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Midwifery

Midwifery

Sally K. Tracy | Carol Thorogood | Jan Pincombe | Sally Pairman | Sally Pairman

(2011)

Additional Information

Book Details

Abstract

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

Table of Contents

Section Title Page Action Price
Front Cover\r Cover
Midwifery Preparation for Practice\r iii
Copyright\r iv
Contents v
Preface vii
About the editors ix
Foreword xi
Foreword xii
Contributors xiv
Reviewers xvi
Acknowledgements xvii
PART A: Partners 1
Section 1: Context\r 1
Chapter 1 - Australian and New Zealand healthcare and maternity services\r 3
What is health? 4
Definitions of healthcare services 4
Midwifery and primary healthcare 5
Principles of primary healthcare 5
Midwifery is a primary healthcare workforce 8
Midwifery and maternity services in New Zealand 8
Healthcare funding: Australia and New Zealand 18
Health funding in Australia 19
Data retrieval 25
Perinatal statistics for New Zealand and Australia 26
Conclusion 26
Notes 28
Online resources 28
References 29
Further reading 31
Chapter 2 - The Australian and New Zealand context 36
AUSTRALIA 37
NEW ZEALAND 44
IN CELEBRATION OF SIMILARITY AND DIFFERENCE 49
Online resources 50
References 50
Further reading/viewing 50
Chapter 3 - Understanding worldviews for midwifery 52
The biomechanical model of medicine and disease 53
A social model of health, illness and the body 54
Structuralism and health 56
The summary so far 59
Interpretive theories of health 59
Discourses of the self 61
Discourses and resistance 62
The postmodern self 63
Conclusion 65
Notes 66
Online resources 66
Further reading/viewing 67
Glossary 67
Chapter 4 - Risk and safety\r 69
Introduction 70
Science: sourcing the evidence 70
Society, culture and the role of values 71
Working with risk and safety: a birth stool for the midwife 73
Using the birth stool: putting theory into practice 77
Online resources 78
References 78
Chapter 5 - Ways of looking at evidence and measurement 80
INTRODUCTION 81
SEEKING TRUTH 81
QUALITATIVE RESEARCH METHODS 82
EVIDENCE-BASED PRACTICE 85
EPIDEMIOLOGICAL METHOD 86
THE RANDOMISED CONTROLLED TRIAL 88
THE SYSTEMATIC REVIEW 89
META-ANALYSIS 90
SYNTHESIZING RESEARCH 90
PRACTICE DEVELOPMENT 90
COMPLEX INTERVENTIONS, HEALTHCARE POLICY AND REALIST REVIEW 91
THE HIERARCHY OF EVIDENCE 93
INTERVENTION STUDIES 94
COHORT STUDIES 95
CASE CONTROL STUDIES 95
CROSS-SECTIONAL STUDIES 95
ECOLOGICAL STUDIES 95
BIAS IN RESEARCH STUDIES 96
CONFIDENCE INTERVALS 97
ODDS RATIOS 97
CONCLUSION 99
Review questions 100
Further reading 102
Chapter 6 - The place of birth 104
Introduction 105
Birth moves from home to hospital 105
What was lost in the move? 108
What is a ‘normal birth’? 112
The New Zealand experience 112
What do we know about birth physiology? 114
BELIEF IN BIRTH AS A NORMAL\rPHYSIOLOGICAL\rPROCESS 115
Conclusion 120
Online resources 121
References 121
Further reading 123
Section 2: The woman\r 125
Chapter 7 - Challenges to women’s health\r 127
INTRODUCTION 128
WOMEN, HEALTH AND ILLNESS 136
SMOKING 140
ALCOHOL 144
DRUGS OF ADDICTION 146
VIOLENCE IN THE FAMILY 148
