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This book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients' long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they've learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care.  

This book is a comprehensive work that spans the gap between basic knowledge and clinical significance of the placenta. Starting from normal development, it deals with the histopathology of the placenta, leads the reader on to functional disorders and insufficiencies and explains their effects on mother and child.Based on this, the authors convey in a practical and user-friendly manner everything worth knowing about diagnostics and therapy and provide valuable information for the optimal care of the pregnant patient.

Kind, honest and open communication is at the heart of midwifery care and maternity practice, and is vital in providing safe, person-centred care. This new book explores communication in midwifery from a range of perspectives and across different settings. It considers the theoretical and practical dimensions of communication, including how and why we communicate and who we communicate with. It uses case studies and practical examples to put ideas into real-world context and to explore topic areas in ways which are thought-provoking, accessible and useful to practitioners. Above all, Communication in Midwifery supports midwives in developing their theoretical understanding around communication and building a practical toolkit of ideas and strategies for use in a range of settings and with diverse groups of people. It helps midwives and other caregivers in navigating the nuanced and complex situations they encounter every day where clear, honest and collaborative communication is vital. Covers communication in pregnancy, birth and the postnatal period; the use of written, verbal and non-verbal approaches; and complex scenarios where communication may be challenging, such as diverse groups, trauma and loss Explores new methods of communicating, including the use of the internet and social media, and their benefits and challenges Highlights the importance of communication between professions and ways this can be enhanced Covers contemporary issues of consent, risk and safety in maternity care Useful at all stages of a midwife's career from undergraduate to qualified midwife

Flourish aims to support you as a midwife to do two things: to name what's going on around you and within you, then to find and claim your distinctive place in the midwifery world. You might be a newly qualified or early career midwife facing the challenges of finding your voice as well as your feet. Maybe you're an established midwife but feel as though you have lost your way - and with it the impetus to reshape either yourself or the environment you work in. Perhaps you're a team leader seeking to find the vocabulary to connect with your team, acknowledge what they might be feeling and reach out for resources and tools to support them to thrive, reflect and grow.As a guidebook, Flourish is a tour of discovery that reveals how 'standard' maternity environments and practices might be impacting you personally, and then invites you to reconnect with the core of your personality, purpose and passion. We'll tackle trauma, moral injury, burnout and compassion fatigue, then employ array of exercises to find a way back 'home', to a place where your sense of motivation for being a midwife is rekindled. A place where you can reconnect to your values, strengths, the world you want to live in and your unique voice. Once you're there, you will be able to make real, rich choices about your life and your career.

The story of Active Birth, its beginnings in north London and why it was revolutionary.

The authors reveal how a hugely successful healthcare project was undermined and dismantled, to the detriment of mothers and babies, the wider community and the midwifery profession as a whole.

In this era of specialisation, obstetricians are becoming increasingly skilled at their jobs and deskilled in areas outside their expertise. In recent years, the education and training curricula for obstetrics and gynaecology has changed, with obstetricians expected to manage women with complex gynaecological problems encountered during pregnancy and the postnatal period competently, despite training and curricula not covering these problems in detail. Exploring common gynaecological problems such as ovarian cysts, management of vaginal prolapse and female genital mutilation, this practical book offers guidance for managing these conditions throughout the different stages of pregnancy and post-partum. Each chapter has a section on good governance, discussing salient points for clinical practice to improve patient safety and satisfaction, as well as reducing complaints and litigation. This hands-on book provides obstetricians around the globe with the evidence-based knowledge needed to deliver high quality care to pregnant women.

The latest edition of this popular book is essential reading for all midwives and doctors working in the labour ward. It has been fully updated but retains the essential features that have contributed to its popularity - an accessible writing style, easy-to-understand explanation of CTGs, and case studies and illustrations to make the content as accessible and practical as possible. Fetal monitoring is a challenging area that requires skill and experience to practise well. This volume explores the subject matter in a detailed but straightforward manner, thus becoming an invaluable resource for health practitioners as well as midwifery and medical students. Fully updated by internationally renowned editors Illustrations and case histories make content applicable to practice Clear and friendly writing demystifies a potentially challenging subject area Explains the correct use of terminology to help ensure safe and accurate communication Covers the basics of interpretation, common pitfalls associated with equipment usage, and clinical trial data in context Explains the underlying pathophysiology associated with abnormal changes seen on the CTG Clinical scenarios demonstrate common presentations such as breech birth, twin pregnancies, brow presentation, hypertension, and eclampsia Real CTG traces demonstrate more complex presentations such as prolonged deceleration, placental abruption, and fetal bleeding

This book presents a patient centric, holistic view and management strategy for registered nurses, advanced practice nurses and midwives to care for the pregnant female, including considerations in pregnancy planning. There is a significant gap in information about holistic care and nursing considerations of the pregnant female with regards to pain management, which this book fills. It develops on the preparation before pregnancy, as nutrition or exercise, on behavioural management of pain with the impact of anxiety and different therapies. The book examines the musculoskeletal pain, the headache and fibromyalgia occurring during pregnancy. It also informs on the nutraceuticals in pregnancy, the use of opioids and of nerve blocks. This book finally explores complementary treatments during pregnancy.Case-studies are presented for improved understanding and to provide a real-world perspective.  This book, written by nursing and psychology experts in their fields of specialty practice, will appeal to nurses and midwives working with pregnant women or planning to have a baby.

