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Varney's Midwifery

by: Burst, Helen Varney; Kriebs, Jan M.; Gegor, Carolyn L.; Varney, Helen

Varney's Midwifery

by: Burst, Helen Varney; Kriebs, Jan M.; Gegor, Carolyn L.; Varney, Helen

ISBN 13:
9780763718565
ISBN 10:
0763718564
Edition: 4th
Format: Hardcover
Copyright: 05/01/2003
Publisher: Jones & Bartlett Publishers, Inc.
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Summary

Known as the bible” of midwifery, this new edition of Varney’s Midwifery has been extensively revised and updated to reflect the full scope of current midwifery practice in a balance of art and science, a blend of spirituality and evidence-based care, and a commitment to being with women.

Contributor List for the Fourth Edition

xxvii

Preface to the Fourth Edition

xxix

Acknowledgments

xxx

Preface to the Third Edition

xxxii

Preface to the Second Edition

xxxv

Preface to the First Edition

xxxviii

Part I Midwifery

The Profession and History of Midwifery in the United States

(26)

Definitions and Practice

(1)

Beliefs Characterizing Midwifery

(1)

Early History

(1)

Factors Leading to Disrepute

(2)

The Early Twentieth Century

(3)

The First Nurse-Midwifery Education Programs

(2)

The 1940s and 1950s

(1)

The 1960s

(1)

The 1970s

(3)

The 1980s

(1)

The 1990s and Early 2000s

(1)

The American College of Nurse-Midwives

(4)

References

(1)

Bibliography

(5)

Basics of Management of Care

(20)

Primary Care and Scope of Practice

(1)

Independent and Collaborative Management of Care

(1)

The Management Process

(2)

Screening for Abnormality and Differential Diagnosis

(2)

Physical Assessment for a Database

(10)

References

(1)

Additional References

(3)

Part II Primary Care of Women

Cultural Competence in Midwifery Practice

(10)

Jo-Anna L. Rorie

The Demographic Shift

(1)

Women of Color Population Overview

(1)

Culturally Competent Care

(1)

Application of the Cultural Competence Continuum

(3)

Conclusion

(1)

References

(1)

Additional References

(2)

International Midwifery and Safe Motherhood

(26)

Margaret A. Marshall

Joyce E. Thompson

Introduction

(1)

The Situation Worldwide

(4)

The Newborn

(2)

Global Partners Promoting the Health of Women and Childbearing Families

(10)

Frequently Asked Questions About International Midwifery

(3)

Future Trends and Challenges in International Midwifery

(1)

References

(1)

Bibliography

(2)

Appendix A: Sources for International Health Low Cost Books

(1)

Appendix B: Helpful Websites and Videos

(2)

Preconception Care

(14)

Health and Risk Assessment

(1)

Counseling Specific to Preconception Care

(1)

Medical Risk Factors

(4)

Environmental and Workplace Issues

(2)

Preconception Issues for Men

(1)

Other Considerations

(1)

Intervention

(1)

References

(2)

Nutrition in Women's Health

(36)

Jenifer O. Fahey

Principles of Nutrition

(13)

Weight and Body Fat Measurements and Overweight and Obesity

112

(3)

Cardiovascular Disease

115

(1)

Cancer

116

(1)

Diabetes

117

(1)

Nutrition, the Menstrual Cycle, and Fertility

118

(1)

Adolescence

118

(1)

Nutrition During Menopause and Beyond

119

(1)

Eating Disorders

120

(2)

Nutrition and Vegetarianism

122

(1)

Nutrition and the Female Athlete

122

(1)

Alcohol and Nutrition

123

(1)

Nutritional Guidelines

123

(6)

Conclusion

129

(1)

References

129

(4)

Additional References

133

(2)

Primary Care and Midwifery

135

(30)

Primary Care

135

(3)

Hematologic Conditions

138

(3)

The Cardiovascular System

141

(2)

Respiratory Diseases

143

(4)

Gastrointestinal Disorders and Abdominal Pain

147

(3)

Assessing Abdominal Pain

150

(1)

