Midwifery Skills at a Glance

Description

Being an effective midwife requires a range of knowledge and skills, all of which are essential to provide competent and safe care to childbearing women and their infants. Midwifery Skills at a Glance offers an invaluable, straightforward guide for students and practitioners – offering readable, easily digestible information, supported with illustrations throughout to enhance application to practice.

Clear and concise throughout, Midwifery Skills at a Glance covers a wide range of skills – exploring issues such as infection control, personal hygiene care, and safeguarding; assessment, examination and screening skills; how to care for the woman and neonate with complex needs; drug administration and pain relief.

• A comprehensive, highly visual guide to the skills essential for safe, effective, and compassionate midwifery practice
• Written by experts in their field
• Briefly describes each skill and provides clear illustrations—making it an ideal companion in clinical practice
• Offers instruction on the safe use of a wide range of essential skills required to deliver safe, evidence—based maternity care
• Includes service user viewpoints and key points to help consolidate learning and reflect on the experience of receiving care

Written with the student midwife in mind, Midwifery Skills at a Glance is equally invaluable for all others providing care, including Maternity Support Workers, mentors, registered midwives and medical students.

Table of Contents

Foreword
Preface
Biographies

Part 1 The basics of care

Section 1 Infection control

1 Infection prevention and Control. Rose Gallagher and Doreen Crawford

2 Hand hygiene Ian Peate

3 Infectious diseases in Pregnancy Nicola Winson

4 Modes of Transmission Ian Peate

5 Asepsis and sepsis Rose Gallagher

Section 2 Health and safety at work

6 Moving and Handling Sarah Emberley

7 The Control of Substances Hazardous to Health Kim Sunley

8 Safety in the Working Environment Kim Sunley

9 Sharps injuries Rose Gallagher

10 Working safely in the community Carmel Bagness

Section 3 Personal hygiene care

11 Personal hygiene care for women Pat Lindsay

12 Perineal and vulval hygiene; use of bedpans and commodes Pat Lindsay

13 Pressure area care Pat Lindsay

Section 4 Quality and patient safety in maternity care

14 Risk Management, liability and avoidable harm David Foster and Helen Williams

15 Types of Incident, incident reporting, record keeping and duty of candour David Foster and Helen Williams

16 Audit and quality Assurance in Maternity Care David Foster and Helen Williams

Section 5 Safeguarding

17 Safeguarding vulnerable women Carmel Bagness

18 Safeguarding: Key Issues Helen Crafter

19 Female genital mutilation Marianne Mitchell

Part 2 Assessment, examination, screening and care of the woman and baby

Section 6 Assessment of the woman

20 ‘Booking’: the initial consultation with the midwife Carmel Bagness

21 The antenatal appointment: physical and psychological assessment of the woman in pregnancy Carmel Bagness

22 Abdominal Examination in Pregnancy Sarah Emberley

23 Physical and Emotional Assessment after Birth Helen Simpson

Section 7 Care of the woman in labour

24 Assessing the woman in labour Julie Jones

25 Abdominal  examination in labour Sheena Simpson

26 Vaginal Examinations in labour Jenny Brewster

27 Positions in Labour and Birth Andrea Aras-Payne

28 Supporting and Caring for Women in Labour Marcia Bartholomew

29 Supporting and caring for the partner Pat Lindsay

30 Care of the perineum in labour including episiotomy and suturing Adelaide Aduboffour

31 Examination of the placenta and membranes Jancis Shepherd

32 Urinary catheterisation Clare Beaumont

Section 8 The fetus in pregnancy and labour

