Fundamentals of Midwifery: A Textbook for Students (2 page)

346
Liz Smith and Brenda Waite
Introduction 346Assessment 347Shock 347Maternal resuscitation 350Basic life support 351Antepartum haemorrhage 354Postpartum haemorrhage 356Obstetric interventions 359Pre-eclampsia and eclampsia 360Shoulder dystocia 363Thromboembolism 366Conclusion 368End of chapter activities 369Glossary of terms 370References 371
Chapter 17 Bereavement and loss
373
Liz Smith and Brenda Waite
Introduction 373Terminology 373Theories 374Communication 376Culture and religion 377Care around the time of death 378Care following loss 379Midwifery care 380Maternal death 382Peer support for midwives 383Support groups 383Conclusion 384Glossary of terms 385End of chapter activities 386References 386

Answers
387
Index
402

About the series
Wiley’s
Fundamentals
series are a wide-ranging selection of textbooks written to support preregistration nursing, midwifery and other healthcare students throughout their programme of study. Packed full of useful features such as learning objectives, activities to test knowledge and understanding, and clinical scenarios, the titles are also highly illustrated and fully supported by interactive MCQs. Each one includes access to a
Wiley E-Text: powered by VitalSource
– an interactive digital version of the book including downloadable text and images, with highlighting and note-taking facilities. Accessible on your laptop, mobile phone or tablet device, the
Fundamentals
series are
the
most flexible, supportive textbooks available for nursing, midwifery and other healthcare students today.
Contributors
Lynda Bateman RM, Adv.Dip, BSc (Hons), MA, PGCE, FHEA
Lecturer in MidwiferyFaculty of Health and Social Care University of HullHull, United Kingdom
Mary Beadle SRN, RM, ADM, Cert Ed, BA, MA
Lecturer in MidwiferyFaculty of Health and Social Care University of HullHull, United Kingdom
Nicky Clark RGN, RM, ADM, Cert Ed, MA
Lead Midwife in EducationDeputy Head of Department, Maternal and Child HealthFaculty of Health and Social Care University of HullHull, United Kingdom
Julie Flint SRN, RM, BSc (Hons), MSc, PGCE
Lecturer in Midwifery Supervisor of MidwivesFaculty of Health and Social Care University of HullHull, United Kingdom
Andrea Hilton BPharm, MSc, PhD, MRPharms, PGCHE, FHEA
Pharmacist and Lecturer in Health Professional StudiesFaculty of Health and Social Care University of HullHull, United Kingdom
Julie Jomeen RGN, RM, MA, PhD
Professor of MidwiferyHead of Department, Maternal and Child Health Acting Head of Department, Psychological Health and WellbeingFaculty of Health and Social Care University of HullHull, United Kingdom
Catriona Jones RM, BSc (Hons), MSc, PGCE
Lecturer in Midwifery and Research Associate Faculty of Health and Social CareUniversity of Hull Hull, United Kingdom
Lisa Lachanudis RGN, RM, BSc (Hons), PGCE
Community MidwifeWomen and Children’s HospitalHull and East Yorkshire Hospitals NHS Trust Hull, United Kingdom
Carol Lambert RM, PG Dip, BSc (Hons), PhD
Lecturer in Midwifery School of Health Sciences City UniversityLondon, United Kingdom
Louise Lewis RGN, RM, BSc (Hons), MSc, PGCE
Lecturer in MidwiferyFaculty of Health and Social Care University of HullHull, United Kingdom
Jane Marsh RM, BSc (Hons), MSc, MBAcC
Acupuncturist, Owner of Hull and East Yorkshire Community AcupunctureCottingham, United Kingdom
Liz Mason SRN, RM, BA (Hons), Dip App SS, IBCLC
Former Infant Feeding CoordinatorLactation Consultant and Frenotomy Practitioner Women and Children’s HospitalHull and East Yorkshire Hospitals NHS Trust Hull, United Kingdom
Olanma Ogbuehi RM, PG Dip, BSc (Hons), MSc, PGCE
Lecturer in MidwiferyFaculty of Health and Social Care University of HullHull, United Kingdom
Contributorsxiv
Carol Paeglis RN, RM, ADM, BSc (Hons), MA
Former Supervisor of Midwives and Local Supervising Authority Midwifery Officer Yorkshire and the Humber, United Kingdom
Jacqui Powell RGN, RM, BSc (Hons)
Clinical Governance MidwifeHealth Education Midwife and Supervisor of MidwivesWomen and Children’s HospitalHull and East Yorkshire Hospitals NHS Trust Hull, United Kingdom
Fiona Robinson RGN, RM, BSc (Hons)
Healthy Lifestyle Midwife Women and Children’s HospitalHull and East Yorkshire Hospitals NHS Trust Hull, United Kingdom
Liz Smith SRN, SCM, Dip HE, MSc, MA, PGCE(A)
Lecturer in Midwifery and Health Professional StudiesFaculty of Health and Social Care University of HullHull, United Kingdom
Sue Townend SRN, RM, BSc (Hons), MSc
Consultant Midwife and Supervisor of Midwives Calderdale and Huddersfield NHS Foundation TrustWest Yorkshire, United Kingdom
Brenda Waite SRN, RM, Dip HE, BSc (Hons)
Advanced Midwifery Practitioner and Labour Ward Co-ordinatorDiana Princess of Wales Hospital Grimsby, United Kingdom
Sarah Wise RGN, RM, BSc (Hons), MSc
Consultant Midwife, Teenage Pregnancy and Sexual Health and Supervisor of Midwives Diana Princess of Wales HospitalGrimsby, United Kingdom
