Table Of ContentMidwifery and Obstetrical
Nursing—Practical
Dr Sunita Lawrence
Principal, Pragyan College of Nursing,
Bhopal, Madhya Pradesh
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Dedicated to the mothers and newborns
who died due to incompetent maternal practices
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About the Author
Dr Sunita Lawrence, B.Sc. (Nursing), M.Sc. (Maternity Nursing), Ph.D.
(Nursing), M.A. (Sociology), RN, RM, is the Principal of Pragyan College
of Nursing, Bhopal. She has authored many nursing books and is the Editor-
in-Chief of the Indian Journal of Holistic Nursing and Trends in Nursing
Administration and Education, published from Bhopal. She is the President
of Trained Nurses’ Association of India, Madhya Pradesh State Branch,
since 2008 and is the advisor of the Society of Midwives India, Bhopal
Chapter. Previously, she has served as the Assistant Director and as the
Head of Department of Nursing and Health Sciences in the Madhya Pradesh
Bhoj (Open) University and has also worked in various nursing institutions
under the Government of Madhya Pradesh.
Dr Sunita Lawrence is a nursing researcher, teacher, examiner, and guide for graduate, postgraduate,
and doctoral students of various Indian universities. She is also a member of the nursing board of stud-
ies in various universities. She is the writer of numerous study materials for IGNOU, UNICEF, and
Madhya Pradesh Bhoj (Open) University. Her scientifi c and research articles have been published in
various national and international nursing journals. She has received the Best Nurse Arunachalam
Award in 1997, Bhartiya Shiksha Ratna Award in 2008, Research Fellowship Award in 2010, and the
Best Principal Award in 2011 for her contribution towards the nursing profession.
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Contents
About the Author v
Foreword ix
Preface xi
Acknowledgements xiii
SECTION I Preconception Counselling: An Introduction 1
1. Preconception Education 3
2. Genetic Counselling 7
3. Preparation for Parenthood 11
4. Teaching Self-care Methods of Determining Ovulation 17
5. Assisted Artifi cial Reproductive Techniques 21
SECTION II Prenatal Assessment and Care 25
6. Initial History Documentation of Antenatal Woman 27
7. Determination of Expected Date of Delivery 33
8. General Physical Examination 36
9. Abdominal Examination and Application 41
10. Breast Self-examination 47
11. Vaginal Examination and Assessment of Pelvic Adequacy 50
12. Prenatal Advices 54
13. Prenatal Exercises 57
14. Nutritional Advices 73
15. Teaching Self-care Methods for Common Discomforts During Pregnancy 77
16. Assessing Foetal Well-being 80
17. Subsequent Prenatal Visits 98
SECTION III Intranatal Assessment and Care 101
18. Admission in Labour Room 103
19. Nursing Care During Labour 105
20. Preparing the Labour Room 107
21. Assessment of Labour Progress 109
22. Conducting Delivery 115
23. Assessment and Management of the Third Stage of Labour 121
24. Assessment and Management of the Fourth Stage of Labour 123
25. Assessing the Placenta 125
SECTION IV Postpartum Assessment 129
26. Postnatal Assessment 131
27. Perineal Care 136
viii | Contents
28. Assessing the Involution of the Uterus 140
29. Postnatal Exercises 143
30. Techniques of Breastfeeding 148
SECTION V Assessment of the Newborn 155
31. Initial Assessment of the Newborn 157
32. Weighing the Infant 169
33. Newborn Resuscitation 171
34. Assisting in Thermoregulation of the Newborn 178
SECTION VI Assisting in Operative Procedures 181
35. Episiotomy 183
36. Preparation for Medical/Surgical Induction 186
37. Preparing the Woman for LSCS 191
38. Preparation for Forceps Delivery 194
39. Preparation for Tubectomy and Vasectomy 196
40. Insertion of Intrauterine Contraceptive Device 200
Bibliography 203
Index 205
Foreword
It gives me immense pleasure to write a foreword to the book Midwifery and Obstetrical Nursing—
Practical written by Dr Sunita Lawrence.
She has written the essential material needed for midwifery students and nurses in a clear and con-
cise manner, in an easy and lucid style.
In this edition, the practical text is presented in six sections, with Preconception counselling,
Prenatal assessment and care, Intranatal assessment and care, Postpartum assessment, Assessment of
the newborn, and Assisting in operative procedures being the topics discussed.
Today, students and maternity nurses need to be empowered with professional knowledge, attitude
and professional competency in the areas of maternal and child health care. This book will help them
to be confi dent in carrying out their role by giving updated information. This book will also be useful
for faculty in nursing, and I am sure that both the providers and consumers will be benefi ted.
Dr Alamelu Venketaraman
