Myles Textbook for Midwives

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Content Strategist: Mairi McCubbin Content Development Specialist: Carole McMurray Project Manager: Caroline Jones Designer/Design Direction: Miles Hitchen Illustration Manager: Jennifer Rose Illustrator: Antbits Mary Vance, MPhil PGCert TLT BSc(Hons) RM RGN LSA Midwifery Officer, North of Scotland LSA Consortium, Inverness, UK Chapter 2 Professional issues concerning the midwife and midwifery practice The concept of resilience is introduced for the reader to contemplate their personal contribution in creating an environment that is conducive to protecting the wellbeing of themselves and colleagues within the workplace.

Edited by Anna Nolte, PhD, RN, RM, Jayne E. Marshall, FRCM, PFHEA, PhD, MA, PGCEA, ADM, RM, RN and Maureen D. Raynor, MA PGCEA ADM RMN RN RM Cecily Begley, MSc MA PhD RGN RM RNT FFNRCSI FTCD Professor of Nursing and Midwifery, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland Chapter 18 Physiology and care during the third stage of labour SECTION 1 The midwife in context 1 The midwife in contemporary midwifery practice...................................... 3 2 Professional issues concerning the midwife and midwifery practice..............25 Rosemary Mander, MSc PhD MTD RGN SCM Emeritus Professor of Midwifery, School of Health in Social Science, University of Edinburgh, Edinburgh, UK Chapter 1 The midwife in contemporary midwifery practice Chapter 26 Bereavement and loss in maternity care Preface midwife’s role over time. It is our aim to challenge midwives into thinking outside the box and to have the confidence to empower women into making choices appropriate for them and their personal situation. An example is the decision to incorporate breech presentation and vaginal breech birth at term into the first and second stage of labour chapters rather than within the malpresentations chapter. Recognizing that midwives increasingly care for women with complex health needs within a multicultural society and taking on specialist or extended roles, significant topics have been added to make the text more contemporary. Chapter 13 incorporates the dilemmas faced by midwives when caring for women who have a raised body mass index and chapter 15 is a new chapter that addresses how care of the perineum can be optimized alongside the physiological and psychosocial challenges when women present with some degree of female genital mutilation. Furthermore, as an increasing number of midwives are undertaking further training to carry out the neonatal physiological examination and neonatal life support, specific details have been included in chapter 28 and a new chapter 29 dedicated to basic neonatal resuscitation respectively, to provide a foundation for students to build upon. Additional online multiple-choice questions have been updated and revised to reflect the focus of the chapters in this edition, as readers appreciate their use in aiding self-assessment of learning. We hope that this new edition of Myles Textbook for Midwives will provide midwives with the foundation of the physiological theory and underpinning care principles to inform their clinical practice and support appropriate decision-making in partnership with childbearing women and members of the multi-professional team. We recognize that knowledge is boundless and that this text alone cannot provide everything midwives should know when undertaking their multi-faceted roles, however, it can afford the means to stimulate further enquiry and enthusiasm for continuing professional development. London and Nottingham, 2014CHAPTER CONTENTS Internationalization/globalization Definition and scope of the midwife The ICM Global Midwifery Education Standards The ERASMUS Programme The Millennium Development Goals (MDGs) The emotional context of midwifery What is ‘emotion work’? Sources of emotion work in midwifery practice Managing emotions in midwifery Challenges Developing emotional awareness The social context of pregnancy, childbirth and motherhood Disadvantaged groups Women from disadvantaged groups Midwives meeting the needs of women from disadvantaged groups Research Evidence The stated rationale for evidence-based practice (EBP) The randomized controlled trial (RCT) Discussion References Further reading Useful websites

Amanda Sullivan, BA(Hons) PGDip PhD RM RGN Director of Quality and Governance for NHS Nottinghamshire County, NHS Nottinghamshire County, Mansfield, Nottinghamshire, UK Chapter 11 Antenatal screening of the mother and fetus Professional Editor, RCM Journal, Professor of Midwifery, University of Chester, Chester, UK, Adjunct Professor of Midwifery, University of South Australia (UniSA), Adelaide, Australia Chapter 23 Physiology and care during the puerperium Chapter 24 Physical health problems and complications in the puerperiumurn:lcp:mylestextbookfor0000unse_m4q1:epub:4659b5a4-edd7-426a-a65f-38c9eff95242 Foldoutcount 0 Identifier mylestextbookfor0000unse_m4q1 Identifier-ark ark:/13960/t8jf4mn79 Invoice 1652 Isbn 0443055866

Includes employer-led models of supervision, vital elements of leadership and clinical governance that supports the provision of high quality maternity services and standards of midwifery practice. Lccn 98048703 Ocr tesseract 4.1.1 Ocr_detected_lang en Ocr_detected_lang_conf 1.0000 Ocr_detected_script Latin Ocr_detected_script_conf 0.9730 Ocr_module_version 0.0.7 Ocr_parameters -l eng Old_pallet IA400058 Openlibrary_edition globalization and internationalization with due consideration of the Millennium Development Goals, the European (EU) Directives and International Confederation of Midwives Education Standards Principal Lecturer – Midwifery, School of Nursing and Midwifery, De Montfort University, Leicester, UK Chapter 13 Medical conditions of significance to midwifery practiceFor this edition several new chapters are introduced covering concealed pregnancy, fear of childbirth (tocophobia), care of the acutely unwell woman and end of life issues including rights of the fetus/neonate and ethical considerations. The purpose of the ICM (2013) global education standards is to establish benchmarks so that internationally all countries, with or without such standards, can educate and train midwives to be competent and autonomous practitioners who are equipped to work within global norms. Additionally, it is envisaged that not only can the standards be expanded to meet the needs of individual countries but they can be achieved within the context of these individual countries’ norms and