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    Varney's midwifery / edited by Tekoa L. King, Mary C. Brucker, Jan M. Kriebs, Jenifer O. Fahey, Carolyn L. Gegor, Helen Varney.

    • Title:Varney's midwifery / edited by Tekoa L. King, Mary C. Brucker, Jan M. Kriebs, Jenifer O. Fahey, Carolyn L. Gegor, Helen Varney.
    •    
    • Variant Title:Midwifery
    • Other Contributors/Collections:King, Tekoa L., editor of compilation.
      Brucker, Mary C., editor of compilation.
      Fahey, Jenifer, editor of compilation.
      Kriebs, Jan M., editor of compilation.
      Gegor, Carolyn L., editor of compilation.
      Varney, Helen, editor of compilation.
      Varney, Helen. Varney's midwifery. Preceded by (work):
    • Published/Created:Burlington, MA : Jones & Bartlett Learning, [2015]
    • Holdings

       
    • Library of Congress Subjects:Midwifery.
      Gynecologic nursing.
      Maternity nursing.
    • Medical Subjects: Nurse Midwives.
      Midwifery.
      Obstetric Nursing.
      Women's Health.
    • Edition:Fifth edition.
    • Description:xxix, 1300 pages : illustrations ; 28 cm
    • Summary:"The gold standard for midwives and students is back with Varney's Midwifery, Fifth Edition. New to this edition are chapters describing the profession of midwifery, reproductive physiology, clinical genetics, and support for women in labor. Interwoven throughout is information on primary care, gynecology, maternity care, and neonatal care. With chapters written by a variety of expert midwives and an increased emphasis on reproductive anatomy and physiology, this new edition assists students and clinicians in understanding not only what to do but why. Updated to reflect evidence-based care, this edition also discusses the pathophysiology of various conditions in the context of normal changes in the reproductive cycle. Also included are numerous new anatomical and clinical illustrations. In this edition, the skills chapters have been significantly revised and reformatted into relevant chapter appendices to help students, new midwives, and international readers learn essential skills in sequential steps. These critical midwifery skills include performing a pelvic examination, hand maneuvers for birth, delivery of a fetus in breech presentation, and current evidence-based steps for managing a postpartum hemorrhage."--Publisher's website.
    • Notes:Preceded by Varney's midwifery / Helen Varney, Jan M. Kriebs, Carolyn L. Gegor. 4th ed. c2004.
      Includes bibliographical references and index.
    • ISBN:9781284025415 (hbk.)
      1284025411 (hbk.)
    • Contents:Machine generated contents note: pt. I Midwifery
      Midwifery Revealed: Introducing the Profession / Holly Powell Kennedy
      ch. 1 History and Profession of Midwifery in the United States / Helen Varney Burst
      Definitions and Practice
      Beliefs Characterizing Midwifery
      Early History of Midwifery in the United States
      Factors Leading to the Decline of Midwifery: Seventeenth to Late Nineteenth Centuries
      Early Twentieth Century
      "Midwife Problem"
      Start of Nurse-Midwifery
      Early Nurse-Midwifery Education Programs
      1940s and 1950s
      1960s
      1970s
      1980s
      1990s
      2000s
      American College of Nurse-Midwives
      References
      Bibliography
      ch. 2 Professional Midwifery Today / Celeste R. Thomas
      Introduction
      Professional Paradigm: Midwifery in the Twenty-First Century
      Evolution of the Profession of Midwifery
      Characteristics of the Midwifery Profession
      Professional: The Exemplary Midwife
      Midwifery Within the U.S. Healthcare System
      Professional Ethics in Midwifery
      Evidence for Midwifery Care
      Conclusion
      References
      Additional Resources
      ch. 3 International Midwifery and Safe Motherhood / Joyce E. Thompson
      Introduction
      Health of Women and Children: The Foundation for a Nation's Health
