Better Births
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Оглавление
Anna Brown. Better Births
Table of Contents
List of Tables
Guide
Pages
Better Births. The Midwife ‘with Woman’
Preface
References
Foreword
1 An Evolutionary Concept Analysis
A Historic Review of Being ‘with Woman’
Rodgers' Concept Analysis Framework
Search Strategy and Inclusion/Exclusion Criteria
Data Extraction and Analysis
Characteristics of the ‘with Woman’ Concept
Wellbeing and Health Through Positive Behaviour
Processing Midwifery Knowledge and Skills
Physical Wellbeing Through Environmental Factors
Conclusion
Midwives' Story. Victoria's Story
Lucy's Story
Women's Stories. Emily's Story
Victoria's Story
Lessons Learnt
References
2 Ethical Perspectives of Being ‘with Woman’
Introduction
Midwifery Working Practices
Ethics and Standards
Choices, Autonomy and Decision Making
Towards a Relational Model with Confidence and Responsibility
Advocacy
Empathy, Intuition and Sensitivity
The ‘Good’ Midwife
Conclusion
A Midwife's Story. Anna's Story
Donna's Stories. Rosie*'s Story
Lois*'s Story
A Woman's Story. Emily's Story
Lessons Learnt
Acknowledgement
References
3 ‘With Woman’ in ‘Normal Birth’
Introduction
Defining Normality
Defining Risk
Woman‐Centred Care
Continuity of Care
Midwife‐Led Care
Case Loading and Team Midwifery
Place of Birth
Conclusion
Midwives' Stories. Laura's Story
Rhiannon's Story
Donna's Story
Women's Stories. Sarah's Story
Helen's Story
Lissie's Story
Lessons Learnt
References
4 ‘With Woman’ in Screening and Fetal Medicine
Introduction
Screening and Fetal Medicine
Benefits and Costs of Prenatal Screening
Healthcare Professionals' Experiences of Fetal Screening
Women's Views of Fetal Screening
Termination After Diagnosis
Conclusion
The Specialist Midwife's Stories. Angie's Story
Inaya*'s Story
Tess*'s Story
A Woman's Story. Hannah's Story
Lessons Learnt
References
5 ‘With the High‐Risk Woman and Neonate’
Introduction
A Midwife's Experience. Kerry – Being ‘with Woman’ during a Global Pandemic
High‐Risk Pregnancies and Birth. Raised BMI, Pregnancy Induced Hypertension, Postpartum Haemorrhage and Multiple Pregnancy
Midwives ' Perspectives
Women's Perspectives
Hypertension in Pregnancy
Care in Pregnancy, Labour and Postpartum
A Midwife's Story. Victoria's Story
A Woman's Story. Katrina's Story
Raised BMI in Pregnancy
Midwives' Stories. Rhiannon's Story
Olivia's Story
Postpartum Haemorrhage
Midwife ' s Story. Victoria's Story
Multiple Pregnancies
‘Being with Woman’ Having Twins
Midwives' Stories. Julia's Story
Amy's Twin Story
Olivia's Twin Story
Woman’s Story. Angela*’s Story
Lessons Learnt
‘With Woman’ in Special Care or Intensive Care Neonatal Units. The Role of the Family Support Nurse in NICU
Women's Views of Support in NICU
A Family Support Nurse ' s Story
Jo’s Story
Lessons Learnt
References
6 ‘With Woman’ with Gestational Diabetes Mellitus
Introduction
Gestational Diabetes Literature
Diagnosis of GDM
Managing GDM to Improve Outcomes
Women's Experiences of GDM Management
Implications for the Neonate of a GDM Woman
The Role of Lactation in GDM Women
Conclusion
A Specialist Midwife's Story. Julia's Stories
Amy's GDM and Colostrum Harvesting Story
A Woman's Story. Joanne's Story
Lessons Leant
References
7 ‘With Woman’ in Perineal Trauma
Introduction and Background
Midwives' Role in Supporting Women with Perineal Trauma
Women's Experiences of Care after Perineal Trauma
Rationale for a Perineal Care Clinic
Conclusion
Angie: A Specialist Perineal Care Midwife
Women's Experience of the Perineal Care Clinic
Effectiveness of One‐to‐One Consultation in a PCC
Angie's Stories. Harriot*'s Story
Harriot's Birth Outcome
Sarah*'s Story
Sarah's Birth Outcome
Women's Stories. Ruth*'s Story
Emilia*'s Story
Lessons Learnt
References
8 ‘With Woman’ from a Mental Health Perspective
Introduction
Principles of Care in Pregnancy and the Postnatal Period
Recognising Depression in Pregnancy and the Postnatal Period; Assessment and Referral
Treatment Options, Monitoring and Support in the Postnatal Period
Women's Perspective
Conclusion
Specialist Midwife's Story. Erin's Story