Foreword
The world of midwifery is changing, whilst much stays the same: the importance of the relationship with women and the need for autonomous professional practise by midwives able to provide sensitive effective care, based on a foundation of scientific understanding; the world we work in is changing. Life and the world of midwifery practice grows more complicated, the knowledge base is expanding, but above all, during a renaissance of midwifery and the development of new ways of practice, of rigorous innovative research, we are reforming what it is to be a midwife, what it means to be a midwife, what our purpose is.The aim of a healthy mother and baby while necessary is no longer enough. Just as important is a positive experience, preparation for mothering and parenting, caring for women with dignity and respect for their autonomy, supporting the growth of love and family integrity. These form part of a more complex aim that reflects the fundamental contribution of midwifery to the start of life and the new family. And in reflection of these more complicated aims, the fundamentals of midwifery require more complex, more nuanced and rich understanding, knowledge and approaches as a basis.Today’s midwifery students require practical and academic, interpersonal, social and intellectual skills. The many students I have met during my Presidency are articulate, passionate, compassionate and skilled. They are highly motivated and in many ways very demanding of themselves and others in pursuit of excellent midwifery. The ‘Fundamentals of Midwifery’ will provide students with an excellent resource to lay a foundation to practice. I anticipate that qualified midwives will love it and find it helpful too. The authors of the chapters, experts in their field, and with practical as well as academic experience, lay here a solid rigorous foundation. Student midwives who are inheriting a renaissance of thinking, understanding and awareness of the nature of modern day midwifery will be tasked with spreading the renaissance into reform. They will form a new world order in midwifery and will help create a new world for women, babies and families. These fundamentals for midwifery will support the reform to abetter world of midwifery.The fundamentals in these pages will be a must read for every student of midwifery, and for many others too.Professor Lesley Page President of The Royal College of Midwives,Visiting Professor, King’s College London and Adjunct Professor,University of Technology Sydney
Preface
The aim of this book is to provide foundational and essential, evidence-based knowledge for midwifery practice. Theoretical and practical perspectives are used to discuss the provision of safe, high-quality professional care to women, babies and their families. Standards for pre-registration midwifery education (NMC 2009) insist student midwives need to be prepared to demonstrate competence and sound knowledge to practise safely and effectively so that, at the point of registration they can assume full responsibility and accountability to undertake the role and responsibilities of a midwife. This book brings together knowledge from a collection of clinical experts and experienced academics to support student’s leaning and prepare them for the challenges faced in contemporary midwifery healthcare. There is a good balance between theory and its application to practice using numerous illustrations figures, tables, and interactive text to provide clear insight into the fundamentals of midwifery practice. Each chapter’s content is preceded by learning outcomes and an introduction with key points, conclusion, glossary and an extensive reference list at the end. The book is interspersed with student-friendly teaching methods throughout, including: clinical considerations, activities and further reading to encourage in-depth learning, reflection and critical discussion.This book provides contemporary knowledge, with application to practical skills to develop students professionally, clinically and academically enhancing the learning process. This book will enable the student to explore the midwife’s roles and responsibilities and the involvement of the interprofessional team within the wider healthcare setting, providing the foundations for effective evidence-based practice. The book promotes essential skill acquisition and knowledge for students to practise under the supervision of qualified midwives.The book is aimed at pre-registration student midwives undertaking the Bachelor of Science and Postgraduate Diploma Midwifery Programmes. It is relevant to practising midwives and health and social care provider organisations and educational institutions. The book will also be applicable globally, not just in the United Kingdom, but the wider European market and developing countries, because the fundamentals of midwifery education are recognisable worldwide.Louise Lewis