Myles Textbook for Midwives

Myles Textbook for Midwives

17th Edition - May 12, 2020

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  • Editors: Jayne Marshall, Maureen Raynor
  • eBook ISBN: 9780702076442
  • Paperback ISBN: 9780702076428

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Description

Written by midwives for midwives, Myles Textbook for Midwives has been the seminal textbook of midwifery for over 60 years. It offers comprehensive coverage of topics fundamental to 21st midwifery practice. Co-edited for the second time, by internationally renowned midwife educationalists, Professor Jayne E Marshall and Maureen D Raynor from the United Kingdom with a team of contributors from across the midwifery community it retains its clear, accessible writing style. Most chapters provide useful case studies, websites of key organisations and charities for individuals to access further information. Reflective questions at the end of each chapter as well as annotated further reading aid reflective learning and stimulate discussions relating to continuing professional development.

Key Features

  • The book covers key frameworks that govern midwifery practice, exploring ethical and legal frameworks that are essential to every accountable, autonomous, professional midwife.
  • Includes employer-led models of supervision, vital elements of leadership and clinical governance that supports the provision of high quality maternity services and standards of midwifery practice.
  • The concept of resilience is introduced for the reader to contemplate their personal contribution in creating an environment that is conducive to protecting the wellbeing of themselves and colleagues within the workplace.
  • The text covers the UN 2030 Agenda for Sustainable Development, highlighting the importance of midwives as global citizens with common goals, and together they form a strong global community prepared to challenge social inequalities and take action to help end extreme poverty.
  • Covers designing and implementing high quality midwifery care using evidence, policy and models of care. Highlights why a holistic and evidence-informed approach is necessary to achieve effective care for all. Working examples will help the reader to think critically about their own practice.
  • For this edition several new chapters are introduced covering concealed pregnancy, fear of childbirth (tocophobia), care of the acutely unwell woman and end of life issues including rights of the fetus/neonate and ethical considerations.