SEXUALLY TRANSMITTED INFECTIONS AND BLOOD-BORNE VIRUSES 151
CONCLUSION 157
Online resources 158
References 158
Chapter 8 - Midwives working with Aboriginal and Torres Strait Islander women\r 162
ABORIGINAL AND TORRES STRAIT ISLANDER HEALTH IN AUSTRALIA 163
WHY THE DIFFERENCE IN HEALTH OUTCOMES? 164
THE ABORIGINAL AND TORRES STRAIT ISLANDER DEFINITION OF HEALTH 166
MAKING A DIFFERENCE 168
THE WAY FORWARD 171
Notes 173
References 173
Further reading 176
Chapter 9 - Working with Māori women: ­challenges for midwives\r 177
INTRODUCTION 178
COLONIAL HISTORY AND MĀORI HEALTH 178
AN OVERVIEW OF MĀORI HEALTH STATISTICS AND CONTRIBUTING FACTORS 181
THE DEVELOPMENT OF PREGNANCY AND CHILDBIRTH SERVICES FOR MĀORI WOMEN 183
CONCLUSION 187
Notes 188
References 188
Further reading 190
Chapter 10 - Options for women around fertility and reproduction 194
INTRODUCTION 195
WORLD POPULATION TRENDS 195
FERTILITY 198
OLDER WOMEN AND CHILDBIRTH 200
TEENAGE PREGNANCIES 202
METHODS OF ASSISTED REPRODUCTION 202
LAWS ABOUT DONATION 206
DEMOGRAPHICS OF ASSISTED REPRODUCTION\r 206
SURROGACY 208
CONCLUSION 209
Online resources 210
References 210
Chapter 11 - Transitions\r 213
BACKGROUND 214
INFANT TRANSITION 214
WOMEN’S TRANSITION TO PARENTHOOD 218
MEN’S TRANSITION TO PARENTHOOD 220
SUMMARY 222
References 223
Section 3: The midwife\r 225
Chapter 12 - Professional frameworks for practicein Australia and New Zealand\r 227
INTRODUCTION 228
PROFESSIONS AND PROFESSIONALISM: WHAT DO THEY MEAN? 228
DEVELOPMENT OF THE MIDWIFERY PROFESSION IN NEW ZEALAND 235
DEVELOPMENT OF THE MIDWIFERY PROFESSION IN AUSTRALIA 238
MIDWIFERY REGULATION IN NEW ZEALAND 242
MIDWIFERY REGULATION IN AUSTRALIA 245
RELATIONSHIP BETWEEN PROFESSIONAL AND REGULATORY FRAMEWORKS IN AUSTRALIA 249
CONCLUSION 249
Online resources 250
References 250
Further reading 254
Chapter 13 - Legal frameworks for practice in Australia and New Zealand 256
INTRODUCTION TO THE LAW 257
KEY STATUTES ON THE REGULATION OF MIDWIFERY PRACTICE 257
OTHER STATUTES THAT PROTECT PUBLIC SAFETY 261
STATUTES ON PRIVACY AND ACCESS TO PERSONAL INFORMATION 271
Legislation on midwifery practice 273
LEGISLATION ON DRUG ADMINISTRATION AND PRESCRIBING 276
CORONER’S COURT LEGISLATION AND PROCESS 277
Online resources 280
References 280
Further reading 282
Chapter 14 - Ethical frameworks for practice 283
The world of the midwife 284
Philosophical underpinnings of midwifery 284
Approaches to ethics 286
Midwifery codes of ethics 289
Ethics in practice 292
Research ethics and midwifery 295
Conclusion 296
Further reading 297
Acknowledgements 297
Chapter 15 - Life skills for midwifery practice 298
Introduction 299
The nature of midwifery and the role of the midwife 299
Sustaining midwifery practice 303
Conclusion 309
PART B: Practice 311
Section 1 - Partnership\r 311
Chapter 16 - Theoretical frameworks \rfor midwifery practice\r 313
MIDWIFERY AND RELATIONSHIPS 314
WHAT IS A THEORETICAL FRAMEWORK? 314
THE ORIGINS OF CULTURAL SAFETY \nAND MIDWIFERY PARTNERSHIP 315
CULTURAL SAFETY AND MIDWIFERY PARTNERSHIP IN OTHER CONTEXTS 316
CULTURAL SAFETY 316
MIDWIFERY PARTNERSHIP 321
CULTURAL COMPETENCE 332
CONCLUSION 333
