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A Pocket Guide for Student Midwives
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Table of Contents

About the authors xiii Preface xiv Acknowledgements xvi Section 1 The language of midwifery 1 Section 2 Quick reference topics 27 Abdominal palpation 27 Active management of labour 28 Administration of drugs 29 Admission in labour 32 Adoption 33 Amniocentesis 36 Amniotic Fluid Embolus (AFE) 37 Anaemia 39 Antenatal screening 40 Antepartum haemorrhage 42 Arterial blood pressure recording 45 Artificial feeds - bottle feeding 46 Artificial rupture of membranes (ARM) 47 Aseptic technique 48 Augmentation/acceleration of labour 49 Basic life support (BLS) - adult 52 Birth asphyxia 53 Bladder care in labour 55 Blood glucose monitoring (neonatal) 55 Blood pressure measuring 55 Bowel care in labour 56 Breast expression of milk 57 Breastfeeding 58 Breastfeeding Initiative (BFI) 63 Breech 63 Brow presentation 69 Caesarean section 69 Cardiotocography (CTG) 73 Carpal tunnel syndrome 77 Catheterisation 77 Cephalo-pelvic disproportion (CPD) 78 Changing Childbirth 80 Child protection 81 The Children Act, 1989 81 Cholestasis 82 Chorionic Villus Sampling (CVS) 83 CLAPA 84 Clasp trial 84 Cleft lip and palate 85 Clinical governance 86 Centre for Maternal and Child Enquiries (CMACE) 86 Community Health Councils (CHCs) 86 Complementary therapies 86 Confidential Enquiry into Maternal and Child Health (CEMACH) 89 Confidential Enquiry into Maternal Deaths (CEMD) 89 Confidential Enquiry into Stillbirths and Deaths in Infancy (CESDI) 90 Congenital dislocation of hips 90 CONI (care of next infant) 91 Contraception advice 91 Convulsions 95 Cord prolapse/presentation 95 Cramp 96 Crying baby 98 Cultural aspects related to childbirth 99 Cup feeding 104 Cystic fibrosis 104 Cystitis 105 Deep vein thrombosis 106 Delivery technique 107 Diabetes mellitus 117 Disseminated intravascular coagulation (coagulopathy) (DIC) 125 Down's syndrome 126 Drug-addicted mother and neonate 128 Eclampsia 128 Embolism 129 Epigastric pain 132 Epilepsy 132 Epilepsy and pregnancy 134 Episiotomy 134 Erb's palsy (paralysis) 136 Exchange transfusion 136 Face presentation 139 Fainting 140 Fetal distress 140 Fitting 143 Forceps delivery 143 Frequency of micturition 143 Fundal height estimation (antenatal) 144 Fundal height estimation (postnatal) 145 Haemoglobinopathies 145 Haemorrhagic disease (Vitamin-K-deficient bleeding - VKDB) 152 Haemorrhoids 154 Headaches 155 Heartburn 155 Heel prick - peripheral blood sampling 156 High vaginal swab (HVS)/speculum examination 159 History taking 160 HOOP (Hands On Or Poised) Study 161 Hyperemesis gravidarum 162 Hypoglycaemia - neonatal 162 Hypothermia - neonatal 163 Hypothyroidism 164 Identification of newborn at birth 164 Incontinence 165 Induction of labour - alternative and `natural' 166 Induction of labour - medical: uncomplicated pregnancy 166 Induction of labour - IUD 169 Infection - maternal 169 Infection - neonatal 172 Initial newborn examination 175 Insomnia 177 Instrumental delivery - Forceps delivery 178 Instrumental delivery - Ventouse delivery 179 Intrauterine death (IUD) 181 Intrauterine growth restriction (IUGR) 185 Intravenous cannulation/infusion (IVI) 186 Jaundice 188 Jittery (twitching) baby 191 Ketonuria 192 Local Supervising Authority (LSA) 193 MAGPIE trial 193 Malpresentation - fetus 194 Maternity action 194 Maternity benefits 194 Maternity services liaison committees 195 Meconium liquor 196 Medium chain acyl-CoA dehydrogenase deficiency (MCADD) 197 Mendelson's syndrome 198 Mid-stream specimen urine (MSSU) 199 Multiple pregnancy/births 200 National Childbirth Trust (NCT) 202 Nausea and vomiting 203 Neonatal screening 205 Neural tube defect (NTD) 205 Obesity in pregnancy 207 Occipito-posterior (OP) position 208 Oligohydramnios 211 Ophthalmia neonatorum 213 ORACLE trial 214 Parent education 214 Partogram completion 216 Perineal repair 216 Perineal/surrounding area trauma 218 Phenylketonuria (PKU) 222 Phototherapy 225 Placental examination 226 Polyhydramnios 232 Postnatal care/examination - baby 234 Postnatal care - mother 236 Postnatal depression 238 Postnatal exercises 240 Post-partum haemorrhage - primary 241 Post-partum haemorrhage - secondary 243 Pregnancy-induced hypertension (PIH) and pre-eclampsia 245 Pre-labour or premature rupture of membranes (PROM) 251 Preterm baby 254 Preterm labour 259 Primary Care Trusts (PCTs) 261 Prolonged labour - first stage 262 Prolonged labour - second stage 263 Pruritus 264 Pudendal nerve block 266 Pulse taking 267 Relaxation techniques 267 Respiratory distress syndrome (RDS) (Surfacant deficiency syndrome [SDS]) 269 Resuscitation of newborn 271 Retained placenta 271 Retinopathy of the newborn 275 Safe Motherhood Initiative 277 Sexually transmitted infection (STI) 277 Sheehan's syndrome 277 Shoulder dystocia 278 Sickle cell disease 281 Small-for-gestational-age baby (SGA) 281 Smoking and pregnancy 284 Stillbirth 288 Stillbirth and Neonatal Death Society (SANDS) 288 Strategic Health Authorities (SHAs) 289 Substance-abusing mother and baby 289 Sudden infant death syndrome (SIDS) 293 Symphysis pubis pain/sacro-iliac pain 295 Talipes equinovarus 296 Teenage pregnancy 298 Temperature-taking 299 Tentorial tear 301 Term breech trial 303 Thalassaemia 303 Thrombosis and Thromboembolism 303 Thrombophlebitis 303 Transverse/oblique lie 304 Twins 305 Urinary tract infection - UTI 305 Uterine inversion 306 Uterine rupture 307 Vaginal examination (VE) 312 Varicose veins 314 Venepuncture 316 Ventouse delivery 317 Vomiting 317 Winterton report (1992) 317 Figures Figure 1 Antepartum haemorrhage 44 Figure 2 Apgar score 53 Figure 3 Neonatal resuscitation 54 Figure 4 Cord prolapse - presentation at home 96 Figure 5 Cord prolapse - presentation in hospital 97 Figure 6 Management of third stage of labour - physiological and active 110 Figure 7 Management of third stage of labour - alternative active management 111 Figure 8 Persistent occipito-posterior position - landmarks on vaginal examination 113 Figure 9 Persistent occipito-posterior position - delivery of the occiput 114 Figure 10 Persistent occipito-posterior position - delivery of the chin 115 Figure 11 Face presentation - landmarks on vaginal examination 115 Figure 12 Face presentation - delivery of the chin 116 Figure 13 Face presentation - delivery of the occiput 116 Figure 14 Disseminated intravascular coagulation (DIC) 127 Figure 15 Eclampsia 130 Figure 16 Haemoglobin composition 145 Figure 17 Normal adult haemoglobin HbA 146 Figure 18 Normal adult haemoglobin HbA2 146 Figure 19 Normal fetal haemoglobin 147 Figure 20 Abnormal haemoglobin - sickle cell trait 148 Figure 21 Abnormal haemoglobin - sickle cell disease 148 Figure 22 Abnormal haemoglobin - alpha thalassaemia minor or trait 150 Figure 23 Abnormal haemoglobin - alpha thalassaemia major 151 Figure 24 Abnormal haemoglobin - beta thalassaemia minor 151 Figure 25 Abnormal haemoglobin - beta thalassaemia major 152 Figure 26 Foot with sites for heel prick 157 Figure 27 Genetic inheritance, e.g. PKU 223 Figure 28 Normal placenta at term -maternal surface 227 Figure 29 Normal placenta at term - fetal surface 228 Figure 30 Normal placenta - lateral view showing two membranes 228 Figure 31 Abnormal insertion of the cord: Battledore insertion 229 Figure 32 Abnormal insertion of the cord: velamentous insertion 229 Figure 33 Abnormal placenta - bipartite placenta 230 Figure 34 Abnormal placenta - succenturiate lobe 230 Figure 35 Abnormal placenta - circumvallate placenta 231 Figure 36 Lateral view of circumvallate placenta showing the amnion and the double fold of the chorion 231 Figure 37 Post-partum haemorrhage - primary 244 Figure 38 Post-partum haemorrhage - secondary 246 Figure 39 Retained placenta - at home 273 Figure 40 Retained placenta - in hospital 274 Figure 41 Shoulder dystocia 280 Figure 42 Uterine inversion 308 Figure 43 Uterine rupture 311 Figure 44 Stations of the head in the pelvis 313 References 319

