1.

Record Nr.

UNINA9910823144203321

Autore

Peate Ian

Titolo

The Student's Guide to Becoming a Midwife

Pubbl/distr/stampa

Hoboken : , : John Wiley & Sons, Incorporated, , 2014

©2014

ISBN

9781118415894

9781118410936

Edizione

[2nd ed.]

Descrizione fisica

1 online resource (402 pages)

Altri autori (Persone)

HamiltonCathy

Disciplina

618.2

Soggetti

Perinatal Care - methods

Electronic books.

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Nota di contenuto

Intro -- The Student's Guide to Becoming a Midwife -- Copyright -- Contents -- Contributors -- Preface to the Second Edition -- Acknowledgements -- Introduction -- The unique role and function of the midwife -- The midwife's role in public health -- Terminology -- The Nursing and Midwifery Council and Quality Assurance Agency (Education) -- Midwives' Rules and Standards -- Becoming a competent midwife -- Case notes and activities -- References -- 1 Effective Communication -- Introduction -- Some common problems in communication -- Listening -- Guidelines for listening -- Listening to what is not being said -- Empathy -- Conclusion -- References -- 2 Effective Documentation -- Introduction -- The importance of effective documentation -- Good record keeping equates with good care -- Record keeping: the extent of the current challenges -- Outcomes from the case study -- Outcomes for Sophie and her baby -- NMC panel decision for Midwife B -- Enhancing your record keeping skills -- Record keeping in action -- Conclusion -- Quiz -- References -- 3 Confidentiality -- Introduction -- Confidentiality: the professional stance -- The essential nature of confidentiality for professional practice -- Alternative approaches to confidentiality -- The ethical stance -- The legal framework of confidentiality -- Exceptions -- Protecting client information -- Confidentiality model (Figure  3.1) --



Protect -- Inform -- Provide choice -- Improve -- Conclusion -- Quiz -- References -- 4 The Aims of Antenatal Care -- Introduction -- The midwife' s role as antenatal caregiver -- Antenatal assessment and monitoring -- The booking visit -- Opening questions -- Emotional well-being -- Medical and family history -- Family history -- Subsequent visits -- Record keeping -- Tests offered at subsequent visits -- Assessments at each visit -- Palpation.

Abdominal palpation and assessment of the fetal heart -- Screening -- Screening tests -- Conclusion -- Quiz -- References -- 5 Programmes of Care During Childbirth -- Introduction -- Place of birth -- Hospital with a central delivery suite -- Birth centres -- Midwifery caseloading -- Homebirth -- Independent midwives -- Sure Start programmes of care -- Parenthood education programmes -- NHS classes -- Active birth classes -- National Childbirth Trust classes -- Birth plans -- When to call the midwife -- Conclusion -- Quiz -- References -- 6 Interprofessional Working: Seamless Working within Maternity Care -- Introduction -- Working with other professionals -- Example -- Care pathways -- Barriers to and opportunities for collaborative working -- Language -- Hierarchy and power -- Attitudes to other professions -- Communication -- Team working: Tuckman and Belbin -- Complexity theory: dealing with uncertainty -- Conclusion -- Quiz -- References -- 7 Intrapartum Care -- Introduction -- Definitions of normality -- Stages of labour -- Promoting spontaneous labour: avoiding induction of labour -- 'Sweeping the membranes' -- Onset of spontaneous labour -- Signs that labour is starting -- Onset of uterine contractions -- Passage of a Mucous 'show' -- Spontaneous rupture of the membranes ('the waters breaking') -- Other signs -- Midwifery care in early labour -- Initial examination -- Pregnancy history -- Physical examination -- Assessment of the progress of labour -- Observation of the woman's behaviour -- Outward signs -- Observation of woman's psychological state -- Abdominal palpation and auscultation -- Monitoring of contractions -- Vaginal examination -- The partogram -- Medical forms of pain relief -- Nitrous oxide/Entonox -- Epidural analgesia -- Opioid analgesia -- Midwifery care in the first and second stages of labour.

Avoiding unnecessary time restrictions in labour -- Movement and posture -- Eating and drinking in labour -- Support in labour -- Continuity of care and continuous care -- Pushing in the second stage of labour -- Midwifery care in the third stage of labour -- Active management of the third stage of labour -- Midwifery care after birth -- Conclusion -- Quiz -- References -- 8 Effective Emergency Care -- Introduction -- Maternal resuscitation -- Risk factors -- Neonatal resuscitation -- Risk factors -- Drying and covering the baby to conserve heat -- Assessing the need for any intervention -- Opening the airway -- Breathing -- Chest compression -- Administration of drugs (rare) -- Stopping resuscitation -- Shoulder dystocia -- Definition -- Incidence -- Risk factors -- Management -- Vaginal breech delivery -- Incidence -- Risk factors -- Manual removal of the placenta -- Incidence -- Risk factors -- Potential complications -- Manual examination of the uterus -- Management of postpartum haemorrhage -- Incidence -- Management -- Management of an eclamptic seizure -- Incidence -- Risk factors -- Signs and symptoms -- Management -- Conclusion -- References -- 9 Initial Assessment and Examination of the Newborn Baby -- Introduction -- Midwife ' s immediate role -- Initial assessment and examination at birth -- Assessment at birth -- Examination of the newborn baby -- Completion of the initial examination -- Conclusion -- References -- 10 Effective Postnatal Care -- Introduction -- Principles of postnatal