Chapter 17 - Working in partnership 337
INTRODUCTION 338
PARTNERSHIP: OVERVIEW OF SOME EVIDENCE 338
PARTNERSHIP AND THE ROLE OF THE MIDWIFE 339
VALUING WOMEN’S EXPERTISE 340
WORKING IN PARTNERSHIP WITH WOMEN 340
PARTNERSHIP AND DECISION-MAKING 343
CHALLENGING THE PARADIGM OF PROFESSIONALISM 344
PARTNERSHIP AND ‘PERSUASION’ 345
PARTNERSHIPS WITH OTHER MIDWIVES 345
OTHER PARTNERSHIPS: THE MIDWIFE IN THE COMMUNITY 346
MOVING ON 346
CONCLUSION 346
Online resources 347
References 347
Chapter 18 - Working in collaboration 351
INTRODUCTION 352
THE NATURE OF COLLABORATION 352
COLLABORATION IN THE CONTEXT OF THE AUSTRALIAN MATERNITY REFORMS 2009 354
PROFESSIONAL COLLABORATIONS 354
THE NEW ZEALAND REFERRAL GUIDELINES 355
the AUSTRALIAN NATIONAL MIDWIFERY GUIDELINES FOR CONSULTATION AND REFERRAL 356
BREAKDOWN IN COLLABORATION 357
CONCLUSION 358
Online resources 362
References 362
Chapter 19 - Promoting physiological birth\r 364
INTRODUCTION 365
THE MIDWIFE AS ‘GUARDIAN OF THE NORMAL’ 365
THE RATIONALE FOR PROMOTING PHYSIOLOGICAL BIRTH 365
PROMOTING PHYSIOLOGICAL Birth 367
BUILDING A CULTURE IN WHICH PHYSIOLOGICAL BIRTH CAN FLOURISH 373
CONCLUSION 373
References 374
Further reading 376
Section 2: Autonomous practice\r 377
Chapter 20 - The physiology of conception and pregnancy\r 379
FEMALE AND MALE REPRODUCTIVE SYSTEMS 380
EMBRYOLOGY 391
FETAL CIRCULATION 403
Maternal changes associated with pregnancy 406
CONCLUSION 412
Online resources 413
References 413
Further reading 414
Chapter 21 - Nutritional foundation for ­pregnancy, childbirth and lactation\r 415
Weight gain 416
Macronutrients 416
Micronutrients: minerals 418
Micronutrients: vitamins 420
Common conditions of pregnancy 421
Food safety and pregnancy 424
Pregnant adolescents 424
Multiple pregnancies 424
Summary: pregnancy 425
Nutritional foundation for childbirth 425
Summary: childbirth 425
Nutritional foundation for lactation 425
Conclusion 426
Online resources 427
References 427
Further reading 429
Chapter 22 - Working with women in pregnancy\r 431
ANTENATAL CARE: WHAT IS IT? 432
ORGANISATION OF CARE 433
INITIAL CONTACT 434
THE BOOKING VISIT 436
DECISION POINTS 440
EXPLANATORY SECTIONS 443
CONCLUSION 464
Online resources 465
References 465
Further reading 468
Chapter 23 - Physiological changes during labour 469
Physiology of labour 470
What initiates labour? 470
First stage of labour 474
The second stage of labour 476
Third stage of labour 479
Other maternal body systems during labour 480
Fetal responses during labour 481
Summary 482
Online resources 483
References 484
Further reading 485
Chapter 24 - Supporting women in labourand birth\r 486
DEVELOPING THE WOMAN–MIDWIFE RELATIONSHIP 487
THE CONTINUUM OF LABOUR AND BIRTH 487
RECOGNISING LABOUR 487
FIRST DECISION POINT IN LABOUR 488
SECOND DECISION POINT IN LABOUR 489
THIRD DECISION POINT IN LABOUR 490
ONGOING ASSESSMENT OF PROGRESSIN LABOUR 500
LABOUR: TRANSITION PHASE TO BIRTH 501
FIFTH DECISION POINT IN LABOUR 504
EXAMINATION OF THE BABY 507
ONGOING CARE IN THE FIRST FEW HOURS 507
DOCUMENTATION 508
CONCLUSION 508
Chapter 25 - Working with pain in labour 512
INTRODUCTION 513
HISTORICAL PERSPECTIVES ON PAIN IN LABOUR 513
