Additional Information
Book Details
Abstract
New edition of a title in the popular Midwifery Essentials series originally published in conjunction with The Practising Midwife journal. The series covers core topics in midwifery education in an engaging and friendly format using a helpful ‘jigsaw’ approach which encourages readers to explore topics from a variety of perspectives e.g. effective communication, team working and health promotion. Helpful ‘scenarios’ throughout each volume encourage debate and reflection, core elements of midwifery education.
- Fully updated to provide a useful, friendly source of information
- Strong focus on contemporary women-centred care
- Designed to stimulate debate and reflection upon current practice, local policies and procedures
- Scenarios enable practitioners to understand the context of maternity care and explore their role in safe and effective service provision
- Helpful ‘jigsaw’ approach enables readers to explore specific topics from a variety of perspectives e.g. consent, safety and health promotion
- Explains the professional and legal issues surrounding clinical procedures
- Chapters designed to be read as a ‘standalone’ or in succession
- Emphasises the crucial role of effective communication
- Makes reference to the latest national and international guidelines
- Contains new scenarios to reflect recent changes in practice
- Improved layout aids retention and learning
- Fully updated throughout with the latest evidence base for clinical skills and procedures
- Embraces the principles of ‘Better Births’
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Midwifery Essentials: Postnatal | i | ||
| Copyright Page | iv | ||
| Table Of Contents | v | ||
| Preface | vi | ||
| Acknowledgements | viii | ||
| 1 Introduction | 1 | ||
| Midwifery care model | 1 | ||
| Woman-centred care | 2 | ||
| Using best evidence | 3 | ||
| Professional and legal | 3 | ||
| Team working | 4 | ||
| Effective communication | 5 | ||
| Clinical dexterity | 6 | ||
| Models of care | 6 | ||
| Safe environment | 7 | ||
| Promotes health | 8 | ||
| References | 8 | ||
| 2 Postnatal care: | 10 | ||
| Introduction | 10 | ||
| What is the postnatal period? | 10 | ||
| Postnatal care | 11 | ||
| Care planning | 11 | ||
| Access to care | 11 | ||
| What does postnatal care include? | 12 | ||
| Quality of care | 13 | ||
| Cultural differences | 14 | ||
| The postnatal examination of the woman | 15 | ||
| Wellbeing | 16 | ||
| Observations | 18 | ||
| Headache | 19 | ||
| Breasts | 19 | ||
| Uterine involution | 19 | ||
| Blood loss | 20 | ||
| Bladder | 20 | ||
| Bowels | 21 | ||
| Legs | 21 | ||
| Perineum | 21 | ||
| Postnatal exercises | 22 | ||
| Dyspareunia | 22 | ||
| The postnatal examination of the baby | 22 | ||
| Recognizing when the baby is unwell | 23 | ||
| Fontanelles | 23 | ||
| Umbilicus | 23 | ||
| Skin integrity | 25 | ||
| Feeding | 25 | ||
| Conclusion | 26 | ||
| Resources | 27 | ||
| References | 27 | ||
| 3 Care of the baby at birth | 30 | ||
| Introduction | 30 | ||
| Individualized care | 30 | ||
| Care of the baby | 31 | ||
| Maintaining baby’s temperature | 31 | ||
| Clamping and cutting the cord | 31 | ||
| Apgar score | 32 | ||
| Resuscitation equipment | 33 | ||
| Checklist for a home birth | 34 | ||
| Naming the baby | 34 | ||
| Baby labeling | 35 | ||
| Baby NHS number | 35 | ||
| Weighing the baby | 35 | ||
| The first feed | 36 | ||
| Midwife baby examination | 37 | ||
| Head and neck | 38 | ||
| Trunk, spine and genitalia | 38 | ||
| Limbs | 39 | ||
| Vitamin K | 39 | ||
| Further scenarios | 43 | ||
| Conclusion | 45 | ||
| Resources | 45 | ||
| References | 45 | ||
| 4 Examination of the newborn | 47 | ||
| Introduction | 47 | ||
| What is the examination of the newborn? | 47 | ||
| Evaluation of the examination | 48 | ||
| The examination process | 49 | ||
| Step 1: Preparation | 49 | ||
| Step 2: Observation | 50 | ||
| Step 3: Examination | 50 | ||
| Dressed | 50 | ||
| Undressed | 51 | ||
| Step 4: Explanation to parent(s) | 51 | ||
| Step 5: Documentation | 51 | ||
| Further scenarios | 55 | ||
| Conclusion | 57 | ||
| Resources | 57 | ||
| References | 58 | ||
| 5 Hospital postnatal care | 59 | ||
| Introduction | 59 | ||
| Why stay in hospital? | 59 | ||
| Transfer to the ward | 61 | ||
| Introduction to the ward | 62 | ||
