A Pocket Guide for Student Midwives E-Book

Stella McKay-Moffat

• Herausgeber: John Wiley & Sons
• Kategorie: Fachliteratur
• Sprache: Englisch

Seitenzahl: 300

Veröffentlichungsjahr: 2011

Beschreibung

A Pocket Guide for Student Midwives is an accessible, portable book offering student midwives everything they need to grasp the key elements of midwifery language, knowledge and skills.

The new edition of this useful aide-memoire is divided into two parts. The first includes relevant terms, abbreviations and definitions. The second part is a quick A-Z reference guide to common conditions, procedures, emergency situations, and supporting information, enhanced by visual material to aid comprehension of normality and anomalies. The innovative action flow charts enable rapid access to information that logically guides the reader through procedures in potentially life-threatening situations, in both home and hospital settings.

A Pocket Guide for Student Midwives is essential reading for the new non-nurse student midwife, the experienced nurse entering the midwifery profession, and senior student midwives.

Leseprobe

Contents

About the authors

Preface

Acknowledgements

Section 1 The language of midwifery

Section 2 Quick reference topics

Abdominal palpation

Active management of labour

Administration of drugs

Admission in labour Aim

Adoption

Amniocentesis

Amniotic Fluid Embolus (AFE)

Anaemia

Antenatal screening

Antepartum haemorrhage

Arterial blood pressure recording

Artificial feeds – bottle feeding

Artificial rupture of membranes (ARM)

Aseptic technique

Augmentation/acceleration of labour

Basic life support (BLS) – adult

Birth asphyxia

Bladder care in labour

Blood glucose monitoring (neonatal)

Blood pressure measuring

Bowel care in labour

Breast expression of milk

Breastfeeding

Breastfeeding Initiative (BFI)

Breech

Brow presentation

Caesarean section

Cardiotocography (CTG)

Carpal tunnel syndrome

Catheterisation

Cephalo-pelvic disproportion (CPD)

Changing Childbirth

Child protection

The Children Act 1989

Cholestasis

Chorionic Villus Sampling (CVS)

CLAPA

Clasp trial

Cleft lip and palate

Clinical governance

Centre for Maternal and Child Enquiries (CMACE)

Community Health Councils (CHCs)

Complementary therapies

Confidential Enquiry into Maternal and Child Health (CEMACH)

Confidential Enquiry into Maternal Deaths (CEMD)

Confidential Enquiry into Stillbirths and Deaths in Infancy (CESDI)

Congenital dislocation of hips

CONI (care of next infant)

Contraception advice

Convulsions

Cord prolapse/presentation

Cramp

Crying baby

Cultural aspects related to childbirth

Cup feeding

Cystic fibrosis

Cystitis

Deep vein thrombosis

Delivery technique

Diabetes mellitus

Disseminated intravascular coagulation (coagulopathy) (DIC)

Down’s syndrome

Drug-addicted mother and neonate

Embolism

Epigastric pain

Epilepsy

Epilepsy and pregnancy

Episiotomy

Erb’s palsy (paralysis)

Exchange transfusion

Face presentation

Fainting

Fetal distress

Fitting

Forceps delivery

Frequency of micturition

Fundal height estimation (antenatal)

Fundal height estimation (postnatal)

Haemoglobinopathies

Haemorrhagic disease (Vitamin-K-deficient bleeding – VKDB)

Haemorrhoids

Headaches

Heartburn

Heel prick – peripheral blood sampling

High vaginal swab (HVS)/speculum examination

History taking

HOOP (Hands On Or Poised) Study

Hyperemesis gravidarum

Hypoglycaemia – neonatal

Hypothermia – neonatal

Hypothyroidism

Identification of newborn at birth

Incontinence

Induction of labour – alternative and ‘natural’

Induction of labour – medical: uncomplicated pregnancy

Induction of labour – IUD

Infection – maternal

Infection – neonatal

Initial newborn examination

Insomnia

Instrumental delivery – Forceps delivery

Instrumental delivery – Ventouse delivery

Intrauterine death (IUD)