      Maternal Mortality: The Global Situation
      Strategies Designed to Reduce Maternal Mortality
      Specific Strategies for Reducing Global Maternal and Neonatal Mortality
      Global Partners Involved in Safe Motherhood Initiatives
      International Midwifery
      Beyond Borders: Midwives Working Internationally
      Future Trends and Challenges in International Midwifery
      Conclusion
      References
      Additional Resources
      pt. II Primary Care
      Midwives as Primary Care Providers / Lisa L. Paine
      ch. 4 Introduction to the Care of Women / Jan M. Kriebs
      Midwife Means "With Woman"
      Communication
      Approaching the Woman
      Collecting the Medical History
      Review of Systems
      Physical Examination
      In-Office Laboratory Testing
      Establishing a Differential Diagnosis: Making an Assessment
      Creating a Plan
      Informed Consent and Shared Decision Making
      Cultural Competence
      Conclusion
      References
      Additional Resources
      Appendix 4A Standard Precautions
      Appendix 4B Collecting a Medical History
      Appendix 4C Physical Examination
      Appendix 4D Breast Examination
      Appendix 4E Pelvic Examination
      Appendix 4F Collecting Urinary, Vaginal, Cervical, and Rectal Specimens for Testing and Interpretation of Saline and KOH Slides
      ch. 5 Pharmacotherapeutics / Tekoa L. King
      Introduction
      Lexicon of Pharmacology
      Drugs in Modern Society
      Pharmacotherapeutics in Primary Care
      Use of Drugs During Pregnancy
      Pharmaceuticals and Breastfeeding
      Conclusion
      References
      ch. 6 Nutrition / Mary K. Barger
      Nutrition and Health
      Macronutrients
      Body's Physiologic Response to Food Intake
      Micronutrients
      Dietary Patterns
      Nutrition in Pregnancy
      Nutrition and Selected Conditions
      Special Populations
      Conclusion
      References
      Additional Resources
      ch. 7 Health Promotion and Health Maintenance / Ann F. Cowlin
      Introduction
      Midwife's Role in Health Promotion
      Health Promotion
      Health Maintenance
      Health Promotion and Health Maintenance in the Context of the Midwifery Management Process
      Conclusion
      References
      Additional Resources
      ch. 8 Common Conditions in Primary Care / Jan M. Kriebs
      Primary Care
      Hematologic Conditions
      Cardiovascular Conditions
      Conditions of the Respiratory System
      Gastrointestinal Disorders and Abdominal Pain
      Conditions of the Genitourinary System
      Endocrine Conditions
      Neurologic Conditions
      Musculoskeletal Disorders
      Dermatologic Conditions
      Conclusion
      References
      ch. 9 Mental Health Conditions / Ruth Johnson
      Mood Disorders
      Depression
      Anxiety, Stress, and Obsessive-Compulsive Disorders
      Stress Disorders
      Mental Health Disturbances Related to the Menstrual Cycle
      Premenstrual Dysphoric Disorder
      Premenstrual Exacerbation of Psychiatric Conditions
      Perinatal Mental Health Disorders
      Mental Illness In Pregnancy
      Postpartum Mood Disorders
      Conclusion
      References
      ch. 10 Preconception Care / Mary Ann Faucher
      Introduction
      History of Preconception Care
      Preconception Care Successes and Barriers
      National Guidelines: A "Life-Course Perspective"
      Components of Preconception Care
      Reproductive Life Plan
      Risk Identification
      Health Promotion
      Health History and Medical Conditions
      Medication Assessment
      Environment and Workplace Risks
      Preconception Counseling for Men
      Conclusion
      References
      Additional Resources
      pt. III Gynecology
      Midwives as Providers of Gynecologic Care / Frances E. Likis
      ch. 11 Anatomy and Physiology of the Female Reproductive System / Mary C. Brucker
      Introduction