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • Contributors
  • Foreword
  • Preface
  • Acknowledgement
  • Section 1. The Midwife in Context
  • 1. The Midwife in Contemporary Midwifery Practice
  • Global Health: The Contribution of Midwives
  • The State of the World: Better Connected and yet More Unequal Than Ever
  • The Right to Health and Respectful Maternity Care
  • Midwives and the Sustainable Development Goals
  • The Definition and Scope of a Midwife
  • Strengthening Global Midwifery Towards 2030
  • The Emotional Context of Midwifery
  • The Family in Society
  • 2. Professional Issues Concerning the Midwife and Midwifery Practice
  • Statutory Midwifery Regulation
  • Professional Regulation From an International Perspective
  • Statutory Midwifery Professional Regulation
  • The Nursing and Midwifery Council
  • Legal Issues and the Midwife
  • Safeguarding and the Role of the Midwife
  • Ethical Issues and the Midwife
  • Employer-Led Supervision of Midwives
  • Resilience in Midwifery
  • Clinical Governance
  • Risk Management
  • Section 2. Human Anatomy and Reproduction
  • 3. The Female Pelvis and the Reproductive Organs
  • Female External Genital Organs
  • The Perineum
  • The Pelvic Floor
  • The Pudendal Nerve
  • The Pelvis
  • The Female Reproductive System
  • The Male Reproductive System
  • 4. The Female Urinary Tract
  • The Kidneys
  • Urine
  • The Ureters
  • The Bladder
  • The Urethra
  • Micturition
  • Changes to the Urinary Tract in Pregnancy and Childbirth
  • Conclusion
  • 5. Hormonal Cycles: Fertilization and Early Development
  • Introduction
  • The Ovarian Cycle
  • The Menstrual or Endometrial Cycle
  • Fertilization
  • Development of The Zygote
  • Methods of Assisted Conception
  • 6. The Placenta
  • Early Development
  • The Placenta at Term
  • Conclusion
  • 7. The Fetus
  • Time Scale of Development
  • Fetal Growth and Maturation
  • The Fetal Circulation
  • Adaptation to Extrauterine Life
  • The Fetal Skull
  • Conclusion
  • Section 3. Pregnancy
  • 8. Designing and Implementing High Quality Midwifery Care: Evidence, Policy and Models of Care
  • Introduction and Background
  • What is quality maternal and newborn care?
  • The Importance of Policy and its Implementation
  • Developing and Implementing Evidence-Informed Maternity Policy
  • Conclusion
  • 9. Antenatal Education for Birth and Parenting
  • Parent Education for the Critical 1000 Days
  • Aims of Antenatal Education
  • To Increase Women’s Self-Efficacy for Labour and Birth
  • To Promote Sensitivity to Infants
  • To Enhance Practical Parenting Skills
  • To Reduce Parental Stress and Support Mental Health
  • To Strengthen the Couple Relationship
  • To Build Social Support
  • Leading Antenatal Education Sessions
  • Evaluation
  • Conclusion
  • 10. Change and Adaptation in Pregnancy
  • Physiological Changes in the Reproductive System
  • Uterine Divisions
  • Cervical Ripening
  • Cervical Shortening and Effacement
  • The Vagina
  • Changes in the Cardiovascular System
  • Haematological Changes
  • Changes in the Respiratory System
  • Changes in the Urinary System
  • Changes in the Gastrointestinal System
  • Stomach and Intestines
  • Appendix
  • Gallbladder
  • Liver
  • Maternal Weight
  • Musculoskeletal Changes
  • Skin Changes
  • Changes in the Endocrine System
  • The Pituitary Gland and its Hormones
  • Adrenal Gland
  • 11. Antenatal Care
  • The Aim of Antenatal Care
  • The Initial Assessment (Booking Visit)
  • Meeting the Midwife
  • Physical Examination
  • The Midwife’s Examination
  • Position
  • Ongoing Antenatal Care
  • 12. Concealed Pregnancy
  • Background
  • Definitions of Concealed Pregnancy
  • Reconceptualizing Concealed Pregnancy
  • Why is Concealed Pregnancy of Concern?
  • Reasons Why Pregnancies are Concealed
  • Consequences of Concealed Pregnancy
  • 13. Antenatal Screening of the Mother and Fetus
  • Screening Principles
  • How Screening is set up and the Midwife’s Role and Responsibilities
  • Individual Screening Test Considerations
  • Fetal Screening Tests
  • Screening for Maternal Conditions
  • Conditions not Currently Screened
  • Conclusion
  • 14. Problems Associated with Early and Advanced Pregnancy
  • The Midwife’s Role
  • Abdominal Pain in Pregnancy
  • Bleeding Before the 24th Week of Pregnancy
  • Other Problems in Early Pregnancy
  • Bleeding After the 24th Week of Pregnancy
  • Hepatic Disorders and Jaundice
  • Skin Disorders
  • Abnormalities of the Amniotic Fluid
  • Conclusion
  • 15. Medical Conditions of Significance to Midwifery Practice
  • Hypertensive Disorders
  • Hypertensive Conditions of Pregnancy
  • Metabolic Disorders
  • Thyroid Disease
  • Prolactinoma
  • Cardiac Disease
  • Neurological Disorders
