With the increasing risk of litigation in midwifery, there is often a move to err on the side of caution and classify women as 'at risk' - even if they present with only a hint of a problem. Reflecting the need for global professional standards, this unique book presents the available evidence on normality in childbirth and proposes new approaches and paradigms for future research and practice. Covering a variety of subjects, international contributors present evidence-based, practical expertise on normal birth to help readers become aware of the wide parameters of "normal" in order to practice effectively and safely. Explores the nature and implications of normal childbirth as opposed to birth with medical intervention. Challenges the fundamental assumptions underpinning current beliefs and attitudes surrounding normal birth. Synthesizes evidence to provide different ways of seeing normality and interpreting its meanings. Provides a highly applicable reference for readers with an interest in the multiple aspects of normal birth. With 18 expert contributors
This new edition builds on the strengths of the popular first edition, with updated national and international data, and the most recent debate around the controversial area of childbirth. With the increasing risk of litigation, there can be a tendency to classify women as 'at risk' if they present with even a hint of a problem. This is a contentious area and midwives need to be aware of the wide parameters of 'normal' in order to practise autonomously, effectively and safely. This book provides an evidence-based source for all midwives and other health professionals with an interest normal birth. Explores the wider range of normal childbirth that is unique to individual mothers and babies Challenges the assumptions underpinning current beliefs and attitudes Updated statistics, both national and international Latest research and debate
This book provides an introduction to the sociological study of midwifery. The readings have been selected to highlight the interplay between midwifery and medicine, reflecting the medicalization of childbirth. It highlights the major themes in both a historical and a current context, as well as western and non-western societies. Two major themes underlie the organization of this book: that the conception of midwifery must be broadened to encompass a sociological perspective; and that the ongoing trend toward the medicalization of midwifery is crucial to an understanding of the historical, current, and future status of midwifery. By medicalization of childbirth and midwifery the author mean the increasing tendency for women to prefer a hospital delivery to a home delivery, the increasing trend toward the use of technology and clinical intervention in childbirth, and the determination of medical practitioners to confine the role played by midwives in pregnancy and childbirth, if any, to a purely subordinate one.
An international collaboration of lecturers, practitioners and researchers. Each chapter considers a topic relevant to normalising maternity care. Topics include: routine interventions epidurals physiological third and fourth stages longer labours and approaches to monitoring / intervention most effective models of care birth centres home birth mental health doulas reasons for intervention links between research and practice harmonising models of birth caseload midwifery including 'normality' on medical training courses the symbolic value of birth developments in China, the UAE, Brazil and other countries where dramatic changes are taking place (e.g. in sub-Saharan Africa) the 'natural' caesarean individual agents for change intrapartum best practice ways of supporting women labouring without pharmacological pain relief water birth VBAC the role of regulatory bodies ways of publicising your work communication for best results review of progress and pointers for future research. Questions and extracts provide stimulating reflection and seminar material. For midwives, obstetricians, GPs, doulas and other maternity caregivers. "I strongly recommend this book to midwives, obstetricians, doctors and hospital administrators. It carefully reviews the scientific data." Marsden Wagner-who was director of Women's and Children's Health at the World Health Organization for 15 years, before his retirement. Questions and extracts provide stimulating reflection and seminar material. For midwives, obstetricians, GPs, doulas and other maternity caregivers. "I strongly recommend this book to midwives, obstetricians, doctors and hospital administrators. It carefully reviews the scientific data." Marsden Wagner-who was director of Women's and Children's Health at the World Health Organization for 15 years, before his retirement"
Proactive Support of Labor enhances professional labor and delivery skills by providing the expertise for preventing prolonged labor which is the root-cause of women's dissatisfaction with the experience of childbirth. Step-by-step, evidence-based guidance on good practice during labor is given, including fetal and maternal monitoring, pain relief, and the prevention and timely correction of everyday labor disorders. It leaves no aspect of childbirth practice untouched. Included are guidance on adequate pre-labor education, psychological support, and well-defined birth-planning - including strict diagnoses and timely corrective measures in abnormal labor, and constant audit of all procedures. The birth-plan promotes team spirit between obstetricians, midwives and nurses, good communication, and sound organization. Proactive Support of Labor strikes a new balance between natural birth and intervention and invariably enhances women's satisfaction with the childbirth experience. The book will be essential reading for obstetricians, midwives, labor room nurses, and maternal-fetal medicine specialists and trainees. For more information, reviews and forums visit the publication's website at www.proactivesupportoflabor.com.
