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Revisiting Waterbirth

Revisiting Waterbirth

Dianne Garland

(2010)

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Book Details

Abstract

Revisiting Waterbirth is an essential text for midwifery practice, by an internationally renowned author. This revised version of Garland's previous book Waterbirth gives clear and structured guidance on the use of water in labour, through clinical scenarios, research summaries and evidence-based advice for both students and practitioners.
DIANNE GARLAND is a registered Midwife with over 20 years of experience, who has successfully introduced midwifery changes in order to enhance woman centred care. She is committed to the development of midwives' life long education through learning contracts which integrate theory and practice. She has experience of working with a multi-professional team within an NHS trust and with outside agencies.
Revisiting Waterbirth is an essential text for midwifery practice, by an internationally renowned author. This revised version of Garland's previous book Waterbirth gives clear and structured guidance on the use of water in labour, through clinical scenarios, research summaries and evidence-based advice for both students and practitioners.

Table of Contents

Section Title Page Action Price
Cover Cover
Contents vii
List of Figures x
List of Tables xi
List of Boxes xii
Foreword xiii
Preface xv
Abbreviations xvii
1 Professional and Governmental Support 1
Midwifery Supervision 1
Government and Professional Reports 2
2 Why Water? 10
Hydrotherapy and Waterbirth History 10
Why Water for Labour and Birth? 14
Advantages and Disadvantages of Water in Labour 16
3 Accentuating Normality 29
Midwifery or Medical Model of Care 29
Criteria for Use of Water for High-risk Mothers 31
Criteria Risk Assessment 38
Guidelines for Practice 42
Reviewing Routine Care 46
Relearning Traditional Skills 49
Challenges to Practice 53
4 Theories of Hydrotherapy in Labour 56
The Effects of Hormones in Labour 57
Normal Adaptive Process 59
Theory 1: Psychological 61
Theory 2: Spiritual 61
Theory 3: Hormonal 62
Theory 4: Physiological 63
Enhancing the Qualities of Water 64
5 Engaging with Parents 66
Choosing a Pool 66
Parent Information 67
Aquanatal Preparation 69
6 Robust Clinical Care 75
Family-centred Care 75
Maternal and Newborn Care 76
Assessing Labour 82
Second Stage 85
Third Stage Management: Active versus Physiological 89
Third Stage Options Following a Waterbirth 90
'What if … ?' 93
7 Breathing 105
In Utero Consciousness 105
Effects of Hormones 106
Fetal Heat Adaptation 106
Fetal Perspective on Waterbirth 107
Fetal Protection against Inhalation of Water 108
Initiation of the First Breath 112
Apgar Scoring after Waterbirth 116
Benefits of Waterbirth to the Baby 120
'What if … ?' The Fetal Perspective 123
8 Interprofessional Issues in Waterbirth 130
Supervisor of Midwives 130
Infection Control 131
Moving and Handling 133
Risk Management 135
Clinical Governance 137
Setting Up a Waterbirth Service 137
9 Research 143
Audit 144
Some Early Studies 151
The Newborn Perspective 161
Psychological Aspects of Water 161
Expanding Parameters 163
Conclusion 165
10 Teaching and Ongoing Education 167
Learning from Each Other 167
Literature Review 182
Newsletters 183
Skills Drills 183
Competencies 183
Internet Alerts 184
Videos/DVDs 184
Reflective Practice 184
Professional Visits 185
Midwifery Quiz 187
11 Help and Further Resources 190
Pool Hire 190
Aquanatal Classes 191
General Information 191
DVDs and Videos 192
Leaflets 192
Concluding Comment 192
Appendix 1: Effects of Adrenaline and Noradrenaline on All Major Systems 194
Appendix 2: Hyperthermia 195
Appendix 3: Temperature Control Pathway for the Fetus in Utero 198
Further Reading 200
References 202
Index 213