Designed to enhance the confidence, knowledge and skills needed to perform effectively in urgent or emergency situations that can occur in a hospital, at a birth centre or at home, this fully updated third edition provides an accessible resource for all practising midwives. With contributions from highly experienced midwives, this practical handbook incorporates an all-new chapter on serious infections and continues to provide key, up-to-date information on high-risk medical and obstetric situations. It also covers relevant information on litigation and the conclusions arising from the reports from the Confidential Enquiries into Maternal Deaths. Emergencies Around Childbirth is essential reading for practising and trainee midwives, and those who teach them.

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.

Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.

This book will serve as a pocket guide, offering rapid advice on appropriate emergency care for a wide range of obstetric situations, including acute fetal hypoxia, uterine rupture, shoulder dystocia, eclampsia, amniotic fluid embolism, pulmonary thromboembolism, retention of the aftercoming head, major postpartum hemorrhage, and uterine inversion. For each emergency, the definition, diagnosis, and recommended management strategy are reviewed from a pan-European perspective. Regular review and training in obstetric emergencies is the only effective way to develop and maintain clinical competence in these rare and life-threatening situations, thus improving their management and the resulting outcomes. Healthcare professionals will find this book offers a practical and reliable source of information for dealing with dangerous and acute complications of pregnancy and childbirth.

The second edition of Emergencies in Obstetrics and Gynaecology provides a practical and accessible guide to all emergency situations encountered in obstetrics and gynaecology, from the immediately life-threatening to the smaller but urgent problems that may arise. Designed around the symptoms and signs with which the patient presents to the hospital, this handbook explains how to arrive at a differential diagnosis and how to prevent, manage, or treat an emergency. The 'Obstetric emergencies' section covers topics from early pregnancy through to post-delivery complications, whilst the 'Gynaecologic emergencies' section addresses those issues that could potentially pose a threat to a women's fertility or even her life. Addressing new topics on issues that have become more prevalent, such as substance misuse in pregnancy, and violence against women and children, the second edition of Emergencies in Obstetrics and Gynaecology is an essential read. A new topic on 'preoperative assessment' outlines how to manage consent, the risks, benefits, and what the patient should expect.

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.

"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.

Intended to provide evidence-based recommendations to guide health care professionals in the management of women during pregnancy, childbirth and postpartum, and newborns, and the post abortion, including management of endemic deseases like malaria, HIV/AIDS, TB and anaemia. This edition has been updated to include recommendations from recently approved WHO guidelines relevant to maternal and perinatal health. These include pre-eclampsia & eclampsia; postpartum haemorrhage; postnatal care for the mother and baby; newborn resuscitation; prevention of mother-to- child transmission of HIV; HIV and infant feeding; malaria in pregnancy, interventions to improve preterm birth outcomes, tobacco use and second-hand exposure in pregnancy, post-partum depression, post-partum family planning and post abortion care.

Since the 1990s there has been growing emphasis on reducing obstetric intervention, supporting women's choices in childbirth and promoting normality. An increase in home birth and midwifery-led birth centres reflect this trend.