Evidence-based care is a well established principle in contemporary healthcare and a worldwide health care movement. However, despite the emphasis on promoting evidence-based or effective care without the unnecessary use of technologies and drugs, intervention rates in childbirth continue to rise rapidly. This new edition emphasises the importance of translating evidence into skilful practice. It updates the evidence around what works best for normal birth, aspects of which still remain hidden and ignored by some maternity care professionals. Beginning with the decision about where to have a baby, through all the phases of labour to the immediate post-birth period, it systematically details research and other evidence sources that endorse a low intervention approach. The second edition: has been expanded with new chapters on Preparation for Childbirth and Waterbirth highlights where the evidence is compelling discusses its application where women question its relevance to them and where the practitioner's expertise leads them to challenge it gives background and context before discussing the research to date includes questions for reflection, skills sections and practice recommendations generated from the evidence. Using evidence drawn from a variety of sources, Evidence and Skills for Normal Labour and Birth critiques institutionalised, scientifically managed birth and endorses a more humane midwifery-led model. Packed with up-to-date and relevant information, this text will help all students, practising midwives and doulas keep abreast of the evidence surrounding normal birth and ensure their practice takes full advantage of it.

This title includes Foreword by Sheila Kitzinger, Writer, Researcher, Activist and Honorary Professor, Wolfson School of Health Sciences, Thames Valley University. Birth centres are suitable for every woman whose birth is straightforward, which accounts for around 75 per cent of all women. This inspirational guide shows how small scale maternity provision has a profound clinical and organisational advantage over large scale hospital provision, including saving of time and money by reducing intervention rates. It presents the thoughts and feelings of midwives and patients and how both enjoy the humane and compassionate care of the birth centre ethos. The book is invaluable for midwives, obstetricians, doulas, maternity care assistants and maternity service planners and managers. It also provides enlightening information for general practitioners and other health and social care professionals, maternity service users groups and academics with an interest in midwifery and health services. "What birth centres do best is simply providing humane childbirth care. There are no high tech gadgetry, doctors or dramatic stories of childbirth rescues that make it into the media. Yet 'miracles' happen inside their walls every day as women have their babies after normal labours and births. Until now, there have been very few books detailing what happens in birth centres so that women and childbirth professionals can be introduced to an alternative beyond the large hospital model. This book provides a window in on the birth centre model and there are some exciting things to find there about childbirth care in the 21st century." - Denis Walsh, in the Preface. "Denis Walsh has one of the most incisive, analytical and brilliant minds in nursing and midwifery research today. He demonstrates the difference between a quality environment for birth where a woman can create her own 'nest', and a technocratic, bureaucratically controlled, highly medicalised and risk-oriented birth culture dominated by the clock, which is most women's experience today." - Sheila Kitzinger, in the Foreword.

Evolution - both the fact that it occurred and the theory describing the mechanisms by which it occurred - is an intrinsic and central component in modern biology. Theodosius Dobzhansky captures this well in the much-quoted title of his 1973 paper 'Nothing in biology makes sense except in the light of evolution'. The correctness of this assertion is even more obvious today: philosophers of biology and biologists agree that the fact of evolution is undeniable and that the theory of evolution explains that fact. Such a theory has far-reaching implications. In this volume, eleven distinguished scholars address the conceptual, metaphysical and epistemological richness of the theory and its ethical and religious impact, exploring topics including DNA barcoding, three grand challenges of human evolution, functionalism, historicity, design, evolution and development, and religion and secular humanism. The volume will be of great interest to those studying philosophy of biology and evolutionary biology.

Since its origin in the early 20th century, the Modern Synthesis theory of evolution has grown to become the orthodox view on the process of organic evolution. Its central defining feature is the prominence it accords to genes in the explanation of evolutionary dynamics. Since the advent of the 21st century, however, the Modern Synthesis has been subject to repeated and sustained challenges. These are largely empirically driven. In the last two decades, evolutionary biology has witnessed unprecedented growth in the understanding of those processes that underwrite the development of organisms and the inheritance of characters. The empirical advances usher in challenges to the conceptual foundations of evolutionary theory. The extent to which the new biology challenges the Modern Synthesis has been the subject of lively debate. Many current commentators charge that the new biology of the 21st century calls for a revision, extension, or wholesale rejection of the Modern Synthesis Theory of evolution. Defenders of the Modern Synthesis maintain that the theory can accommodate the exciting new advances in biology. The original essays collected in this volume survey the various challenges to the Modern Synthesis arising from the new biology of the 21st century. The authors are evolutionary biologists, philosophers of science, and historians of biology from Europe and North America. Each of the essays discusses a particular challenge to the Modern Synthesis treatment of inheritance, development, or adaptation. Taken together, the essays cover a spectrum of views, from those that contend that the Modern Synthesis can rise to the challenges of the new biology, with little or no revision required, to those that call for the abandonment of the Modern Synthesis. The collection will be of interest to researchers and students in evolutionary biology, and the philosophy and history of the biological sciences.

Evolution - both the fact that it occurred and the theory describing the mechanisms by which it occurred - is an intrinsic and central component in modern biology. Theodosius Dobzhansky captures this well in the much-quoted title of his 1973 paper 'Nothing in biology makes sense except in the light of evolution'. The correctness of this assertion is even more obvious today: philosophers of biology and biologists agree that the fact of evolution is undeniable and that the theory of evolution explains that fact. Such a theory has far-reaching implications. In this volume, eleven distinguished scholars address the conceptual, metaphysical and epistemological richness of the theory and its ethical and religious impact, exploring topics including DNA barcoding, three grand challenges of human evolution, functionalism, historicity, design, evolution and development, and religion and secular humanism. The volume will be of great interest to those studying philosophy of biology and evolutionary biology.

There's a wealth of information out there for expectant mums on pregnancy and birth, but so often the dad is left out of the conversation. Male midwife Mark Harris seeks to redress the balance with this new book, drawing on his decades of experience with couples as they make the transition to being new parents. Covering topics from massage to sex, and pain relief during labour to breastfeeding, this is a lively, honest and frank discussion of pregnancy and birth from a man's point of view. Mark explores how to harness the power of birthing hormones, how to remain calm and aware in the birthing room, how to communicate effectively, and ultimately how to live the process of becoming a father to the full.

Evidence-based care is a well established principle in contemporary healthcare and a worldwide health care movement. However, despite the emphasis on promoting evidence-based or effective care without the unnecessary use of technologies and drugs, intervention rates in childbirth continue to rise rapidly. This new edition emphasises the importance of translating evidence into skilful practice. It updates the evidence around what works best for normal birth, aspects of which still remain hidden and ignored by some maternity care professionals. Beginning with the decision about where to have a baby, through all the phases of labour to the immediate post-birth period, it systematically details research and other evidence sources that endorse a low intervention approach. The second edition: has been expanded with new chapters on Preparation for Childbirth and Waterbirth highlights where the evidence is compelling discusses its application where women question its relevance to them and where the practitioner's expertise leads them to challenge it gives background and context before discussing the research to date includes questions for reflection, skills sections and practice recommendations generated from the evidence. Using evidence drawn from a variety of sources, Evidence and Skills for Normal Labour and Birth critiques institutionalised, scientifically managed birth and endorses a more humane midwifery-led model. Packed with up-to-date and relevant information, this text will help all students, practising midwives and doulas keep abreast of the evidence surrounding normal birth and ensure their practice takes full advantage of it.