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Doody's Review ServiceReviewer: Nora Marshall Hernando, CNM, MSN (Appalachain Regional Healthcare)
Description: This handbook offers guidance for nurse-midwives providing preconception, prenatal, and postpartum care. It is comprehensive, holistic, and reflective of the nurse-midwifery philosophy of education and empowerment of the mother, facilitation of her desires as possible, and advocacy on the behalf of the mother and her baby.
Purpose: The purpose is to suggest a framework for combining art and science for students beginning their clinical work as well as to practicing certified nurse midwives (CNMs). These are worthy objectives, because this book provides a guide for asking questions of the client and a framework for thorough care. It provides many hints for data collection, interpretation, and mutual formulation and implementation of plans of care with the client.
Audience: This book is a result of the author's attempts to help novice practitioners enter the circle of midwifery. This book would also be helpful to practicing CNMs, obstetric/gynecologic and family practice physicians, nurse practitioners, physician assistants, and students of all these professions.
Features: The book has numerous helpful illustrations and excellent references for healthcare providers and clients. It contains a resource list of various organizations relating to women's health from which to obtain information or referrals for clients. There are many tables of questions to ask patients, the most useful of which relate to difficult subjects such as abuse, sexuality, drug, alcohol, and tobacco use. There are appendixes containing sample genetic screens and history forms as well as information on nutrition, female circumcision, abuse, and much excellent childbirth education material.
Assessment: This is an excellent clinical reference. It differs from many books of this type in that it addresses psychosocial and cultural needs and practices of women, suggesting different ways to discuss these issues with clients. The preconception counseling chapter and the recommendations that follow are complete and well done. The prenatal and postpartum care chapters reflect the prevention and woman-centered philosophy of nurse-midwifery. This book is recommended to any practitioner who cares for pregnant and postpartum women as well as anyone who counsels women before conception.