https://ebookmass.com/product/myles-textbook-for-midwives-e-
Instant digital products (PDF, ePub, MOBI) ready for you
Download now and discover formats that fit your needs...
Workbook for McCurnin’s Clinical Textbook for Veterinary Technicians E Book 9th Edition, (Ebook PDF)
https://ebookmass.com/product/workbook-for-mccurnins-clinicaltextbook-for-veterinary-technicians-e-book-9th-edition-ebook-pdf/
ebookmass.com
Textbook of Natural Medicine – E-Book – Ebook PDF Version
https://ebookmass.com/product/textbook-of-natural-medicine-e-bookebook-pdf-version/
ebookmass.com
Textbook of Clinical Neuroanatomy - E-Book 3rd Edition Singh
https://ebookmass.com/product/textbook-of-clinical-neuroanatomy-ebook-3rd-edition-singh/
ebookmass.com
Transportation: a global supply chain perspective 9e Edition Coyle
https://ebookmass.com/product/transportation-a-global-supply-chainperspective-9e-edition-coyle/
ebookmass.com
Child Development 9th Edition,
(Ebook PDF)
https://ebookmass.com/product/child-development-9th-edition-ebook-pdf/
ebookmass.com
Attired in Highland Gold (Colors of Scandal Book 15) Sandra Sookoo
https://ebookmass.com/product/attired-in-highland-gold-colors-ofscandal-book-15-sandra-sookoo/
ebookmass.com
Workbook for Textbook of Radiographic Positioning and Related Anatomy John P. Lampignano Med Rt(R)(Ct) & Leslie E. Kendrick Ms Rt(R)(Ct)(Mr)
https://ebookmass.com/product/workbook-for-textbook-of-radiographicpositioning-and-related-anatomy-john-p-lampignano-med-rtrct-leslie-ekendrick-ms-rtrctmr/
ebookmass.com
Schwarze Flut (John Decker 6) (German Edition) Strong
https://ebookmass.com/product/schwarze-flut-john-decker-6-germanedition-strong/
ebookmass.com
Principles of Microeconomics 12th Edition, (Ebook PDF)
https://ebookmass.com/product/principles-of-microeconomics-12thedition-ebook-pdf/
ebookmass.com
Marked Witch: Enemies to Lovers Paranormal Urban Fantasy
Romance (Blood Legacy Book 2) Amber Ella Monroe
https://ebookmass.com/product/marked-witch-enemies-to-loversparanormal-urban-fantasy-romance-blood-legacy-book-2-amber-ellamonroe/
ebookmass.com
Evaluation
Conclusion
10. Change and Adaptation in Pregnancy
Physiological Changes in the Reproductive System
Uterine Divisions
Cervical Ripening
Cervical Shortening and Effacement
The Vagina
Changes in the Cardiovascular System
Haematological Changes
Changes in the Respiratory System
Changes in the Urinary System
Changes in the Gastrointestinal System
Stomach and Intestines
Appendix
Gallbladder
Liver
Maternal Weight
Musculoskeletal Changes
Skin Changes
Changes in the Endocrine System
The Pituitary Gland and its Hormones
Adrenal Gland
11. Antenatal Care
The Aim of Antenatal Care
The Initial Assessment (Booking Visit)
Meeting the Midwife
Physical Examination
The Midwife’s Examination
Position
Ongoing Antenatal Care
12. Concealed Pregnancy
Background
Definitions of Concealed Pregnancy
Reconceptualizing Concealed Pregnancy
Why is Concealed Pregnancy of Concern?
