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E-Book Risk and Choice in Maternity Care

E-Book Risk and Choice in Maternity Care PDF Author: Andrew Symon
Publisher: Elsevier Health Sciences
ISBN: 0702035130
Category : Medical
Languages : en
Pages : 187

Book Description
This title is directed primarily towards health care professionals outside of the United States. This book explores the complex interrelationship between risk and choice in maternity care, taking a close look at how "high" and "low" risk are defined and what impact this has on a woman's ability to exercise informed choices throughout pregnancy. It offers an international collaboration that highlights different perspectives on debated issues, with chapters on maternity care in the UK, United States, Australia, and Ireland contributed by midwives, obstetricians, risk management experts, and sociologists. The aim of this book is to illustrate the changing reality of risk management as it relates to maternity care, and to highlight risk management concerns that may limit the choices available to pregnant women. Clarifies how applications of risk affect the choices pregnant women are able to exercise. Locates pregnancy risk considerations within the overall scheme of risk management. Analyzes practitioners' responses to the requirements of risk management. Presents risk management and choice from the risk manager's perspective, providing an understanding of risk as a "macro concept" in health care. Highlights medico-legal opinions on exercising choice, underscoring the need for accurate information and the ability to make informed decisions. Two chapters examine women's perspectives on risk labeling and the impact this has on choice - one in which the concept of safety within maternity care is discussed, and one in which the views of women with defined risk factors are explored and their ability to make choices is evaluated. Two chapters written by health service risk managers discuss the differences between an inner-city approach and a rural approach to the debate surrounding risk and choice. Discusses midwifery's focus on "normality" in childbirth and considers how this viewpoint affects the risk dialogue, including a chapter on clinical trends in maternity care. An obstetric perspective on risk refutes criticisms of obstetricians as being more likely to impose risk labels and limit choices by discussing how risks and choices are presented and considered within obstetric care. Explores the debate surrounding a woman's right to have a home birth in Ireland, in light of its risk management climate. Two chapters discuss the collaboration between service users, midwives, and obstetricians in Australia regarding the organization and delivery of maternity care, as well as the views concerning risk among indigenous Australians. Perspectives from nurse-midwives in the U.S. discuss the complex relationships among nurse-midwives, obstetricians, and pregnant women with regard to choice, including views on risk within immigrant communities.

E-Book Risk and Choice in Maternity Care

E-Book Risk and Choice in Maternity Care PDF Author: Andrew Symon
Publisher: Elsevier Health Sciences
ISBN: 0702035130
Category : Medical
Languages : en
Pages : 187

Book Description
This title is directed primarily towards health care professionals outside of the United States. This book explores the complex interrelationship between risk and choice in maternity care, taking a close look at how "high" and "low" risk are defined and what impact this has on a woman's ability to exercise informed choices throughout pregnancy. It offers an international collaboration that highlights different perspectives on debated issues, with chapters on maternity care in the UK, United States, Australia, and Ireland contributed by midwives, obstetricians, risk management experts, and sociologists. The aim of this book is to illustrate the changing reality of risk management as it relates to maternity care, and to highlight risk management concerns that may limit the choices available to pregnant women. Clarifies how applications of risk affect the choices pregnant women are able to exercise. Locates pregnancy risk considerations within the overall scheme of risk management. Analyzes practitioners' responses to the requirements of risk management. Presents risk management and choice from the risk manager's perspective, providing an understanding of risk as a "macro concept" in health care. Highlights medico-legal opinions on exercising choice, underscoring the need for accurate information and the ability to make informed decisions. Two chapters examine women's perspectives on risk labeling and the impact this has on choice - one in which the concept of safety within maternity care is discussed, and one in which the views of women with defined risk factors are explored and their ability to make choices is evaluated. Two chapters written by health service risk managers discuss the differences between an inner-city approach and a rural approach to the debate surrounding risk and choice. Discusses midwifery's focus on "normality" in childbirth and considers how this viewpoint affects the risk dialogue, including a chapter on clinical trends in maternity care. An obstetric perspective on risk refutes criticisms of obstetricians as being more likely to impose risk labels and limit choices by discussing how risks and choices are presented and considered within obstetric care. Explores the debate surrounding a woman's right to have a home birth in Ireland, in light of its risk management climate. Two chapters discuss the collaboration between service users, midwives, and obstetricians in Australia regarding the organization and delivery of maternity care, as well as the views concerning risk among indigenous Australians. Perspectives from nurse-midwives in the U.S. discuss the complex relationships among nurse-midwives, obstetricians, and pregnant women with regard to choice, including views on risk within immigrant communities.

