Additional Information
Book Details
Abstract
The second edition of the popular Midwifery Essentials series continues to help readers understand and master a range of core issues safely and with confidence!
Written by leading midwifery academics, each book in the series provides a user-friendly source of information which has been fully updated thruoghout to reflect the latest evidence-base for current practice. Now with an improved design to make learning as easy as possible, each paperback in the series focuses on the importance of communication and comtemporary women-centred care and presents helpful 'scenarios' to encourage debate and reflection.
The Midwifery Essentials series is ideal for all midwives - whether qualified or in training - and is also helpful to nurses and HCAs working in the maternity environment.
- Helpful 'jigsaw' approach enables readers to explore specific topics from a variety of perspectives e.g. effective communication, team working and health promotion
- Explains the professional and legal issues surrounding current practice
- Chapters designed to be read as a 'standalone' or in succession
- Makes reference to the latest national and international guidelines
- Embraces the principles of ‘Better Births’
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | cover | ||
| Midwifery Essentials: Antenatal | i | ||
| Copyright Page | iv | ||
| Table Of Contents | v | ||
| Preface | vi | ||
| Acknowledgements | viii | ||
| 1 Introduction | 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 | 5 | ||
| Models of care | 6 | ||
| Safe environment | 6 | ||
| Promotes health | 7 | ||
| References | 7 | ||
| 2 Models of antenatal care | 9 | ||
| Models of care | 9 | ||
| Principles of antenatal care | 9 | ||
| Access to antenatal care | 10 | ||
| Schedules of antenatal care over time | 11 | ||
| Who provides antenatal care? | 12 | ||
| Midwives | 12 | ||
| Consultant obstetricians | 13 | ||
| Specialists | 14 | ||
| Support workers | 14 | ||
| Health visitors | 14 | ||
| Social services | 15 | ||
| Other professionals | 15 | ||
| Models of care | 16 | ||
| Midwife-led care | 16 | ||
| Continuity-of-care models | 17 | ||
| Group practice | 17 | ||
| Caseload midwifery | 18 | ||
| Independent midwifery practice | 18 | ||
| Shared care | 19 | ||
| Integrated care | 19 | ||
| Consultant care | 19 | ||
| Group antenatal care | 20 | ||
| Conclusion | 21 | ||
| References | 22 | ||
| 3 The booking history | 25 | ||
| Introduction | 25 | ||
| Developing relationships | 26 | ||
| Place of booking | 26 | ||
| Information | 27 | ||
| Communication | 28 | ||
| Completion of the maternity record | 29 | ||
| Personal information | 30 | ||
| Previous medical history | 31 | ||
| Assessment of mental wellbeing | 31 | ||
| Current medical history | 33 | ||
| Screening for infections | 34 | ||
| Social history | 34 | ||
| Family history | 36 | ||
| Previous obstetric history | 36 | ||
| Current obstetric history | 37 | ||
| Physical characteristics | 38 | ||
| Clinical observations | 38 | ||
| Assessing for appropriate care | 39 | ||
| Information giving | 39 | ||
| Discuss place of birth | 39 | ||
| Discuss screening | 41 | ||
| Plan appropriate antenatal care | 42 | ||
| Further scenarios | 45 | ||
| Conclusion | 46 | ||
| Resources | 46 | ||
| References | 47 | ||
| 4 Health in pregnancy | 50 | ||
| Introduction | 50 | ||
| Health in pregnancy | 51 | ||
| Diet | 51 | ||
| Quantity | 52 | ||
| Quality | 53 | ||
| Soft cheese, unpasteurized dairy products and pâté | 53 | ||
| Liver (vitamin A) | 53 | ||
| Swordfish, marlin and shark | 53 | ||
| Suggested supplements in pregnancy | 54 | ||
| Folic acid and iron | 54 | ||
| Vitamin D | 54 | ||
| Salt | 54 | ||
| Caffeine | 55 | ||
| Lifestyle choices | 56 | ||
| Alcohol | 56 | ||
| Smoking | 56 | ||
| Interventions to help smokers quit | 57 | ||
| Drug dependency | 58 | ||
| Activity during pregnancy | 59 | ||
| Fatigue | 59 | ||
| Exercise | 59 | ||
| Pelvic girdle pain | 60 | ||
| Backache | 60 | ||
| Rest during pregnancy | 61 | ||
| Uncomfortable in bed | 61 | ||
| Sleep position | 61 | ||
| Fetal movements at night | 62 | ||
| Cramp | 62 | ||
| Aching legs | 62 | ||
| Frequency of micturition | 62 | ||
| Carpal tunnel syndrome | 63 | ||
| Further scenarios | 66 | ||
| Conclusion | 68 | ||
| Resources | 68 | ||
| References | 68 | ||
| 5 Monitoring maternal physical wellbeing | 72 | ||
| Introduction | 72 | ||
| The antenatal check | 72 | ||