Reasons Why Pregnancies are Concealed
Consequences of Concealed Pregnancy
13. Antenatal Screening of the Mother and Fetus
Screening Principles
How Screening is set up and the Midwife’s Role and Responsibilities
Individual Screening Test Considerations
Fetal Screening Tests
Screening for Maternal Conditions
Conditions not Currently Screened
Conclusion
14. Problems Associated with Early and Advanced Pregnancy
The Midwife’s Role
Abdominal Pain in Pregnancy
Bleeding Before the 24th Week of Pregnancy
Other Problems in Early Pregnancy
Bleeding After the 24th Week of Pregnancy
Hepatic Disorders and Jaundice
Skin Disorders
Abnormalities of the Amniotic Fluid
Conclusion
15. Medical Conditions of Significance to Midwifery Practice
Hypertensive Disorders
Hypertensive Conditions of Pregnancy
Metabolic Disorders
Thyroid Disease
Prolactinoma
Cardiac Disease
Neurological Disorders
Respiratory Disorders
Thromboembolic Disease
Haematological Disorders
Infection/Sepsis
16. Multiple Pregnancy
Incidence
Twin Pregnancy
The Multiple Pregnancy
Labour and the Birth
Complications Associated with Multiple Pregnancy
Postnatal Period
Development of Twins
Triplets and Higher Order Births
Disability and Bereavement
Multifetal Pregnancy Reduction
Sources of Help
Section 4. Labour
17. Care of the Perineum, Repair and Female Genital Mutilation
Prevention of Perineal Trauma
Definition of Perineal Trauma
Episiotomy
Diagnosis of Perineal Trauma
Female Genital Mutilation/Genital Cutting/Female Circumcision
Repair of Perineal Trauma
Obstetric Anal Sphincter Injuries
Postoperative Care After Oasis
Follow-Up
Medicolegal Considerations
Training
18. Fear of Childbirth (Tocophobia)
Definition and Prevalence
History
Psychology and Physiology
Risk Factors
Causes
Prediction Tools
Research
Policy Context
19. Physiology and Care During the First Stage of Labour
Defining Labour
The Onset of Spontaneous Physiological Labour
Physiology of the First Stage of Labour
Recognition of the First Stage of Labour
Initial Meeting With the Midwife
Subsequent Care in the First Stage of Labour
Assessing the Wellbeing of the Woman
Assessing the Wellbeing of the Fetus
Women’s Control Of Pain During Labour
First Stage of Labour: Vaginal Breech at Term
Prelabour Rupture of the Membranes at Term
Preterm Prelabour Rupture of the Membranes
The Responsibilities of the Midwife
20. Physiology and Care During the Transition and Second Stage Phases of Labour
The Nature of The Transition and Second Stage Phases of Labour
Recognition of The Commencement of The Expulsive Phase of Labour
Phases and Duration of The Second Stage
Maternal Response to Transition and The Second Stage
The Mechanism of Normal Labour (Cephalic Presentation)
Midwifery Care in Transition and The Second Stage
Vaginal Breech Birth at Term
Record-Keeping
Conclusion
21. Physiology and Care During the Third Stage of Labour
Physiological Processes
Caring for a Woman in the Third Stage of Labour
Completion of the Third Stage of Labour
Complications of the Third Stage of Labour
Conclusion
22. Prolonged Pregnancy and Variations of Uterine Action
Prolonged Pregnancy
Incidence
Plan of Care for Prolonged Pregnancy: The Debate and Controversy
Induction of Labour
Slower Than Expected Progress and Prolonged Labour
Midwifery Approaches When Labour Progress Slows or Ceases
Obstructed Labour
Precipitate Labour
Making Birth a Positive Experience
23. Malpositions of the Occiput and Malpresentations
Introduction
Occipitoposterior Positions
Face Presentation
Brow Presentation
Shoulder Presentation
Unstable Lie
Compound Presentation
24. Operative Births
Assisting a Vaginal Birth
Indications for Ventouse or Forceps
Contraindications to an Instrumental Vaginal Birth
Prerequisites for any Operative Vaginal Birth
Birth by Ventouse
Birth by Forceps
Caesarean Section
25. Maternity Emergencies
Introduction
Communication
Vasa Praevia
Presentation and Prolapse of the Umbilical Cord
Shoulder Dystocia
Rupture of the Uterus
Amniotic Fluid Embolism
Acute Inversion of the Uterus
Shock
Drug Toxicity/Overdose
26. Recognition of the Acutely Unwell Woman: Maternal Collapse and Resuscitation
Introduction
Recognizing Acute Illness
The Abcde Approach to Managing Critical Illness
Sbar Communication Tool
Critical Illness and Specific Clinical Conditions Pertinent to Pregnancy, Labour and Birth
What are the physiological and anatomical changes in pregnancy that affect resuscitation?