      Breast
      External Female Genitalia
      Internal Female Genitalia
      Fallopian Tubes
      Ovaries
      Bony Pelvis
      Obstetric Pelvis
      Menstrual Cycle: An Introduction
      Steroidogenesis and the Hypothalamus
      -Pituitary
      -Ovarian Axis
      Ovarian Cycle
      Endometrial Cycle
      Conclusion
      References
      Additional Resources
      ch. 12 Menstrual Cycle Abnormalities / William F. McCool
      Introduction
      Amenorrhea
      Dysmenorrhea
      Abnormal Uterine Bleeding
      Menstrual Cycle Abnormalities and Galactorrhea
      Conclusion
      References
      Appendix 12A Endometrial Biopsy / William F. McCool
      ch. 13 Gynecologic Disorders / Dawn C. Durain
      Introduction
      Abdominal and Pelvic Pain
      Pelvic Masses
      Congenital Uterine Anomalies
      Pelvic Floor Conditions
      Special Considerations in Providing Gynecologic Care
      Cancer Screening/Diagnoses
      Conclusion
      References
      Additional Resources
      ch. 14 Breast Conditions / Joyce L. King
      Breast Development
      Breast Screening
      Evaluation of Breast Symptoms
      Benign Breast Disorders
      Breast Cancer
      Breast Masses During Pregnancy and Lactation
      Conclusion
      References
      Additional Resources
      ch. 15 Reproductive Tract and Sexually Transmitted Infections / Julia C. Phillippi
      Introduction
      History and Physical Examination for Vaginal Symptoms and Sexually Transmitted Infections
      Indications for STI Screening
      Vaginitis
      Sexually Transmitted Infections
      Viral Sexually Transmitted Infections
      Protozoal and Parasitic Infections
      Other Infectious Conditions Spread by Sexual Contact
      Other Conditions Spread by Sexual Contact
      Communicating Information about Sexually Transmitted Infections
      Evaluation and Follow-Up
      References
      ch. 16 Family Planning / Deborah L. Narrigan
      History of Contraception
      Definitions
      Family Planning Counseling
      Emergency Contraception
      Emerging Trends/Future Contraceptive Methods
      Conclusion
      References
      Additional Resources
      ch. 17 Nonhormonal Contraception / Mary C. Brucker
      Introduction
      Nonhormonal Contraceptive Methods
      Fertility Awareness
      -Based Methods
      Intrauterine Device
      Permanent Contraception: Sterilization
      Conclusion
      References
      Appendix 17A Fitting Diaphragms
      Appendix 17B Procedure for IUD Insertion / Deborah Narrigan
      ch. 18 Hormonal Contraception / Mary C. Brucker
      Introduction
      Evolution of Hormonal Methods
      Hormonal Contraceptives: General Considerations
      Midwifery Management for Women Using Hormonal Contraceptives
      Short-Acting Reversible Contraceptives
      Long-Acting Reversible Contraceptives
      Conclusion
      References
      ch. 19 Midlife, Menopause, and Beyond / Anne Z. Cockerham
      Menopause: Normal Life Process Versus Medical Event
      Physiology and Stages of Reproductive Aging
      Presentation of Perimenopause and Menopause
      Diagnosing Menopause
      Lifestyle Strategies for Management of Women with Perimenopausal or Menopausal Symptoms
      Nonhormonal Prescription Options for Vasomotor Symptoms
      Hormonal Prescription Options for Treatment of Menopausal Symptoms
      Complementary and Alternative Therapies During Menopause
      Women's Health Initiative: A Dramatic Change in Menopause Practice
      Bone Health, Osteopenia, and Osteoporosis
      Conclusion
      References
      Additional Resources for Further Information About Menopause and Osteoporosis
      pt. IV Antepartum
      Promotion of Health During Pregnancy / Joyce E. Roberts
      ch. 20 Anatomy and Physiology of Pregnancy: Placental, Fetal, and Maternal Adaptations / Cindy M. Anderson
      Introduction
      Reproductive Organs During Pregnancy
      Hormones of Pregnancy
