Midwifery Skills at a Glance

Contributors viii Foreword xi Preface xii The basics of care 1 Infection control 1 Infection prevention and control 2 2 Hand hygiene 4 3 Infectious diseases in pregnancy 6 4 Modes of transmission 8 5 Asepsis and sepsis 10 Health and safety at work 6 Moving and handling 12 7 The control of substances hazardous to health 14 8 Safety in the working environment 16 9 Sharps injuries 18 10 Working safely in the community 20 Personal hygiene care 11 Personal hygiene care for women 22 12 Perineal and vulval hygiene; use of bedpans and commodes 24 13 Pressure area care 26 Quality and patient safety in maternity care 14 Risk management, liability and avoidable harm 28 15 Types of incident, incident reporting, record keeping and duty of candour 30 16 Audit and quality assurance in maternity care 32 Safeguarding 17 Safeguarding vulnerable women 34 18 Safeguarding of children: key issues 36 19 Female genital mutilation 38 Assessment, examination, screening and care of the woman and baby 41 Assessment of the woman 20 Booking : the initial consultation with the midwife 42 21 The antenatal appointment: physical and psychological assessment of the woman in pregnancy 44 22 Abdominal examination in pregnancy 46 23 Physical and emotional assessment after birth 48 Care of the woman in labour 24 Assessing the woman in labour 50 25 Abdominal examination in labour 52 26 Vaginal examinations in labour 54 27 Positions in labour and birth 56 28 Supporting and caring for women in labour 58 29 Supporting and caring for the partner 60 30 Care of the perineum in labour including episiotomy and suturing 62 31 Examination of the placenta and membranes 64 32 Urinary catheterisation 66 The fetus in pregnancy and labour 33 Assessing fetal wellbeing in pregnancy and labour 68 34 Monitoring the fetal heart in pregnancy and labour 70 Assessment and examination of the neonate 35 The Apgar score 72 36 The midwife s examination of the baby at birth including identification of the neonate 74 37 Appearance and characteristics of the well term neonate 76 38 Overall daily assessment of the term neonate including vital signs and bladder and bowel function 78 39 Newborn and infant physical examination 80 40 The term, preterm and growth-restricted baby 82 Caring for the newborn 41 Providing daily hygiene for the neonate including changing a nappy 84 42 Bathing the newborn 86 43 Breastfeeding 88 44 Formula feeding 90 45 Other feeding methods 92 46 Neonatal blood screening ( heel prick ) 94 Blood sampling and cannulation 47 Maternal venepuncture, including glucose tolerance testing 96 48 Cord blood and neonatal capillary blood sampling 98 49 Venous cannulation of the woman 100 Taking and testing other body samples 50 Urinalysis 102 51 Specimen collection stool specimen 104 52 Taking a wound swab 106 53 Use of a vaginal speculum and taking a vaginal swab 108 The woman or neonate with different needs 111 Induction/stimulation of labour 54 Membrane sweep 112 55 Insertion of vaginal prostaglandin E2 114 56 Artificial rupture of membranes 116 Care skills for the woman with complex needs 57 Recognising the deteriorating woman 118 58 CVP, Spo2 and ECGs 120 59 Fluid balance monitoring 122 60 Peak flow measurement in the woman 124 61 MEOWS, AVPU, GCS and SBAR 126 62 Care of the deceased 128 Care skills for the baby with complex needs 63 Recognising deterioration in the neonate 130 64 Neonatal jaundice 132 65 Hypoglycaemia 134 66 Hypothermia 136 Wound care 67 Wound assessment 138 68 Wound dressings and drains 140 69 Wound closures 142 Prevention of venous thromboembolism 70 Assessment of venous thromboembolism risk and prevention of deep vein thrombosis in childbirth 144 71 Application and use of compression stockings 146 Drug administration in midwifery 149 Routes of administration 72 Drug administration, handling and storage 150 73 Administration by injection to the woman 152 74 Intravenous administration of drugs 154 75 Medicine administration by oral, rectal, vaginal, topical and inhalation routes 156 76 Neonatal drug administration 158 77 Immunisation 160 Pain relief 78 Regional analgesia 162 79 Non-pharmacological methods of pain relief 164 80 Transfusion of blood and blood products 166 81 Anti-D: preventing rhesus isoimmunisation 168 Appendices 170 Key references and further reading 172 Glossary 182 Index 184

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