Genitourinary Problems

151

(1)

Diabetes

152

(2)

Thyroid Disease

154

(2)

Carpal Tunnel Syndrome

156

(1)

Headache

156

(2)

Depression

158

(2)

Conclusion

160

(1)

References

160

(4)

Additional References

164

(1)

Chronic Infectious Diseases

165

(22)

HIV/AIDS

165

(10)

Tuberculosis

175

(2)

Hepatitis

177

(6)

Mary Curran

References

183

(4)

Women and Exercise

187

(62)

Ann Cowlin

The Value of Exercise to Women's Health

187

(1)

A New Exercise Model for Adolescent Girls

188

(5)

Appropriate Exercise during Pregnancy

193

(21)

Exercise for Postpartum Recovery

214

(6)

Essential Exercise for Menopause

220

(11)

Exercise in the Senior Years

231

(2)

Summary

233

(1)

References

233

(14)

Additional References

247

(2)

Pharmacology and Midwifery

249

(50)

Mary C. Brucker

Mary Ann Faucher

Introduction

249

(1)

The Lexicon of Pharmacology

249

(2)

Drugs in Modern Society

251

(1)

Practicalities and Issues Involving Drugs

252

(3)

Adverse Drug Reactions/Adverse Drug Events

255

(1)

Drug Resistance

255

(1)

Drug-to-Drug Reactions

256

(1)

Drug Costs

256

(1)

Drugs and Herbs

257

(1)

Pregnancy and Drug Use

257

(2)

Metabolism

259

(1)

Elimination/Clearance

259

(1)

Teratology and Drugs During Pregnancy

260

(4)

Commonly Used Pharmaceuticals

264

(2)

Drugs for the Treatment of Various Medical Conditions

266

(2)

Pharmaceuticals and Breastfeeding

268

(1)

Selected Drugs and the Breastfeeding Woman

269

(3)

Conclusion

272

(1)

References

272

(4)

Additional References

276

(1)

Appendix A: Top 200 Drugs by Rank, by Generic Name, and by Brand Name

277

(12)

Appendix B: Teratology Information Systems by Location

289

(3)

Appendix C: The Transfer of Drugs and Other Chemicals into Human Milk

292

(7)

Health Issues of Lesbian and Bisexual Women

299

(14)

Laura Zeidenstein

Background

299

(2)

Data Collection

301

(1)

Management of Health Care Issues

302

(2)

Childbearing and Parenting

304

(3)

Special Health Concerns

307

(1)

Summary

308

(1)

References

308

(2)

Appendix: Resources

310

(3)

Substance Abuse

313

(22)

Nancy Jo Reedy

Mary C. Brucker

Introduction

313

(1)

Women and Substance Abuse

313

(2)

Attraction of Substance Abuse

315

(1)

Assessment of Drug Use

316

(1)

General Treatment Issues

317

(1)

General Management of Substance Abuse During Pregnancy

317

(1)

Substance Abuse and Lactation

318

(1)

Neonatal Implications

318

(2)

Common Substances of Abuse

320

(10)

Appendix A: Health Education Fact Sheet from the American Lung Association on Nicotine Replacement Therapy (NRT)

330

(2)

References

332

(2)

Additional References

334

(1)

Health Care of Midlife and Aging Women

335

(44)

Mary Ellen Rousseau

Definitions

335

(1)

Age at Menopause

336

(1)

Adult Development, Society, and Menopause

336

(1)

Medicalization of Menopause

336

(3)

Endocrinology

339

(1)

Changes of Perimenopause and Aging

340

(7)

Breast Cancer

347

(3)

Cardiovascular Disease

350

(2)

Osteoporosis

352

(5)

The Perimenopausal Visit

357

(1)

Postmenopausal and Older Woman Visit

358

(3)

Menopausal Therapeutic Interventions, Preventive Measures, and Health Promotion

361

(5)

The Menopause as Opportunity

366

(1)

References

367

(12)

Part III Reproductive Health Care

Common Diagnoses in Women's Gynecological Health

379

(60)