      Fertilization and Implantation
      Placenta
      Uteroplacental Circulation
      Embryo and Fetus
      Fetal Growth
      Maternal Anatomic and Physiologic Adaptations to Pregnancy
      Fetopelvic Relationships
      Conclusion
      References
      ch. 21 Genetics / Gwen A. Latendresse
      Introduction
      Foundations in Genetics
      Genetic Mutations and Disorders
      Multifactorial Inheritance: Definition and Common Disorders
      Chromosomal Disorders
      Birth Defects, Incidence, and Risk Identification
      Prenatal Screening and Diagnostic Testing for Genetic Disorders
      Future Trends in Genetic Testing
      Factors Influencing Screening, Diagnostic Testing, and Decision Making
      When Genetic Disorders Are Identified
      Genetic Disorder Prevention and Risk Reduction
      Financial, Ethical, Legal, and Social Issues in Genetics
      Contents note continued: Conclusion
      References
      Additional Genetics Resources
      Appendix 21A Steps in Constructing a Three-Generation Pedigree
      ch. 22 Prenatal Care / Karen Trister Grace
      Introduction
      Basic Definitions
      Diagnosis of Pregnancy and Calculation of Gestational Age
      Maternal Psychological Adjustment
      Initial Prenatal Visit
      Subsequent Prenatal Visits
      Group Prenatal Care: Centering Pregnancy
      Special Populations
      Pregnancy-Specific Conditions
      Health Promotion During Pregnancy
      Health Education During Pregnancy
      Relief Measures for Common Discomforts of Pregnancy
      Conclusion
      References
      Appendix 22A Obstetric Abdominal Examination / Jan M. Kriebs
      Appendix 22B Clinical Pelvimetry / Tekoa L. King
      Appendix 22C Sample Template for Prenatal Care Visits / Karen Trister Grace
      ch. 23 Obstetric Complications in Pregnancy / Tekoa L. King
      Introduction
      First Trimester Complications
      First Trimester Bleeding
      Ectopic Pregnancy
      Hydatidiform Mole
      Hyperemesis Gravidarum
      Second Trimester Complications
      Cervical Insufficiency
      Preterm Labor: Risk Assessment and Prenatal Management
      Gestational Diabetes
      Third Trimester Complications
      Gestational Hypertension and Preeclampsia
      Fetal Growth Restriction
      Polyhydramnios (Hydramnios)
      Oligohydramnios
      Multiple Gestation
      Management of Pregnancy with Known Fetal Anomalies
      Fetal Death and Stillbirth
      Female Genital Mutilation
      Techniques for Fetal Surveillance
      Conclusion
      References
      Appendix 23A Auscultated Acceleration Test
      ch. 24 Medical Complications in Pregnancy / Jan M. Kriebs
      Hematologic Disorders in Pregnancy
      Cardiovascular Conditions: Chronic Hypertension in Pregnancy
      Respiratory Conditions
      Gastrointestinal Conditions
      Genitourinary System
      Endocrine Conditions
      Neurologic Conditions
      Autoimmune Disease in Pregnancy
      Dermatoses of Pregnancy
      Infectious Diseases
      Conclusion
      References
      pt. V Intrapartum
      Midwifery Care During Labor and Birth / Nancy K. Lowe
      ch. 25 Anatomy and Physiology During Labor and Birth / Melissa D. Avery
      Introduction
      Physiology of Premonitory Signs and Symptoms of Labor
      Onset of Labor
      Uterine Myometrial Anatomy and Physiology During Labor
      Maternal Pelvic Anatomy Related to Labor and Birth
      Cardinal Movements of Labor
      Maternal Systemic Adaptations in Labor
      Fetal Response to Labor
      Conclusion
      References
      ch. 26 First Stage of Labor / Linda A. Hunter
      Introduction
      Signs and Symptoms of Progress Toward True Labor Onset
      Progress in the First Stage of Labor
      Midwifery Management During the First Stage of Labor
      Components of Midwifery Care for Laboring Women
      Continuing Evaluation of Maternal Well-Being, Fetal Well-Being, and Labor Progress
