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.

Despite research which highlights parents' increased anxiety and risk of attachment issues with the pregnancy that follows a perinatal loss, there is often little understanding that bereaved families may need different care in their subsequent pregnancies. This book explores the lived experience of pregnancy and parenting after a perinatal loss. Meeting the Needs of Parents Pregnant and Parenting After Perinatal Loss develops a helpful framework, which integrates continuing bonds and attachment theories, to support prenatal parenting at each stage of pregnancy. Giving insight into how a parent's world view of a pregnancy may have changed following a loss, readers are provided with tools to assist parents on their journey. The book discusses each stage of a pregnancy, as well as labor and the postpartum period, before examining subjects such as multi-fetal pregnancies, reluctant terminations, use of support groups, and the experiences of fathers and other children in the family. The chapters include up-to-date research findings, vignettes from parents reflecting on their own experiences and recommendations for practice. Written for researchers, students and professionals from a range of health, social welfare and early years education backgrounds, this text outlines what we know about supporting bereaved families encountering the challenges of a subsequent pregnancy.

Maria Anderson trained as an NHS nurse and went on to become a midwife, a job she has adored for over twenty years. After fainting whilst attending her first three births, Maria went from nervous trainee to assured midwife and in her brilliant memoir she recounts the highs and lows of life inside the maternity unit. From frantic fathers and breaking her hand during a traumatic home birth, to witnessing the delivery of quads and the ultimate devastation of assisting the delivery of a stillborn baby, Maria has had an extraordinary career. Tales of a Midwife is a funny, poignant and heart-warming account of a devoted midwife.

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.

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.

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.

The midwife's role is examined in the community and family-health context in this handbook on effective maternal and newborn care for midwives and other healthcare providers. The skills, competencies, and knowledge required to make informed decisions about neo- and postnatal care are covered, including anatomy and the physiology of reproduction, high-risk pregnancies, and labor and birth. Theoretical and practical issues illuminate a midwife's role in the prevention of illness in mothers and babies, with attention to the unique challenges of midwifery in developing nations. Insights from current research studies and critical questions about midwife practice will help those new to health care understand the unique challenges of this form of health-service delivery.

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

Are you supporting students in practice? This book provides an overview of the different approaches and summarises the key NMC Standards that you need to understand. You will follow the student's journey on placement starting from the preparation needed before they arrive through to the orientation, initial interview and planning of learning, plus how to provide feedback and ensure that your assessment is fair and objective. Some of the challenges you may face will be explored, along with approaches you can use to ensure successful outcomes. This is an indispensable handbook for: both new and experienced nurses seeking practical advice academic staff who prepare and support practice supervisors and assessors students undertaking modules on teaching and learning in practice Based on the NMC standards for student supervision and assessment Offers guidance and tips on supporting and assessing students on placements Presents sections on understanding you, supporting the student with additional needs, and using simulated learning Covers how to support students who are not making the progress expected Action points at the end of each chapter will help you consolidate your learning Part of the A Nurse's Survival Guide series. Now fully aligned to the latest NMC standards and competencies on supervision and assessment.

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

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.

For acupuncturists and birth professionals, this book explains how yin/yang and other principles of Chinese medicine can improve birth experiences as well as outcomes. Acupuncture and Chinese medicine can shift and support the physical and emotional journey of birth and provide nonpharmacologic treatment approaches for commonly occurring disorders of labor such as malposition, asynclitism, slow cervical dilatation and inadequate contractions, as well as postpartum and post C-section care. Accessible and engaging, the book includes an overview of Chinese medicine for women's health; information on what happens before, during and after birth from both a biomedical and Chinese medical perspective;and a toolkit of treatment strategies for birth work. The techniques described include acupressure, Tui Na (Chinese medical bodywork), needling, auricular acupressure and electrostimulation.

‘A vital, heartfelt read for anyone navigating the rough seas of infertility and pregnancy loss’ – Leah Hazard, author of Hard Pushed An insightful, moving memoir, capturing life working as a midwife in a busy NHS hospital at the same time as dealing with experiences of infertility, IVF and loss. As a young married couple, Sophie Martin and her husband spent years trying to conceive. They went through several rounds of IVF, at great expense, and even travelled overseas for treatment, never quite knowing whether they would one day have a family. Alongside this, Sophie was working hard at a job she loved: looking after expectant mothers and newborn babies as a midwife in a busy hospital, where the patients’ daily new additions were a constant reminder of Sophie’s own setbacks in pursuit of motherhood. The Infertile Midwife is a deeply personal, moving account of chasing something that you want so desperately. It also offers a much-needed look at how society treats infertility – from the language we use to the small talk we make – and the ways in which we can all do more to make things better for hopeful parents. With great warmth and honesty, Sophie shares her experiences of the bursts of hope and moments of great loss, but also the humour, love and joy that can be found in even the darkest places.

This concise guide offers a comprehensive step-by-step framework for midwifery students to learn about all aspects of the newborn infant physical examination (NIPE), a screening assessment completed on all babies between 6 and 72 hours of age.

The Student Guide to the Newborn Infant Physical Examination encourages the reader to approach the examination in a system-based format, with case studies and practice tips to support learning.

The book offers:

• Evidence-based, well-illustrated assessment tools, which take into account the national screening committee standards, and is written by authors with both academic and clinical experience;

• A clear direction on how to perform the NIPE in practice while exploring the wider context of screening in healthcare today;

• Coverage of the changing role of the midwife, and the importance of understanding the whole context of the mother’s care, health promotion and starting the practitioner-parent conversation.

The Student Guide to the Newborn Infant Physical Examination is a core text for all pre-registration midwifery students and a useful resource for qualified midwives, neonatal nurses and practice nurses.

