Midwifery Essentials: Antenatal E-Book

Jennifer Hall, Helen Baston

Description

'Antenatal' is the second title in the Midwifery Essentials series and looks at the provision of safe and effective antenatal care, exploring the role of the midwife in the context of professional and national guidance. This book prepares the reader to provide safe, evidence-based, woman-centred maternity care.

• Models of care and the range of professionals involved
• The booking history and involving the woman in decisions
• Optimising and monitoring maternal health throughout pregnancy
• Blood tests and antenatal screening for fetal abnormality
• Monitoring the growing fetus
• Facilitating women to prepare for birth.

Sujets

• Perinatal
• Women's Health
• Medical
• Médecine
• Nursing
• Maternity

Informations

• Publié par: Churchill Livingstone
• Date de parution: 03 septembre 2009
• Nombre de lectures: 0
• EAN13: 9780702042539
• Langue: English

Extrait

Table of Contents

Cover image
Copyright
Foreword
Preface
Chapter 1. Introduction
Chapter 2. Models of antenatal care
Chapter 3. The booking history
Chapter 4. Health in pregnancy
Chapter 5. Monitoring maternal physical wellbeing
Chapter 6. Monitoring women’s emotional wellbeing in the antenatal period
Chapter 7. Blood tests in pregnancy
Chapter 8. Antenatal screening for fetal abnormality
Chapter 9. Monitoring fetal wellbeing during routine antenatal care
Chapter 10. Antenatal care
Index
Copyright
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier's Rights Department: phone: [phone] (US) or ([phone] (UK); fax: [phone]; e-mail: [e-mail] . You may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions .
First published 2009
ISBN 978-0-443-10354-4
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging in Publication Data
A catalog record for this book is available from the Library of Congress

Notice

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the Editors assumes any liability for any injury and/or damage to persons or property arising out or related to any use of the material contained in this book.
Printed in China
Foreword
Deirdre Daly

I believe that the foundations for a good birth and good parenting are laid down in the antenatal period. For many women, antenatal care is their first introduction to any formal healthcare service and there is no doubt that a positive experience in the antenatal period can empower women. A positive experience for women requires a midwife who is informed and willing to engage with women in an open, transparent and moral manner from the first meeting through to birth and beyond. This in turn requires a thorough knowledge of the very basics and essentials of antenatal care.
Jennifer Hall and Mel Baston have written a text that gives all midwives and midwifery students the essentials to becoming such a midwife. The essentials of antenatal care and the content of the antenatal visits are presented in this easy-to-read, accessible text. The use of vignettes, case examples and links to reflective points, research, evidence and policy make the process real and easily transferable into practice.
As a practising midwife and Lecturer in Midwifery, I can readily see how this text will benefit the women for whom I provide care and the midwifery students I help inform.
As the President of the European Midwives Association and in the context of the free movement of midwives, EU enlargement and discussions on the existence of a ‘European midwife’, I believe this text offers a wonderful introduction to the models and content of antenatal care and that it is an essential text for all newly appointed midwives in the UK. While the models of care described are applicable to some or all parts of England, Scotland, Wales and Northern Ireland, much of the content is applicable to those of us practising in the Republic of Ireland and to midwifery colleagues in Europe. I would go so far as to suggest that a text such as this, describing and outlining the options for and essential content of antenatal care (and labour, birth and the postnatal period) would be advantageous for all countries.
While pregnant women's wants and needs may differ according to each individual, all pregnant women need safe, competent care from a safe, competent, knowledgeable midwife–a midwife who knows the basics and essentials of care and can build on this to meet the needs of each individual woman in their care.
If you get antenatal care right, everything else can follow easily, safely and positively for women. If you get the basics of antenatal care wrong, or inadvertently miss the essentials of care, you risk irredeemably jeopardizing the woman, her labour and birth, and her family.
Dublin, 2009
Preface
Helen Baston

Jennifer Hall

To contribute to the provision of sensitive, safe and effective maternity care for women and their families is a privilege. Childbirth is a life-changing event for women. Those around them and those who input into any aspect of pregnancy, labour, birth or the postnatal period can positively influence how this event is experienced and perceived. In order to achieve this, maternity carers continually need to reflect on the services they provide and strive to keep up-to-date with developments in clinical practice. They should endeavour to ensure that women are central to the decisions made and that real choices are offered and supported by skilled practitioners.
This book is the second volume in a series of texts based on the popular ‘Midwifery Basics’ series published in The Practising Midwife journal. Since their publication, there have been many requests from students, midwives and supervisors to combine the articles into a handy text to provide a resource for learning and refreshment of midwifery knowledge and skills. The books have remained true to the original style of the articles and have been updated and expanded to create a user-friendly source of information. They are also intended to stimulate debate and require the reader both to reflect on their current practice, local policies and procedures and to challenge care that is not woman-centred. The use of scenarios enables the practitioner to understand the context of maternity care and explore their role in its safe and effective provision.
There are many dimensions to the provision of woman-centred care that practitioners need to consider and understand. To aid this process, a jigsaw model has been introduced, with the aim of encouraging the reader to explore maternity care from a wide range of perspectives. For example, how does a midwife obtain consent from a woman for a procedure, maintain a safe environment during the delivery of care and make the most of the opportunity to promote health? What are the professional and legal issues in relation to the procedure and is this practice based on the best available evidence? Which members of the multi-professional team contribute to this aspect of care and how is it influenced by the way care is organized? Each aspect of the jigsaw should be considered during the assessment, planning, implementation and evaluation of woman-centred maternity care.
Midwifery Essentials: Antenatal is about the provision of safe and effective antenatal care. It comprises 10 chapters, each written to stand alone or be read in succession. The introductory chapter sets the scene, exploring the role of the midwife in the context of professional and national guidance. The jigsaw model for midwifery care is introduced and explained, providing a framework to explore each aspect of antenatal care provision, described in subsequent chapters. Chapter 2 explores the options available for women. It outlines the models of care and the range of professionals who may contribute to it. Chapter 3 describes the booking history and how the midwife can involve the woman in decisions about her care. Chapter 4 and Chapter 5 explore how maternal health can be optimized and monitored throughout pregnancy and Chapter 6 focuses specifically on women’s emotional wellbeing during pregnancy. Chapter 7 and Chapter 8 examine the various blood tests that may be offered to women and how antenatal screening for fetal abnormality is approached. Chapter 9 explores how the wellbeing of the growing fetus is monitored during pregnancy. This volume concludes with Chapter 10 , which discusses how women can prepare for the birth and how the midwife facilitates this process. This book therefore prepares the reader to provide safe, evidence-based, woman-centred maternity care. Subsequent books in the series explore contemporary intrapartum and postnatal care for women and their families, exploring the role of the midwife as a member of the multi-professional team.
York and Bristol, 2009

Acknowledgements
In the process of writing there are always people behind the scenes who support or add to the development of the book. We would specifically like to thank Mary Seager, formerly Senior Commissioning Editor at Elsevier, for her initial vision, support and prompting to turn the journal articles from The Practising Midwife into a readable volume. In addition, none of us could have completed this project without the love, support, patience and endless cups of tea and coffee provided by our partners and children. To you we owe our greatest gratitude.
Chapter 1. Introduction

This book is the second in the Midwifery Essentials series aimed at student midwives