  • Respiratory Disorders
  • Thromboembolic Disease
  • Haematological Disorders
  • Infection/Sepsis
  • 16. Multiple Pregnancy
  • Incidence
  • Twin Pregnancy
  • The Multiple Pregnancy
  • Labour and the Birth
  • Complications Associated with Multiple Pregnancy
  • Postnatal Period
  • Development of Twins
  • Triplets and Higher Order Births
  • Disability and Bereavement
  • Multifetal Pregnancy Reduction
  • Sources of Help
  • Section 4. Labour
  • 17. Care of the Perineum, Repair and Female Genital Mutilation
  • Prevention of Perineal Trauma
  • Definition of Perineal Trauma
  • Episiotomy
  • Diagnosis of Perineal Trauma
  • Female Genital Mutilation/Genital Cutting/Female Circumcision
  • Repair of Perineal Trauma
  • Obstetric Anal Sphincter Injuries
  • Postoperative Care After Oasis
  • Follow-Up
  • Medicolegal Considerations
  • Training
  • 18. Fear of Childbirth (Tocophobia)
  • Definition and Prevalence
  • History
  • Psychology and Physiology
  • Risk Factors
  • Causes
  • Prediction Tools
  • Research
  • Policy Context
  • 19. Physiology and Care During the First Stage of Labour
  • Defining Labour
  • The Onset of Spontaneous Physiological Labour
  • Physiology of the First Stage of Labour
  • Recognition of the First Stage of Labour
  • Initial Meeting With the Midwife
  • Subsequent Care in the First Stage of Labour
  • Assessing the Wellbeing of the Woman
  • Assessing the Wellbeing of the Fetus
  • Women’s Control Of Pain During Labour
  • First Stage of Labour: Vaginal Breech at Term
  • Prelabour Rupture of the Membranes at Term
  • Preterm Prelabour Rupture of the Membranes
  • The Responsibilities of the Midwife
  • 20. Physiology and Care During the Transition and Second Stage Phases of Labour
  • The Nature of The Transition and Second Stage Phases of Labour
  • Recognition of The Commencement of The Expulsive Phase of Labour
  • Phases and Duration of The Second Stage
  • Maternal Response to Transition and The Second Stage
  • The Mechanism of Normal Labour (Cephalic Presentation)
  • Midwifery Care in Transition and The Second Stage
  • Vaginal Breech Birth at Term
  • Record-Keeping
  • Conclusion
  • 21. Physiology and Care During the Third Stage of Labour
  • Physiological Processes
  • Caring for a Woman in the Third Stage of Labour
  • Completion of the Third Stage of Labour
  • Complications of the Third Stage of Labour
  • Conclusion
  • 22. Prolonged Pregnancy and Variations of Uterine Action
  • Prolonged Pregnancy
  • Incidence
  • Plan of Care for Prolonged Pregnancy: The Debate and Controversy
  • Induction of Labour
  • Slower Than Expected Progress and Prolonged Labour
  • Midwifery Approaches When Labour Progress Slows or Ceases
  • Obstructed Labour
  • Precipitate Labour
  • Making Birth a Positive Experience
  • 23. Malpositions of the Occiput and Malpresentations
  • Introduction
  • Occipitoposterior Positions
  • Face Presentation
  • Brow Presentation
  • Shoulder Presentation
  • Unstable Lie
  • Compound Presentation
  • 24. Operative Births
  • Assisting a Vaginal Birth
  • Indications for Ventouse or Forceps
  • Contraindications to an Instrumental Vaginal Birth
  • Prerequisites for any Operative Vaginal Birth
  • Birth by Ventouse
  • Birth by Forceps
  • Caesarean Section
  • 25. Maternity Emergencies
  • Introduction
  • Communication
  • Vasa Praevia
  • Presentation and Prolapse of the Umbilical Cord
  • Shoulder Dystocia
  • Rupture of the Uterus
  • Amniotic Fluid Embolism
  • Acute Inversion of the Uterus
  • Shock
  • Drug Toxicity/Overdose
  • 26. Recognition of the Acutely Unwell Woman: Maternal Collapse and Resuscitation
  • Introduction
  • Recognizing Acute Illness
  • The Abcde Approach to Managing Critical Illness
  • Sbar Communication Tool
  • Critical Illness and Specific Clinical Conditions Pertinent to Pregnancy, Labour and Birth
  • What are the physiological and anatomical changes in pregnancy that affect resuscitation?
  • Summary
  • Section 5. Puerperium
  • 27. Optimal Infant Feeding
  • Introduction
  • The Breast and Breastmilk
  • The Baby Friendly Initiative
  • Effective Positioning
  • Feeding Behaviour
  • Care of the Breasts
  • Difficulties With Breastfeeding
  • Feeding Difficulties Due to the Baby
  • Complexity and Breastfeeding
  • Feeding With Formula Milk
  • The Healthy Start Initiative
  • 28. Physiology and Care During the Puerperium
  • The Postnatal Period
  • Historical Background
  • Framework and Regulation for Postnatal Care
  • Midwives and Postnatal Care
  • Physiological Changes and Observations
  • Expectations of Health
  • Fertility Awareness (Natural Family Planning)
  • Record-Keeping and Documentation
  • Transition to Parenthood
  • The 6–8 Week Postnatal Examination
  • 29. Physical Health Issues and Complications in the Postnatal Period