care -- Plan of care -- Immediate postbirth care of the woman: physical assessment and care -- Observation and estimation of blood loss -- Observation of fundal tone and position -- Vital signs -- Inspection of the perineum and vagina -- Examination of the placenta -- Perineal repair -- General well-being of the woman -- Bladder care.

Initiating breastfeeding -- Care after caesarean section -- Care in the recovery area -- Observations -- Care of the woman on the postnatal ward following caesarean section -- Pain management -- Hygiene and wound care -- Fluid balance and diet -- Prevention of thromboembolism -- Supporting breastfeeding -- Daily care in hospital for all women -- Observations -- Baby care needs -- Going home -- Continuing successful breastfeeding -- Other methods of infant feeding -- Supporting women who choose to bottle feed -- Midwifery care in the community -- Physical assessment of the woman -- Assessment of the woman ' s psychological well-being -- Care of the baby in the community -- Skin care -- Colic -- Weighing -- Newborn blood spot screening -- Safety issues -- Ongoing advice and care -- Conclusion -- Quiz -- References -- 11 Medication and the Midwife -- Introduction -- Legislation governing the administration of drugs -- The Medicines Act 1968 -- Midwives' exemptions and prescription-only medicines -- Midwives' exemptions: the situation for students -- The British National Formulary -- Administering medication -- Principles -- Checking of drugs -- Controlled drugs -- Misuse of Drugs Act 1971 -- Issues in the handling of controlled drugs -- Patient group directions -- Unlicensed medicines -- Patient-specific directions -- Standing orders or locally agreed policies -- Teratogenic drugs -- Drugs and breastfeeding -- Routes of administration -- Oral -- Injection -- Complementary and alternative therapies -- Drug errors -- Conclusion -- References -- Quiz -- 12 The Midwife and Public Health -- Introduction -- Mortality and morbidity -- Public health and provision for maternity services -- Specific public health issues of importance to midwifery -- Infant feeding -- Domestic abuse -- Obesity -- Smoking, drugs and alcohol -- Female genital mutilation.

Sudden infant death syndrome -- Global policy perspectives -- Conclusion -- Quiz -- References -- 13 Regulating the Midwifery Profession -- Introduction -- Self-regulation -- Standards and guidelines -- The Nursing and Midwifery Council Midwives' Rules -- Fitness to practise -- Who regulates the regulators? -- The Nursing and Midwifery Council and pre‑registration midwifery education -- The structure and content of midwifery education programmes -- Assuring quality -- Post-Registration Education and Practice ( PREP) standards -- Conclusion -- References -- 14 The Impact of Cultural Issues on the Practice of Midwifery -- Introduction -- The morality of working in a cultural context -- Midwifery practice in a culturally sensitive climate of care -- The power dynamics of midwifery practice -- Conclusion -- Cultural awareness quiz -- References -- 15 Legislation and the Midwife -- What is the law? -- Statutory law -- Common law or case law -- European law -- The law and the issue of consent -- Emergency situations -- Consent of minors -- Parental consent for babies -- Legislation used by the midwife in her practice -- Human Rights Act 1998 -- Equal opportunities legislation -- Access to patient records -- Abortion Act 1967 -- Registration of births and stillbirths -- Human Fertilisation and Embryology Acts 1990, 1991 and 1992 -- Criminal law and attendances at birth -- Children Act 1989 -- Congenital Disabilities (Civil Liability) Act 1976 -- Conclusion -- Word Search -- References -- 16 Decision Making -- Introduction -- Decision making -- Errors -- Using heuristics -- Clinical decision making -- Principles in clinical decision making -- Application of principles -- Managerial



decision making -- Conclusion -- Quiz -- References -- 17 Health, Safety and Environmental Issues -- Introduction -- Assessing risk -- Slips, trips and falls -- Preventing slips.

Preventing trips.

Sommario/riassunto

The Student's Guide to Becoming a Midwife is essential reading for all student midwives. Now updated to include the latest 2012 NMC Midwifery Rules and Standards and a brand new chapter on the midwife and public health, this comprehensive resource provides a wide range of need-to-know information for student midwives, including: Effective communication and documentation Confidentiality Interdisciplinary working The fundamentals of antenatal, intrapartum, and postnatal care Assessment and examination of the new-born baby Medicines Public health Clinical decision-making Evidence-based practice With case studies, words of wisdom from current midwives and a range of activities and self-test questions throughout - making it easy to learn and understand key concepts - The Student's Guide to Becoming a Midwife is the ideal companion for students throughout their course.