Birth Settings in America

Birth Settings in America PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 0309669820
Category : Social Science
Languages : en
Pages : 369

Book Description
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Study Guide for Maternity & Women's Health Care - E-Book

Study Guide for Maternity & Women's Health Care - E-Book PDF Author: Deitra Leonard Lowdermilk
Publisher: Elsevier Health Sciences
ISBN: 032339292X
Category : Medical
Languages : en
Pages : 359

Book Description
Corresponding to the chapters in the 11th edition of Lowdermilk's market-leading Maternity & Women's Health Care, this study guide offers a complete review of content and a wide range of activities to help you understand key nursing concepts and apply your knowledge. It includes critical thinking exercises, multiple-choice and matching questions, and more; answers are included in the back of the book. Chapter review activities assess the user’s understanding of the content with fill-in-the-blank, matching, multiple choice, and short answer questions. Critical thinking case studies require the user to apply the concepts found in the text chapters to solve problems, make decisions concerning care management, and provide responses to patient questions and concerns. Answer key contains answers to all questions and is located at the end of the book. Perforated pages allow instructors to utilize the Study Guide activities for assignments to be graded.

Mayes' Midwifery E-Book

Mayes' Midwifery E-Book PDF Author: Sue Macdonald
Publisher: Elsevier Health Sciences
ISBN: 0702063363
Category : Medical
Languages : en
Pages : 1220

Book Description
A new edition of a classic textbook fully updated to meet the needs of today’s midwifery student. Now available for the first time in full color, the 15th edition of Mayes Midwifery has an enhanced artwork program and comes with an extensive website which provides 600 MCQs and wide selection of case studies and reflective activities; a downloadable image bank assists with essay and assignment preparation. New edition of a classic textbook updated and designed for today’s midwifery student! Chapters authored by experts in their field, including midwifery academics and clinicians as well as allied professionals such as researchers, physiotherapists, neonatal nurse specialists, social scientists and legal experts Evidence and research based throughout to help facilitate safe clinical practice Learning outcomes and key points help readers structure their study and recap on what they have learned Reflective activities encourage the application of theory to practice Contains practice based tools and checklists Presents and discusses the latest national and international guidelines Associated website with over 600 MCQs, reflective activities to encourage the application of theory to practice, case studies and additional learning tools Downloadable image bank to assist readers with essay preparation and other assignments Suitable for use in normal community and midwife led arenas, high tech environments and more rural areas of clinical practice Brand new design - incorporating helpful learning features - aids reader engagement and retention of facts Updated artwork program helps clarify complex physiological processes and other challenging concepts

Study Guide for Maternity & Women's Health Care - E-Book

Study Guide for Maternity & Women's Health Care - E-Book PDF Author: Deitra Leonard Lowdermilk
Publisher: Elsevier Health Sciences
ISBN: 0323293719
Category : Medical
Languages : en
Pages : 405

Book Description
Master the content from your textbook with this helpful study tool! Corresponding to the chapters in the 10th edition of Lowdermilk's market-leading Maternity & Women's Health Care, this study guide offers a complete review of content and a wide range of activities to help you understand key nursing concepts. Apply your knowledge with critical thinking exercises, multiple-choice and matching questions, and more. To make studying easier, answers are included in the back of the book.

Psychosocial Resilience and Risk in the Perinatal Period

Psychosocial Resilience and Risk in the Perinatal Period PDF Author: Gill Thomson
Publisher: Routledge
ISBN: 1317326296
Category : Medical
Languages : en
Pages : 208

Book Description
Bringing together experts in the field, this important book considers the underlying risk factors that create situations of psychosocial vulnerability and marginalisation for mothers, from their baby’s conception up to a year after birth. Adopting a strengths-based approach, the book looks not only at the incidence and impact of disadvantageous circumstances on women but also explores protective factors at an individual, family, community and service level. It identifies promising evidence-based interventions and sources of resilience. With a distinctive focus on social and cultural diversity, Psychosocial Resilience and Risk in the Perinatal Period considers a wide range of personal circumstances and social groups, including women’s experiences of traumatic birth, domestic and family violence, drug and alcohol use and mothering by indigenous, same-sex and disabled women. Throughout, case studies and service user experiences are used to illuminate the issues and illustrate exemplary care practice. International in scope, this book is particularly strong on the implications for care practices and health service delivery within Western models of maternity care. Its applied focus and evidence base makes it eminently suitable for study purposes and professional reference. Of relevance to midwives, health visitors and other health and social care practitioners, Psychosocial Resilience and Risk in the Perinatal Period’s final chapters focus on developing resilience amongst professionals and multiprofessional and interagency working.

CTG Made Easy E-Book

CTG Made Easy E-Book PDF Author: Susan Gauge
Publisher: Elsevier Health Sciences
ISBN: 0702046779
Category : Medical
Languages : en
Pages : 176