Intrauterine growth restriction (IUGR)

Intravenous cannulation/infusion (IVI)

Jaundice

Jittery (twitching) baby

Ketonuria

Local Supervising Authority (LSA)

MAGPIE trial

Malpresentation – fetus

Maternity action

Maternity services liaison committees

Meconium liquor

Medium chain acyl-CoA dehydrogenase deficiency (MCADD)

Mendelson’s syndrome

Mid-stream specimen urine (MSSU)

Multiple pregnancy/births

National Childbirth Trust (NCT)

Nausea and vomiting

Neonatal screening

Neural tube defect (NTD)

Obesity in pregnancy

Occipito-posterior (OP) position

Oligohydramnios

Ophthalmia neonatorum

ORACLE trial

Parent education

Partogram completion

Perineal repair

Perineal/surrounding area trauma

Phenylketonuria (PKU)

Phototherapy

Placental examination

Polyhydramnios

Postnatal care/examination – baby

Postnatal care – mother

Postnatal depression

Postnatal exercises

Post-partum haemorrhage – primary

Post-partum haemorrhage – secondary

Pregnancy-induced hypertension (PIH) and pre-eclampsia

Pre-labour or premature rupture of membranes (PROM)

Preterm baby

Preterm labour

Primary Care Trusts (PCTs)

Prolonged labour – first stage

Prolonged labour – second stage

Pruritus

Pudendal nerve block

Pulse taking

Relaxation techniques

Respiratory distress syndrome (RDS) (Surfacant deficiency syndrome [SDS])

Resuscitation of newborn

Retained placenta

Retinopathy of the newborn

Safe Motherhood Initiative

Sexually transmitted infection (STI)

Sheehan’s syndrome

Shoulder dystocia

Sickle cell disease

Small-for-gestational-age baby (SGA)

Smoking and pregnancy

Stillbirth

Stillbirth and Neonatal Death Society (SANDS)

Strategic Health Authorities (SHAs)

Substance-abusing mother and baby

Sudden infant death syndrome (SIDS)

Symphysis pubis pain/sacro-iliac pain

Talipes equinovarus

Teenage pregnancy

Temperature-taking

Tentorial tear

Term breech trial

Thalassaemia

Thrombosis and Thromboembolism

Thrombophlebitis

Transverse/oblique lie

Twins

Urinary tract infection – UTI

Uterine inversion

Uterine rupture

Vaginal examination (VE)

Varicose veins

Venepuncture

Ventouse delivery

Vomiting

Winterton report (1992)

References

This second edition is dedicated to a group of students, September ’05 intake, for whom we both had the privilege of being personal teacher at different times:

Caz, Charlotte, Helen, Leanne, Maggie, Michelle, Sarah J. and Sarah T.

Their motivation, hard work and commitment to midwifery resulted in high achievements academically and successful qualification and registration as midwives. Best wishes for your careers as midwives.

First edition published 2006

This edition first published 2010

© 2006, 2010 by John Wiley & Sons Ltd

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Library of Congress Cataloging-in-Publication Data

McKay-Moffat, Stella.

A pocket guide for student midwives / Stella McKay-Moffat, Pam Lee. – 2nd ed.

p.; cm.

Includes bibliographical references.

ISBN 978-0-470-71243-6 (pbk. : alk. paper) 1. Midwifery – Handbooks, manuals, etc.

I. Lee, Pamela, RN. II. Title.

[DNLM: 1. Midwifery – Handbooks. WQ 165 M478p 2010]

RG950.M43 2010

618.2–dc22

2010004439

About the authors

Stella and Pam are very experienced midwives and midwifery lecturers, having taught a range of learners from pre-registration students to qualified staff. Both authors embrace innovation and advancement in the maternity services and midwifery profession, whilst valuing the quality of appropriate traditional practices.

