Contributors viii
About the companion website ix
Part 1 Introduction 1
1 Historical overview of midwifery 2
2 NHS values 4
3 Ethics 6
4 Role of the midwife 8
5 Drug exemptions 10
6 Women's choice and care options 12
Part 2 Anatomy and physiology 15
7 Breast 16
8 Female reproductive system 18
9 Menstrual cycle 20
10 Maternal pelvis 22
11 Maternal pelvis and fetal skull 24
Part 3 Preconception 27
12 Preconception care 28
13 Follow-up after pregnancy loss 30
Part 4 Antenatal 33
14 Maternal physiological adaptation to pregnancy 34
15 Taking a history 36
16 Antenatal investigations and screening 38
17 Preparation for childbirth 40
18 Post-term pregnancy 42
Part 5 Intrapartum 45
19 Physiology of labour 46
20 Mechanism of normal labour 48
21 Promoting normal labour 50
22 Pain relief 52
23 Water birth 54
24 Augmentation of labour 56
25 Induction of labour 58
26 Nutrition in labour 60
Part 6 Postnatal care 63
27 Immediate care: 0-6 hours 64
28 On-going care 66
29 Daily maternal examinations 68
30 Physiological changes 70
31 Pelvic floor 72
32 Sepsis 74
33 Contraception 76
34 Lactation 78
Part 7 Common medical disorders 81
35 Hypertensive disorders of pregnancy 82
36 Diabetes 84
37 Thromboembolic disease 86
38 Obesity 88
39 The thyroid gland and thyroid disorders 90
40 Systemic lupus erythematosus 92
41 Obstetric cholestasis 94
Part 8 Obstetric complications 97
42 Antepartum haemorrhage 98
43 Shoulder dystocia 100
44 Cord presentation and prolapse 102
45 Embolism 104
46 Obstructed labour 106
47 Uterine rupture 108
48 Uterine inversion 110
49 Preterm labour 112
50 Eclampsia 114
51 Disseminating intravascular coagulopathy, shock and high dependency care 116
52 Malposition and malpresentation 118
53 Postpartum haemorrhage 120
54 Multiple pregnancy 122
Part 9 Fetus and baby 125
55 Intrauterine growth restriction 126
56 Intrauterine growth restriction monitoring 128
57 Fetal circulation 130
58 Changes at birth 132
59 Fetal skull 134
60 Immediate care of the newborn 136
61 Normal neonate and care needs 138
62 Infant nutrition 140
63 Neonatal jaundice 142
Part 10 Psychological dimensions 145
64 Becoming a parent 146
65 Maternal mental health 148
66 Bereavement care 150
67 Gender-based violence 152
68 Alcohol and drugs 154
69 Trafficking 156
70 Homelessness 158
71 Asylum seekers and refugees 160
72 Teenage mothers 162
73 Disability 164
74 Health promotion education 166
75 Psychological changes 168
Part 11 Midwifery skills 171
76 Antenatal abdominal examination 172
77 Vaginal examination 174
78 Artificial rupture of membranes 176
79 Urinary catheterisation 178
80 Blood pressure and temperature, pulse and respiration: back to basics 180
81 Episiotomy 182
82 Perineal repair 184
83 Feeding support and breast expression 186
84 Blood and blood products 188
85 Maternal resuscitation 190
86 Neonatal resuscitation 192
87 Examination of the newborn 194
88 Newborn bloodspot screening 196
89 Care of women having surgery 198
References and further reading 200
Index 204
