Community-Based Maternity Care / Edition 1

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Overview

This important book makes the case for placing maternity care in the community. It has been written by a multidisciplinary group. The first section considers the role and function of the participants in community-based maternity care; the woman, the midwife, and the GP. The second section discusses four major contemporary issues: the radically changing social background, the economics of care, audit, and education of the carers. Next the major clinical challenges in maternity care are tackled: how to reduce the differences in morbidity and mortality which are associated with differences in age, social class and ethnicity; the care of disadvantaged groups; prematurity and low birth weight and their prevention; technology used in childbirth; and the fetal origins of adult disease. Finally, all aspects of the clinical care carried out by Gps and midwives are covered. The editors hope that after reading this book midwives, Gps, and obstetricians should find the theory underpinning their work has been sharply defined and that their work will be more effective and evidence-based. The editors, a GP and a midwife, anticipate the resolution of the current tensions between midwife, GP, and obstetrician and look forward to a responsive, effective and sensitive service for mothers and babies in the next millennium.

The book contains black-and-white illustrations.

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Product Details

  • ISBN-13: 9780192627681
  • Publisher: Oxford University Press, USA
  • Publication date: 10/28/1998
  • Series: Oxford General Practice Series
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 512
  • Product dimensions: 6.10 (w) x 9.10 (h) x 1.00 (d)

Table of Contents

Foreword
Contributors
Acknowledgements
1 Introduction 1
Sect. 1 The mother, the midwife, and the GP 5
2 The case for community-based care 7
3 The midwife's potential - from ritual to radical 27
4 General practitioners' contributions - what's really going on? 46
5 Multidisciplinary teamwork in maternity care 60
6 Mothers' views and experiences of care 81
Sect. 2 Contemporary issues 95
7 The social context of maternity care 97
8 The economics of maternity care 119
9 Auditing care 137
10 Educating the carers 153
Sect. 3 Clinical challenges 173
11 Narrowing the gap: social class, age, and ethnic differences in maternity outcomes 175
12 Maternity care for women with special needs 195
13 The use of technology in maternity care 213
14 Born too soon or too small or both 227
15 Fetal origins of adult disease 246
Sect. 4 Clinical care 269
16 Reproductive information and advice in primary care 271
17 New thoughts on the physiology of pregnancy 290
18 Psychological health before, during, and after childbirth 311
19 Latest views on antenatal care programmes 337
20 The prevention and treatment of illness in pregnancy 359
21 Care in labour 379
22 Care of the mother after birth 398
23 Newborn babies and how to treat them 408
24 Breastfeeding 433
Sect. 5 Conclusions 461
25 Community-based maternity care in the new millennium 463
Index 485
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