William F. McCool

Dawn Durain

Issues Concerning the Menstrual Cycle

379

(17)

Abdominal and Pelvic Pain

396

(8)

Pelvic Masses

404

(3)

Congenital Uterine Anomalies

407

(1)

Pelvic Floor

408

(1)

Urinary Incontinence

409

(1)

Effects of DES Use

410

(1)

Special Considerations in Gynecologic Care

411

(2)

Cancer Screening/Diagnoses

413

(15)

Conclusion

428

(1)

References

429

(10)

Infections of the Genital Tract

439

(22)

Vulvovaginal/Cervical Infections and Sexually Transmitted Diseases

439

(18)

Pelvic Inflammatory Disease

457

(1)

Anaphylactic Shock

458

(1)

References

458

(3)

Family Planning and Contraception

461

(10)

History and Concepts of Family Planning

461

(1)

Selection of a Contraceptive Method

462

(3)

Effectiveness of a Contraceptive Method

465

(1)

Folklore Methods

466

(1)

Sterilization

467

(1)

Future Methods of Contraception

468

(1)

References

468

(1)

Bibliography

469

(2)

Natural Methods of Family Planning

471

(10)

Carmela Cavero

The Calendar Method (Rhythm Method)

472

(1)

The Ovulation Method (Cervical Mucus Method; Billings Method; Creighton Model)

472

(2)

The Basal Body Temperature Method

474

(1)

The Sympto-Thermal Method

475

(3)

Lactation Amenorrhea Method

478

(1)

Client/Couple Instruction

478

(1)

Technology and Natural Family Planning

478

(1)

References

478

(1)

Bibliography

478

(1)

Resources

479

(2)

Nonhormonal Contraceptive Methods

481

(18)

Spermicidal Preparations

481

(3)

Condoms

484

(3)

Diaphragms

487

(6)

Cervical Caps

493

(3)

Other Vaginal Contraceptive Barrier Methods

496

(1)

References

496

(1)

Additional References

497

(2)

Intrauterine Contraceptive Devices

499

(14)

Description, Effectiveness, User Response, and Noncontraceptive Benefits

499

(1)

Contraindications and Side Effects

500

(1)

Management Plan for the IUD

501

(9)

References

510

(3)

Hormonal Contraception

513

(30)

Combination Pills

513

(14)

Progestin-Only Contraceptive Pills (Minipills)

527

(1)

Emergency Postcoital Contraception

528

(3)

Injectable Hormonal Contraception

531

(3)

Subdermal Implants

534

(2)

Contraceptive Vaginal Ring (NuvaRing)

536

(1)

Transdermal Contraceptive Patch (OrthroEvra)

537

(2)

References

539

(1)

Additional References

540

(3)

Part IV Antepartal Care

Normal Pregnancy Database: Adaptations of the Mother, Development and Growth of the Embryo and the Fetus, and the Placenta

543

(28)

Maternal Anatomical and Physiological Changes

543

(6)

Maternal Physiological Changes

549

(4)

Maternal Psychological Adjustment and Processes

553

(3)

Fetal Growth and Development

556

(8)

Placental Development, Circulation, and Functions

564

(4)

References

568

(1)

Additional References

569

(2)

Management Plan for Normal Pregnancy

571

(52)

Philosophy and Scope

571

(2)

Diagnosis and Early Management of Care During Pregnancy

573

(4)

Assessment and Evaluation of the Well-Being of the Woman

577

(10)

Case Study

587

(4)

Common Discomforts of Pregnancy and Their Relief Measures

591

(7)

Nutritional Intervention in Pregnancy

598

(10)

Instruction and Anticipatory Guidance

608

(4)

References

612

(2)

Bibliography

614

(5)

Appendix A: Immunization During Pregnancy

619

(4)

Fetal Assessment

623

(38)

First Trimester Assessment of Pregnancy Well-Being

623

(4)

Second Trimester Screening

627

(3)

Invasive Fetal Assessment Throughout Gestation

630

(2)

Third Trimester Fetal Assessment

632

(20)