About the Author

Stella McKay-Moffat is Senior Lecturer in Midwifery andWomen s Health, Edge Hill University, UK. Pam Lee is Associate Lecturer in Midwifery andWomen s Health, Edge Hill University, UK.

Reviews

Clinical Pathology for the Veterinary Team will help experienced veterinary technicians set up various clinical laboratory diagnostic tests. It provides a good explanation of basic laboratory practices, the underlying concepts of many laboratory tests, and the physiology of common disease conditions. This book is well worth the price. (Journal of the American Veterinary Medical Association, December 2010)This book provides a good overall summary of basic clinical pathology in small animals. Although it is fairly short and concise, it contains all the necessary relevant information and includes a CD that takes readers thorough six complicated cases, step by step. This is a useful book that would be a handy reference to have in a practice. It is easy to read, concise, and informative. Although it is aimed at small animal veterinary teams, it includes limited information about large animal species, which is important for a good, general understanding. (Doodys, December 2010)Clinical Pathology for the Veterinary Team offers a fine recourse for technical team members involved in clinical diagnostic evaluation. Machinery calibration, normal anatomy, clinical diagnostics and more are revealed in chapters that provide key technical information for Obtaining and evaluating samples, surveying the disease process, the progress of identification and treatment, and including a DVD with interactive cases. Vet collections need this! (THE MIDWEST BOOK REVIEW, November 2010)Rosenfeld, a veterinarian who is associated with an education corporation that specializes in seminar training for the hospital team, and Dial (veterinary science and microbiology, U. of Arizona) provide a resource for technical veterinary team members performing clinical diagnostic evaluation in small animal lab work. (Book News, September 2010) ReviewUpdater-Profile-1@1326749614540

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