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Evidence and skills for normal labour and birth : a guide for midwives

Author: Denis Walsh
Publisher: London : Routledge, 2012.
Edition/Format:   Print book : English : Second editionView all editions and formats
Summary:
This is a helpful and practical guide that draws out what is known about the effectiveness of care in normal labour and birth. The text contains information to help students and practicing midwives keep abreast of the evidence surrounding normal birth and ensure their practice takes full advantage of it.
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Genre/Form: Adventure fiction
Spy stories
Action and adventure fiction
Spy fiction
Series
Fiction
Document Type: Book
All Authors / Contributors: Denis Walsh
ISBN: 9780415577311 0415577314 9780415577328 9780203357361 0203357361 0415577322
OCLC Number: 1002682079
Notes: Previous ed.: 2007.
Description: xviii, 206 pages : illustrations ; 25 cm.
Contents: 1. Knowledge, evidence and skills for normal birth --
Critiques of the evidence paradigm --
Qualitative research --
Models and underpinning tenets of childbirth care --
Skills and evidence --
Conclusion --
Questions for reflection --
2. Preparation for childbirth --
A brief history of models and approaches --
Focus of educational content and evidence base --
Specific therapies and new approaches to antenatal care provision --
New directions and conclusion --
Practice recommendations --
Questions for reflection --
3. Birth setting and environment --
Out-of-hospital birth: home birth --
Out-of-hospital birth: free-standing birth centres --
Integrated birth centres/MLUs --
Attitudes and beliefs --
Relational dimensions of care --
Birth ecology, birth territory and midwifery guardianship --
Conclusion --
Practice recommendations --
Questions for reflection --
4. Rhythms in the first stage of labour --
Friedman's legacy --
Organisational factors --
Contents note continued: An emergent critique --
Rhythms in early labour --
Rhythms in mid-labour --
Alternative skills for sussing out labour --
Prolonged labour --
`Being with' not `doing to' labouring women --
Conclusion --
Practice recommendations --
Questions for reflection --
5. Fetal heart monitoring in labour --
Current evidence base of electronic fetal monitoring (EFM) --
Fetal mortality and morbidity related to birth asphyxia --
Alternative technologies for assessing fetal well-being --
Conclusion --
Practice recommendations --
Questions for reflection --
6. Mobility and posture in labour --
Mobility in the first stage of labour --
Posture in the second stage of labour --
Context, beds and birth rooms --
Posture and perineal outcomes --
Occipito-posterior positions and labour posture --
Upright posture and assisted vaginal birth --
Birth position and educational initiatives --
Conclusion --
Practice recommendations --
Questions for reflection 7. Pain and labour --
Contents note continued: Pain, birthing and context --
Models of labour pain --
Psychological methods --
Physical therapies --
Sensory methods --
Complementary therapies --
Spiritual rituals --
Technologies and drugs --
Conclusion --
Practice recommendations --
Questions for reflection --
8. Rhythms in the second stage of labour --
The medicalisation of the second stage --
Research evidence --
Epidurals and the second stage --
Definition of the second stage --
Time and fetal health --
Early pushing --
Posterior positions in the second stage --
Tips for delay in the second stage --
Attitudes and philosophy --
Practice recommendations --
Questions for reflection --
9. Care of the perineum --
Episiotomy and its legacy --
Hands on or hands poised --
Other protective factors --
Vaginal birth and the pelvic floor --
To suture or not to suture --
Conclusion --
Practice recommendations --
Questions for reflection --
10. Rhythms in the third stage of labour --
History of uterotonics --
Contents note continued: Components of active and physiological third-stage care --
The RCTs on active or physiological management --
More recent research in midwifery-led environments --
Defining a benchmark for PPH --
Physiological third stage and maternal physiology --
Physiological third stage and neonatal transition --
Language games --
Choice, skills, beliefs and institutional constraints --
Practice recommendations --
Questions for reflection --
11. Water immersion and waterbirth --
Environment --
Therapeutic benefits --
Physiological benefits --
Psychosocial benefits --
Professional aspects --
Practical skills for water immersion and waterbirth --
Conclusion --
Questions for reflection --
12. Changing midwives' practice --
Relevant generic strategies --
Targeting barriers to change --
Strategies to address barriers --
Diffusion of innovation --
Conclusion --
Practice recommendations --
Questions for reflection.
Responsibility: Denis Walsh.

Abstract:

Rev. ed. of: Evidence-based care for normal labour and birth / Denis Walsh. 2007.  Read more...

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Praise for the 1st edition:'A well written and powerful book which is a must for midwives, mothers and the medical profession. Denis Walsh eloquently exposes the faults and failures in our current Read more...

 
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