Summary
Section 5. Puerperium
27. Optimal Infant Feeding
Introduction
The Breast and Breastmilk
The Baby Friendly Initiative
Effective Positioning
Feeding Behaviour
Care of the Breasts
Difficulties With Breastfeeding
Feeding Difficulties Due to the Baby
Complexity and Breastfeeding
Feeding With Formula Milk
The Healthy Start Initiative
28. Physiology and Care During the Puerperium
The Postnatal Period
Historical Background
Framework and Regulation for Postnatal Care
Midwives and Postnatal Care
Physiological Changes and Observations
Expectations of Health
Fertility Awareness (Natural Family Planning)
Record-Keeping and Documentation
Transition to Parenthood
The 6–8 Week Postnatal Examination
29. Physical Health Issues and Complications in the Postnatal Period
The Need for Woman-Focused and Family-Centred Postpartum Care
Potentially Life-Threatening Conditions and Morbidity After the Birth
Immediate Maternal Complications Following the Birth of the Baby
Postpartum Complications
Midwifery Care After an Operative Birth
Emotional Wellbeing
Woman/Midwife Relationship
30. Perinatal Mental Health
Part A: Pregnancy, Childbirth, Puerperium: The Psychological Context
Transition to Parenthood
Role Change/Role Conflict
The Ideology of Motherhood
Social Support
Emotional Changes During Pregnancy, Labour and the Puerperium
Postnatal ‘blues’
Distress or depression?
Conclusion
Part B: Perinatal Psychiatric Conditions
Types of Psychiatric Disorder
Psychiatric Disorder in Pregnancy
Psychiatric Disorder After Birth
Treatment of Perinatal Psychiatric Disorders
Service Provision
Prevention and Prophylaxis
Conclusion
31. Perinatal Loss and Bereavement in Maternity Care
Introduction
Grief and Loss
Forms of Loss and Bereavement During Childbirth
Termination of Pregnancy
Relinquishing a Baby
The Baby With a Disability
Loss in Healthy Childbearing
Perinatal Mortality – the Contemporary Picture
Managing Perinatal Loss
Bereavement Care
The Postnatal Period
Considerations Following Perinatal Loss
The Death of a Mother
Support for the Healthcare Professional
Conclusion
Section 6. The Neonate
32. Recognizing the Healthy Baby at Term Through Examination of the Newborn Screening
The First Examination of the Newborn Following Birth
The Daily Examination of the Baby Screening
Full Systematic Physical Examination of the Newborn/Newborn and Infant Physical Examination
Neurological Examination
Newborn Screening Tests
Communication and Documentation
33. Resuscitation of the Healthy Baby at Birth: The Importance of Drying, Airway Management and Establishment of Breathing
Drying the Baby
Airway Management and Breathing
Parental Support Through Effective Communication
34. The Healthy Low Birth Weight Baby
Classification of Babies by Gestation and Weight
Small for Gestational Age
The Preterm Baby
Care of the Healthy Low Birth Weight Baby
Optimizing the Care Environment for the Healthy Low Birth Weight Baby
35. Trauma During Birth, Haemorrhages and Convulsions
Trauma During Birth
Haemorrhages
Convulsions
Support of Parents
36. Congenital Malformations
Communicating the News
Palliative Care
Definition and Causes
Chromosomal Malformations
Gastrointestinal Malformations
Malformations Relating to Respiration
congenital cardiac defects
Central Nervous System Malformations
Musculoskeletal Deformities
Anomalies of the Skin
Genitourinary System
Disorders of Sex Development
Teratogenic Causes
Support for the Midwife
37. Significant Problems in the Newborn Baby
Introduction
Initial Examination and Recognition of Problems
Recognition of Problems At the Time of Resuscitation
Infection in the Newborn
Respiratory Problems
Congenital Heart Disease
Jaundice
Haematological Problems
Metabolic Problems
Electrolyte Imbalances in the Newborn
Inborn Errors of Metabolism in the Newborn
Endocrine Problems
Effects on the Newborn of Maternal Drug Abuse/Use During Pregnancy
38. Care of the Dying Baby: End-of-Life Issues and Rights of the Fetus/Neonate
Introduction
The Unique Circumstances of the Baby
Decision-Makers: the Ongoing Debate
The Main Ethical Debates Relating to End-of-Life Care
Spectrum of Care
Babies who Warrant Admission to the NICU/SCBU
Withholding/Withdrawal of Treatment
The Midwife’s Role in the Care of the Dying Baby/End-of-Life Care
Strategies to Support Midwives Caring for BABIES at the End-ofLife
The Value of Inter-Professional Learning and Working
Conclusion
Glossary of terms and acronyms
Index
Copyright
© 2020, Elsevier Limited. All rights reserved.
First edition 1953 Ninth edition 1981
Second edition 1956 Tenth edition 1985
Third edition 1958 Eleventh edition 1989
Fourth edition 1961 Twelfth edition 1993
Fifth edition 1964 Thirteenth edition 1999
Sixth edition 1968 Fourteenth edition 2003
Seventh edition 1971 Fifteenth edition 2009
Eighth edition 1975 Sixteenth edition 2014
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein).