      Conclusion
      References
      Additional Resources for Normal Birth
      Appendix 26A Evaluation and Diagnosis of Ruptured Membranes / Linda Hunter
      ch. 27 Fetal Assessment During Labor / Tekoa L. King
      Introduction
      History of Fetal Heart Rate Monitoring
      Fetal Physiology
      Fetal Assessment During Labor
      Fetal Heart Rate Patterns
      Relationship Between Fetal Heart Rate Patterns and Newborn Outcomes
      Interpretation and Management of Fetal Heart Rate Patterns
      Conclusion
      References
      Appendix 27A Intermittent Auscultation During Labor / Tekoa L. King
      Appendix 27B Attaching a Fetal Scalp Electrode
      ch. 28 Support for Women in Labor / Ladan Eshkevari
      Introduction
      Nature and Experience of Pain
      Women's Experience of Labor and Birth
      Prenatal Factors That Influence Labor Pain
      General Principles for Comfort Care and Labor Support
      Labor Pain Relief Methods Used in the United States
      Nonpharmacologic Methods of Mitigating Pain
      Pharmacologic Methods of Mitigating Pain
      Systemic Medications
      Inhaled Analgesics: 50:50 Nitrous Oxide/Oxygen
      Neuraxial Analgesia
      General Anesthesia
      Conclusion
      References
      Appendix 28A Injection of Intradermal Sterile Water Papules for Relief of Low Back Pain in Labor
      ch. 29 Second Stage of Labor and Birth / Saraswathi M. Vedem
      Introduction
      Definition of Second Stage Labor
      Normal Course of the Second Stage of Labor
      Abnormalities of the Second Stage of Labor
      Assessment of Maternal and Fetal Well-Being in Second Stage Labor
      Midwifery Management of the Second Stage of Labor
      Preparing for the Birth
      Management of the Birth
      Immediately Following the Birth
      Conclusion
      References
      Appendix 29A Hand Maneuvers for Birth / Tekoa L. King
      Appendix 29B Genital Tract Injury: Immediate Postpartum Inspection of the Vulva, Perineum, Vagina, and Cervix
      Appendix 29C Local Infiltration for Laceration Repair / Tekoa L. King
      Appendix 29D Pudendal Block / Tekoa L. King
      Appendix 29E Repair of Lacerations and Episiotomy / Tekoa L. King
      ch. 30 Complications During Labor and Birth / Linda A. Hunter
      Introduction
      Preterm Labor/Birth
      Post-Term Pregnancy
      Premature Rupture of Membranes
      Intra-amniotic Infection (Chorioamnionitis)
      Induction of Labor
      Labor Abnormalities
      Trial of Labor After Cesarean
      Intrapartum Management for Women with Coexisting Medical Conditions
      Lethal Anomalies and Stillbirth
      Obstetric Emergencies
      Intrapartum Hemorrhage
      Shoulder Dystocia
      Prolapsed Umbilical Cord
      Twin Gestation
      Breech Birth
      Deinfibulation for Type III Female Genital Mutilation
      Conclusion
      References
      Appendix 30A Shoulder Dystocia
      Appendix 30B Emergency Interventions for Umbilical Cord Prolapse
      Appendix 30C Intrapartum Management of Twin Gestation
      Appendix 30D Breech Birth
      ch. 31 Third and Fourth Stages of Labor / Tekoa L. King
      Introduction
      Physiology of the Third Stage of Labor
      Techniques Used in the Management of Third-Stage Labor
      Midwifery Management of the Third Stage of Labor
      Placenta
      Fourth Stage of Labor
      Complications of the Third and Fourth Stages of Labor
      Conclusion
      References
      Appendix 31A Management of the Third Stage of Labor
      Appendix 31B Inspection of the Umbilical Cord, Placenta, and Membranes
      Appendix 31C Manual Removal of the Placenta
      Appendix 31D Initial Management of Uterine Inversion
      Appendix 31E Management of Immediate Postpartum Hemorrhage
      Appendix 31F Intrauterine Exploration
      Appendix 31G Sudden Postpartum Cardiovascular or Neurologic Emergencies
      ch. 32 Birth in the Home and Birth Center / Marsha E. Jackson