References

652

(6)

Additional References

658

(3)

Screening for and Collaborative Management of Antepartal Complications

661

(54)

First Trimester Bleeding

662

(4)

Ectopic Pregnancy

666

(1)

Hydatidiform Mole

667

(1)

Hyperemesis Gravidarum

668

(1)

Incompetent Internal Cervical Os

669

(1)

Infections

670

(1)

Tuberculosis

670

(4)

Hepatitis

674

(1)

Rubella

674

(2)

Cytomegalovirus

676

(1)

Toxoplasmosis

677

(1)

Varicella

678

(2)

Parvovirus B19 (Fifth Disease, Erythema Infectiosum)

680

(1)

Urinary Tract Infections

681

(2)

Anemias and Hemoglobinopathies

683

(5)

Heart Disease

688

(1)

Thyroid Disorders

689

(1)

Asthma

690

(1)

Multiple Pregnancy

691

(3)

Polyhydramnios (Hydramnios)

694

(1)

Oligohydramnios

694

(1)

Diabetes Mellitus

695

(4)

Rh(D) Isoimmunization

699

(3)

Placenta Previa

702

(1)

Abruptio Placentae

703

(2)

Management of Hemorrhage Due to Placenta Previa or Abruptio Placentae

705

(1)

Hypertensive Disorders of Pregnancy

705

(7)

References

712

(3)

Complications of Gestational Age Assessment and the Postdate Pregnancy

715

(22)

Carol L. Wood

Fetal Age Determination

715

(3)

The Size/Date Discrepancy: Identifying the Problem

718

(3)

Postdate Pregnancy: The Clinical Problem

721

(1)

Anatomy and Physiology of the Cervix

722

(1)

Management Approach for the Postdate Pregnancy: Anticipatory Versus Active

723

(6)

Summary

729

(1)

References

730

(7)

Part V Intrapartal Care

The Normal First Stage of Labor

737

(56)

Signs and Symptoms of Impending Labor

737

(2)

Database for the First Stage of Labor

739

(15)

Management of Care During the First Stage of Labor

754

(36)

References

790

(3)

Fetal Assessment During Labor

793

(28)

Introduction and History

793

(1)

Physiology and Scope of Problem

794

(17)

Midwifery Management of Nonreassuring Fetal Heart Rate Patterns

811

(2)

Methods to Evaluate Fetal Acid-Base Balance Directly

813

(2)

Fetal Oxygen Saturation Monitoring

815

(1)

Admission to L&D and Establishing Initial Well-Being

816

(1)

Summary

817

(1)

References

818

(3)

The Normal Second Stage of Labor

821

(32)

Database for the Second Stage of Labor

821

(8)

Management Plan for the Second Stage of Labor

829

(16)

References

845

(1)

Bibliography (Chapters 26 and 28)

846

(7)

Screening for and Collaborative Management of Selected Complications During the First and Second Stages of Labor

853

(30)

Previous Cesarean Section

853

(3)

Preterm Labor/Birth

856

(7)

Premature Rupture of the Membranes

863

(4)

Amnionitis and Chorioamnionitis

867

(1)

Group B Streptococcus

868

(2)

Umbilical Cord Prolapse

870

(2)

Cephalopelvic Disproportion

872

(1)

Deep Transverse Arrest

873

(1)

Uterine Dysfunction

874

(2)

Maternal Exhaustion (Maternal Distress; Ketoacidosis)

876

(1)

Uterine Rupture

876

(1)

Blood Transfusion Reaction

877

(1)

References

878

(3)

Additional References

881

(2)

Management of Selected Obstetric Complications and Deviations from Normal

883

(22)

Management of Shoulder Dystocia

883

(7)

Delivery of an Infant with a Face Presentation

890

(2)

Delivery of an Infant with a Breech Presentation

892

(7)

Delivery of a Woman with Multiple Gestation

899

(2)

References

901

(1)

Bibliography

902

(3)

The Normal Third Stage of Labor

905

(8)

Database for the Third Stage of Labor

905

(2)

