The Student's Guide to Becoming a Midwife (eBook)

Ian Peate, Cathy Hamilton (Herausgeber)

eBook Download: PDF

2013 | 2. Auflage
John Wiley & Sons (Verlag)
978-1-118-41589-4 (ISBN)

Infos

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.

About the editors

Professor Ian Peate is Visiting Professor, University of West London, and Editor-in-Chief of the British Journal of Nursing.

Cathy Hamilton is Senior Lecturer of Midwifery at the University of Hertfordshire and Supervisor of Midwives at West Herts Hospitals NHS Trust.

Inhalt

The Student’s Guide to Becoming a Midwife 3
Copyright 4
Contents 5
Contributors 6
Preface to the Second Edition 9
Acknowledgements 11
Introduction 13
The unique role and function of the midwife 13
The midwife’s role in public health 14
Terminology 15
The Nursing and Midwifery Council and Quality Assurance Agency (Education) 16
Midwives’ Rules and Standards 16
Becoming a competent midwife 17
Case notes and activities 19
References 19
1 Effective Communication 20
Introduction 20
Some common problems in communication 23
Listening 26
Guidelines for listening 26
Listening to what is not being said 27
Empathy 30
Conclusion 34
References 36
2 Effective Documentation 38
Introduction 38
The importance of effective documentation 39
Good record keeping equates with good care 39
Record keeping: the extent of the current challenges 41
Outcomes from the case study 44
Outcomes for Sophie and her baby 44
NMC panel decision for Midwife B 44
Enhancing your record keeping skills 45
Record keeping in action 47
Conclusion 50
Quiz 51
References 51
3 Confidentiality 53
Introduction 54
Confidentiality: the professional stance 54
The essential nature of confidentiality for professional practice 55
Alternative approaches to confidentiality 59
The ethical stance 59
The legal framework of confidentiality 61
Exceptions 63
Protecting client information 64
Confidentiality model (Figure  3.1) 64
Protect 65
Inform 65
Provide choice 65
Improve 65
Conclusion 66
Quiz 66
References 68
4 The Aims of Antenatal Care 69
Introduction 69
The midwife’ s role as antenatal caregiver 70
Antenatal assessment and monitoring 70
The booking visit 70
Opening questions 72
Emotional well-being 73
Medical and family history 75
Family history 75
Subsequent visits 76
Record keeping 76
Tests offered at subsequent visits 76
Assessments at each visit 77
Palpation 77
Abdominal palpation and assessment of the fetal heart 78
Screening 79
Screening tests 80
Conclusion 82
Quiz 83
References 83
5 Programmes of Care During Childbirth 84
Introduction 84
Place of birth 86
Hospital with a central delivery suite 86
Birth centres 87
Midwifery caseloading 88
Homebirth 89
Independent midwives 92
Sure Start programmes of care 95
Parenthood education programmes 95
NHS classes 96
Active birth classes 96
National Childbirth Trust classes 96
Birth plans 97
When to call the midwife 97
Conclusion 98
Quiz 98
References 99
6 Interprofessional Working: Seamless Working within Maternity Care 100
Introduction 101
Working with other professionals 102
Example 103
Care pathways 103
Barriers to and opportunities for collaborative working 105
Language 105
Hierarchy and power 106
Attitudes to other professions 106
Communication 107
Team working: Tuckman and Belbin 110
Complexity theory: dealing with uncertainty 111
Conclusion 112
Quiz 112
References 113
7 Intrapartum Care 114
Introduction 114
Definitions of normality 115
Stages of labour 115
Promoting spontaneous labour: avoiding induction of labour 116
‘Sweeping the membranes’ 116
Onset of spontaneous labour 116
Signs that labour is starting 117
Onset of uterine contractions 117
Passage of a Mucous ‘show’ 117
Spontaneous rupture of the membranes (‘the waters breaking’) 117
Other signs 118
Midwifery care in early labour 118
Initial examination 119
Pregnancy history 119
Physical examination 119
Assessment of the progress of labour 119
Observation of the woman’s behaviour 120
Outward signs 120
Observation of woman’s psychological state 122
Abdominal palpation and auscultation 122
Monitoring of contractions 123
Vaginal examination 123
The partogram 125
Medical forms of pain relief 127
Nitrous oxide/Entonox 127
Epidural analgesia 128
Opioid analgesia 130
Midwifery care in the first and second stages of labour 132
Avoiding unnecessary time restrictions in labour 132
Movement and posture 133
Eating and drinking in labour 134
Support in labour 134
Continuity of care and continuous care 135
Pushing in the second stage of labour 135