Stella spent over 15 years in practice, with more than 11 of those in the community offering the whole range of maternity services, including home birth. She has a keen interest in women’s health, and in particular, in contraception and family planning. Her M.Phil. research explored maternity services for women with disabilities and midwives’ experiences of providing those services. Stella acts as an external examiner for Salford University for qualified midwives studying part-time for a midwifery degree.

Having gained an MA in Social Policy, Pam has a special interest in the social policy-making process, particularly in relation to the maternity services. Another area of her interest and expertise is around sexuality and body image. Pam is a qualified psychosexual therapist practising within the women’s sexual health services of a local trust. Since retiring from her full-time post as senior lecturer, Pam continues as a valued associate lecturer.

Preface

The first edition of this book was inspired by comments from student midwives in the authors’ educational institution. They said, ‘We need something to help us survive the midwifery course’. Both authors are aware of students’ anxieties and frustration at the vast amount of information and skills that have to be learned to become a midwife. Positive and constructive feedback from students using the first edition and a rapidly changing maternity service have prompted the production of this updated edition.

Midwifery is a practice-based profession that is both an art and a science. There are frequently many different ways of achieving the same satisfactory learning outcome; the lack of ‘black and white’ or ‘hard and fast’ rules in the majority of the elements of the profession may make learning difficult to cope with. This is particularly noticeable as practitioners are striving, in line with government directives in the Maternity Standards of the National Service Framework (NSF) (DH 2004) and Maternity Matters (DH 2007a), to facilitate a high-quality service that meets the needs of women and their partners in the twenty-first century. However, students should take heart that once the ‘basics’ of a situation have been learnt, the ‘variations’ can be added to the repertoire of knowledge and skills.

Practice needs to be underpinned by a sound theoretical framework that is evidence based. In an endeavour to help students grasp the appropriate knowledge and understanding, link theory to practice and ‘survive the midwifery course’, the present pocket book has been written to provide quick, easy-to-read information and guidelines on the ‘basics’ in midwifery that could be taken on duty. The instant access to information will provide some theory, trigger thought and give directions to support practice in an easily repeatable process.

Student midwives who are already registered nurses may find that some of the basic nursing procedures are already within their capabilities. Nevertheless, revision is often useful, and some procedures may, in fact, have a different focus, as they are centred on the (generally) healthy childbearing woman rather than the sick patient.

The book is in two sections, each arranged alphabetically. The first section contains some of the language of midwifery: terms, abbreviations and definitions. A few terms are colloquial and not necessarily ‘medically’ correct but are included, however, to enable clarification of understanding and to prompt the use of correct terminology. The second section contains common conditions, procedures, emergency situations and supporting information. Where conditions are noted the aetiology is given, if known. Each topic may include further factors that involve recognition, prevention and actions to be taken in an emergency situation that may be in the form of flow/action charts. These action charts should be read from top left. The flow lines are followed depending on the circumstances at the time. The procedures that are included have an overview of the ‘how to’ (frequently includeing the preparation needed) and the ‘why’ supported by research orevidence, and Midwives’ Rules and Standards (Nurses and Midwives Council (NMC) 2004) and The NMC Code of Professional Conduct Standards for Conduct, Performance and Ethics (The Code) (NMC 2008). The references used could provide useful evidence to support practice. Finally, the supporting information is varied, and ranges from details about government and international initiatives to available support groups and useful websites.

As no topic is in isolation, many categories are cross-referenced and extra reading/activities are suggested to enhance the reader’s knowledge. Furthermore, additional study may be needed to understand and learn the anatomy, the physiology and possibly the biochemistry associated with the conditions included.

Finally, the authors appreciate that local policies and protocols vary; therefore, the reader is recommended to consider topics in the light of those local guidelines as well as of the emergence of new evidence that informs practice.

Acknowledgements

We would like to thank Lawrence Berry, Media Resources Officer at Edge Hill University, for his help and expertise in producing the graphics for the original edition, and Carol Revill-Johnson, Senior Midwifery Lecturer and Advanced Life Support in Obstetrics trainer, for her constructive criticism ensuring the charts reflect current guidelines.