| Record keeping | 75 | ||
| Safety | 75 | ||
| Emotional wellbeing | 76 | ||
| Social activity | 76 | ||
| Physical tests | 77 | ||
| Routine urinalysis | 77 | ||
| Blood pressure measurement | 77 | ||
| Carbon monoxide (CO) screening | 78 | ||
| Blood tests | 78 | ||
| Clinical examination and inquiry | 79 | ||
| Legs | 79 | ||
| Vaginal loss | 79 | ||
| Micturition | 79 | ||
| Bowel function | 80 | ||
| Dietary intake | 80 | ||
| Skin integrity | 81 | ||
| Further scenarios | 86 | ||
| Conclusion | 87 | ||
| Resources | 87 | ||
| References | 87 | ||
| 6 Monitoring women’s emotional wellbeing in the antenatal period | 90 | ||
| Introduction | 90 | ||
| Background | 91 | ||
| Hormonal influences | 92 | ||
| Physical changes | 92 | ||
| Body image | 92 | ||
| Sexuality | 93 | ||
| Psychological changes | 94 | ||
| Spirituality | 94 | ||
| Sources of stress | 95 | ||
| Tokophobia | 96 | ||
| Antenatal depression | 96 | ||
| National guidance | 97 | ||
| Professional regulation | 98 | ||
| Midwives’ role in mental health assessment | 99 | ||
| Other mental wellbeing conditions | 100 | ||
| Continuing monitoring | 100 | ||
| Further scenarios | 103 | ||
| Conclusion | 105 | ||
| Resources | 105 | ||
| References | 105 | ||
| 7 Blood tests in pregnancy | 109 | ||
| Introduction | 109 | ||
| Blood tests in pregnancy | 111 | ||
| Full blood count | 111 | ||
| Blood group and rhesus factor | 113 | ||
| Anti-D | 115 | ||
| Red cell alloantibodies | 116 | ||
| Rubella antibodies | 116 | ||
| Syphilis (VDRL) | 117 | ||
| Human immunodeficiency virus (HIV) | 117 | ||
| Hepatitis B virus (HBV) | 118 | ||
| Fetal abnormality screening | 118 | ||
| Further scenarios | 121 | ||
| Conclusion | 122 | ||
| Resources | 123 | ||
| References | 123 | ||
| 8 Antenatal screening for fetal abnormality | 125 | ||
| Introduction | 125 | ||
| What is screening? | 125 | ||
| False positive and negative | 126 | ||
| Criteria for a screening test | 126 | ||
| Information for women | 127 | ||
| In summary | 128 | ||
| Understanding risk | 129 | ||
| The fetal anomaly screening programme (FASP) | 129 | ||
| Down’s syndrome (T21) | 129 | ||
| Edwards’ syndrome (T18) | 130 | ||
| Patau’s syndrome (T13) | 130 | ||
| The combined test | 131 | ||
| Ultrasound screening | 131 | ||
| The dating scan | 132 | ||
| The mid-pregnancy scan | 132 | ||
| Haemoglobinopathies | 132 | ||
| Sickle cell anaemia | 132 | ||
| Thalassaemia | 133 | ||
| Screening for haemoglobinopathies | 133 | ||
| Antenatal diagnostic tests | 133 | ||
| Cytogenetic techniques | 134 | ||
| Cell karyotyping | 134 | ||
| Amniocentesis | 135 | ||
| Chorionic villus sampling | 135 | ||
| Cordocentesis | 135 | ||
| Further scenarios | 138 | ||
| Conclusion | 140 | ||
| Resources | 140 | ||
| References | 140 | ||
| 9 Monitoring fetal wellbeing during routine antenatal care | 142 | ||
| Introduction | 142 | ||
| Background | 142 | ||
| National guidance | 143 | ||
| Professional guidance | 143 | ||
| Monitoring fetal wellbeing | 143 | ||
| Assessing fetal growth | 143 | ||
| Discussion with the woman | 143 | ||
| Inspection | 144 | ||
| Shape | 144 | ||
| Scars | 145 | ||
| Skin | 145 | ||
| Size | 146 | ||
| Palpation | 146 | ||
| Estimation of gestational age | 147 | ||
| Measurement of fundal height | 147 | ||
| Customized growth charts | 149 | ||
| Fundal, lateral and pelvic palpation | 149 | ||
| Fetal movements | 150 | ||
| Fetal heart rate | 152 | ||
| Further scenarios | 156 | ||
| Conclusion | 157 | ||
| Resources | 157 | ||
| References | 157 | ||
| 10 Antenatal care | 160 | ||
| Introduction | 160 | ||
| Antenatal expectations | 160 | ||
| Preparation for birth support | 161 | ||
| Non-NHS groups | 162 | ||
| Physical preparation | 162 | ||
| Internet-based information | 163 | ||
| Birth plans | 164 | ||
| Implementing birth plans | 166 | ||
| The partner’s role | 166 | ||
| Place of birth | 167 | ||
| Women in special circumstances | 168 | ||
| When to call a midwife | 168 | ||
| Post-term pregnancy | 169 | ||
| Further scenarios | 172 | ||
| Conclusion | 173 | ||
| Resources | 174 | ||
| References | 174 | ||
| Index | 177 | ||
| A | 177 | ||
| B | 177 | ||
| C | 178 | ||
| D | 179 | ||
| E | 179 | ||
| F | 179 | ||
| G | 180 | ||
| H | 180 | ||
| I | 180 | ||
| J | 180 | ||
| K | 180 | ||
| L | 180 | ||
| M | 181 | ||
| N | 181 | ||
| O | 181 | ||
| P | 182 | ||
| R | 183 | ||
| S | 183 | ||
| T | 183 | ||
| U | 184 | ||
| V | 184 | ||
| W | 184 | ||
| X | 184 |