Midwifery care in the third stage of labour 136
Active management of the third stage of labour 137
Midwifery care after birth 139
Conclusion 139
Quiz 139
References 139
8 Effective Emergency Care 143
Introduction 143
Maternal resuscitation 144
Risk factors 144
Neonatal resuscitation 147
Risk factors 147
Drying and covering the baby to conserve heat 147
Assessing the need for any intervention 147
Opening the airway 147
Breathing 148
Chest compression 149
Administration of drugs (rare) 149
Stopping resuscitation 150
Shoulder dystocia 150
Definition 150
Incidence 150
Risk factors 150
Management 151
Vaginal breech delivery 153
Incidence 153
Risk factors 153
Manual removal of the placenta 156
Incidence 156
Risk factors 156
Potential complications 158
Manual examination of the uterus 158
Management of postpartum haemorrhage 159
Incidence 159
Management 160
Management of an eclamptic seizure 162
Incidence 162
Risk factors 163
Signs and symptoms 163
Management 164
Conclusion 164
References 166
9 Initial Assessment and Examination of the Newborn Baby 168
Introduction 169
Midwife ’ s immediate role 169
Initial assessment and examination at birth 170
Assessment at birth 170
Examination of the newborn baby 170
Completion of the initial examination 180
Conclusion 181
References 181
10 Effective Postnatal Care 184
Introduction 184
Principles of postnatal care 185
Plan of care 185
Immediate postbirth care of the woman: physical assessment and care 186
Observation and estimation of blood loss 186
Observation of fundal tone and position 186
Vital signs 187
Inspection of the perineum and vagina 187
Examination of the placenta 187
Perineal repair 187
General well-being of the woman 188
Bladder care 189
Initiating breastfeeding 190
Care after caesarean section 190
Care in the recovery area 191
Observations 191
Care of the woman on the postnatal ward following caesarean section 192
Pain management 192
Hygiene and wound care 192
Fluid balance and diet 193
Prevention of thromboembolism 193
Supporting breastfeeding 194
Daily care in hospital for all women 194
Observations 194
Baby care needs 195
Going home 195
Continuing successful breastfeeding 196
Other methods of infant feeding 199
Supporting women who choose to bottle feed 199
Midwifery care in the community 200
Physical assessment of the woman 200
Assessment of the woman ’ s psychological well-being 203
Care of the baby in the community 204
Skin care 205
Colic 205
Weighing 206
Newborn blood spot screening 206
Safety issues 206
Ongoing advice and care 207
Conclusion 207
Quiz 207
References 208
11 Medication and the Midwife 210
Introduction 210
Legislation governing the administration of drugs 211
The Medicines Act 1968 211
Midwives’ exemptions and prescription-only medicines 212
Midwives’ exemptions: the situation for students 214
The British National Formulary 214
Administering medication 214
Principles 214
Checking of drugs 215
Controlled drugs 215
Misuse of Drugs Act 1971 216
Issues in the handling of controlled drugs 216
Patient group directions 218
Unlicensed medicines 218
Patient-specific directions 219
Standing orders or locally agreed policies 219
Teratogenic drugs 220
Drugs and breastfeeding 220
Routes of administration 220
Oral 220
Injection 221
Complementary and alternative therapies 222
Drug errors 222
Conclusion 223
References 224
Quiz 224
12 The Midwife and Public Health 226
Introduction 226
Mortality and morbidity 229
Public health and provision for maternity services 229
Specific public health issues of importance to midwifery 231
Infant feeding 232
Domestic abuse 232
Obesity 233
Smoking, drugs and alcohol 233
Female genital mutilation 233
Sudden infant death syndrome 235
Global policy perspectives 235
Conclusion 238
Quiz 238
References 239
13 Regulating the Midwifery Profession 242
Introduction 242
Self-regulation 243
Standards and guidelines 244
The Nursing and Midwifery Council Midwives’ Rules 246
Fitness to practise 247
Who regulates the regulators? 251
The Nursing and Midwifery Council and pre?registration midwifery education 252
The structure and content of midwifery education programmes 253
Assuring quality 254
Post-Registration Education and Practice ( PREP) standards 255
Conclusion 258
References 259
14 The Impact of Cultural Issues on the Practice of Midwifery 261
Introduction 262
The morality of working in a cultural context 264
Midwifery practice in a culturally sensitive climate of care 267
The power dynamics of midwifery practice 269
Conclusion 270
Cultural awareness quiz 270
References 271