Management Plan for the Third Stage of Labor

907

(4)

References

911

(2)

Third Stage Complications and Management

913

(4)

Retained Placenta

913

(1)

Third Stage Hemorrhage

914

(1)

Placenta Accreta

914

(1)

Uterine Inversion

915

(1)

References

916

(1)

The Normal Fourth Stage of Labor

917

(8)

Database for the Fourth Stage of Labor

917

(2)

Management Plan for the Fourth Stage of Labor

919

(2)

Initiation of Family Relationships with the Newborn

921

(2)

References

923

(2)

Management of Immediate Postpartum Hemorrhage

925

(4)

Causes of Immediate Postpartum Hemorrhage

925

(1)

Predisposing Factors

926

(1)

Preparatory Measures

926

(1)

Action, Effect, Dosage, and Route of Oxytocic Drugs

926

(1)

Management Steps

927

(1)

References

928

(1)

Birth in the Home and in the Birth Center

929

(32)

Alice J. Bailes

Marsha E. Jackson

Introduction

929

(1)

History

930

(3)

Helen Varney Burst

Characteristics of Birth Center and Home Birth

933

(3)

Birth Center and Home Birth Practice Models

936

(2)

Midwife/Client Relationship

938

(1)

Initial Visit

939

(4)

Return Visits

943

(1)

The Family's Preparation for Birth and Postpartum

943

(2)

The Experience of Birth at Home or in the Birth Center

945

(2)

The Early Postpartum Period and Follow-up

947

(1)

Maintaining Safety

947

(7)

How to Accomplish an Effective Hospital Transfer

954

(1)

Business Issues

955

(1)

Special Home and Birth Center Resources

956

(1)

References

957

(4)

Part VI Newborn Care

Physiological Transition to Extrauterine Life

961

(12)

Mary Kathleen McHugh

Immediate Extrauterine Transition

961

(6)

Ongoing Extrauterine Transition

967

(5)

References

972

(1)

Immediate Care and Assessment of the Healthy Newborn

973

(10)

Mary Kathleen McHugh

Assessment Prior to Birth

973

(1)

Assessment at the Moment of Birth

973

(1)

Care During the First Hours After Birth

974

(3)

Plan of Care for the First Few Days of Life

977

(2)

Planning Discharge

979

(3)

References

982

(1)

Resuscitation at Birth

983

(16)

Mary Kathleen McHugh

Infrastructure for Safe Resuscitation of the Newborn

983

(1)

Pathophysiology of Asphyxia

984

(2)

Care of the Newborn Following Resuscitation

986

(1)

The Process of Resuscitation

987

(8)

Special Situations in Neonatal Resuscitation

995

(1)

Quality Assurance and Risk Management

996

(1)

References

997

(2)

Examination of the Newborn

999

(12)

Mary Kathleen McHugh

Structuring the Newborn Examination

999

(3)

Gestational Age Assessment

1002

(2)

Physical Examination of the Newborn

1004

(5)

References

1009

(2)

Primary Care of the Newborn: The First Six Weeks

1011

(18)

Mary Kathleen McHugh

The Midwife's Role in Neonatal Well-Child Care

1011

(3)

Newborn Behavior

1014

(2)

Developmental Milestones in the First Six Weeks

1016

(1)

Psychological Tasks of Early Infancy

1016

(2)

Physical Care of the Newborn

1018

(1)

The Circumcision Decision

1019

(1)

Nonnutritive Sucking

1020

(1)

Feeding

1020

(3)

Common Variations in the First Six Weeks

1023

(2)

Eating Patterns and Weight Gain

1025

(1)

Physiological Jaundice

1026

(1)

References

1027

(2)

Recognition and Immediate Care of Sick Newborns

1029

(12)

Mary Kathleen McHugh

The Midwife's Roles and Responsibilities

1029

(1)

The Sick Newborn

1030

(3)

Signs of Possible Infection

1033

(1)

Signs of Birth Injuries

1034

(1)

Signs of Neurological Disease

1035

(1)

