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Situate pregnancy in the emotional and physical life of the whole person with this bestselling guide
Prenatal and postnatal care are important and dynamic areas in healthcare research and practice. The needs of the childbearing person before and after birth are complex and intensely personal, combining significant physiological impact with broader emotional needs. In order to supply optimal care, providers must account not only for physiological factors, but also for cultural, social, experiential, and psychological ones.
Prenatal and Postnatal Care takes a holistic, person-centered approach to prenatal and postnatal care. Emphasizing the pregnant person and their unique needs, this book presents prenatal and postnatal care as foundational care for a healthy start to family life. This accessible, comprehensive book provides unique knowledge and skills to practitioners so that they can make a positive difference to the people they serve.
Readers of the third edition of Prenatal and Postnatal Care will also find:
Prenatal and Postnatal Care is essential for midwives, nurse practitioners, physician assistants, and other healthcare providers who work with childbearing people.
Karen Trister Grace, CNM, PhD, FACNM, is Assistant Professor at the School of Nursing, George Mason University, Virginia, USA. She has over twenty years' experience as a midwife, and her research focuses on pregnancy intention and reproductive coercion.
Cindy L. Farley, CNM, PhD, FACNM, is a Professor of Nurse-Midwifery at Georgetown University, Washington, DC, USA. She also serves on the board of the Cincinnati Birth Center and as a legal expert on cases involving midwifery regulation and clinical care. Her research focuses on midwifery student confidence for supporting physiologic birth.
Noelene K. Jeffers, CNM, PhD, is Assistant Professor at the Johns Hopkins University School of Nursing, Maryland, USA. She has been a practicing nurse-midwife for over a decade, and her research focuses on the structural and social determinants of Black perinatal health. She also serves on the board of directors of the National Association to Advance Black Birth.
Tanya Tringali, CNM, MS, earned a BSN from New York University in 2003 and her MS in Midwifery from Philadelphia University in 2007 where she joined the faculty a year later. Currently, she serves as adjunct faculty at NYU and Georgetown University. She practiced full scope midwifery in and around New York City until 2018 when she created Mother Wit Maternity & Consulting Services providing virtual midwifery care and wellness options to people navigating the perinatal period. She is a National Academy of Sports Medicine certified personal trainer, CrossFit Level 1, and Pregnancy & Postpartum Athleticism Coach, working diligently to provide clients and clinicians with the information, evidence and tools needed to help people stay active during throughout the perinatal period.
About the Editors ix
Contributors x
Preface xiv
About the Companion Website xvii
Part I Foundational Approaches to Prenatal and Postnatal Care 1
1 Health Equity 3 Noelene K. Jeffers and Karen Trister Grace
2 Ethics in Perinatal Care 22 Mary Broderick Donnelly
3 Reproductive Tract Structure and Function 29 LuVerda Sayles Martin
4 Conception, Implantation, and Embryonic and Fetal Development 42 LuVerda Sayles Martin
5 Physiologic Alterations during Pregnancy 55 Ella T. Heitzler
6 Physiologic Alterations during the Postnatal Period 69 Cindy L. Farley and Tanya Tringali
Part II Preconception, Prenatal Care, and Postnatal Care 77
7 Preconception and Interconception Care 79 Cynthia Nypaver
8 Prenatal Care: Goals, Structure, and Components 101 Emma Clark
9 Nutrition during Pregnancy 122 Rhea Williams
10 Pregnancy Diagnosis and Gestational Age Assessment 147 Joyce D. Cappiello and Janet L. Engstrom
11 Risk Assessment during Pregnancy 171 Robin G. Jordan
12 Prenatal Ultrasound 183 Jenna Shaw-Battista
13 Genetic Counseling, Screening, and Diagnosis 197 Aishwarya Arjunan and Susan Hancock
14 Assessment of Fetal Well-Being 215 Jenifer Fahey
15 Common Discomforts of Pregnancy 233 Robin G. Jordan and Anne Z. Cockerham
