This important book makes the case for placing maternity care in the community. It has been written by a multidisciplinary group. The first section considers the role and function of the participants in community-based maternity care; the woman, the midwife, and the GP. The second section discusses four major contemporary issues: the radically changing social background, the economics of care, audit, and education of the carers. Next the major clinical challenges in maternity care are tackled: how to reduce the differences in morbidity and mortality which are associated with differences in age, social class and ethnicity; the care of disadvantaged groups; prematurity and low birth weight and their prevention; technology used in childbirth; and the fetal
origins of adult disease. Finally, all aspects of the clinical care carried out by Gps and midwives are covered. The editors hope that after reading this book midwives, Gps, and obstetricians should find the theory underpinning their work has been sharply defined and that their work will be more effective and evidence-based. The editors, a GP and a midwife, anticipate the resolution of the current tensions between midwife, GP, and obstetrician and look forward to a responsive, effective and sensitive service for mothers and babies in the next millennium.
Readership: General practitioners and community midwives; obstetricians.
"'...One of the valuable features of the book are those chpaters that bring forward current information in relation to detecting and taking action with complications...'" - Kerri-anne Gifford, Midwifery Matters , Issue 80, Spring 1999.
"'This is an interesting book. Its scope and depth are enormous and the editors can only be complimented on a highly polished piece of work. All aspects of maternity care are covered and presented well,...'" - Dr Nigel de Kare-Silver, Doctor Thursday 6 May 1999.
Section I: The mother, the midwife, and the GP
2: The case for community-based maternity care
3: The midwife's potential: from ritual to radical
4: General practitioners' contribution - what's really going on?
5: Multidisciplinary teamwork in maternity care
6: Mothers' experiences! and Mothers' choices!
Section II: Contemporary issues
7: The changing social context
8: The economics of maternity care
9: Auditing care
10: Educating the carers
Section III: Clinical Challenges
11: Social class, age, and ethic differences in maternity outcomes
12: Women with special needs
13: The use of technology in maternity care
14: Born too soon, or too small - or both
15: Fetal origins of adult disease
Section IV: Clinical Care
16: Pre-conception care, congenital disorders and the new genetics
17: New thoughts on the physiology of pregnancy
19: Latest views on the antenatal programme
20: Intercurrent illness during maternity care
21: Care in normal labour
22: Care of the mother after birth
23: Newborn babies and how to treat them
Section V: Conclusions
25: Care for the third millennium