15 Legislation and the Midwife 273
What is the law? 273
Statutory law 274
Common law or case law 275
European law 275
The law and the issue of consent 276
Emergency situations 278
Consent of minors 279
Parental consent for babies 280
Legislation used by the midwife in her practice 281
Human Rights Act 1998 281
Equal opportunities legislation 282
Access to patient records 282
Abortion Act 1967 283
Registration of births and stillbirths 284
Human Fertilisation and Embryology Acts 1990, 1991 and 1992 284
Criminal law and attendances at birth 284
Children Act 1989 285
Congenital Disabilities (Civil Liability) Act 1976 286
Conclusion 286
Word Search 287
References 287
16 Decision Making 289
Introduction 289
Decision making 290
Errors 291
Using heuristics 292
Clinical decision making 293
Principles in clinical decision making 294
Application of principles 296
Managerial decision making 299
Conclusion 301
Quiz 301
References 303
17 Health, Safety and Environmental Issues 305
Introduction 306
Assessing risk 306
Slips, trips and falls 307
Preventing slips 308
Preventing trips 309
Preventing falls 309
Mental health and stress 311
Looking after your back 313
Infection control 314
Dealing with sharps 315
Working in isolation 316
Violence and aggression 317
Working with visual display units 319
Reporting of Injuries, Diseases and Dangerous Occurrences Regulations 1995 319
What to do when an incident occurs 321
Control of Substances Hazardous to Health Regulations 2002 321
Conclusion 322
Quiz 322
References 322
18 Evidence-Based Practice 324
Introduction 324
Research methods 325
Best available evidence 326
Steps in searching the literature 327
Inclusion criteria 327
Exclusion criteria 329
Appraising the literature 329
The structure of the report 330
The abstract 330
The introduction 331
The problem statement/purpose of the research 331
The literature review and theoretical rationale for the study 331
Methodology 332
Analysis of data 334
Discussion 334
Conclusions and limitations 335
References and bibliography 335
Literature review frameworks 335
Implementation of evidence-based midwifery 336
Midwifery guidelines 337
Conclusion 337
References 339
19 Statutory Supervision of Midwives 341
Introduction 341
History 342
Statutory supervision of midwives 342
Midwives’ Rules and Standards 346
Role and responsibilities of a supervisor of midwives 346
Named supervisor of midwives 346
Access to a supervisor of midwives 348
Intention to practise 348
Choice of supervisor of midwives 349
Annual meeting with named supervisor of midwives 349
Support for student midwives 350
Statutory supervision and clinical governance 350
Support for women and promoting normality 350
Suspension from practice 351
How to become a supervisor of midwives 351
Education of supervisors of midwives 352
Debating the need for statutory supervision of midwives 353
Conclusion 353
References 355
20 Clinical Governance: A Framework for improving Quality in Maternity Care 357
Introduction 357
What is clinical governance? 358
Current standards for maternity services 358
Evidence-based practice 361
Clinical audit 364
How does audit differ from research? 364
Choosing topics for midwifery audit 365
Defining standards 365
Example of valid audit 366
Measuring standards 366
Moving practice forward 367
Professional development 367
Risk management 370
Risk identification in maternity services 371
Root cause analysis 372
Status of the incident report and investigation forms 373
Conclusion 373
References 375
Answers to quiz questions 377
Glossary 386
Index 393

Rezensionen

"Overall, The Student's Guide to Becoming a
Midwifeis an excellent all-round book to accompany any midwifery
student throughout their training. . . I would recommend it to
students in direct entry and shortened programmes of study as well
as any practitioners returning to practice or wishing to update
their study skills." (British Journal of
Midwifery, 1 April 2014)

Produkt-Details

• Erscheint lt. Verlag: 11.1.2013
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitsfachberufe ► Hebamme / Entbindungspfleger
• Themenwelt: Medizin / Pharmazie ► Pflege
• Schlagworte: Antenatal • Brand • Communication • confidentiality • documentation • Essential • fundamentals • Guide • Health • Hebamme • Hebammenpraxis • Information • Krankenpflege • Latest • midwife • Midwifery • midwives • needtoknow • New • NMC • nursing • Range • resource • Student • students • wide
• ISBN-10: 1-118-41589-2 / 1118415892
• ISBN-13: 978-1-118-41589-4 / 9781118415894