Table of Contents

Introduction

1. The newborn infant physical examination

Tracey Jones

2. The changing role of the practitioner caring for the newborn

Tracey Jones

3. Communication skills in healthcare

Tracey Jones

4. Maternal factors that influence fetal development

Carol Mashhadi

5. Why the maternal history is important for the NIPE practitioner in performing a safe and thorough examination

Kim Wilcock

6. The physical examination: a step-by-step approach

Tracey Jones

6A. Examination of the head, including the ears, neck, eyes and neurological (tone)

Melanie Carpenter and Michelle Scott

6B. Cardiovascular examination of the newborn infant

Jonathan Hurst

6C. Examination of the respiratory system and the chest

Michelle Scott

6D. Examination of the newborn abdomen and genitalia

Natalie Fairhurst

6E. The skeletal examination

Sarah Paterson

6F. Examination of the skin

Natalie Anders and Alison Cooke

7. Congenital abnormalities

Joanna Cookson

8. Overview of the NIPE and appropriate and timely referral pathways

Anne Lomax and Claire Evans

9. Clinical competence and professional responsibility

Christopher Lube and Tracey Jones

10. The second examination

Tracey Jones

Index

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

The acclaimed quick-reference guide to performing and interpreting emergency ultrasound exams More than 400 ultrasound images! Spanning all body systems typically evaluated by ultrasound, this succinct, find-it-now pocket atlas allows you to instantly compare and contrast your real-time images with those appearing in the book. You will also find valuable how-to guidance on essentials such as probe placement, patient positioning, and proper settings - along with anatomical drawings that help you visualize affected organs. Featuring concise, bulleted text, and more than 400 ultrasound images and dozens of line drawings, Emergency Ultrasound, Second Edition is specifically designed to be used at the bedside in an emergency care setting. Coverage includes: * Clinical Considerations * Clinical Indications * Anatomic Considerations * Technique and Normal Findings * Tips to Improve Imaging Acquisition * Common and Emergency Abnormalities * Pitfalls

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.

This important book makes the case for placing maternity care in the community. It has been written by a multidisciplinary group. The first section considers the role and function of the participants in community-based maternity care; the woman, the midwife, and the GP. The second section discusses four major contemporary issues: the radically changing social background, the economics of care, audit, and education of the carers. Next the major clinical challenges in maternity care are tackled: how to reduce the differences in morbidity and mortality which are associated with differences in age, social class and ethnicity; the care of disadvantaged groups; prematurity and low birth weight and their prevention; technology used in childbirth; and the fetal origins of adult disease. Finally, all aspects of the clinical care carried out by Gps and midwives are covered. The editors hope that after reading this book midwives, Gps, and obstetricians should find the theory underpinning their work has been sharply defined and that their work will be more effective and evidence-based. The editors, a GP and a midwife, anticipate the resolution of the current tensions between midwife, GP, and obstetrician and look forward to a responsive, effective and sensitive service for mothers and babies in the next millennium.

Contents include subject overview, structure and function of the reproductive organs, fetal growth and development, the normal prenatal period, complications and high-risk conditions of the prenatal period, normal labor and delivery, complications and high-risk conditions of labor and delivery, the normal neonate, the high-risk neonate, the normal postpartum period, complications and high-risk conditions of the postpartum period, reproductive issues and concerns, and appendices.

The third edition of Hospice and Palliative Care is the essential guide to the hospice and palliative care movement both within the United States and around the world. Chapters provide mental-health and medical professionals with a comprehensive overview of the hospice practice as well as discussions of challenges and the future direction of the hospice movement. Updates to the new edition include advances in spiritual assessment and care, treatment of prolonged and complicated grief, provision of interdisciplinary palliative care in limited-resource settings, significant discussion of assisted suicide, primary healthcare including oncology, and more. Staff and volunteers new to the field along with experienced care providers and those using hospice and palliative care services will find this essential reading.

The all-in-one resource for maternal-newborn and pediatric nursing skills Designed for both the nursing student and the practitioner, Clinical Skills Manual for Maternity and Pediatric Nursing can serve as both a text companion and an essential reference for step-by-step procedures in clinical settings. Showcasing more than 150 skills commonly performed on childbearing women, newborns, and children, this portable reference guides the reader through protective methods, pain assessment and management, administration of medicine and irrigation, physical assessment, and other information crucial to nurses using full-color photographs and rationales. Throughout the manual, boxes and tables highlight important safety issues, growth and development considerations, teaching for families, and clinical tips. Appendices provide information on growth grids and calculation of body surface area for medication administration.

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.

This pocket-sized book, presented in an easy-to-follow format, is designed as a tool for students and professionals to carry in any setting, providing a quick reference guide to supporting women during labour. Used as a platform for wider reading, this text is an ideal reference point for any student or professional involved with the care of childbearing women.

　

Table of Contents

Anatomy. Apgar scores. Birth environment – promoting normality. Caesarean Section (LSCS). Catheterisation. Cord bloods. CTG interpretation. Diabetic women in labour. Degrees of Tears. Deteriorating conditions. Emergencies. Emergency birth. Epidurals. Episiotomy. Examination of the placenta. Fetal blood sampling. Home birth preparation. Initial baby check. Instrumental birth. Mechanism of normal labour (LOA). Monitoring maternal and fetal well-being in labour. Obesity and labour. Pain relief. Perineal repair. Positions for labour and birth. Resuscitation equipment. Signs of transition. Stages and phases of labour. Third stage management. Vaginal assessments. Vaginal birth after caesarean (trial of scar). Waterbirth. Stillbirth and neonatal death.