Birth Settings in America


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.




Midwifery and Women's Health Nurse Practitioner Certification Review Guide


Book Description

Midwifery & Women's Health Nurse Practitioner Certification Review Guide, Third Edition is a comprehensive review designed to help midwives and women's health nurse practitioners prepare for certification exams. Based on the American Midwifery Certification Board (AMCB) and the National Certification Corporation (NCC) test blueprints, it contains nearly 1,000 questions and comprehensive rationales representing those found on the exams. Completely updated and revised with the most current evidence and practice standards, the new edition incorporates expanded content on pharmacology, pathophysiology, and diagnostic tools. Included with each new print book is an online Access Code for Navigate TestPrep, a dynamic and fully hosted online assessment tool offering hundreds of bonus questions in addition to those in the book, detailed rationales, and reporting.




Best Practices in Midwifery


Book Description

Awarded second place in the 2013 AJN Book of the Year Awards in the Maternal-Child Nursing/Childbirthing category "This book is one of those turning points that will make an enormous difference." Judith P. Rooks, CNM, MS, MPH Author of Midwifery and Childbirth in America "This book provides a well-rounded examination of the issues we face in using evidence to inform our everyday clinical decisions...The authors have gathered current evidence and created practice scenarios to help the reader visualize EBP in action." "In a country that has more independent midwives and group practices than hospital based midwives this type of book could possibly become the cornerstone in terms of the standards of midwifery care."--Nursing Times From the Foreword by Holly Powell Kennedy, CNM, PhD, FACNM, FAAN President, American College of Nurse Midwives Helen Varney Professor of Midwifery Yale University School of Nursing Nurse-midwives often find themselves in situations where current research-based treatment conflicts with established practices that may be ineffective or even harmful. This text provides a roadmap for nurse-midwives who strive to implement change through evidence-based practice by presenting the most current evidence-based research on the care of childbearing women. It is the only book about evidence-based practice for nurse-midwives that encompasses the most controversial areas of practice. The text incorporates the foundations of midwifery and the midwifery model of care throughout. The book discusses the use of electronic databases in examining evidence and identifying best practices. It considers how the current workforce environment affects the practice of nurse-midwifery, and describes evidence-based practices in the care of childbearing women. Each chapter reviews current literature, describes contemporary practices and explores whether these practices are based on scientific evidence. Case studies enhance the examination of evidence and the identification of best practices. Key Features: Focuses on scientific evidence as the framework for the practice of nurse-midwifery Incorporates the hallmarks of midwifery and the midwifery model of care Examines practices that are in conflict with scientific evidence Provides guidance for practicing nurse-midwives in implementing best practices based upon scientific evidence




Freestanding Birth Centers


Book Description

Written for graduate students and professionals in the fields of midwifery, women’s health, and public health, this book explores the freestanding birth center model in the United States from its conception by pioneering midwives and others in the early 1970s to the present day. Compared to the hospital-based birth model, the freestanding birth center offers a well-documented, healthier, more cost-effective, and more humane way to care for women and newborns, consistent with the goals of the Affordable Care Act. This rapidly expanding model of care has many positive implications for high-quality, individualized care and birth outcomes across the United States. Written by U.S. leaders in midwifery, Freestanding Birth Centers: Innovation, Evidence, Optimal Outcomes offers a comprehensive guide to the evolving role of birth centers, clinical and cost outcomes, regulatory and legal issues, provider and accreditation issues, and the future of the birth center model. Woven throughout the text are descriptions of "exemplar" birth centers representing diverse geographical, business, and service models. These cases illustrate the possibilities for expansion and replication of this model of care. Key Features Provides a thorough history of the birth center movement from its inception through future expansion of the model Serves as an essential resource with up-to-date evidence on clinical and cost outcomes Includes case studies linking the unique service focus of individual birth centers to the associated sections of the book Provides practical and comprehensive coverage of all issues involved in running a U.S. birth center




Primary Care of Women


Book Description

This up-to-date and expanded 2nd edition is an invaluable resource for clinicians committed to providing primary health care to women. It provides a concise, practical synthesis of knowledge from various disciplines, including sections on medical disease, behavioral medicine, and prevention. Coverage focuses on problems commonly seen in primary care practice that occur more frequently or exclusively in women, or that manifest differently or respond differently to treatment in women than men. All topics are thoroughly addressed in a focused, well-organized approach that helps readers quickly locate answers to specific questions. With its focused presentation and clear discussion, Primary Care of Women, 2nd Edition offers an authoritative look at the complexities of a woman's biological, emotional, and social functioning in the context of her physical and mental health. In addition to problems treated mainly by primary care clinicians, content also includes information on conditions managed by specialists, providing a comprehensive source for all women's health considerations. A section on psychology and behavior provides a framework for addressing many of the problems that prompt women to seek medical care, including depression, obesity, and domestic violence. Screening and prevention, essential aspects of primary care practice, are reviewed. The interaction of pregnancy and medical illness is covered, addressing a range of issues including: the effects of specific medical problems on fertility, maternal health, and fetal well-being; the effects of pregnancy on existing diseases; the evaluation and management of problems in early pregnancy; and modification of treatment during pregnancy. An emphasis on clinical decision making and a problem-oriented focus makes this reference practical and useful for the clinical setting, with extensive cross-references, tables, and summaries of management recommendations. Relevant scientific data is included when available to support the book's clinical focus. Attention to the cost-effectiveness of diagnostic and therapeutic interventions is implicitly and explicitly considered, with guidelines for efficient use of subspecialty resources. The patient's preferences are considered key components of the clinical decision-making process, offering tips for patient education such as what the patient can expect from specific tests or treatments as well as the probabilities of various treatment outcomes. Coverage of problems affecting aging women, including memory loss/Alzheimer's and degenerative arthritis, has been expanded. More subspecialties are represented in this edition, covering topics specific to allergy, chronic pain management, oral surgery, sports medicine, and more. Special populations of women, such as disabled and homeless women, are included with specific treatment considerations where appropriate. New topics are addressed in this edition, including: pulmonary disorders, sleep disorders, sports injuries, chronic pain syndromes. New chapters have been added on: hypertension, allergy, temporomandibular joint syndrome, memory loss/Alzheimer's, GERD/peptic ulcer disease, and chronic cough. Material on topics such as menopause, osteoporosis, obesity, breast cancer, and diabetes, has been thoroughly revised.




