Table Of ContentMidwifery
by Ten Teachers
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Midwifery
by Ten Teachers
Debbie HolmesBSc (Hons), RN, RM, PGCE (HE)
Senior Lecturer in Midwifery,
School of Health,
University of Wolverhampton, UK
Philip N Baker BMed Sci, BM, BS, DM, FRCOG
Professor of Maternal and Fetal Health,
Director of the Maternal and Fetal Health Research Centre, and
Consultant Obstetrician at St Mary’s Hospital,
The University of Manchester, UK
Hodder Arnold
AMEMBER OF THE HODDER HEADLINE GROUP
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Contents
The Ten Teachers vii
Foreword ix
Preface xi
Acknowledgements xiii
Abbreviations and conventions xv
1. The midwife and modern maternity care 1
2. Conception, implantation and embryology 9
3. Normal fetal development and growth 23
4. Physiological changes in pregnancy 33
5. Antenatal care 47
6. Antenatal imaging and assessment of fetal well-being 59
7. Prenatal diagnosis 79
8. Antenatal complications 93
9. Multiple pregnancy 121
10. Disorders of placentation 133
11. Preterm labour 149
12. Medical conditions associated with pregnancy 163
13. Perinatal infections 193
14. Labour 209
15. Operative and assisted birth 239
16. Childbirth emergencies 255
17. The puerperium 273
18. Mental health in pregnancy and the puerperium 287
19. Neonatal care 299
20. Law and ethics relating to midwifery practice 317
Appendix: Levels of evidence 327
Index 329
This book is dedicated to my family, Micheal, Elizabeth, Louise and Robert.
Debbie Holmes
The Ten Teachers
Karen E Bartter MA, RN, RM, ADM, PGCEA Tracey Mills BSc(Hons), RGN, RM, DPSM, MA
Senior Lecturer in Midwifery, School of Health, Research Midwife, Maternal and Fetal Health Research
University of Wolverhampton, Walsall Centre, St Mary’s Hospital, Manchester
Claire Greig PhD, MSc (Nursing Education), BN, RGN, RM, Sandie Sandbrook RN, RM, ADM, MTD, Cert Ed(FE),
ADM, MTD,Neonatal Certificate BA (JointHons)
Senior Lecturer, Faculty of Health, Life and Social Senior Lecturer in Midwifery, School of Health,
Sciences, Napier University, Edinburgh University of Wolverhampton, Walsall
Adela Hamilton MA(Ed), BSc(Hons), Cert Management, Kathy Senessie RGN, RM, BSc(Hons)
Cert Teaching, RN, RM, E835 Research Design (OU) Midwife, Maternity Unit, Sandwell and West
Senior Lecturer in Midwifery, Midwifery Department, Birmingham NHS Hospitals Trust, Birmingham
City University, London
Gail Williams MSc, BSc, RN, RM, ADM, Cert Ed,
Debbie Holmes BSc(Hons), RN, RM, PGCE (HE) FRSH, ILTM
Senior Lecturer in Midwifery, School of Health, Director of Midwifery, School of Nursing and
University of Wolverhampton, Walsall Midwifery Studies, Cardiff University, Cardiff
Pak Hung RN, RM, ADM, BSc(Hons)Education Studies
(Midwifery), MSc
Senior Lecturer in Midwifery, Supervisor of Midwives,
School of Health, University of Wolverhampton, Walsall
Jayne E Marshall PhD, MA, RN, RM, ADM, PGCEA
Midwife Lecturer/Assistant Director of Midwifery Post
Registration Studies, Faculty of Medicine and
Health Sciences, School of Human Development,
Academic Division of Midwifery,
University of Nottingham, Nottingham
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Foreword
Midwifery by Ten Teachers is a unique collaboration knowledge is very much a part of current undergrad-
between midwives and their obstetric, nursing and uate education but equally has relevance to the prac-
medical colleagues. Within its pages, the reader will tice of the qualified midwife and will no doubt
find the firm foundations that underpin our art and enhance her ability to better communicate and
understanding of normal childbirth set within the con- explain the options and elements of care and assist in
text of the complex and competing roles and responsi- the involvement of the woman in decision-making.
bilities of the midwife of today. Reproductive health The chapters on antenatal care, antenatal imaging
with its advances in science and technology is also cov- and assessment of fetal well-being provide valuable
ered in detail, providing insights into the application insights into both basic and advanced techniques,
and implications of these important developments and including prenatal diagnosis, that seek to facilitate
consequently the practicalities, problems and provi- maternal and fetal health; reference to the latest NICE
sion of both low and high risk maternity care in the guidelines places such approaches in the context of cur-
twenty-first century. rent recommended practice. This knowledge alongside
For many students, practitioners and teachers of the chapters on antenatal complications, disorders of
midwifery, Obstetrics by Ten Teacherswill be a famil- placentation, medical complications in pregnancy and
iar textbook, which has over the years provided perinatal infections are key elements in the continuing
important insights into obstetric developments and role and relevance of the midwife in her care of the
disorders as well as the complication of childbirth mother and family.
and its management. The true value of Midwifery by Labour and intrapartum care is comprehensively
Ten Teachersis to articulate and address such knowl- covered in a number of chapters that address the
edge, insights and understanding and apply it to the anatomical structures relevant to the process of
work of the midwife in dealing with both normal and labour, the management of normal and abnormal
abnormal aspects of childbirth within the wider con- labour, induction, comfort in labour as well as instru-
text of the interprofessional team. mental, assisted labour and Caesarean section. The
An up-to-date and well informed text, Midwifery by NICE guidelines provide the context of current rec-
Ten Teachersprovides a broad range of teaching meth- ommended practice and overall will be a welcome
ods and excellent diagrams that make even the most resource for midwives and students alike. Childbirth
complex of topics accessible. Case histories facilitate emergencies are succinctly and well addressed and
engagement with the subject matter and an enquiry the continuum of care is covered with chapters on the
based approach helps to contextualize the subject mat- puerperium, postnatal and neonatal care. The final
ter in the realities of current midwifery and obstetric chapter focuses on the important topic of the law and
practice. Key points enable a ready reference and are ethics relating to midwifery practice and rounds off a
important signposts in remembering and recalling the well structured, relevant, informative and dynamic
essential elements of the subject matter. textbook that will be an asset in the education and
Beginning with the midwife and modern maternity development of midwives, and assist them in the
care, the omnipresent social, cultural and political enhancement and advancement of their professional
imperatives that make up our global and multicultural knowledge and skills.
society are explored in the context of our history as a Midwifery by Ten Teachersis a worthwhile read; it
profession and some of the more influential reports provides knowledge at the graduate level and beyond,
that have impacted upon our role as midwives. and will without doubt make a valuable contribution
The early chapters focus on reproductive biology to the increasingly diverse roles and opportunities
and the physiological changes of pregnancy. Such that are open to midwives. Its relevance to current
