples of safe and effective work that can be done in a short session Specific techniques designed to help with many of the common problems of pregnancy, labour and early motherhood Discusses the research base that underpins shiatsu, providing the most up-to-date information to support evidence-based care Fascinating case studies provide many anecdotal accounts of effectiveness. Clear line drawings and photographs accompany the techniques, aiding understanding and successful practice Relevant shiatsu theory is clearly explained

A no-holds-barred collection of more than 100 real-life accounts of pregnancy, birth, and life with a baby, brought together with simple advice from pregnancy and postnatal expert Becca Maberly and consultant obstetrician Roger Marwood.

This broad range of honest pregnancy, birth and parenting stories, from the likes of Clemmie Telford, Molly Gunn, Megan Rose Lane, Anna Mathur and many more, is accompanied by professional and reassuring advice from experts that will help you navigate your own experience with positivity and confidence.

Nobody Tells You will give you all the tools you need to be informed and prepared for one of life's great journeys. Without any scaremongering or sugar coating, truths are shared about topics including:

• Trying to conceive
• C-Sections
• Postnatal recovery
• Not loving breastfeeding
• Self-care
• And many, many more!

Continuity of care in midwifery - the most traditional way of practising - has been overlooked for much of the last century but is re-emerging as an evidence-based model of care, one which is known to benefit women. This book is a vital companion to students and qualified midwives as continuity of care is integrated into midwifery education and services. A practical, easy-to-read guide to practising caseload midwifery, this book outlines the contemporary political and professional context for midwifery care, different models of care, and the evidence and outcomes associated with continuity of carer. It discusses the real-life concerns, challenges and opportunities of working closely with women throughout their pregnancy and birth, covering key issues such as risk assessment, consent, boundaries, time management, documentation, communication, burnout and decision-making. Supporting the development of midwives from students to newly qualified professionals and beyond, it ends with a chapter containing a range of resources for reference, including helpful tools and worksheets. Including vignettes from students, qualified midwives, and women and their partners, this book is designed for anyone new to practising midwifery continuity of care.

First published in 1999, this volume discusses how the nursing and health care fields are developing rapidly. This series of monographs offers up-to-date reports of recently completed research projects in the fields of nursing and health care. The aim of the series is to report studies that have relevance to contemporary nursing and health care practice. It includes reports of research into aspects of clinical nursing care, management and education. The series is of interest to all nurses and health care workers, researchers, managers and educators in the field.

When the midwife Jane Sharp wrote the Midwives Book in 1671, she became the first British woman to publish a midwifery manual. Drawing on works by her male contemporaries, and weaving together medical information and lively anecdotes, she produced a book that is instructive, accessible, witty, and constantly surprising.

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

When we think about trauma and PTSD we tend to think about war and conflict. But around a third of women feel some part of their birth was traumatic. This experience can impact on their mental and physical health, their relationships and future plans. In Why Birth Trauma Matters, Dr Emma Svanberg, clinical psychologist and co-founder of Make Birth Better, explores what happens to those who go through a bad birth. She explains in detail how birth trauma occurs, examines the wide-ranging impact on all of those involved in birth, and looks at treatments and techniques to aid recovery. By drawing on her own research and the work of experts in the field, and sharing the first-hand experiences of women, she shows how it is possible to begin to move on.

Based on personal accounts by birthing women and their medical attendants, Brought to Bed reveals how childbirth has changed from colonial times to the present.
Judith Walzer Leavitt's study focuses on the traditional woman-centered home-birthing practices, their replacement by male doctors, and the movement from the home to the hospital. She explains that childbearing women and their physicians gradually changed birth places because they believed the increased medicalization would make giving birth safer and more comfortable. Ironically, because of infection, infant and maternal mortality did not immediately decline. She concludes that birthing women held considerable power in determining labor and delivery events as long as childbirth remained in the home. The move to the hospital in the twentieth century gave the medical profession the upper hand. Leavitt also discusses recent events in American obstetrics that illustrate how women have attempted to retrieve some of the traditional women--and family--centered aspects of childbirth.