16 Oral Health 263 Julia Lange-Kessler
17 Medication Use during Pregnancy 270 Katie McDevitt
18 Substance Use during Pregnancy 289 Signy Toquinto
19 Culture and Community 321 Cindy L. Farley and Raven Fulton
20 Physical Activity and Exercise in the Perinatal Period 329 Meghan Garland and Tanya Tringali
21 Sexuality 346 Jenna Benyounes and Tanya Tringali
22 Occupational and Environmental Health in Pregnancy 355 Katie Huffling
23 Psychosocial Adaptations in Pregnancy 373 Cindy L. Farley
24 Health Education during Pregnancy 390 Kathlyn Albert, Lisa Hanson, and Emily Malloy
25 Preconception, Pregnancy, and Postpartum Care of LGBTQ+ Individuals 403 Signey Olson and Katie DePalma
26 Violence and Trauma in the Perinatal Period 418 Karen Trister Grace
27 Planning for Physiologic Birth 427 Carrie E. Neerland and Melissa D. Avery
28 Triage during Pregnancy 435 Catherine Ruhl
29 Assessment and Care at the Onset of Labor 443 Amy Marowitz
30 Components of Postnatal Care 450 Tia P. Andrighetti and Judith M. Butler
31 Lactation and Breastfeeding 470 Marsha Walker
32 Contraception in the Postnatal Period 499 Katie Daily
Part III Complex Prenatal and Postnatal Conditions 517
33 Bleeding during Pregnancy 519 Sascha James-Conterelli
34 Amniotic Fluid and Fetal Growth Disorders 535 Victoria H. Burslem and Cindy L. Farley
35 Spontaneous Preterm Birth 550 Esther Ellsworth Bowers
36 Hypertensive Disorders of Pregnancy 564 Melissa Kitzman
37 Gestational Diabetes Mellitus 579 Kimberly K. Trout
38 Multifetal Gestation 592 Heather M. Bradford
39 Postterm Pregnancy 600 Heather M. Bradford
40 Hyperemesis Gravidarum 606 Ella T. Heitzler and Jennifer Wolfe
41 Abdominal Pain 611 Karen Trister Grace
42 Pregnancy after Infertility 616 Melicia Escobar and Ebony Marcelle
43 Common Complications during the Postnatal Period 626 Deborah Brandt Karsnitz and Linda McDaniel
44 Common Lactation and Breastfeeding Problems 645 Marsha Walker
45 Perinatal Loss and Grief 668 Robin G. Jordan and Holly White
46 Obesity in the Perinatal Period 679 Cecilia M. Jevitt
47 Mood and Anxiety Disorders 691 Latrice Martin
48 Hematologic and Thromboembolic Disorders 703 Katie Daily
49 Respiratory Disorders 723 Lisa Hachey and Cynthia Nypaver
50 Urinary Tract Disorders 733 Rhonda Arthur and Nancy Pesta Walsh
51 Gastrointestinal Disorders 741 Debora M. Dole
52 Endocrine Disorders 747 Elizabeth Gabzdyl
53 Neurological Disorders 757 Lise Hauser
54 Dermatologic Disorders 767 Nell L. Tharpe
55 Infectious Diseases 780 Lisa Noguchi
56 Sexually Transmitted Infections and Vaginitis 804 Gina M. Fullbright
Index 819
Kathlyn Albert, DNP, FNP-BC, CNM Director, Nurse-Midwifery Program Clinical Assistant Professor Marquette University College of Nursing Milwaukee, WI
Tia P. Andrighetti, DNP, CNM, CNE, CHSE-A Associate Professor Frontier Nursing University Madbury, NH
Aishwarya Arjunan, MS, MPH, CGC, CPH Certified Genetic Counselor Senior Medical Science Liaison GRAIL LLC Menlo Park, CA
Rhonda Arthur, DNP, CNM, WHNP-BC, FNP-BC, CNE Associate Professor Frontier Nursing University Floyd, VA
Melissa D. Avery, PhD, CNM, FACNM, FAAN Editor-in-Chief Journal of Midwifery & Women's Health Professor Emeritus School of Nursing University of Minnesota Minneapolis, MN
Jenna Benyounes, DNP, CNM, WHNP, NCMP Adjunct Faculty Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Washington, DC
Esther Ellsworth Bowers, MSN, MS, MEd, CNM/WHNP Adjunct Instructor Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Flagstaff, AZ
Heather M. Bradford, PhD, CNM, FACNM Assistant Program Director Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Seattle, WA
Victoria H. Burslem, MSN, CNM, CNE(cl), FACNM Senior Instructor Department of Midwifery and Women's Health Frontier Nursing University Nicholasville, KY
Judith M. Butler, DNP, CNM, CNE, WHNP Assistant Professor Frontier Nursing University Tucson, Arizona
Joyce D. Cappiello, PhD, FNP, FAANP Associate Professor of Nursing Emeritus College of Health and Human Services University of New Hampshire Durham, NH
Emma Clark, MHS, MSN, CNM, FACNM Adjunct Faculty Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Washington, D.C.
