Fundamentals of Midwifery: A Textbook for Students

451 Pages·2015·9.92 MB·English

by  Louise Lewis

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Fundamentals of
Midwifery
A Textbook for Students
EDITED BY
LOUISE LEWIS
RGN, RM, BSc(Hons), MSc, PGCE
Lecturer in Midwifery
Faculty of Health and Social Care
University of Hull
Hull, United Kingdom
This edition first published 2015 © 2015 by John Wiley & Sons, Ltd
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Library of Congress Cataloging-in-Publication Data
Fundamentals of midwifery : a textbook for students / edited by Louise Lewis.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-118-52802-0 (pbk.)
I. Lewis, Louise (Midwife)
[DNLM: 1. Midwifery–methods–Great Britain. WQ 160]
RG525
618.2–dc23
2014032475
A catalogue record for this book is available from the British Library.
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1 2015
Contents
About the series xii
Contributors xiii
Foreword xv
Preface xvi
Acknowledgements xvii
How to use your textbook xviii
About the companion website xxii
Chapter 1 To be a midwife 1
Nicky Clark and Carol Paeglis
Introduction 1
The professional status and regulation of midwifery 2
The NMC 2
European Union 3
The International Confederation of Midwives 6
Key midwifery concepts 6
Interpersonal skills and attributes 7
Professional expectations 9
Life as a student midwife 9
The programme 10
The statutory supervision of midwives 12
Raising and escalating concerns 13
Quality assurance 13
Student support 14
Health screening 14
Criminal record 15
Life as a midwife 16
Career routes 16
Conclusion 16
End of chapter activities 17
Glossary of terms 19
References 20
Chapter 2 Team working 22
Mary Beadle and Sue Townend
Introduction 22
Woman-centred care 23
Effective team working 23
What is a team? 24
Leadership 25
Management 25
Contents
Communication 28
vi Collaboration 29
Power dynamics 31
Regulation 32
Escalating concerns 33
Team player 34
Conclusion 35
End of chapter activities 36
Glossary of terms 38
References 38
Chapter 3 Sociology applied to maternity care 42
Mary Beadle and Sarah Wise
Introduction 42
Overview of sociological perspectives 42
Definition of society 43
Domestic abuse 46
Poverty 47
Gender and sexuality 49
Ethnicity and race 51
Disability 52
Health and wellbeing 53
Conclusion 56
End of chapter activities 56
Glossary of terms 58
References 58
Chapter 4 Psychology applied to maternity care 61
Julie Jomeen and Lynda Bateman
Introduction 61
Defining psychology 62
Theories of psychology 62
Psychology and public health in maternity care 64
Health beliefs and behaviours 65
Social cognition models 66
Emotions across the childbearing experience 68
Birth 70
Postnatal considerations 71
Women and midwives: relationships and communication 74
Initiating, building and maintaining relationships 76
Bonding and attachment 78
Conclusion 82
End of chapter activities 82
Glossary of terms 84
References 84
Chapter 5 Parenthood 90
Olanma Ogbuehi and Jacqui Powell
Introduction 90
Parenthood 91
Contents
Genetic, biological and social parents 95
Conception across the lifespan 102 vii
Disability and parenting 109
Parenting styles and expert advice 110
Conclusion 112
End of chapter activities 113
Glossary of terms 114
References 115
Chapter 6 Antenatal midwifery care 120
Julie Flint and Carol Lambert
Introduction 120
National policy on care provision in the United Kingdom 121
Individualised care of a woman 123
Being pregnant 124
Booking for care 125
Fetal health screening and monitoring 126
Inherited factors and disorders 127
Routine care for all pregnant women 128
Body changes 129
Deviations from normality 129
Wellbeing 129
Women’s self-identity and decision-making about care 131
Midwife–woman relationship for decision-making 133
Influencing women in their decision-making 133
Birth preparation and parent education 134
Conclusion 135
End of chapter activities 136
Glossary of terms 137
References 139
Chapter 7 Intrapartum midwifery care 142
Julie Flint and Sue Townend
Introduction 142
Facilitating and maintaining normality in childbirth 143
Place of birth 145
Birth preparation for coping with labour 145
Onset, process and progress of labour 146
Care and compassion 152
Birth partners 153
Assisting the normal physiological process 154
Outside the parameters of normality 154
Pain management in labour 154
Midwifery craftsmanship 155
Medical intervention 156
Meeting the baby 157
Third stage management 157
Perineal care 158
Decision-making 159
Contents
Conclusion 159
viii End of chapter activities 161
Glossary of terms 162
References 163
Chapter 8 Postnatal midwifery care 166
Louise Lewis and Lisa Lachanudis
Introduction 166
The history of postnatal care 167
Anatomy and physiology of the puerperium 168
Immediate postnatal period 171
Venous thromboembolism 172
Changes to postnatal care 173
Physiological maternal morbidity 174
Quality standards influencing postnatal care provision 175
A time-honoured tradition or a dying art? 175
Care and compassion: promoting a healthy psychological adaptation
to motherhood 176
Engaging fathers 177
Safeguarding vulnerable adults and babies 178
Where to get help 181
Reducing the risk of sudden infant death syndrome 181
Postnatal exercise advice for new mothers 182
Other responsibilities of the midwife in the postnatal period 182
Conclusion 183
End of chapter activities 183
Glossary of terms 184
References 185
Chapter 9 Care of the newborn 188
Liz Smith and Brenda Waite
Introduction 188
Transition to extra-uterine life 188
Fetal circulation 189
Apgar scoring 189
Basic resuscitation of the newborn 192
Immediate care of the newborn 193
Maintaining health in the first few days of life 195
Skin care and hygiene of the newborn 197
Jaundice 199
Neonatal screening 202
Advice for parents 203
Detailed neonatal examination by the midwife 204
Conclusion 206
End of chapter activities 206
Glossary of terms 207
References 208