Book Description
This title is now available under ISBN 9780702052149. CTG Made Easy 4th edition continues the successful format of previous editions, offering a practical guide to all health professionals involved in monitoring the fetal heart rate during labour, and specifically in the interpretation of CTG traces. The workbook approach remains, with many new and updated case histories and CTGs, all using current terminology and a recommended proforma for interpretation. The book will aid health professionals to acquire competence and confidence in all aspects of fetal heart rate monitoring during labour, improving the care offered to women and babies. In-depth debate on choice of intermittent or continuous electronic fetal heart rate monitoring enables correct identification of the appropriate method Updated references and recommendations from latest national guidelines ensure readers have access to current research-based evidence and expert opinion Clear explanation of the physiology of baseline and periodic abnormalities provides vital information for interpretation and assessment of fetal compromise CTG features are described following up-to-date recommendations from NICE Charts describe the classification of CTGs and illustrations describe variable decelerations to aid understanding Discussion of current adjuncts to electronic fetal heart rate monitoring give the reader insight into current developments and possible future practice RCOG and NICE proforma and classifications aid consistency in interpretation and use of terminology Recent cases of litigation are used to demonstrate the difficulties encountered with monitoring techniques and interpretation of the data, giving the reader an insight into cases that proceed to litigation Evidence relating to fetal monitoring in labour updated to current national guidance Expanded section debating the issues surrounding intermittent auscultation versus continuous electronic fetal heart rate monitoring Expanded section on the physiological control of the fetal heart rate, fetal blood sampling and acid base balance. Risk management updated, including risks and benefits of current methods of fetal heart rate monitoring, future developments, and legal issues References comprehensively reviewed, including NICE and RCOG clinical guidelines New online resources 20 additional CTGs and case histories are available online

Manual of High Risk Pregnancy & Delivery

Manual of High Risk Pregnancy & Delivery PDF Author: Elizabeth Stepp Gilbert
Publisher: Mosby
ISBN: 9780323072533
Category : Medical
Languages : en
Pages : 727

Book Description
As the only book of its kind, this text provides a complete resource for care of the high risk patient and her complex needs. It helps you provide the best care and increase positive outcomes with coverage of today's newest technology, physiologic considerations, psychologic implications, health disorders, and other complications in pregnancy. This book also describes how to screen for risk factors, provide preventive management, and intervene appropriately when problems arise. It's a concise, hands-on reference for both inpatient and outpatient settings. --Book Jacket.

Birthing Outside the System

Birthing Outside the System PDF Author: Hannah Dahlen
Publisher: Routledge
ISBN: 0429953143
Category : Medical
Languages : en
Pages : 621

Book Description
This book investigates why women choose ‘birth outside the system’ and makes connections between women’s right to choose where they birth and violations of human rights within maternity care systems. Choosing to birth at home can force women out of mainstream maternity care, despite research supporting the safety of this option for low-risk women attended by midwives. When homebirth is not supported as a birthplace option, women will defy mainstream medical advice, and if a midwife is not available, choose either an unregulated careprovider or birth without assistance. This book examines the circumstances and drivers behind why women nevertheless choose homebirth by bringing legal and ethical perspectives together with the latest research on high-risk homebirth (breech and twin births), freebirth, birth with unregulated careproviders and the oppression of midwives who support unorthodox choices. Stories from women who have pursued alternatives in Australia, Europe, Russia, the UK, the US, Canada, the Middle East and India are woven through the research. Insight and practical strategies are shared by doctors, midwives, lawyers, anthropologists, sociologists and psychologists on how to manage the tension between professional obligations and women’s right to bodily autonomy. This book, the first of its kind, is an important contribution to considerations of place of birth and human rights in childbirth.

A Reassessment of the Concept of Reproductive Risk in Maternity Care and Family Planning Services

A Reassessment of the Concept of Reproductive Risk in Maternity Care and Family Planning Services PDF Author: Judith Rooks
Publisher:
ISBN:
Category : Pregnant women
Languages : en
Pages : 185

Book Description
Conference proceedings on reassessing the concept of reproductive risk in maternity care and family planning (FP) services cover the following topics: assessment of the history of the concept of reproductive risk, the epidemiology of screening, the implementation of the risk approach in maternity care in Western countries and in poorer countries and in FP, the possible effects on the health care system, costs, and risk benefit calculations. Other risk approaches and ethical considerations are discussed. The conclusions pertain to costs and allocation of resources, information and outreach, objectives, predictive ability, and risk assessment in FP. Recommendations are made. Appendixes include a discussion of issues involved in developing a reproductive risk assessment instrument and scoring system, and the WHO risk approach in maternal and child health and FP. The results show that the application of risk assessment warrants caution and usefulness in service delivery is questionable. The weaknesses and negative effects need further investigation. Risk-based systems tend toward skewed resource allocation. Equal access to care, freedom of choice, and personal autonomy are jeopardized. Risk assessment can accurately predict for a group, but not for individuals. Risk assessment cannot be refined as it is an instrument directed toward probabilities. The risk approach must be evaluated within a functioning health care system. Screening has been important in developed countries, but integration into developing country health care systems may be appropriate only when basic health care is in place and in urban and periurban communities. Recommendations are 1) to prevent problems and detect rather than predict actual complications when no effective maternity care is available; to provide effective care to all women, not just those at high risk; and to provide transportation to adequate facilities for women with complications. 2) All persons attending births should be trained to handle emergencies. 3) Risk assessment has no value unless basic reproductive health services are in place. Cost benefit analysis precludes implementation. Alternative strategies are available to increase contact of women with the health care system, to improve public education strategies, to improve the quality of traditional birth attendants, and to improve the quality of existing services. Women's ideas about what is "risk" and the cost and benefits of a risk-based system to women needs to be solicited. All bad outcomes are not preventable. Copies of this document can be obtained from The Population Council, One Dag Hammarskjold Plaza, NY, NY 10017. Tel: (212) 339-0625, e-mail [email protected].