Midwifery at a Glance

Eleanor Forest is a Lecturer in Midwifery and Adult Nursing in the School of Health and Life Sciences at Glasgow Caledonian University.

• Contributors viiiAbout the companion website ixPart 1 Introduction 11 Historical overview of midwifery 22 NHS values 43 Ethics 64 Role of the midwife 85 Drug exemptions 106 Women’s choice and care options 12Part 2 Anatomy and physiology 157 Breast 168 Female reproductive system 189 Menstrual cycle 2010 Maternal pelvis 2211 Maternal pelvis and fetal skull 24Part 3 Preconception 2712 Preconception care 2813 Follow-up after pregnancy loss 30Part 4 Antenatal 3314 Maternal physiological adaptation to pregnancy 3415 Taking a history 3616 Antenatal investigations and screening 3817 Preparation for childbirth 4018 Post-term pregnancy 42Part 5 Intrapartum 4519 Physiology of labour 4620 Mechanism of normal labour 4821 Promoting normal labour 5022 Pain relief 5223 Water birth 5424 Augmentation of labour 5625 Induction of labour 5826 Nutrition in labour 60Part 6 Postnatal care 6327 Immediate care: 0–6 hours 6428 On-going care 6629 Daily maternal examinations 6830 Physiological changes 7031 Pelvic floor 7232 Sepsis 7433 Contraception 7634 Lactation 78Part 7 Common medical disorders 8135 Hypertensive disorders of pregnancy 8236 Diabetes 8437 Thromboembolic disease 8638 Obesity 8839 The thyroid gland and thyroid disorders 9040 Systemic lupus erythematosus 9241 Obstetric cholestasis 94Part 8 Obstetric complications 9742 Antepartum haemorrhage 9843 Shoulder dystocia 10044 Cord presentation and prolapse 10245 Embolism 10446 Obstructed labour 10647 Uterine rupture 10848 Uterine inversion 11049 Preterm labour 11250 Eclampsia 11451 Disseminating intravascular coagulopathy, shock and high dependency care 11652 Malposition and malpresentation 11853 Postpartum haemorrhage 12054 Multiple pregnancy 122Part 9 Fetus and baby 12555 Intrauterine growth restriction 12656 Intrauterine growth restriction monitoring 12857 Fetal circulation 13058 Changes at birth 13259 Fetal skull 13460 Immediate care of the newborn 13661 Normal neonate and care needs 13862 Infant nutrition 14063 Neonatal jaundice 142Part 10 Psychological dimensions 14564 Becoming a parent 14665 Maternal mental health 14866 Bereavement care 15067 Gender-based violence 15268 Alcohol and drugs 15469 Trafficking 15670 Homelessness 15871 Asylum seekers and refugees 16072 Teenage mothers 16273 Disability 16474 Health promotion education 16675 Psychological changes 168Part 11 Midwifery skills 17176 Antenatal abdominal examination 17277 Vaginal examination 17478 Artificial rupture of membranes 17679 Urinary catheterisation 17880 Blood pressure and temperature, pulse and respiration: back to basics 18081 Episiotomy 18282 Perineal repair 18483 Feeding support and breast expression 18684 Blood and blood products 18885 Maternal resuscitation 19086 Neonatal resuscitation 19287 Examination of the newborn 19488 Newborn bloodspot screening 19689 Care of women having surgery 198References and further reading 200Index 204