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E-raamat: Supporting Women to Give Birth at Home: A Practical Guide for Midwives

3.00/5 (4 hinnangut Goodreads-ist)

Edited by Mary Steen (University of Chester, UK)

Formaat: PDF+DRM
Ilmumisaeg: 12-Mar-2012
Kirjastus: Routledge
Keel: eng
ISBN-13: 9781136595837

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Birthing methods

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Formaat: PDF+DRM
Ilmumisaeg: 12-Mar-2012
Kirjastus: Routledge
Keel: eng
ISBN-13: 9781136595837

Teised raamatud teemal:

Birthing methods

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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.

Arvustused

'I have found no weaknesses in this book as it is well evidenced, professional and does highlight the issues that can go wrong, but what can be done to rectify this when giving birth at home.' - Jane Brown, Worcs Acute NHS Trust, Nursing Times.net

In a climate where women are expected to be offered a choice of homebirth but this is not yet a reality for most women this is an important resource for midwives and students alike. Homebirth engenders a great deal of media attention but there is only limited educational material available on the topic. This book therefore fills a significant gap in the market. I would recommend it to you. Professor Cathy Warwick CBE, Royal College of Midwives General Secretary.

This comprehensive book elucidates the process of home birth from antenatal visit to post-birth assessment using a combination of theory, practice and case studies. It is informative and thoughtful, supporting and encouraging midwives to confidently care for women choosing home birth. Dr Christine Shea, Independent Risk Management and Communications Consultant, and home birth (VBAC) mother.

A resource to ensure that there is always support for mothers and midwives to encourage a home birth, even when the circumstances are not straightforward. Written by midwives, the inclusion of mothers experiences provides a rich balance. Dawn Johnston, Clinical Director of Womens Services Directorate at Whipps Cross University Hospital, UK.

List of illustrations

Contributors

xiii

Foreword

Preface

xvii

Acknowledgements

xxi

1 History of homebirth

(14)

Jane Harris

Introduction

(1)

In the beginning

(2)

The changing face of birth

(2)

The medical culture of birth

(4)

The technocratic approach to birth

(2)

Conclusion

(1)

References

(2)

2 Choosing homebirth

(30)

Julia Magill-Cuerden

Introduction

(1)

Informing women

(7)

The right to choice of place of birth

(2)

What advice and information

(5)

Giving information with sensitivity

(4)

Who attends the birth?

(1)

When to inform women

(3)

Low-risk women

(3)

Homebirth and maternal physical well-being

(1)

Homebirth and psychological and emotional health

(1)

Criteria for decisions of place of birth

(2)

High-risk women

(5)

Options for care

(4)

Transfer

(1)

Resources to support homebirth

(3)

Place of delivery

(2)

Professional staff resources

(1)

Professional at delivery

(1)

Midwifery equipment

(1)

Medical back-up

(1)

Safe birth environment

(3)

Gaining skills and expertise

(2)

Safety of the midwife

(1)

Conclusion

(1)

References

(4)

3 Guidelines to support homebirth

(36)

Bridgid McKeown

Verena Wallace

Introduction

(1)

National guidance

(1)

Local guidelines

(1)

Evidence base

(1)

Information for women

(2)

Roles and responsibilities

(2)

Planning

(1)

Assessment

(1)

Documentation

(1)

Communication

(2)

Use of technology

(1)

Birth plan

(1)

After the birth

(1)

Equipment

(1)

Medicines

(2)

Midwife supply order

(1)

Midwives' exemptions

(1)

Medical gases

(1)

Attending a homebirth

(1)

Transfer of care

(2)

Emergency transfer during labour

(1)

`Flying squads'

(1)

Rare events

(1)

Skills for homebirths

(4)

Continuing professional development

(1)

Homebirth and supervision of midwives

(3)

Standards and audit

(1)

Conclusion

(1)

References

(3)

Appendix 3.1 When should I call the midwife?

(1)

Appendix 3.2 Emergency callout

(1)

Appendix 3.3 Notification of request for homebirth

(1)

Appendix 3.4 Notification of completed homebirth

(1)

Appendix 3.5 Birth plan for homebirth

(4)

Housekeeping arrangements

(1)

Birth partners

(1)

First stage of labour

(1)

Second stage of labour

(1)

After the birth

(1)

Students

(1)

Concerns and transfer

(1)

Woman's checklist for homebirth

(1)

Appendix 3.6 Suggested equipment for midwives' homebirth kit

(2)

4 Supporting homebirth

(42)

Mary Steen

Kath Jones

Introduction

(3)

Antenatal preparation

(2)

Being with woman

(1)

The debate

(6)

Childbirth without fear

(2)

Fear of childbirth

(1)

Normal birth

(3)

Social model versus medical model

(1)

Campaign for Normal Birth

(1)

Midwives' skills

(1)

Skills for `sussing out' labour

(1)

Preparation of birth partners

(3)

Involving fathers: other benefits to the mother and baby

(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

(22)

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

(1)

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.

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