      Introduction
      Normal Birth
      Characteristics of Birth Center and Home Birth
      Midwife
      -Client Relationships
      Initial Visit During Pregnancy
      Return Visits
      Family's Preparation for Birth and the Postpartum Period
      Intrapartum Period at Home or in the Birth Center
      Early Postpartum Period and Follow-Up
      Maintaining Safety
      Business Aspects of Out-of-Hospital Birth Settings
      Conclusion
      References
      pt. VI Postpartum
      Postpartum: Care as a New Family Is Born / Judith P. Rooks
      ch. 33 Anatomy and Physiology of Postpartum / Jenifer O. Fahey
      Introduction
      Postpartum Hemostasis
      Reproductive Organ Involution
      Wound Healing
      Postpartum Physiology in Nonreproductive Organs
      Weight Loss in the Postpartum Period
      Conclusion
      References
      ch. 34 Postpartum Care / Ira Kantrowitz-Gordon
      Introduction
      Psychological Adaption During the Postpartum Period
      Early Postpartum Period
      Late Postpartum Period
      Conclusion
      References
      Additional Resources
      Appendix 34A Physical Examination During the Early Postpartum Period
      ch. 35 Postpartum Complications / Deborah Brandt Karsnitz
      Introduction
      Puerperal Morbidity
      Puerperal Fever and Puerperal Infection
      Endometritis
      Wound Infection
      Urinary Tract Infection and Pyelonephritis
      Uterine Subinvolution
      Delayed (Secondary) Postpartum Hemorrhage
      Postpartum Thrombophlebitis, Deep Vein Thrombosis, and Pulmonary Embolism
      Postpartum Thyroiditis and Thyroid Storm
      Postpartum Preeclampsia/Eclampsia
      Cultural Influences on Complications of the Puerperium
      Conclusion
      References
      ch. 36 Breastfeeding and the Mother-Newborn Dyad / Erin M. Wright
      Breastfeeding: A Call to Action
      Benefits of Breastfeeding
      Definitions
      Breastfeeding Prevalence
      Economics of Breastfeeding
      Promotion, Protection, and Support
      Anatomy and Physiology of Lactation
      Prenatal Assessment
      Birth Practices That Have Adverse Effects on Breastfeeding
      Birth Practices That Facilitate Breastfeeding
      Breastfeeding: Getting Started
      Common Breastfeeding Problems
      Breastfeeding Complications
      Breastfeeding Discontinuation
      Contraindications for Breastfeeding
      Formulations of Breast Milk Substitutes
      References
      pt. VII Newborn
      Welcoming the Newborn / Lily Hsia
      ch. 37 Anatomy and Physiology of the Newborn / Tekoa L. King
      Immediate Extrauterine Transition
      Respiratory Changes
      Circulatory Changes
      Thermoregulation
      Glucose Regulation
      Newborn Immune System
      Newborn Gastrointestinal Tract
      Renal System
      Conclusion
      References
      ch. 38 Examination of the Newborn / Cynthia Jensen
      Introduction
      Components of the Newborn Examination
      Approach to the Newborn Examination
      Newborn History
      Gestational Age Assessment
      Contents note continued: Physical Examination of the Newborn
      Becoming Confident at Newborn Physical Examination
      References
      Appendix 38A Physical Examination of the Newborn
      Appendix 38B Newborn Resuscitation / Cynthia Jensen
      ch. 39 Neonatal Care / Mary Kathleen McHugh
      Introduction
      First Golden Hour
      First Hours: Initial Newborn Assessments and Care
      First Hours: The Newborn with an Unexpected Immediate Health Condition
      First Golden Days: Normal Newborn Behavior
      First Golden Days of Life: Care of the Healthy Neonate
      Maternal Conditions That Influence Newborn Care
      Examination of the Newborn
      First Golden Month: Primary Care of the Newborn
      Early Recognition of Clinically Significant Newborn Conditions
      Conclusion
      References.
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