A History of Midwifery in the United States


Book Description

Written by two of the professionís most prominent midwifery leaders, this authoritative history of midwifery in the United States, from the 1600s to the present, is distinguished by its vast breadth and depth. The book spans the historical evolution of midwives as respected, autonomous health care workers and midwifery as a profession, and considers the strengths, weaknesses, threats, and opportunities for this discipline as enduring motifs throughout the text. It surveys the roots of midwifery, the beginnings of professional practice, the founding of educational institutions and professional organizations, and entry pathways into the profession. Woven throughout the text are such themes as the close link between midwives and the communities in which they live, their view of pregnancy and birth as normal life events, their efforts to promote health and prevent illness, and their dedication to being with women wherever they may be and in whatever health condition and circumstances they may be in. The text examines the threats to midwifery past and present, such as the increasing medicalization of childbearing care, midwiferyís lack of a common identity based on education and practice standards, the mix of legal recognition, and reimbursement issues for midwifery practice. Illustrations and historical photos depict the many facets of midwifery, and engaging stories provide cultural and spiritual content. This is a ìmust-haveî for all midwives, historians, professional and educational institutions, and all those who share a passion for the history of midwifery and women. Key Features: Encompasses the most authoritative and comprehensive information available about the history of midwifery in the United States Considers the strengths, weaknesses, threats, and opportunities for midwifery Illustrated with historical photos and drawings Includes engaging stories filled with cultural and spiritual content, introductory quotes to each chapter, and plentiful chapter notes Written by two preeminent leaders in the field of midwifery




Birth Emergency Skills Training


Book Description

"Birth Emergency Skills Training is the interface between the world of midwifery and the world of medicine. It carries the reader from the initial steps of intervention through definitive care, balancing a friendly tone and visual appeal with authoritative and clinically useful information. It is loaded with mnemonics and other aids to understanding and is richly illustrated by the author.




Best Practices in Midwifery


Book Description

First Edition an AJN Book of the Year Award Winner! This second edition of a groundbreaking book is substantially revised to deliver the foundation for an evidence-based model for best practices in midwifery, a model critical to raising the United States' current standing as the bottom-ranking country for maternity mortality among developed nations.With a focus on updated scientific evidence as the framework for midwifery practice, the book includes 21 completely new chapters that address bothcontinuing and new areas of practice, the impact of institutional and national policies, and the effects of diversity and globalization. Incorporating themidwifery model of care, the book provides strategies for change and guidance for implementing evidence-based best practices. The book examines midwifery efforts to improve the health of women and children in the U.S., for example, Strong Start, US MERA, Centering Pregnancy, a focus on physiologic birth, and successful global endeavors. It encompasses a diverse nationwide authorship that includes leaders in midwifery,academicians, midwives representing diversity, hospital- and community-based practitioners, and policymakers. This coalition of authors from diversebackgrounds facilitates an engaging and robust discussion around best practices. Chapters open with a contemporary review of the literature, a comparisonof current (often scientifically unsubstantiated and ineffective) practices, evidence-based recommendations, and best practices for midwifery. Key Features: Focuses on scientific evidence as the framework for midwifery practice Addresses continuing and new, controversial areas of practice with strategies and guidelines for change Includes 20 out of 27 completely new chapters Authored by a diverse group of 44 prominent midwifery leaders Examines practices that are in conflict with scientific evidence




Risk, Pregnancy and Childbirth


Book Description

Over the last hundred years, pregnancy and childbirth has become increasingly safe - yet it is still a site of risk, and a contested ground on which health professionals and pregnant women both face high costs of error. This publication brings together fascinating social science research to explore the ways in which risk is both created and managed in pregnancy and childbirth. This book brings together editorials and articles originally published in special and open issues of Health, Risk and Society.




Clinical Practice Guidelines for Midwifery & Women's Health


Book Description

This text presents a compilation of current practices that includes evidence-based, traditional, and empiric care from a wide variety of sources. Each Guideline moves through problem identification and treatment using a standardized format for day-to-day clinical practice with diverse populations. The Guidelines are currently in use by many practices as a way of meeting the American College of Nurse Midwives (ACNM) recommendations, and are acceptable for collaborative practice with physician colleagues.