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Evidence-Based Care for Normal Labour and Birth: A Guide for Midwives |  | Author: Denis Walsh Publisher: Routledge Category: Book
List Price: $43.95 Buy New: $36.41 as of 11/23/2009 16:33 MST details You Save: $7.54 (17%)
New (21) Used (10) from $36.41
Seller: allnewbooks Rating: 2 reviews Sales Rank: 472114
Media: Paperback Edition: 1 Pages: 186 Number Of Items: 1 Shipping Weight (lbs): 0.8 Dimensions (in): 9.6 x 6.9 x 0.6
ISBN: 0415418917 Dewey Decimal Number: 618.4 EAN: 9780415418911 ASIN: 0415418917
Publication Date: June 6, 2007 Availability: Usually ships in 1-2 business days
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Product Description
Evidence-based care is a well established principle in contemporary healthcare and a world wide health care movement. However, despite the emphasis on promoting evidence-based or effective care without the unnecessary use of technologies and drugs, intervention rates in childbirth are rising rapidly.
Evidence-based Care for Normal Labour and Birth brings to light much of the evidence around what works best for normal birth which has, until now, remained largely hidden and ignored by maternity care professionals. Beginning with the decision about where to have a baby, through all the phases of labour to the immediate post-birth period, it systematically details research and other evidence sources that endorse a low intervention approach. The book:
- highlights where the evidence is compelling
- discusses its application where women question its relevance to them and where the practitioner's expertise leads them to challenge it
- gives background and context before discussing the research to date
- includes questions for reflection and practice recommendations generated from the evidence.
Using research data, Evidence-based Care for Normal Labour and Birth critiques institutionalised, scientifically managed birth and endorses a more humane midwifery-led model. Packed with up-to-date and relevant information, this controversial book will help all students, practising midwives and doulas keep abreast of the evidence surrounding normal birth and ensure their practice takes full advantage of it.
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| Customer Reviews: Midwife and researcher extraordinaire! January 14, 2009 Jane Pincus (Roxbury, VT United States) 1 out of 1 found this review helpful
Denis Walsh, midwife, midwifery consultant, and lecturer in the United Kingdom, believes profoundly in midwifery-led care and in the rhythmic course of physiological labor and birth. In his book, Evidence-Based Care for Normal Labour and Birth: A Guide for Midwives, addressing the relatively new evidence-based care paradigm, he seeks to expand the definition of "evidence" so that qualitative research gains credibility in a technological world enamored of quantification. He reminds readers of the huge collection of knowledge, ancient and modern, that qualifies as authentic evidence -- an extensive body of research supporting the natural physiology of labor and birth; midwives' intuitive and observational powers; and the unique stories, feelings, and reactions of birthing women throughout the ages. Much of this wisdom is in danger of being lost, submerged by the modern focus on technology and childbirth pathology that so many practitioners and childbearing women are struggling with each day.
Throughout, Walsh illustrates his points with studies and articles, suggesting the many areas that that call out for further exploration, and challenging readers to find ways to keep vital knowledge alive. Each chapter ends with "Practice Recommendations and Questions for Reflection.".
Among so many important issues, Walsh discusses "Evidence-based care: the new orthodoxy for maternity services," and acknowledges the proliferation of systematic reviews "embraced...with an almost evangelistic fervour." He critiques them, noting that many are politically laden efforts carried out against a background of increasing medicalization. Most research bypasses women's vital concerns, performed as it is in hospital settings subject to time pressures, institutional constraints and regulations, and mediated by power differences both within professional groups, and between professionals and women. He then contrasts the woman-centered "social" model of care with the large- scale "toxic" biomedical model. All the while he advocates for midwives' autonomy as they work in partnership with colleagues and with the women they serve.
This is an INVALUABLE guide for childbearing women, practitioners and obstetrical policy makers.
CALLING ALL MIDWIVES April 6, 2008 S. Mclean (Australia) 2 out of 2 found this review helpful
Working as a midwife in hospital meens negotiating the landmines of intervention with women to ensure that birth can be "normal". Denis Walsh examines the evidence for routine CTG monitoring, the labour progress model, active mamagement of third stage and definitions and management of blood loss etc to question our understanding of what is normal.
Current medical interventionalist models view birth as normal only in retrospect. Midwives understand that birthing women display many types of "normal". READ THIS BOOK AND START ASKING THE QUESTIONS OF YOURSELF AND YOUR PRACTICE. Do we really have the evidence for what we do? Is this kind of evidence able to allow for examination of womens experience of the interventions and their impact on their birthing? There is lots of work to be done to understand what is normal.
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