WOMEN’S PERSPECTIVES ON PAIN IN LABOUR 514
CULTURAL PERSPECTIVES ON PAIN IN LABOUR 516
FEMINIST PERSPECTIVES ON PAIN IN LABOUR 518
PAIN IN LABOUR AND THE MIDWIFE–WOMAN RELATIONSHIP 519
PAIN AND THE PLACE OF BIRTH 520
LABOUR AND BIRTH SUPPORT 520
WORKING WITH PAIN IN LABOUR 521
Review questions 522
Chapter\r26 - Using water for labour and birth 526
Introduction 527
The role of water birth in supporting physiological birth 527
The history of water birth 527
The first water births in New Zealand and Australia 528
Using water for labour and birth: the evidence 529
Safety and efficacy of using water 531
Using water for labour and birth: the practice 535
Conclusion 539
Review questions 540
References 540
Video 542
Chapter 27 -\rPerineal care and repair 543
BACKGROUND 544
MIDWIVES AND PERINEAL REPAIR 545
ANATOMY AND PHYSIOLOGY 547
PERINEAL TRAUMA AND REPAIR 550
CARE OF WOMEN WITH PERINEAL TRAUMAIN THE POSTNATAL PERIOD 556
CONCLUSION 559
References 560
Further reading 563
Chapter 28 - Physiological changes during the postnatal period\r 564
Introduction 565
Hormonal changes 565
Involution of the uterus 565
Lochia 566
Soft tissue damage and healing 567
Renal system 568
Cardiovascular system 568
Respiratory system 569
Gastrointestinal system 569
Lactogenesis 569
Return of menstruation and ovulation 571
Review questions 572
Summary of key learning points 572
Online resources 573
References 573
Further reading 573
Chapter 29 - Supporting women becoming mothers\r 574
INTRODUCTION 575
THE MIDWIFE AND POSTNATAL CARE 575
ASSESSMENT OF WOMEN’S HEALTH 577
FREQUENCY OF MIDWIFERY VISITS 578
EMOTIONAL RESPONSES TO CHANGE 579
PHYSICAL ASSESSMENT OF MATERNALHEALTH 581
THE IMPORTANCE OF SUPPORTAFTER THE BIRTH 586
Online resources 589
References 589
Chapter 30 - Supporting the newborn infant 592
INTRODUCTION 593
NEONATAL PHYSIOLOGY AND THE TRANSITION TO EXTRAUTERINE LIFE 593
NEONATAL ASSESSMENT 609
CARE OF THE NEWBORN INFANT 621
ONGOING CARE 622
SUMMARY 628
CONCLUSION 629
Acknowledgement 632
Chapter 31 - Supporting the breastfeeding mother 633
Breast structure and function 634
Properties of breast milk 637
Worldwide initiatives to promote breastfeeding 638
The 10 steps to successful ­breastfeeding 639
Preparation for breastfeeding 639
Initiation of breastfeeding 642
Maintenance of breastfeeding 643
Management of breastfeeding challenges 644
Is artificial feeding OK? A critique 649
Online resources 650
References 650
Further reading 653
Chapter 32 - Pharmacology and prescribing 654
Scope of midwifery prescribing 655
Safety of drugs during pregnancy and lactation 655
Principles of pharmacology 656
Antimicrobials 659
Commonly administered drugs and conditions associated with childbirth 662
Postpartum contraception 671
Rules for writing prescriptions 673
Conclusion 673
Online resources 674
References 674
Further reading 676
Chapter 33 - Completing the midwife–woman partnership 677
THE WOMAN’S HEALTH 678
THE BABY’S HEALTH 682
CONTRACEPTION AND SEXUAL FUNCTION 685
WELL CHILD REFERRAL 686
WELL WOMAN REFERRAL 686
DOCUMENTATION: HEALTH RECORD 687
CERVICAL SCREENING 688
CONCLUDING THE PARTNERSHIP 690
