Midwifery Essentials: Labour E-Book

Helen Baston, Jennifer Hall

Description

Labour is the third title in the Midwifery Essentials series and is about the provision of safe and effective care during labour and birth. This book prepares the reader to provide safe, evidence-based, woman-centred intrapartum care.

• Assessment and the role of the midwife in early labour
• The first stage of labour, monitoring maternal and fetal wellbeing
• Coping with contractions, without pharmacological pain relief
• Advantages and disadvantages of pharmacological analgesia
• Indications for induction or augmentation of labour
• The second stage of labour and the procedure for episiotomy
• The third stage of labour and the impact of different approaches
• Different methods of anaesthesia and preparation for caesarean birth
• The procedure for evidence-based perineal suturing.

• Assessment and the role of the midwife in early labour
• The first stage of labour, monitoring maternal and fetal wellbeing
• Coping with contractions, without pharmacological pain relief
• Advantages and disadvantages of pharmacological analgesia
• Indications for induction or augmentation of labour
• The second stage of labour and the procedure for episiotomy
• The third stage of labour and the impact of different approaches
• Different methods of anaesthesia and preparation for caesarean birth
• The procedure for evidence-based perineal suturing.

Sujets

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

Informations

• Publié par: Churchill Livingstone
• Date de parution: 03 septembre 2009
• Nombre de lectures: 0
• EAN13: 9780702042553
• Langue: English

Extrait

Table of Contents

Cover image
Copyright
Foreword
Preface
Chapter 1. Introduction
Chapter 2. Early assessment and admission in labour
Chapter 3. The first stage of labour
Chapter 4. Non-pharmacological methods of coping with labour
Chapter 5. Using water in labour
Chapter 6. Pharmacological methods of pain relief
Chapter 7. Induced or accelerated labour
Chapter 8. The second stage of labour
Chapter 9. The third stage of labour
Chapter 10. Caesarean birth
Chapter 11. Perineal repair
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 978-0-443-10355-1
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
Jenny Fraser

All midwives strive to provide women and their families with the best-quality experience when giving birth. But what constitutes a high-quality experience? One of the perennial findings from both research and clinical experience is the value of attendant care that is attuned and sensitive. Get this right and the relationship between the mother and baby will be helped to have the best possible start. Get it wrong and there is the risk of increased distress for both. I am not saying that a woman must have a normal birth in order to achieve heightened satisfaction, although this can obviously enhance a woman’s experience, but the quality of the care that she receives, whatever the type of birth, has implications for everyone’s wellbeing. Responsive and sensitive communication is fundamental to good practice. If the midwife can promote and provide these conditions then the woman can be freed to draw on her own physical and personal strengths. When support is high and anxieties are reduced, she can begin labour in the right frame of mind and body.
For some time the case has been made for woman-centred care; care that is empowering, respectful and responsive. Based on the latest evidence and best clinical practice, Helen Baston and Jennifer Hall identify the key skills necessary to work with women in this way. Each page is testimony to the authors’ strong beliefs that every woman deserves the highest level of care and commitment before, during and after the birth of her baby. This woman-centred philosophy applies to women whether their birth is straightforward, complicated or problematic. Their sensible, down-to-earth approach will have great appeal to all practising midwives. Student midwives are a particular target audience. If they practise as recommended, their professional careers will have the soundest of footings.
The book brings us back to basics. It is full of sense and wisdom offering a powerful reminder of the fundamental importance that our common humanity plays in this most precious of human experiences, giving birth to a new life.
Read this book eagerly, put the evidence they gather into practice without delay, and see the difference it makes.
Norwich, 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 third 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; Labour is about the provision of safe and effective care during labour and birth. It comprises 11 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 intrapartum care described in subsequent chapters. Chapter 2 explores assessment in early labour and the role of the midwife when a woman is admitted to the labour ward. Chapter 3 describes the first stage of labour and how the midwife monitors maternal and fetal wellbeing whilst involving the woman in decisions about her care. Chapter 4 explores how women can be enabled to cope with contractions without the use of pharmacological pain relief, and Chapter 5 builds on this, focusing specifically on the use of water to help women relax and progress throughout labour and birth. Chapter 6 focuses on the various pharmacological methods of analgesia available to women and their various advantages and disadvantages. Chapter 7 looks at the indications for induction or augmentation of labour and the impact they might have on the woman and how she is cared for in labour. Chapter 8 discusses the role of the midwife during the second stage of labour and describes the procedure for episiotomy. Chapter 9 explores the various ways that the third stage of labour can be conducted and the impact of each method on the woman and her baby. Chapter 10 considers the indications and preparation for caesarean birth, considering the impact of different methods of anaesthesia. This volume concludes with Chapter 11 , which provides a detailed account of the procedure for evidence-based perineal suturing. This book therefore prepares the reader to provide safe, evidence-based, woman-centred intrapartum care. The next book in the series explores contemporary 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, neither 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