Listening Visits in Perinatal Mental Health focuses on how women and families suffering from perinatal mental illness can be supported by a wide range of practitioners. Based on the skills of attentive listening, it is designed for use by health professionals and support workers concerned with maternal mental health and the mental health of the family. This accessible guide: Covers the process and progression of perinatal mental health Discusses the types of anxiety and depression which may occur during the perinatal period Examines the impact of maternal mental illness of the infant, father and family Explores the available assessment tools, such as the EPDS Presents the theories behind the efficacy of listening and counselling skills, as well as the evidence which recommends this type of therapy Gives suggestions of alternative therapeutic approaches and further resources to explore around perinatal mental health Emphasises the importance of looking after yourself and making use of supervision and peer support. With chapters focused on listening to mothers, fathers and infants and paying attention to cultural diversity, Listening Visits in Perinatal Mental Health builds on the knowledge that many professionals working with new mothers already have about perinatal mental health. It focuses on developing the skills needed to put this knowledge into practice and includes case examples and follow-up activities throughout.

Originally published 1995 The Making of Man-Midwifery looks at how the eighteenth century witnessed a revolution in childbirth practices. By the last quarter of the century increasing numbers of babies were being delivered by men - a dramatic shift from the women-only ritual that had been standard throughout Western history. This authoritative and challenging work explains this transformation in medical practice and remarkable shift in gender relations. By tracing the actual development and transmission of the new midwifery skills through the period, the book addresses both technological and feminist arguments of the period. The study is distinctive in treating childbirth as both a bodily and a social event and in explaining how the two were intimately connected. Practical obstetrics is shown to have been shaped by the social relations surrounding deliveries, and specific techniques were associated with distinctive places and political allegiances. The books studies how increasing numbers emergent male-midwives had overtaken women in the skill of delivering children and how as such expectant mothers chose to use these male-midwives, thus heralding the growth of male-midwives in the period.

The third volume of this successful Series brings together studies of particular relevance to the care provided by midwives for childbearing women and their families. midwifery research is essential for sound practice and is of importance as a basis for education and management. Topics in this volume include: care during pregnancy, tabour and delivery, and the post natal period midwifery education midwives responsibilities midwives careers.;The maternity services' continue to be in the public eye in the UK and the West. Debate on consumer satisfaction with the experience of pregnancy and childbirth and perinatal mortality is increasing.;This Series is intended primarily for midwives but it will be of interest to other health professionals involved in the provision of maternity care and members of social science disciplines concerned with women's health.;Sarah Robinson is Senior Research Fellow, Nursing Research Unit, King's College, London, England. Ann M Thomson is Senior Lecturer in Midwifery, School of Nursing Studies, University of Manchester and Director, Health Care Research Unit, Stockport, Tameside & Glossop College of Nursing, England.

This is a new edition of a highly popular textbook which presents the fascinating field of reproductive anatomy and physiology in a style which is ideal for those who are new to the subject. Now with a significantly upgraded artwork program, this helpful volume builds up from the founding principles of human structure and function through to conception, embryological and fetal development and growth, the maternal responses to the growing fetus, parturition and the transition to neonatal life. Containing the latest scientific advances such as improvements in fertility treatment, postnatal care of premature infants, and the impact of the gestational environment and early nutrition on later health, the volume also includes developments in midwifery policy and practice. Each chapter comes with Learning Outcome boxes, Case Studies, Key Points and Application to Practice boxes, all of which reinforce learning and help 'bring the subject to life'. A well-established introduction to the science underpinning modern midwifery practice, Anatomy and Physiology for Midwives, fourth edition will be ideal for all students of midwifery, as well as midwives returning to practice or undertaking post-graduate study. Highly popular midwifery resource that explains and contextualises the principles of reproductive A&P Learning Objectives at the start of each chapter help readers structure their study time Case Studies 'bring the subject to life' and provide an opportunity to reflect on the implications for clinical practice Acknowledges the importance of underlying research and integrates theory and practice End of chapter Key Points and Application to Practice boxes further reinforce learning Helps midwives deal with questions from increasingly informed 'parents to be' More than 200 illustrations help clarify sometimes complex anatomical, physiological and clinical information New authorship brings additional expertise into the areas of cell physiology and research, particularly its clinical application to fertility and parturition An upgraded artwork program enhances the look and feel of the book Contains updates in the fast-moving field of reproductive physiology such as recent advances in fertility treatment, postnatal care of premature infants, and the impact of the gestational environment and early nutrition on later health Updated case studies reflect areas of advancing midwifery practice