Signs of Surgical Emergencies

1036

(1)

Signs of Drug Exposure in the Newborn

1036

(3)

Infants of Diabetic Mothers

1039

(1)

Signs of Intrauterine Growth Restriction

1039

(1)

References

1040

(1)

Part VII Postpartal Care

The Normal Puerperium

1041

(26)

Database for the Puerperium

1041

(11)

Management Plan for the Puerperium

1052

(12)

References

1064

(1)

Additional References

1065

(2)

Infant Feeding

1067

(26)

Karin Cadwell

Cynthia Turner-Maffei

Sarah Coulter Danner

Breastfeeding-Optimal Infant Nourishment

1067

(2)

The Baby-Friendly Hospital Initiative

1069

(1)

The International Code of Marketing of Breast-milk Substitutes

1070

(1)

Anatomy and Physiology of Lactation

1070

(2)

Antepartum Preparation for Breastfeeding

1072

(2)

The Effect of Birth Practices on Breastfeeding

1074

(1)

Successful Breastfeeding

1074

(4)

Problem Prevention and Management

1078

(1)

Breast Discomfort

1079

(2)

Milk Supply

1081

(4)

When Breast Is Not Best

1085

(2)

Conclusion

1087

(1)

References

1087

(4)

Professional Resources and Equipment and Supply Resources

1091

(2)

Screening for and Midwifery Management of Puerperal Abnormality

1093

(14)

Puerperal Morbidity

1093

(1)

Puerperal Infection

1094

(1)

Other Puerperal Complications

1095

(3)

Postpartum Depression

1098

(3)

Attachment Failure and the Potential for Child Abuse or Neglect

1101

(1)

References

1102

(1)

Additional References

1103

(4)

Part VIII Skills

Universal Precautions

1107

(2)

References

1108

(1)

Finger Puncture

1109

(4)

Bibliography

1111

(2)

Venipuncture

1113

(8)

Bibliography

1120

(1)

Inserting an Intravenous Catheter

1121

(4)

Bibliography

1124

(1)

Giving Intravenous Medications

1125

(2)

Spin-Down Hematocrit

1127

(4)

Removal of Norplant

1131

(4)

References

1133

(2)

Breast Examination

1135

(12)

Relevant History

1135

(1)

Physical Examination

1136

(6)

Variations in Breast Examination and Findings for the Pregnant Woman

1142

(1)

Variations in Breast Examination for the Postpartal Woman

1143

(1)

Teaching Breast Self-Examination

1144

(1)

References

1144

(1)

Additional References

1145

(2)

Obstetric Abdominal Examination

1147

(14)

Antepartal/Intrapartal Abdominal Examination

1147

(9)

Postpartal Abdominal Examination

1156

(3)

References

1159

(1)

Additional References

1159

(2)

Checking for Costovertebral Angle Tenderness

1161

(2)

Anatomy

1161

(1)

Significance and Charting

1161

(1)

Procedure and Rationale for Examination

1161

(2)

Checking for Deep Tendon Reflexes and Clonus

1163

(6)

Deep Tendon Reflexes

1163

(4)

Clonus

1167

(1)

Bibliography

1167

(2)

Pelvic Examination

1169

(26)

Procedures, Observations or Findings, and Significance

1169

(24)

Bibliography

1193

(2)

Obtaining a Specimen for Papanicolaou (Pap) Diagnostic Evaluation

1195

(4)

Reference

1197

(2)

Obtaining a Specimen for Gonococcal (GC) and Chlamydia Diagnostic Testing

1199

(2)

Making a Wet Smear Slide of Vaginal Secretions

1201

(2)

Using a Microscope

1203

(2)

Anatomy of the Pelvis, Pelvic Types, Evaluation of the Bony Pelvis, and Clinical Pelvimetry

1205

(12)

Anatomy

1205

(4)

Types of Pelves

1209

(2)

Procedure, Rationale, and Description of Findings

1211

(4)

Evaluation of Findings

1215

(1)

Bibliography

1215

(2)