  • The Need for Woman-Focused and Family-Centred Postpartum Care
  • Potentially Life-Threatening Conditions and Morbidity After the Birth
  • Immediate Maternal Complications Following the Birth of the Baby
  • Postpartum Complications
  • Midwifery Care After an Operative Birth
  • Emotional Wellbeing
  • Woman/Midwife Relationship
  • 30. Perinatal Mental Health
  • Part A: Pregnancy, Childbirth, Puerperium: The Psychological Context
  • Transition to Parenthood
  • Role Change/Role Conflict
  • The Ideology of Motherhood
  • Social Support
  • Emotional Changes During Pregnancy, Labour and the Puerperium
  • Postnatal ‘blues’
  • Distress or depression?
  • Conclusion
  • Part B: Perinatal Psychiatric Conditions
  • Types of Psychiatric Disorder
  • Psychiatric Disorder in Pregnancy
  • Psychiatric Disorder After Birth
  • Treatment of Perinatal Psychiatric Disorders
  • Service Provision
  • Prevention and Prophylaxis
  • Conclusion
  • 31. Perinatal Loss and Bereavement in Maternity Care
  • Introduction
  • Grief and Loss
  • Forms of Loss and Bereavement During Childbirth
  • Termination of Pregnancy
  • Relinquishing a Baby
  • The Baby With a Disability
  • Loss in Healthy Childbearing
  • Perinatal Mortality – the Contemporary Picture
  • Managing Perinatal Loss
  • Bereavement Care
  • The Postnatal Period
  • Considerations Following Perinatal Loss
  • The Death of a Mother
  • Support for the Healthcare Professional
  • Conclusion
  • Section 6. The Neonate
  • 32. Recognizing the Healthy Baby at Term Through Examination of the Newborn Screening
  • The First Examination of the Newborn Following Birth
  • The Daily Examination of the Baby Screening
  • Full Systematic Physical Examination of the Newborn/Newborn and Infant Physical Examination
  • Neurological Examination
  • Newborn Screening Tests
  • Communication and Documentation
  • 33. Resuscitation of the Healthy Baby at Birth: The Importance of Drying, Airway Management and Establishment of Breathing
  • Drying the Baby
  • Airway Management and Breathing
  • Parental Support Through Effective Communication
  • 34. The Healthy Low Birth Weight Baby
  • Classification of Babies by Gestation and Weight
  • Small for Gestational Age
  • The Preterm Baby
  • Care of the Healthy Low Birth Weight Baby
  • Optimizing the Care Environment for the Healthy Low Birth Weight Baby
  • 35. Trauma During Birth, Haemorrhages and Convulsions
  • Trauma During Birth
  • Haemorrhages
  • Convulsions
  • Support of Parents
  • 36. Congenital Malformations
  • Communicating the News
  • Palliative Care
  • Definition and Causes
  • Chromosomal Malformations
  • Gastrointestinal Malformations
  • Malformations Relating to Respiration
  • congenital cardiac defects
  • Central Nervous System Malformations
  • Musculoskeletal Deformities
  • Anomalies of the Skin
  • Genitourinary System
  • Disorders of Sex Development
  • Teratogenic Causes
  • Support for the Midwife
  • 37. Significant Problems in the Newborn Baby
  • Introduction
  • Initial Examination and Recognition of Problems
  • Recognition of Problems At the Time of Resuscitation
  • Infection in the Newborn
  • Respiratory Problems
  • Congenital Heart Disease
  • Jaundice
  • Haematological Problems
  • Metabolic Problems
  • Electrolyte Imbalances in the Newborn
  • Inborn Errors of Metabolism in the Newborn
  • Endocrine Problems
  • Effects on the Newborn of Maternal Drug Abuse/Use During Pregnancy
  • 38. Care of the Dying Baby: End-of-Life Issues and Rights of the Fetus/Neonate
  • Introduction
  • The Unique Circumstances of the Baby
  • Decision-Makers: the Ongoing Debate
  • The Main Ethical Debates Relating to End-of-Life Care
  • Spectrum of Care
  • Babies who Warrant Admission to the NICU/SCBU
  • Withholding/Withdrawal of Treatment
  • The Midwife’s Role in the Care of the Dying Baby/End-of-Life Care
  • Strategies to Support Midwives Caring for BABIES at the End-of-Life
  • The Value of Inter-Professional Learning and Working
  • Conclusion
  • Glossary of terms and acronyms
  • Index

Product details

  • No. of pages: 1032
  • Language: English
  • Copyright: © Elsevier 2020
  • Published: May 12, 2020
  • Imprint: Elsevier
  • eBook ISBN: 9780702076442
  • Paperback ISBN: 9780702076428

About the Editors

Jayne Marshall

Affiliations and Expertise

Foundation Professor of Midwifery and NMC Lead Midwife for Education, School of Allied Health Professions, College of Life Sciences, George Davies Centre, University of Leicester, UK

Maureen Raynor

Affiliations and Expertise

Senior Lecturer (Midwifery), De Montfort University, Faculty of Health and Life Sciences, School of Nursing and Midwifery, Leicester, UK

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