Although midwives usually work with healthy women, sadly there are still occasions where medical intervention is necessary. In order to minimise the danger to mothers, it is vital that midwives can recognise deterioration and are aware of what action to take. Taking into account recommendations made by successive CEMACE reports on maternal deaths, High Risk Maternity Care examines relevant pathophysiology and pharmacology, highlighting appropriate interventions and how to interpret indications of clinical deterioration.
This practical textbook is divided into three parts covering assessment, intervention, and developing midwifery practice. Each chapter includes learning outcomes, case studies, key points, a Priorities for Midwifery Practice section and further reading. The chapters also have "time out/activity based" sessions to encourage readers to reflect on the content of the chapter and help them to relate the content to their own clinical practice.
This text is suitable for midwifery students studying critical care in midwifery and high-risk maternity care or undertaking placements in level two or three settings. It will also be a valuable reference work for qualified midwives—especially those working in hospital settings—and critical care nurses.
1. Introduction Part 1: Assessment 2. Assessment 3. Respiratory Assessment 4. Pulse Oximetry 5. Arterial Blood Gas Analysis 6. Haemodynamic Monitoring 7. Common Dysrhythmias 8. Neurological Assessment 9. Fluids and Electrolyte Disturbances 10. Stress 11. Psychological Disturbances Part 2: Interventions 12. Shock 1 13. Shock 2 14. Acute Kidney Injury 15. Hypertensive Disorders 16. Cardiovascular Disorders 17. Haematological Disorders 18. Respiratory Failure 19. Diabetic Emergencies 20. Caring for the Unconscious Patient 21. Oxygen Therapy 22. Resuscitation 23. Pain Control 24. Family Care 25. Sleep Part 3: Developing Practice 26. Setting up a Midwifery High Dependency Area 27. Clinical Outreach 28. Ethical Implications 29. Cultural Diversity 30. Legal and Professional Implications 31. Practice Development