| Single rooms | 63 | ||
| Security | 63 | ||
| Visiting hours | 64 | ||
| Partners staying overnight | 65 | ||
| Recovering from vaginal childbirth in hospital | 65 | ||
| The postnatal examination | 65 | ||
| Length of stay | 66 | ||
| Perineal pain | 66 | ||
| Feeding the baby | 67 | ||
| Gaining confidence | 67 | ||
| Bathing a baby | 68 | ||
| Examination of the newborn | 72 | ||
| Screening test | 72 | ||
| Information for parent before going home | 73 | ||
| Leaving hospital | 73 | ||
| Further scenarios | 76 | ||
| Conclusion | 78 | ||
| Resources | 78 | ||
| References | 79 | ||
| 6 Postoperative care following a caesarean | 81 | ||
| Introduction | 81 | ||
| Immediate postnatal care | 81 | ||
| Prophylactic antibiotics | 81 | ||
| Postoperative recovery | 82 | ||
| General anaesthesia | 82 | ||
| Epidural/spinal anaesthesia | 83 | ||
| Analgesia | 83 | ||
| Continuing care | 84 | ||
| Support to mother | 84 | ||
| Feeding the baby | 84 | ||
| Mobility and prophylaxis against thromboembolism | 85 | ||
| Fluid balance and dietary intake | 86 | ||
| Bladder and bowel function | 86 | ||
| Personal hygiene | 86 | ||
| Wound care | 86 | ||
| Length of hospital stay | 87 | ||
| Special care babies | 88 | ||
| Talking about the birth | 89 | ||
| Caring for the baby at home | 89 | ||
| Removal of stitches | 90 | ||
| Driving | 91 | ||
| Housework | 91 | ||
| Postnatal exercises | 91 | ||
| Deep breathing | 91 | ||
| Leg exercises | 91 | ||
| Pelvic floor exercises | 92 | ||
| Possible long-term sequelae of caesarean delivery | 92 | ||
| Further scenarios | 96 | ||
| Conclusion | 97 | ||
| Resources | 97 | ||
| References | 98 | ||
| 7 Postnatal care in the community | 101 | ||
| Introduction | 101 | ||
| Transfer home | 101 | ||
| Baby’s sleeping arrangements | 102 | ||
| Back to sleep | 102 | ||
| ‘Feet to foot’ | 102 | ||
| Do not overheat | 103 | ||
| Smoke-free zone | 103 | ||
| Sleep in a cot in parent’s room | 104 | ||
| Co-sleeping | 104 | ||
| No sleeping on sofa | 104 | ||
| Settle to sleep with a dummy | 104 | ||
| Breastfeed | 104 | ||
| Seek medical advice | 105 | ||
| Is the baby well? | 105 | ||
| The first night at home | 106 | ||
| Pattern of visiting | 106 | ||
| Student midwives in the community | 106 | ||
| Midwife’s first postnatal visit | 107 | ||
| After home birth | 108 | ||
| The morning after the night before | 108 | ||
| The postnatal examination | 109 | ||
| Subsequent visits | 110 | ||
| Assessment of wellbeing | 110 | ||
| Weighing the baby | 111 | ||
| Using professional judgment | 111 | ||
| Promoting parental confidence | 112 | ||
| Involving the partner | 112 | ||
| Neonatal screening test | 113 | ||
| Contraception | 114 | ||
| Transfer to the care of the health visitor | 114 | ||
| Further scenarios | 118 | ||
| Conclusion | 119 | ||
| Resources | 119 | ||
| References | 120 | ||
| 8 Emotional wellbeing following birth | 122 | ||
| Introduction | 122 | ||
| Life change | 123 | ||
| Physical issues | 125 | ||
| Body image | 125 | ||
| Lack of sleep | 126 | ||
| Spiritual issues | 127 | ||
| ‘Baby blues’ | 127 | ||
| Postnatal depressive conditions | 128 | ||
| Non-psychotic postnatal depression | 129 | ||
| Prevalence | 129 | ||
| Women at risk | 129 | ||
| Midwives’ care | 130 | ||
| Treatment | 133 | ||
| Postnatal psychosis | 134 | ||
| Care and treatment | 134 | ||
| Further scenarios | 138 | ||
| Conclusion | 139 | ||
| Resources | 139 | ||
| References | 140 | ||
| 9 Fertility control advice after birth | 144 | ||
| Introduction | 144 | ||
| When should advice be given? | 145 | ||
| Psychosexual issues | 146 | ||
| Choosing the correct method | 147 | ||
| Physiological methods | 148 | ||
| Lactational amenorrhoea | 151 | ||
| Making choices | 151 | ||
| Conclusion | 157 | ||
| Resources | 157 | ||
| References | 157 | ||
| 10 Supporting the mother to feed her baby | 160 | ||
| Helping women to feed their babies | 160 | ||
| Anatomy and physiology of breastfeeding | 161 | ||
| Reflexes | 162 | ||
| Index | 181 | ||
| A | 181 | ||
| B | 181 | ||
| C | 182 | ||
| D | 183 | ||
| E | 183 | ||
| F | 184 | ||
| G | 184 | ||
| H | 185 | ||
| I | 185 | ||
| J | 185 | ||
| L | 185 | ||
| M | 186 | ||
| N | 186 | ||
| O | 187 | ||
| P | 187 | ||
| Q | 189 | ||
| R | 189 | ||
| S | 189 | ||
| T | 190 | ||
| U | 190 | ||
| V | 190 | ||
| W | 190 |