Evidence-based care is a well established principle in contemporary healthcare and a world wide 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 are rising rapidly. Evidence-based Care for Normal Labour and Birth brings to light much of the evidence around what works best for normal birth which has, until now, remained largely hidden and ignored by 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 book: 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 and practice recommendations generated from the evidence. Using research data, Evidence-based Care 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 controversial book 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.
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.
An International Exploration and Examination of Midwifery Practice
Author: Lindsay Reid
Publisher: Elsevier Health Sciences
This book deals with the central theme of freedom to practise midwifery in selected countries of the world. Each chapter has a separate author who has specific knowledge of the country for that chapter either as a citizen or researcher. The underpinning theme of this book is the philosophy of best midwifery practice - particularly that which is evidence-based. To clarify the meaning of the term, the book includes an initial chapter that discusses the aims and realities of achieving 'best practice' - wherever in the world a midwife may be and under whatever circumstances she may be working.
Supporting a Physiologic Approach to Pregnancy and Birth: A Practical Guide provides an overview of current evidence and a range of practical suggestions to promote physiologic birth within the United States healthcare system. Presenting the latest evidence available on practical approaches and minimal interventions, this book looks into clinic exam rooms and hospital labor units to investigate the possibilities for improving the pregnancy and labor experience. Contributors discuss recent research and other published information and present a range of ideas, tools, and solutions for maternity care clinicians, including midwives, nurses, physicians, and other members of the perinatal team. An invaluable resource, Supporting a Physiologic Approach to Pregnancy and Birth is a must-have practical guide for those involved in all aspects of pregnancy and birth.
Is the experience of childbirth becoming 'globalised'? Is the encroachment of the western medical model dehumanising a profoundly human experience? If so, what can midwives and midwife educators do about it? These are the questions at the heart of Childbirth in the Global Village which highlights the role that globalisation plays in changing childbirth practices and its implications for midwifery practice and education. Built around the vivid personal stories of women and midwives experiencing childbirth in four very different cultures Childbirth in the Global Village will resonate with the experience of midwives everywhere and makes a strong case for redesigning the midwifery curriculum to reflect the interconnectedness of childbirth, midwifery education and practice around the globe.
Joints and Connective Tissues - General Practice: The Integrative Approach Series. In order to diagnose and manage the patient presenting with musculoskeletal symptoms, it is important to distinguish whether the pathology is arising primarily in the so-called hard tissues (such as bone) or the soft tissues (such as cartilage, disc, synovium, capsule, muscle, tendon, tendon sheath). It is also important to distinguish between the two most common causes of musculoskeletal symptoms, namely inflammatory and degenerative.
Reflexology in Pregnancy and Childbirth is a definitive text on the safe and appropriate use of reflex zone therapy in pregnancy, labour and the puerperium, focusing on evidence-based practice, professional accountability and application of a comprehensive knowledge of the therapy related to reproductive physiology. Denise Tiran, an experienced midwife, reflex zone therapist, university lecturer and Director of Expectancy – the Expectant Parents’ Complementary Therapies Consultancy - has an international reputation in the field of maternity complementary therapies, has researched and written extensively on reflexology, and has treated nearly 5000 pregnant women with structural reflex zone therapy. KEY FEATURES Case histories to ease application of theory to practice Charts, tables and diagrams are used throughout for ease of learning Includes a section on conception, infertility and sub-fertility Covers legalities and ethical issues. Fully evidence-based Focuses on safety Academic Includes Case histories to illustrate points discussed in the text Charts, Tables and diagrams used throughout for ease of learning Relevant anatomy, physiology and conventional care covered Section on conception, infertility and sub-fertility Legalities and ethical issues Professional accountability
Focusing on emergencies for midwives, this handbook is designed to enhance confidence, knowledge and skills. It provides an easy-to-use resource for practising midwives to build on their understanding of urgent or emergency situations, and explores the range of actions that can be taken by midwives at hospital, a birth centre or at home. It also covers the less common conditions that can complicate pregnancies. With contributions from highly experienced midwives, it provides key information on high-risk medical and obstetric situations, contains relevant information on litigation and also examines conclusions from The Report on Confidential Enquiries into Maternal Deaths.