Exploring one of the most prevalent yet contentious subjects in contemporary maternity care, Denise Tiran's new book on postdates pregnancy balances discussion of midwifery care and the obstetric management of women who are overdue.The book gives comprehensive coverage of a range of complementary therapies and natural remedies and how they may be effective in facilitating spontaneous onset of labour. It also takes into consideration the debate on the safety and effectiveness of natural remedies which women often self-administer.Illustrated with case studies and referenced to authoritative review papers, Complementary Therapies for Postdates Pregnancy is a must-have guide for midwives and maternity professionals.

Biological variations in sex development, also known as intersex, are greatly misunderstood by the wider public. This unique book discusses psychological practice in healthcare for people and families impacted by a range of 'intersex' variations. It highlights the dilemmas facing individuals and their loved ones in the social context and discusses the physical and psychological complexities of irrevocable medical interventions to approximate social norms for bodily appearance and function. It exposes the contradictions in medical management and suggests valuable theoretical and practice tools for psychosocial care providers to navigate them. Uniquely featuring theory and research informed practice vignettes, the book explores interpersonal work on the most salient psychosocial themes, ranging from grief work with impacted caretakers to sex therapy with impacted adults. An indispensable resource for working ethically, pragmatically and creatively for a variety of healthcare specialists and those affected by variations in sex development and their families and communities.

The Lefaivre Rainbow Effect is a groundbreaking treatment for those suffering from a traumatic brain injury. This textbook is the culmination of more than 25 years of successfully implementing this transformative treatment pioneered by the author. The book demonstrates how rehabilitation professionals, including occupational therapists, d

Through the use of an annotated thinking aloud framework, this collection of fictional clinical scenarios explores how midwives might work with dilemmas, weigh up options and make good decisions.

This comprehensive volume by expert authors addresses the origins of hypoxia tolerance, the impact of oxygen on circulatory transition at birth, and the biochemistry of hypoxia in the pulmonary circuit, and the classification, diagnosis and clinical management of hypoxic respiratory failure and persistent pulmonary hypertension in the term neonate.

This edited collection examines engagements between health literacies and undergraduate writing instruction, providing research, case studies, and practical guidance on developing an interdisciplinary writing pedagogy.

This edited collection examines engagements between health literacies and undergraduate writing instruction, providing research, case studies, and practical guidance on developing an interdisciplinary writing pedagogy.

This edition of Obstetric Anesthesia and Uncommon Disorders provides a convenient resource for practitioners suddenly faced with a parturient who has an unusual medical or surgical condition. The book considers the impact of a condition on pregnancy, labor and delivery, or the fetus and the impact of pregnancy on a condition, or the effect of therapy for the disorder on the fetus or neonate. Case reports and experience from the world literature, and clinical advice from many specialists, are drawn together by an international team of editors and contributors who are leading experts in the field. Clear, concise management guidelines and algorithms are provided, and each chapter is written from the viewpoint of the obstetric anesthesiologist. Thoroughly revised, with chapters on chronic pain in pregnancy and malignancy and pregnancy, this book will be an invaluable resource for any anesthesiologist involved in the clinical management of these complex patients.

'A must have for all aspiring and current student midwives and Newly Qualified Midwives.' - Carinna Griffiths, lecturer in MidwiferyWritten in a friendly and uplifting tone, Becoming a Midwife provides students and newly-qualified midwives with the tools and support they need to thrive on their course, on placement and in the early stages of their careers.The first part of the book focuses on core academic skills, including chapters on time management, writing essays and reflections, delivering presentations and preparing for exams. The book then establishes the fundamentals of clinical practice, and presents tried-and-tested strategies for developing clinical skills alongside guidance on managing workplace relationships and challenges. The final chapters help students make the transition to newly-qualified, with guidance on job applications, advocacy and career options. Acknowledging that midwifery can be a challenging and emotionally-demanding profession, this book has a strong focus on self-care and seeking support, as well as managing stress, avoiding burnout and juggling work, study and life. Chapters are enriched with insights from students and practising midwives, practical tips, worksheets to promote reflective practice and suggestions for further reading.Accompanying online resources for this title can be found at midwifediaries.com, including videos, blogs and interviews with practising midwives.

Providing a source of information for those supporting multiple birth families who wish to breastfeed, this informative guide remains accessible and evidence-based. It covers breastfeeding preparation, establishing milk supplies, transitioning premature babies onto the breast and moving away from tube feeds.