33 Assessing Fetal Wellbeing in Pregnancy and Labour Karen Bartholomew

34 Monitoring the Fetal Heart in Pregnancy and Labour Sara Smith

Section 9 Assessment and examination of the neonate

35 The APGAR score Sandy Wong

36 The Midwife’s examination of the baby at birth including identification of the neonate Maureen Raynor

37 Appearance and characteristics of the well term neonate Pat Lindsay

38 Overall daily assessment of the term neonate including vital signs and bladder and bowel function Tina South

39 Newborn and Infant Physical Examination Lindsay Rose

40 The term, preterm and growth restricted baby Pat Lindsay

Section 10 Caring for the newborn

41 Providing daily hygiene for the neonate including changing a nappy Sophie French

42 Bathing the newborn Sophie French

43 Breast feeding Alison Busby

44 Formula Feeding Caroline Hunter

45 Other feeding methods Pat Lindsay

46 Neonatal blood screening (‘heel prick’) Sandy Wong

Section 11 Blood sampling and cannulation

47 Maternal Venepuncture, including Glucose Tolerance testing Sarah Emberley

48 Cord blood and neonatal capillary blood sampling Shauna Gnanapragasam and Maxine Wallis-Redworth

49 Venous cannulation of the woman Pat Lindsay

Section 12 Taking and testing other body samples

50 Urinalysis Maureen Boyle

51 Specimen collection- stool specimen Rose Gallagher

52 Taking a wound swab Rose Gallagher

53 Use of a vaginal speculum and taking a vaginal swab Julie Jones

Part 3 The woman or neonate with different needs

Section 13 Induction / stimulation of labour

54 Membrane Sweep Lyn Jones

55 Insertion of vaginal Prostaglandin E2 Lyn Jones

56 Artificial rupture of membranes Lyn Jones

Section 14 Care skills for the woman with complex needs

57 Recognising the deteriorating woman Louise Jenkins

58 CVP, SaO2, ECGs David Quayle

59 Fluid Balance Monitoring Sophie French

60 Peak flow measurement in the woman Sophie French

61 MEOWS, AVPU, GCS & SBAR Louise Jenkins

62 Care of the deceased Pat Lindsay

Section 15 Care skills for the baby with complex needs

63 Recognising deterioration in the neonate Elisabeth Podsiadly

64 Neonatal Jaundice Elisabeth Podsiadly

65 Hypoglycaemia Elisabeth Podsiadly

66 Hypothermia Elisabeth Podsiadly

Section 16 Wound care

67 Wound assessment Adelaide Aduboffour

68 Wound dressings and drains Hazel Turner

69 Wound Closures Hazel Turner

Section 17 Prevention of venous thrombo-embolism (VTE)

70 Assessment of venous thromboembolism (VTE) risk and prevention of Deep Vein Thrombosis (DVT) in childbirth Jayne Marshall

71 Application and use of Compression Stockings Jayne Marshall

Part 4 Drug administration in midwifery

Section 18 Routes of administration

72 Drug administration, handling and storage Kate Nash

73 Administration by injection to the woman Clare Beaumont

74 Intravenous administration of drugs Antonio Sierra

75 Medicine administration by oral, rectal, vaginal, topical and inhalation routes Pat Lindsay

76 Neonatal drug administration Shauna Gnanapragasam and Maxine Wallis-Redworth

77 Immunisation Helen Donovan

Section 19 Pain relief 

78 Regional Analgesia Marcia Bartholomew

79 Non-pharmacological methods of pain relief Marcia Bartholomew

80 Transfusion of Blood and Blood Products Martha Murtagh

81 Anti-D: preventing rhesus iso-immunisation Judy Bothamley

Glossary

Index

Author Information

Patricia Lindsay RN, RM, MSc, PGCEA, DHC
Project Midwife
Plymouth Hospitals NHS Trust
Plymouth, UK

Carmel Bagness MA RN RM ADM PGCEA
Professional Lead for Midwifery & Women's Health
Royal College of Nursing
London, UK

Ian Peate OBE FRCN EN(G) RGN DipN (Lond) RNT BEd (Hons) MA (Lond) LLM
Editor in Chief, British Journal of Nursing
Visiting Professor of Nursing St George’s University of London and Kingston University London
Head of School, School of Health Studies, Gibraltar