Breast Massage, Manual Expression, and Nipple Rolling

1217

(2)

Procedure for Breast Massage

1217

(1)

Procedure for Manual Expression

1218

(1)

Procedure for Nipple Rolling

1218

(1)

Reference

1218

(1)

Additional Reference

1218

(1)

Injection of Intradermal Sterile Water Papules for Relief of Low Back Pain in Labor

1219

(4)

Saraswathi Vedam

References

1221

(2)

Inserting an Intrauterine Pressure Catheter; Amnioinfusion

1223

(4)

References

1225

(2)

Attaching a Fetal Scalp Electrode

1227

(4)

References

1229

(2)

Perineal Prep (Cleaning)

1231

(2)

Second Stage Pushing

1233

(2)

Breath Control

1233

(1)

Body Position

1233

(1)

Arm Position and Action

1234

(1)

Pubic Pressure

1234

(1)

Vaginal Stimulation

1234

(1)

Pudendal Block

1235

(4)

Local Infiltration

1239

(2)

Local Infiltration Before Birth

1239

(1)

Local Infiltration for Repair After Birth

1240

(1)

Hand Maneuvers for Birth with the Mother in Lithotomy or Modified Lithotomy Position

1241

(8)

Reference

1248

(1)

Hand Maneuvers for Birth with the Mother in Dorsal Position

1249

(4)

Hand Maneuvers for Birth with the Mother in the Hands and Knees Position

1253

(4)

Saraswathi Vedam

Hand Maneuvers for Birth with the Mother in the Squatting or Supported Squat Position

1257

(4)

Saraswathi Vedam

Inspection of the Placenta, Membranes, and Cord

1261

(6)

Database

1261

(3)

Procedure

1264

(2)

Bibliography

1266

(1)

Postbirth Inspection of the Cervix and Upper Vaginal Vault

1267

(2)

Procedure for Cervical Inspection

1267

(1)

Procedure for Inspection of the Upper Vaginal Vault

1268

(1)

Manual Removal of the Placenta

1269

(2)

Fourth Stage Intrauterine Exploration

1271

(2)

Bimanual Compression

1273

(2)

Cutting an Episiotomy and Repairing Episiotomies and Lacerations

1275

(20)

Relevant Anatomy

1275

(4)

Cutting an Episiotomy

1279

(1)

Aids to Wound Healing

1280

(1)

Manipulation of Equipment

1281

(1)

Knots and Suture Stitches

1282

(2)

Principles of and Thoughts About Episiotomy and Laceration Repair

1284

(3)

Repair of a Midline Episiotomy

1287

(3)

Repair of First and Second Degree Lacerations and Sulcus Tears

1290

(1)

Repair of Third Degree Lacerations

1290

(1)

Repair of Fourth Degree Lacerations

1291

(1)

Repair of Periurethral and Clitoral Lacerations

1291

(1)

Repair of Cervical Lacerations

1292

(1)

Defibulation and Repair

1292

(1)

References

1293

(2)

Physical Examination of the Newborn

1295

(18)

Circumcision

1313

(14)

Vivian H. Lowenstein

Relevant Male Genital Anatomy

1314

(1)

Circumcision Instruments

1314

(1)

Pain Relief

1315

(8)

Postcircumcision Care and Parental Instruction

1323

(1)

References

1324

(1)

Additional References

1325

(2)

Endometrial Biopsy

1327

(6)

Wendy Grube

William F. McCool

Indications for Endometrial Biopsy

1327

(1)

Contraindications and Precautions

1327

(1)

Potential Side Effects/Complications and Preventive Measures

1328

(1)

Procedure and Rationale

1328

(3)

Results and Management

1331

(1)

References

1332

(1)

Additional References

1332

(1)

Index

1333

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Varney's Midwifery

Varney's Midwifery

9780763718565

0763718564

Summary

Table of Contents

Supplemental Materials

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Amazon no longer offers textbook rentals. We do!

Varney's Midwifery

Varney's Midwifery

9780763718565

0763718564

Summary

Table of Contents

Supplemental Materials

Write a Review

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