Hearts and Hands: A Midwife's Guide to Pregnancy and Birth Book

	Acknowledgments	ix
	Preface to the Fourth Edition	xi
	Preface to the First Edition	xiii
Chapter 1	The Midwife: A Profile	1
	For Parents: Choosing a Midwife	9
Chapter 2	Prenatal Care	2
	The Initial Interview	12
	Medical History	14
	Physical Examination	18
	High Risk Factors in Pregnancy	19
	Nutrition and Exercise	32
	Screening Out	35
	Lab Work	35
	Fetal Development	41
	Routine Checkups	42
	Common Complaints	42
	Douche for Vaginal Infections	46
	Herbs and Homeopathy in Pregnancy	47
	Common Fears and Counseling Techniques	50
	Partner Participation	51
	Sibling Participation	53
	The Last Six Weeks	54
	Home Visits	58
	Preparation for Water Birth	59
	Last-Minute Clients	60
	For Parents: Self-Care in Pregnancy	63
Chapter 3	Problems in Pregnancy	65
	Physical Complications	65
	Anemia	65
	Problems with Weight Gain	67
	Miscarriage (Abortion)	68
	Ectopic Pregnancy	70
	Hydatidiform Mole	70
	Bleeding Late In Pregnancy	71
	Gestational Diabetes	72
	Hypertension	74
	Preeclampsia	76
	Polyhydramnios/Hydramnios	77
	Oligohydramnios	78
	Multiple Pregnancy	78
	Breech Presentation and Transverse Lie	80
	Prematurity	82
	Small for Gestational Age and Intrauterine Growth Restriction	83
	Large for Gestational Age	85
	Postdatism	86
	Psychological Issues and Complications	88
	Challenges Facing Single Mothers	90
	Difficulties of Working Mothers	91
	Challenges for Adoptive Mothers	92
	Issues for Women Who Delay Childbearing	93
	Problems of Estranged Couples	94
	Challenges Facing Lesbian Mothers	95
	Issues in Family Relationships	96
	Sexual Problems	97
	Abuse Issues	99
	Psychological Screening Out	101
	For Parents: Danger Signs in Pregnancy	104
Chapter 4	Assisting at Births	105
	Early Labor	105
	Physical Assessments and Duties in Early Labor	109
	Aseptic Technique and Universal Precautions	110
	Active Labor	111
	Physical Assessments and Duties during Active Labor	113
	Transition	116
	Cardinal Spiraling Movements of the Baby during Labor	117
	Physical Assessments and Duties in Transition	118
	Second Stage	119
	Physical Assessments and Duties during Second Stage	121
	Assisting Delivery 122
	Herbs and Homeopathy during Labor	127
	Third Stage	129
	Assisting Placental Delivery	130
	Checking for Tears	130
	Newborn Exam	133
	Postpartum Watch	136
	For Parents: Golden Tips for Assisting in Labor	138
Chapter 5	Complications in Labor	139
	Prolonged Labor and Maternal Exhaustion	140
	Cephalopelvic Disproportion	145
	Posterior Arrest	150
	Fetal Distress	152
	Cord Problems	153
	Maternal Hypertension	154
	Prolonged Rupture of the Membranes	155
	Unusual Presentations	156
	Shoulder Dystocia	159
	Surprise Breech	161
	Amniotic Fluid Embolism	162
	Hemorrhage	163
	Retained Placenta	169
	Giving an Injection	170
	For Parents: In Case of Transport	171
	Assessment and Repair of Lacerations and Episiotomy	172
	Infant Resuscitation	172
	Suturing Technique	173
	Principles of Infant Resuscitation
	Fetal Anomalies	180
	Stillbirth and Neonatal Death	181
	Liam Andrew	182
Chapter 6	Postpartum Care	189
	Day-One Visit	191
	Day-Three Visit	194
	Day-Seven Visit	196
	Three-Six Weeks Checkup	197
	The Baby: Complications and Concerns	198
	Hypoglycemia	198
	Herbs and Homeopathy Postpartum	199
	Meconium Aspiration	201
	Transient Tachypnea	201
	Neonatal Infection	202
	Jaundice	203
	Circumcision	204
	For Parents: What to Do If the Baby Cries	205
	Nervous Irritability/Colic	205
	Minor Problems	206
	The Mother: Complications and Concerns	206
	Minor Problems	206
	Hematoma	207
	Uterine and Pelvic Infections	207
	Thrombophlebitis and Pulmonary Embolism	208
	Difficulties with Breastfeeding	208
	Ten Steps to Successful Breastfeeding	210
	Postpartum Depression	210
	Sexual Adjustment	214
	Contraception	216
Chapter 7	Becoming a Midwife	217
	Textbooks and Other References	218
	Doula Work, or Birth Assisting	220
	Birth Assisting at Home	221
	Birth Assisting in Hospital	223
	Midwifery Study Groups	224
	Apprenticeship	224
	Core Areas of Study	225
	Other Direct-Entry Options	227
	Nurse-Midwifery Programs	227
Chapter 8	The Midwife's Practice	229
	Location: Urban or Rural Practice?	230
	Equipment	232
	Setup and Administration	233
	General Presentability and Personal Hygiene	235
	Fees	235
	Public Relations and Education	236
	Medical Backup and Consultation	238
	Medical Records, Charting, Informed Choice, and Client Confidentiality	240
	Partnership	243
	Training the Student or Apprentice	244
	Peer Review	247
Chapter 9	The Long Run	249
	For Parents: Support Your Local Midwife!	253
	Appendices	255
Appendix A	The MANA Statement of Values and Ethics, MANA Core-Competencies for Midwifery Practice, MANA Standards and Qualifications for the Art and Practice of Midwifery	255
Appendix B	Resources	265
Appendix C	Medical/Health History	268
Appendix D	Prenatal Care Record, Prenatal Care Progress Notes	274
Appendix E	Labor Record, Labor Progress Notes	276
Appendix F	Transport Record from Home Delivery	278
Appendix G	Birth Records	279
Appendix H	Newborn Examination	280
Appendix I	Clinical Estimation of Gestational Age	281
Appendix J	Postpartum Care, Postpartum Care Progress Notes	282
Appendix K	Postpartum Instructions	284
Appendix L	The Midwife's Kit, Parent's Supply List	285
Appendix M	Midwifery Programs and Institutions	287
Appendix N	HIPAA Guidelines	294
	About the Author	296
	Index	297