Notices
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds or experiments described herein. Because of rapid advances in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
ISBN: 978-0-7020-7642-8
IE ISBN: 978-0-7020-7643-5
Content Strategist: Alison Taylor and Poppy Garraway
Content Development Specialist: Veronika Watkins
Content Coordinator: Susan Jansons
Project Manager: Anne Collett and Louisa Talbott
Design: Amy Buxton
Printed in Poland
Last digit is the print number: 9 8 7 6 5 4 3 2 1
Contributors
Kirsten Allen, BMBS, MMedSci , Obstetrics and Gynaecology, Nottingham University Hospitals NHS Trust, Nottingham, UK
Michelle Anderson, RM, BSc(Hons), Psy, BSc, PGCert (Med Sim) , Research Midwife, The Royal Free London NHS Foundation Trust, London, UK
Julia Austin, PGDip, BA(Hons), RM, RGN , Consultant Midwife, Public Health Research and Quality Standards/Professional Midwifery AdvocateUniversity Hospitals of Leicester NHS Trust, Womens’ and Childrens’ Directorate Leicester Royal Infirmary, Leicester, UK Honorary Senior Lecturer, University of LeicesterLeicester, UK
Jenny Bailey, MMedSci/Clinical education, BN, DANS , Former Assistant Professor Midwifery (RGN, RM), Division of Midwifery, University of Nottingham, Nottingham, UK
Helen Baston, BA(Hons), MMedSci, PhD, PGDipEd, ADM, RN, RM Consultant Midwife Public Health, Sheffield Teaching Hospitals NHS Foundations Trust, UK
Honorary Researcher/Lecturer, University of Sheffield, Honorary Lecturer Sheffield Hallam University, UK
Cecily Begley, RGN, RM, RNT, FFNRCSI, MSc, MA, PhD, FTCD , Professor of Nursing and Midwifery, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland
Jenny Brewster, MEd (open), BSc(Hons) Health Studies, RM ,
Senior Lecturer in Midwifery, CNMH, University of West London, Brentford, UK
Angela Brown, BNurs, BMid, MBA, PhD , Lecturer in MidwiferySchool of Nursing and Midwifery, University of South Australia, Adelaide, Australia
Terri Coates, MSc, RN, RM, ADM, Dip Ed , Freelance Midwifery Advisor (Television and Film), London UK, PhD Student: Media and communication, Bournemouth University, Bournemouth, UK
Sarah Coombes, BSc(Hons) , Trustee, Beat SCAD, Derbyshire, UK
Helen Crafter, RM, ADM, PGCEA, MSc Health Education , (Retired) Formerly College of Nursing, Midwifery and Healthcare, University of West London, Brentford, Middlesex, UK
Joanne Dickens, BSc, PgCert, RM , Bereavement Specialist Midwife/PhD Student, SAPPHIRE (Social Science Applied to Healthcare Improvement Research)/The Infant Mortality and Morbidity Studies (TIMMS), Department of Health Sciences, College of Life Sciences, George Davies Centre, University of Leicester, Leicester, UK
Rowena Doughty, MSc, BSc , Senior Lecturer in Midwifery, Leicester School of Nursing and Midwifery, De Montfort University Leicester, Leicestershire, UK
Soo Downe OBE, PhD, MSc, RM, BA(Hons) , Professor of Midwifery Studies, Brook Building, University of Central Lancaster, Preston, Lancashire, UK
Clare Gordon, MSc Public Health Practice, BSc(Hons) Midwifery , Senior Lecturer in Midwifery, College of Nursing, Midwifery and Healthcare, University of West London, London, UK
Kerry Green, BSc(Hons) Midwifery , Health and Life Sciences, De
Montfort University, Leicester, UK
Richard Hayman, MBBS FRCOG DM , Consultant, Obstetrics and Gynaecology, Gloucestershire Hospitals NHS Foundation Trust, Gloucester, UK
Jenny Hendley, PhD, MSc, PG Cert, BSc, RM, RGN , Senior Midwifery Lecturer, School of Health SciencesUniversity of Brighton, Brighton, East Sussex, UK
Karen Jackson, MPhil, BSc(Hons), ADM, RM, RN , Former Assistant Professor in Midwifery/PhD student, Division of Midwifery, University of Nottingham, Nottingham, Nottinghamshire, UK
