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E-raamat: Supporting Women to Give Birth at Home: A Practical Guide for Midwives [Taylor & Francis e-raamat]

Edited by (University of Chester, UK)
  • Formaat: 288 pages, 24 Tables, black and white; 15 Line drawings, black and white; 12 Illustrations, black and white
  • Ilmumisaeg: 17-Nov-2011
  • Kirjastus: Routledge
  • ISBN-13: 9780203324035
Teised raamatud teemal:
  • Taylor & Francis e-raamat
  • Hind: 207,73 €*
  • * hind, mis tagab piiramatu üheaegsete kasutajate arvuga ligipääsu piiramatuks ajaks
  • Tavahind: 296,75 €
  • Säästad 30%
  • Formaat: 288 pages, 24 Tables, black and white; 15 Line drawings, black and white; 12 Illustrations, black and white
  • Ilmumisaeg: 17-Nov-2011
  • Kirjastus: Routledge
  • ISBN-13: 9780203324035
Teised raamatud teemal:
Supporting Women to Give Birth at Home describes and discusses the main challenges and issues that midwives and maternity services encounter when preparing for and attending a home birth. To ensure that a home birth is a real option for women, midwives need to be able to believe in a womans ability to give birth at home and to promote this birth option, providing evidence-based information about benefits and risks.

This practical guide will help midwives to have the necessary skills, resources and confidence to support homebirth. The book includes:











the present birth choices a woman has





the implications homebirth has upon midwifery practice





how midwives can prepare and support women and their families





the midwifes role and responsibilities





national and local policies, guidelines and available resources





pain management options

With a range of recent home birth case studies brought together in the final chapter, this accessible text provides a valuable insight into those considering homebirth. Supporting Women to Give Birth at Home will be of interest to students studying issues around normal birth and will be an important resource for clinically based midwives, in particular community based midwives, home birth midwifery teams, independent midwives, and all who are interested in homebirth as a genuine choice.
List of illustrations
xi
Contributors xiii
Foreword xv
Preface xvii
Acknowledgements xxi
1 History of homebirth
1(14)
Jane Harris
Introduction
2(1)
In the beginning
2(2)
The changing face of birth
4(2)
The medical culture of birth
6(4)
The technocratic approach to birth
10(2)
Conclusion
12(1)
References
13(2)
2 Choosing homebirth
15(30)
Julia Magill-Cuerden
Introduction
16(1)
Informing women
16(7)
The right to choice of place of birth
16(2)
What advice and information
18(5)
Giving information with sensitivity
23(4)
Who attends the birth?
23(1)
When to inform women
24(3)
Low-risk women
27(3)
Homebirth and maternal physical well-being
27(1)
Homebirth and psychological and emotional health
28(1)
Criteria for decisions of place of birth
28(2)
High-risk women
30(5)
Options for care
30(4)
Transfer
34(1)
Resources to support homebirth
35(3)
Place of delivery
35(2)
Professional staff resources
37(1)
Professional at delivery
37(1)
Midwifery equipment
37(1)
Medical back-up
38(1)
Safe birth environment
38(3)
Gaining skills and expertise
38(2)
Safety of the midwife
40(1)
Conclusion
41(1)
References
41(4)
3 Guidelines to support homebirth
45(36)
Bridgid McKeown
Verena Wallace
Introduction
46(1)
National guidance
46(1)
Local guidelines
47(1)
Evidence base
48(1)
Information for women
49(2)
Roles and responsibilities
51(2)
Planning
51(1)
Assessment
52(1)
Documentation
53(1)
Communication
54(2)
Use of technology
55(1)
Birth plan
55(1)
After the birth
55(1)
Equipment
56(1)
Medicines
56(2)
Midwife supply order
57(1)
Midwives' exemptions
57(1)
Medical gases
58(1)
Attending a homebirth
58(1)
Transfer of care
58(2)
Emergency transfer during labour
59(1)
`Flying squads'
60(1)
Rare events
60(1)
Skills for homebirths
60(4)
Continuing professional development
63(1)
Homebirth and supervision of midwives
64(3)
Standards and audit
67(1)
Conclusion
67(1)
References
68(3)
Appendix 3.1 When should I call the midwife?
71(1)
Appendix 3.2 Emergency callout
72(1)
Appendix 3.3 Notification of request for homebirth
73(1)
Appendix 3.4 Notification of completed homebirth
74(1)
Appendix 3.5 Birth plan for homebirth
75(4)
Housekeeping arrangements
75(1)
Birth partners
75(1)
First stage of labour
76(1)
Second stage of labour
76(1)
After the birth
77(1)
Students
77(1)
Concerns and transfer
77(1)
Woman's checklist for homebirth
78(1)
Appendix 3.6 Suggested equipment for midwives' homebirth kit
79(2)
4 Supporting homebirth
81(42)
Mary Steen
Kath Jones
Introduction
82(3)
Antenatal preparation
82(2)
Being with woman
84(1)
The debate
85(6)
Childbirth without fear
91(2)
Fear of childbirth
92(1)
Normal birth
93(3)
Social model versus medical model
94(1)
Campaign for Normal Birth
95(1)
Midwives' skills
96(1)
Skills for `sussing out' labour
96(1)
Preparation of birth partners
97(3)
Involving fathers: other benefits to the mother and baby
99(1)
Preparing and involving children
100(1)
Homebirth care pathway
101(8)
Registering for homebirth
101(1)
Risk assessment
102(1)
Risk assessment: checklist
103(2)
Equipment
105(1)
When to call the midwife and in an emergency
106(1)
Labour/birth equipment and resources
106(3)
The birth plan
109(3)
Midwives' skills, confidence and competencies
110(2)
Conclusions
112(1)
References
112(6)
Appendix 4.1 All Wales Clinical Pathway for Normal Labour
118(2)
Appendix 4.2 Ternovsky v. Hungary
120(1)
Appendix 4.3 Royal College of Midwives press release, 23 November 2010
121(2)
Royal College of Midwives calls for release of imprisoned Hungarian midwife
121(2)
5 Caring for women during a homebirth
123(38)
Kim Gibbon
Mary Steen
Introduction
124(1)
The childbirth process
124(1)
Physiology of labour
124(2)
Hormonal control
125(1)
Uterine muscles
125(1)
Mechanism of labour
126(2)
Attendance at a homebirth
128(3)
Working with a doula
130(1)
Supervision
130(1)
Care during early (latent) labour
131(5)
Care during established labour
136(10)
Observing and monitoring the woman
137(1)
Intermittent auscultation
138(3)
The transitional stage
141(1)
The second stage
142(2)
The third stage
144(1)
Physiological third stage
144(2)
Active management of third stage
146(1)
Postnatal care
146(8)
Perineal care
148(2)
Care of the newborn
150(1)
Top-to-toe examination
151(1)
Cause for concern
152(1)
Vitamin K
152(1)
First newborn examination
152(2)
Newborn screening
154(1)
Conclusions
154(1)
References
155(3)
Appendix 5.1 Partograms
158(3)
6 Abnormal labour and emergencies
161(36)
Mary Steen
Kim Gibbon
Introduction
162(1)
Malpositions and malpresentations
163(2)
Occipitoposterior position
163(1)
Midwifery care
164(1)
Transfer to a consultant-led unit
165(4)
Situation, background, assessment and recommendations (SBAR) `transfer in' form
167(2)
Care of a mother and baby in an emergency
169(14)
Shoulder dystocia
169(4)
Undiagnosed breech
173(3)
Cord prolapse
176(3)
Postpartum haemorrhage
179(4)
Emergency resuscitation
183(8)
Mother
183(4)
Baby
187(4)
Conclusions
191(1)
References
192(5)
7 Homebirth pain management options
197(34)
Mary Steen
Introduction
198(1)
Mechanism of pain
198(2)
Natural opiates
200(1)
Pain associated with labour and childbirth
200(4)
First stage of labour
200(1)
Second and third stages of labour
201(1)
Pain management options
202(1)
Natural induced pain management
203(1)
Companionship and support
203(1)
Alternative and complementary therapies
204(21)
Complementary therapies
204(2)
Being active
206(1)
Maternal health and well-being project
207(1)
Promoting active birth
208(1)
First stage of labour
209(1)
Second stage of labour
210(1)
Birth balls
211(1)
Breathing exercises
212(1)
Relaxation techniques
213(1)
Self-hypnosis
213(1)
Massage
214(1)
Acupressure
215(1)
Reflexology
216(1)
Acupuncture
216(1)
Aromatherapy
217(1)
Homeopathy
218(3)
Water
221(1)
Transcutaneous electrical nerve stimulation
222(1)
Entonox
223(1)
Analgesia
224(1)
Conclusions
225(1)
References
226(5)
8 Case studies
231(20)
Mary Steen
Kath Jones
Introduction
232(1)
Case studies
232(16)
1 Homebirth - no complications
232(3)
2 Homebirth - transfer to a consultant-led unit
235(2)
3 Homebirth - born before arrival (BBA)
237(2)
4 Homebirth - Down's syndrome baby
239(1)
5 Homebirth - against medical advice
240(2)
6 Homebirth - waterbirth
242(2)
7 Homebirth - undiagnosed breech birth
244(2)
8 Homebirth - birth en route
246(2)
Conclusions
248(2)
References
250(1)
Summary
251
Reference
251(2)
Index
253
Mary Steen is Professor of Midwifery at the Faculty of Health and Social Care at the University of Chester, UK. She has practiced as a midwife for 23 years and worked in a community setting since 1994, attending numerous homebirths. She has recently helped to develop a successful community-based health and well-being programme intended to increase the numbers of active births and homebirths.