Heart and Hands: A Midwife's Guide to Pregnancy and Birth

Overview

For over two decades, HEART & HANDS has been a beloved guide for both midwives and parents interested in the benefits of midwifery care. This all-new fourth edition has been revised from start to finish, featuring updated material that emphasizes independent midwifery, physiologic (natural) birth, and the art of nonintervention. Midwifery expert Elizabeth Davis includes valuable hints for turning breech and posterior babies, mediating pain in labor, and supporting newborn physiology. Davis also reveals the ...
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Overview

For over two decades, HEART & HANDS has been a beloved guide for both midwives and parents interested in the benefits of midwifery care. This all-new fourth edition has been revised from start to finish, featuring updated material that emphasizes independent midwifery, physiologic (natural) birth, and the art of nonintervention. Midwifery expert Elizabeth Davis includes valuable hints for turning breech and posterior babies, mediating pain in labor, and supporting newborn physiology. Davis also reveals the keys to postpartum recovery, with practical tips on breastfeeding for busy mothers. Comprehensive and compassionate, HEART & HANDS remains a dog-eared classic for parents, midwives, and other birthing helpers.Thoroughly revised and updated fourth edition of the classic text for midwives, also useful for expecting parents, nurses, childbirth educators, doulas, and other labor helpers.Features new diagrams and photographs, updated midwifery forms, and an expanded resource list for parents.Expanded sections on GBS, VBAC, gestational diabetes, and water birth address current controversies.Previous editions have sold more than 150,000 copies. "An impressive and deeply caring book . . . reveals a shrewd and compassionate sensitivity to women'¬?s needs in pregnancy and childbirth." -Sheila Kitzinger, author of The Complete Book of Pregnancy and Birth

This comprehensive and classic guide for midwives and parents-to-be has been completely revised and updated for this new edition.

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Product Details

  • ISBN-13: 9781587612213
  • Publisher: Ten Speed Press
  • Publication date: 11/28/2004
  • Edition number: 4
  • Pages: 328
  • Product dimensions: 8.01 (w) x 9.99 (h) x 0.83 (d)

Meet the Author

ELIZABETH DAVIS has been a midwife, women’s healthcare specialist, educator, and consultant for more than 25 years. She has served as a representative to the Midwives Alliance of North America for five years, and president of the Midwifery Education Accreditation Council for the United States. She co-directs the recently accredited National Midwifery Institute, and teaches and lectures internationally. She resides in Sebastopol, California.
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Table of Contents