Amar Jawad, Consultant Obstetric Anaesthetist Chesterfield Royal Hospital Derbyshire, UK
Lucy Kean, BM BCh, DM FRCOG , Obstetrics and Gynaecology, Nottingham University Hospitals NHS Trust, Nottingham, UK
Michael RB Keighley, Emeritus Professor of Surgery, President of the MASIC Foundation
Joy Kemp, RGN, RM, CTCM&H, MSc, PGCLT (HE), FHEA , Global Professional Advisor, The Royal College of Midwives, London, UK
Michelle Knight, PGCEA, BSc, RM , Consultant Midwife, Epsom and St Helier Hospital NHS Trust Carshalton, Surrey, UK
Joan G Lalor, Professor of Midwifery, School of Nursing and Midwifery, Trinity College Dublin, Ireland
Alison Ledward, PhD, MPhil, MSc, RM, RGN, BA , Freelance writer, School of Allied Health Professions, College of Life Sciences, George Davies Centre, University of Leicester, Leicester, UK
Jayne E Marshall, FRCM, PFHEA, PhD, MA, PGCEA, ADM, RM, RGN , Foundation Professor of Midwifery/Lead Midwife for Education, School of Allied Health Professions, College of Life Sciences, George Davies Centre, University of Leicester, Leicester, UK
Amy Mason, Writer and Comedian
Carol McCormick, Consultant Midwife (retired), Nottingham, UK
John McIntyre, MBChB DM FRCPCH , Consultant Neonatologist, Derbyshire Children’s Hospital, Derby, UK
Helen McIntyre, SFHEA, DHSci, MSc, BSc(Hons) PGDE, RM, RGN , Associate Professor of MidwiferySchool of Allied Health Professions College of Life Sciences George Davies Centre, University of Leicester, Leicester, UK
Moira McLean, RGN, RM, ADM, PGCEA, PG Dip, PMA , Senior Lecturer Midwifery, Leicester School Nursing and Midwifery, De Montfort University, Leicester, UK
Aarti Mistry, MBChB, MRCPCH , Clinical Research Fellow, School of Medicine, University of Nottingham, Nottingham, UK
Sylvia Murphy Tighe, Lecturer/ Course Director BSc Midwifery, Dept of Nursing and Midwifery, University of Limerick
Irene Murray, BSc(Hons) Midwifery , Lecturer (Midwifery), Department of Nursing and Midwifery University of the Highlands and Islands, Old Perth Road, Inverness, Highland, UK
Mary L Nolan, PhD, MA, BA(Hons) , Nursing and Midwifery, University of Worcester, Worcester, UK
Shalini Ojha, PhD, Diploma (Med Ed), MD, MRCPCH, MBBS , Clinical Associate Professor, School of Medicine, University of Nottingham, Nottingham, UK
Kathleen O’Reilly, MBChB, MA, MRCPCH , Consultant
Neonatologist, Neonatal Medicine, Royal Hospital for Children, Glasgow, UK
Jean Rankin, PhD, MMedical Science, BSc(Hons) , Professor, Health, Nursing and Midwifery, University of the West of Scotland, Paisley, UK
Hazel Ransome, RM BSc(Hons), PGCLTHE , Senior Lecturer
Midwifery, Department of Midwifery, Faculty of Health, Social Care and Education, Kingston University London, UK
Maureen D Raynor, MA, PGCEA, ADM, RMN, RN, RM , Senior Lecturer in Midwifery, De Montfort University, Faculty of Health and Life Sciences, Leicester School of Nursing and Midwifery, Division of Maternal and Child HealthLeicester, UK
Mary J Renfrew, BSc, RN, RM, PhD, FRSE , Professor of Mother and Infant Research Unit, School of Nursing and Health Sciences, University of Dundee Dundee UK
Mary Ross-Davie, BA(Hons), MA, RM, PhD, FHEA
Royal College of Midwives Director for Scotland, Edinburgh, UK
Lindsey Ryan BSc, RM Lead Midwife for Clinical Education, Chesterfield Royal Hospital Foundation Trust, Derbyshire, UK
Judith Simpson, MRCPCH , Consultant Neonatologist, Neonatal Intensive Care Unit, Royal Hospital for Children, Glasgow, UK
Gill Skene, MA Eng , Scottish Representative, The Birth Trauma Association (BTA), Maternal and Mental Health Scotland, Change Agent, Edinburgh, UK
Liz Snapes, MSc, PGCE(Ed), BSc(Hons), RM , Senior Lecturer
Midwifery, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Cambridge, UK