A Midwife's story – Aisha's Story
A Woman's Story. Helena*'s Story
Lessons Learnt
References
9 ‘With Woman’ in Prison
Introduction
Interventions and Impact on Outcomes
Women's Views and Experiences
Maternity Services for Women in Prisons
Conclusion
Specialist Midwife's Stories – Clare's Stories. Jill*'s Story
Postscript 2019
Hayley*'s Story
Postscript
Women's Stories
Lessons Learnt
References
10 ‘With the Older Woman’
Introduction
Reasons for Advanced Maternal Age
Perception of Risk
Outcomes of Pregnancy and Birth
Women's Views
Midwifery Care of the Older Mother
Conclusion
Midwife's Story. Clare's Story
Women's Stories. Kate*'s Story
Lucy*'s Story
Lessons Learnt
References
11 ‘With the Bereaved Woman’
Introduction
The Consequences of a Stillbirth
Implications for Healthcare Providers
Parents' Perspective
Bereavement Care Services
Conclusion
A Midwife's Stories. Zara‐The Counsellor/Birth Reflection/Bereavement Midwife
Grief 50 years on
How long does grief last? ‘Somehow you'll get through it but you'll never get over it’
Another heartbreak …
A Student Midwife's Story‐ Jennie's Story. James*
A Woman's Story. Kitty*'s Story
Lessons Learnt
References
12 Global Midwifery Perspective of the ‘with Woman’ Concept
Introduction to Global Maternity Services
Midwifery Services in Israel
Midwives' Stories from Israel. Miriam's Story
Xenia*'s Birth Story
Miriam's Reflection
Priscilla 's Story
Priscilla's Reflection
Gomer's Story
Gomer's Reflection
Women's Stories. Annabel's Birth Story from Israel
Dina's Birth Story from Israel
Midwifery Services in Italy. Elisabetta's Reflection
Betty's Birth Story from Italy
Midwifery in Norway. Thorhild's Reflection
Midwifery Services in Canada. Dina's Reflection
Maternity Services in Australia. Natalie's Reflection
Maternity Services in North Adelaide
Alex's Reflection
Alex's Story from AFBP. Sonia*'s Birth Story
A Woman's Story. Erin's Birth Stories
Lessons Learnt
References
Some Useful Websites
Conclusion: Reflections on Midwifery Practice: Does Professional Regulation Promote a ‘With Woman’ Philosophy?
Introduction
Self‐Professional Regulation
Peer Professional Regulation
Non‐statutory Professional Regulation
Government Policy
International Influences and Regulation
Conclusion
References
Further Reading
Index. a
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Отрывок из книги
Edited by
Anna M. Brown
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When I arrived, Fiona was quietly pacing in her room using a TENS machine and listening to a relaxation track. I checked my kit and quietly set up my resuscitation equipment – the family had a full discussion with us at a 36 weeks antenatal appointment and knew what kit would be present. So this was not alarming. I completed a full assessment – observations, abdominal palpation, began regular auscultations and then sat back and observed her. Liquor remained clear, and baby was still moving well; all was well. We do not routinely perform vaginal examinations, unless requested or unless there are any deviations from normal, for at least the first four hours – within which time many mothers have birthed or are close to birthing.
Fiona continued to pace, and I observed as she paused to breathe through each contraction. I noticed she was now contracting about three times in every 10 minutes, but reflected on how on an average triage shift, a mother as stoic as her would likely have midwives saying ‘she's not in labour’ ‘she can't be in labour’ – and yet here she was, and signs implied otherwise. In hospital, perhaps a vaginal examination may have surprised a midwife. But in reality, that information would not change this picture at all. What was important was that Fiona was contracting regularly – she required midwifery support, it didn't matter if she was 4 or 8 cm. With no interruptions to her hormonal and physiological progress in labour, I knew her dilation was likely to be advancing rapidly, especially as a multiparous mother. Her partner, Rob inflated the birthing pool and began to fill it.
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