Acknowledgments ix
Preface to the Fourth Edition xi
Preface to the First Edition xiii
Chapter 1 The Midwife: A Profile 1
For Parents: Choosing a Midwife 9
Chapter 2 Prenatal Care 2
The Initial Interview 12
Medical History 14
Physical Examination 18
High Risk Factors in Pregnancy 19
Nutrition and Exercise 32
Screening Out 35
Lab Work 35
Fetal Development 41
Routine Checkups 42
Common Complaints 42
Douche for Vaginal Infections 46
Herbs and Homeopathy in Pregnancy 47
Common Fears and Counseling Techniques 50
Partner Participation 51
Sibling Participation 53
The Last Six Weeks 54
Home Visits 58
Preparation for Water Birth 59
Last-Minute Clients 60
For Parents: Self-Care in Pregnancy 63
Chapter 3 Problems in Pregnancy 65
Physical Complications 65
Anemia 65
Problems with Weight Gain 67
Miscarriage (Abortion) 68
Ectopic Pregnancy 70
Hydatidiform Mole 70
Bleeding Late In Pregnancy 71
Gestational Diabetes 72
Hypertension 74
Preeclampsia 76
Polyhydramnios/Hydramnios 77
Oligohydramnios 78
Multiple Pregnancy 78
Breech Presentation and Transverse Lie 80
Prematurity 82
Small for Gestational Age and Intrauterine Growth Restriction 83
Large for Gestational Age 85
Postdatism 86
Psychological Issues and Complications 88
Challenges Facing Single Mothers 90
Difficulties of Working Mothers 91
Challenges for Adoptive Mothers 92
Issues for Women Who Delay Childbearing 93
Problems of Estranged Couples 94
Challenges Facing Lesbian Mothers 95
Issues in Family Relationships 96
Sexual Problems 97
Abuse Issues 99
Psychological Screening Out 101
For Parents: Danger Signs in Pregnancy 104
Chapter 4 Assisting at Births 105
Early Labor 105
Physical Assessments and Duties in Early Labor 109
Aseptic Technique and Universal Precautions 110
Active Labor 111
Physical Assessments and Duties during Active Labor 113
Transition 116
Cardinal Spiraling Movements of the Baby during Labor 117
Physical Assessments and Duties in Transition 118
Second Stage 119
Physical Assessments and Duties during Second Stage 121
Assisting Delivery 122
Herbs and Homeopathy during Labor 127
Third Stage 129
Assisting Placental Delivery 130
Checking for Tears 130
Newborn Exam 133
Postpartum Watch 136
For Parents: Golden Tips for Assisting in Labor 138
Chapter 5 Complications in Labor 139
Prolonged Labor and Maternal Exhaustion 140
Cephalopelvic Disproportion 145
Posterior Arrest 150
Fetal Distress 152
Cord Problems 153
Maternal Hypertension 154
Prolonged Rupture of the Membranes 155
Unusual Presentations 156
Shoulder Dystocia 159
Surprise Breech 161
Amniotic Fluid Embolism 162
Hemorrhage 163
Retained Placenta 169
Giving an Injection 170
For Parents: In Case of Transport 171
Assessment and Repair of Lacerations and Episiotomy 172
Infant Resuscitation 172
Suturing Technique 173
Principles of Infant Resuscitation
Fetal Anomalies 180
Stillbirth and Neonatal Death 181
Liam Andrew 182
Chapter 6 Postpartum Care 189
Day-One Visit 191
Day-Three Visit 194
Day-Seven Visit 196
Three-Six Weeks Checkup 197
The Baby: Complications and Concerns 198
Hypoglycemia 198
Herbs and Homeopathy Postpartum 199
Meconium Aspiration 201
Transient Tachypnea 201
Neonatal Infection 202
Jaundice 203
Circumcision 204
For Parents: What to Do If the Baby Cries 205
Nervous Irritability/Colic 205
Minor Problems 206
The Mother: Complications and Concerns 206
Minor Problems 206
Hematoma 207
Uterine and Pelvic Infections 207
Thrombophlebitis and Pulmonary Embolism 208
Difficulties with Breastfeeding 208
Ten Steps to Successful Breastfeeding 210
Postpartum Depression 210
Sexual Adjustment 214
Contraception 216
Chapter 7 Becoming a Midwife 217
Textbooks and Other References 218
Doula Work, or Birth Assisting 220
Birth Assisting at Home 221
Birth Assisting in Hospital 223
Midwifery Study Groups 224
Apprenticeship 224
Core Areas of Study 225
Other Direct-Entry Options 227
Nurse-Midwifery Programs 227
Chapter 8 The Midwife's Practice 229
Location: Urban or Rural Practice? 230
Equipment 232
Setup and Administration 233
General Presentability and Personal Hygiene 235
Fees 235
Public Relations and Education 236
Medical Backup and Consultation 238
Medical Records, Charting, Informed Choice, and Client Confidentiality 240
Partnership 243
Training the Student or Apprentice 244
Peer Review 247
Chapter 9 The Long Run 249
For Parents: Support Your Local Midwife! 253
Appendices 255
Appendix A The MANA Statement of Values and Ethics, MANA Core-Competencies for Midwifery Practice, MANA Standards and Qualifications for the Art and Practice of Midwifery 255
Appendix B Resources 265
Appendix C Medical/Health History 268
Appendix D Prenatal Care Record, Prenatal Care Progress Notes 274
Appendix E Labor Record, Labor Progress Notes 276
Appendix F Transport Record from Home Delivery 278
Appendix G Birth Records 279
Appendix H Newborn Examination 280
Appendix I Clinical Estimation of Gestational Age 281
Appendix J Postpartum Care, Postpartum Care Progress Notes 282
Appendix K Postpartum Instructions 284
Appendix L The Midwife's Kit, Parent's Supply List 285
Appendix M Midwifery Programs and Institutions 287
Appendix N HIPAA Guidelines 294
About the Author 296
Index 297
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