The primary purposes of this volume are: 1. To provide mental health practitioners with a current overview of our knowledge about normal parental development during pregnancy and its relation to fetal development, with particular emphasis on the impact of acute and chronic stress on these developmental processes. 2. To provide an understanding of the general state of the field of pregnancy and childbirth care both in conventional health systems and in alternative options. 3. To provide an understanding of models of consultation and liaison that are adapt ed to the special conditions of pregnancy and childbirth care, as contrasted to the more traditional modes that characterize these activities in medical and surgical hospitals. If there prove to be secondary gains as a result of pursuing these goals, so much the better. The most desirable of these would be a heightening of awareness of the mental health needs of "pregnant families" and of the risks they incur in transition from non parenthood to parenthood, and a more effective level of primary and secondary prevention of childhood mental disorders. These latter goals are more global and perhaps even a bit grandiose. Their attainment could only be documented through a series of carefully designed research projects aimed at measuring long-range developmental outcome in children and families who have experienced appropriate and early intervention during the pregnancy period.
Midwifery Preparation for Practice 2e is the only text which reflects the historical and socio – political environment in which midwives in Australia and New Zealand practice. In addition, it is the only text which incorporates the philosophy and standards endorsed by New Zealand and Australian Colleges of Midwives while also focusing on the partnership between midwives with women and the woman- centred model of midwifery care. The second edition has built on the existing philosophy and structure of Midwifery: Preparation for Practice, though with a greater emphasis on the development of critical thinking and researching skills. Key chapters have been re-written to reflect recent changes in government legislation while current research and pertinent examples are included throughout the text. This new edition is supported by a comprehensive suite of resources for both Instructors and Students using the Evolve website as a platform. These ancillaries will re-enforce the critical thinking elements for students with interactive case studies and scenario based learning exercises as well as the multiple choice questions. Presents unique philosophy and woman-centered approach in line with the standards set by the ACNM and NZCM Key contributors from Australia and New Zealand Key terms, Chapter Overview, Learning Outcomes and Review Questions included in every chapter. Reflective exercises, Critical thinking exercises and Clinical Scenarios to encourage active student learning 2 new Indigenous chapters highlight key health aspects relevant for Midwives working with Aboriginal and Torres Strait Islander women and Maori women New chapter on Perineal care and repair Increased coverage of anatomy and physiology Instructor and Student resources on Evolve with a focus on critical thinking – Weblinks, interactive case studies, PowerPoints, additional exercises with questions and answers
Postpartum depression has become a more recognized mental illness over the past decade as a result of education and increased awareness. Traumatic childbirth, however, is still often overlooked, resulting in a scarcity of information for health professionals. This is in spite of up to 34% of new mothers reporting experiencing a traumatic childbirth and prevalence rates rising for high risk mothers, such as those who experience stillbirth or who had very low birth weight infants. This ground-breaking book brings together an academic, a clinician and a birth trauma activist. Each chapter discusses current research, women’s stories, the common themes in the stories and the implications of these for practice, clinical case studies and a clinician’s insights and recommendations for care. Topics covered include: mothers’ perspectives, fathers’ perspectives, the impact on breastfeeding, the impact on subsequent births, PTSD after childbirth and EMDR treatment for PTSD. This book is a valuable resource for health professionals who come into contact with new mothers, providing the most current and accurate information on traumatic childbirth. It also presents mothers’ experiences in a manner that is accessible to women, their partners, and families.
Pregnancy and childbirth brings together, for the first time, western and eastern approaches providing a sound amalgamation of theoretical and practical information for bodywork practitioners world-wide. It describes in detail the application of massage and shiatsu from early pregnancy, including work during labour and for the first year postnatally for the mother. This is a useful source of information for massage therapists, shiatsu practitioners, osteopaths, physical therapists, chiropractors, reflexologists, aromatherapists, acupuncturists, yoga and Pilates instructors. For Students and practitioners to use as a learning manual and reference tool, the text provides: Clarity of information Full text referencing Clear diagrams, photographs, and summary boxes Clinical accuracy: reviewed by, and with contributions from, international specialists including midwives, obstetricians, osteopaths, chiropractors, acupuncturists, aromatherapists and massage therapists.
Making good nutritional choices can mean women optimise the outcomes of their birthing experience and offer their babies the best possible start in life. To support this, all health professionals who work with women during pregnancy, birth and the postnatal period need to have an appropriate knowledge of nutrition, healthy eating and other food related issues. This evidence-based text provides an informative and accessible introduction to nutrition in pregnancy and childbirth. As well as allowing readers to recognise when nutritional deficiency may be creating challenges, it explores the psychosocial and cultural context of food and considers their relevance for women’s eating behaviour. Finally, important emerging issues, such as eating during labour, food supplements and maternal obesity, are discussed. An important reference for health professionals working in midwifery or public health contexts especially, this book is also the ideal companion for a course on nutrition in pregnancy and childbirth.