Online resources 691
References 691
Section 3: Collaborativepractice 717
Chapter 35 - Screening and assessment\r 719
INTRODUCTION: SCREENING GUIDELINES 720
INFORMATION SHARED 720
SCREENING TESTS 721
APPOINTMENT TIMES FOR SCREENING 722
GESTATIONAL AGE ASSESSMENT 723
SCREENING FOR DOWN SYNDROME AND FETAL STRUCTURAL ANOMALIES 725
SCREENING FOR INFECTIONS 732
SCREENING FOR CLINICAL CONDITIONS 744
NON-ROUTINE TESTS 747
HOW MANY VISITS? 748
Online resources 750
References 750
Acknowledgement 753
Chapter 36 - Challenges in pregnancy 754
INTRODUCTION 755
VOMITING IN PREGNANCY 755
BLEEDING IN PREGNANCY 758
MATERNAL MEDICAL CONDITIONS IN PREGNANCY 775
MULTIPLE PREGNANCY 810
CONCLUSION 813
Review questions 814
Chapter 37 - Disturbances in the rhythm of labour 818
INTRODUCTION 819
RHYTHMS OF LABOUR 820
MATERNAL DEHYDRATION, KETOSIS\rAND THE PROGRESS OF LABOUR 823
ANXIETY AND FEAR 823
INEFFECTIVE CONTRACTION PATTERNS 824
MALPOSITION 827
MALPRESENTATIONS 828
CEPHALOPELVIC DISPROPORTION 836
OBSTRUCTED LABOUR 837
UTERINE RUPTURE AFTER A PREVIOUS CAESAREAN SECTION 839
INDUCTION OF LABOUR 841
PRETERM LABOUR 847
OPERATIVE BIRTH 852
Review questions 858
Chapter 38 - Interventions in pregnancy, labour and birth 863
INTRODUCTION 864
AVOIDING UNNECESSARY INTERVENTION 864
CEREBRAL PALSY 864
INTERVENTIONS IN PREGNANCY 866
INTERVENTIONS IN LABOUR 869
CAESAREAN BIRTH 888
CONCLUSION 901
Online resources 902
References 902
Chapter 39 - Life-threatening emergencies\r 909
INTRODUCTION 910
SCENARIO-BASED CLINICAL SKILL \nTRAINING—‘FIRE DRILLS’ 910
DECISION TO (OPERATIVE) DELIVERY 911
WOMEN’S FEELINGS AND FEARS 911
CORD PRESENTATION AND PROLAPSE 911
SHOULDER DYSTOCIA 917
UTERINE INVERSION 924
AMNIOTIC FLUID EMBOLISM (­ANAPHYLACTOID SYNDROME OF PREGNANCY) 927
DISSEMINATED INTRAVASCULAR ­COAGULOPATHY\r 932
ECLAMPSIA 935
RUPTURE OF THE UTERUS 940
TRAUMA IN PREGNANCY 942
LIFE-THREATENING POSTPARTUM HAEMORRHAGE 950
NEONATAL RESUSCITATION 958
Chapter 40 - Complications in the postnatal period\r 971
POSTPARTUM PHYSICAL MORBIDITY 972
EMOTIONAL COMPLICATIONS 978
CONCLUSIONS 983
Review questions 984
Online resources 985
References 985
Chapter 41 - Complications of the newborn 988
THE LOW BIRTHWEIGHT NEONATE 989
NUTRITION 995
NEONATAL INTENSIVE CARE ENVIRONMENT 998
INFANTS LARGE FOR GESTATIONAL AGE 998
NEONATAL JAUNDICE 1001
NEONATAL INFECTIONS 1006
NEONATAL BLEEDING 1010
CONGENITAL CONDITIONS 1013
CARDIORESPIRATORY CONDITIONS 1017
METABOLIC AND ENDOCRINE DISORDERS 1022
NEONATAL SEIZURES 1023
SUDDEN UNEXPECTED DEATH IN INFANCY 1024
NEONATAL ABSTINENCE SYNDROME AND FETAL ALCOHOL SYNDROME 1027
TRANSPORT OF AN UNWELL BABY 1028
CULTURAL SAFETY IN THE NICU 1030
CONCLUSION 1031
Online resources 1032
References 1032
Chapter 42 - Grief and loss during childbearing —the death of a baby\r 1039
INTRODUCTION 1040
RATES AND DEFINITIONS 1040
BELIEFS SHAPING GRIEF AFTER A BABY DIES 1040
PERSPECTIVES OF BEREAVEMENT 1042
WORKING WITH BEREAVED WOMEN AND THEIR FAMILIES 1046
CONSIDERATIONS FOR PARTICULAR SITUATIONS WHERE A BABY DIES 1053
SUSTAINING CARE 1054
CONCLUSION 1055
Online resources 1056
References 1056
ACKNOWLEDGEMENTS 1058
Index 1059
Photo Credits 1098