Better Births

Better Births
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Better Births: The Midwife 'with Woman’ provides readers with an in-depth understanding of the fundamental concepts at the heart of all midwifery practice. Written for student midwives and qualified practitioners alike, this evidence-based textbook examines what it means to be 'with woman' from a range of perspectives, in a variety of contexts, and in diverse areas of practice. Based on Rodgers' evolutionary concept analysis—the theoretical approach to developing knowledge in nursing science—this authoritative resource systematically examines and analyses the most recent literature and evidence, presenting findings of high relevance to midwives and childbearing women with contributions from international experts. Introduces the concept of being 'with woman' and explains the evolutionary concept analysis approach Provides insights on the relationship between woman and midwife and on fulfilling the 'with woman' concept Reviews contemporary literature to identify new knowledge and generate questions about the concept Includes discussion of global and historical perspectives, high risk midwifery, mental health issues, supporting the bereaved woman, delivering nurturing care to the older childbearing woman, midwifery education, public health, the future of midwifery, and more Better Births is essential reading for undergraduate and graduate students in midwifery programmes, scholars and educators in the field, sociologists and researchers in related disciplines, and general readers interested in women’s position in society, birth and motherhood, and feminism.

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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Edited by

Anna M. Brown

.....

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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