Anne Z. Cockerham, PhD, CNM, WHNP-BC, CNE, FACNM Professor Frontier Nursing University Pinehurst, NC
Katie Daily, CNM, MSN Adjunct Faculty Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Washington, DC
Katie DePalma, DNP, CNM, WHNP-BC, FACNM Instructor Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Washington, DC
Debora M. Dole, PhD, CNM, FACNM Vice Dean, Academic Affairs Associate Professor Georgetown University School of Nursing Washington, DC
Mary Broderick Donnelly, DBE, HCEC-C, RN Clinical Assistant Professor, Marcella Niehoff School of Nursing Loyola University of Chicago Clinical Ethics Consultant, Loyola University Medical Center Maywood, IL
Janet L. Engstrom, PhD, APRN, CNM, WHNP-BC, CNE Faculty, Frontier Nursing University Versailles, KY
Melicia Escobar, DNP, CNM, WHNP-BC, FACNM Program Director, Assistant Professor Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Philadelphia, PA
Jenifer Fahey, MSN, PhD, CNM, FACNM Assistant Professor and Director, Division of Midwifery University of Maryland School of Medicine Department of Obstetrics, Gynecology and Reproductive Science Baltimore, MD
Cindy L. Farley, PhD, MSN, CNM, FACNM Professor, Nurse-Midwifery/WHNP and WHNP Programs Senior Advisor to the Dean on Research and Scholarship Georgetown University School of Nursing Yellow Springs, OH
Gina M. Fullbright, DNP, WHNP-BC Infectious Disease Clinician, New Mexico Department of Health Adjunct Faculty Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Las Cruces, NM
Raven Fulton, CNM, WHNP, MS Atlanta, GA
Elizabeth Gabzdyl, DNP, CNM, ARNP Assistant Professor Program Director, Nurse-Midwifery Education Program College of Nursing Seattle University Seattle, WA
Meghan Garland, PhD, CNM, FACNM Faculty Frontier Nursing University Forest Park, IL
Karen Trister Grace, PhD, MSN, CNM, FACNM Assistant Professor School of Nursing George Mason University Bethesda, MD
Lisa Hachey, DNP, APRN-CNM Associate Professor Program Director, Nurse-Midwifery University of Cincinnati Cincinnati, OH
Susan Hancock, MS, CGC Certified Genetic Counselor Staff Genetic Counselor Illumina, Inc Foster City, CA
Lisa Hanson, PhD, CNM, FACNM Klein Professor and Associate Director, Midwifery Program Marquette University College of Nursing Milwaukee, WI
Lise Hauser, DNP, RN Assistant Clinical Professor, Marcella Niehoff School of Nursing Loyola University Chicago Chicago, IL
Ella T. Heitzler, PhD, WHNP-BC, FNP-BC, RNC-OB Associate Professor Georgetown University School of Nursing Washington, DC
Katie Huffling, DNP, RN, CNM, FAAN Executive Director Alliance of Nurses for Healthy Environments Mount Rainier, MD
Sascha James-Conterelli, DNP, CNM, FACNM, FAAN, FNYAM Assistant Professor Yale University School of Nursing Orange, CT
Noelene K. Jeffers, PhD, CNM, IBCLC Assistant Professor Johns Hopkins School of Nursing Baltimore, MD
Cecilia M. Jevitt, RM, CNM, ARNP, PhD, FACNM Associate Professor Midwifery Program Director The University of British Columbia Vancouver, British Columbia, Canada
Robin G. Jordan, PhD, CNM, FACNM Editor Emeritus Prenatal and Postnatal Care: A Woman-Centered Approach, first and second editions Petoskey, MI
Deborah Brandt Karsnitz, DNP, CNM, FACNM, CNE Professor Frontier Nursing University Simpsonville, KY
Julia Lange-Kessler, DNP, CM, FACNM Certified Somatic Therapist: Pregnancy and Birth Westtown, New York
Melissa Kitzman, MSN, CNM, WHNP-BC Lead Certified Nurse-Midwife M Health Fairview Adjunct Faculty and Clinical Faculty Advisor Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Minneapolis, MN
Ebony Marcelle, DNP, CNM, FACNM Adjunct faculty Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Washington, DC
Emily Malloy, PhD, CNM Staff Nurse-Midwife and Director of Midwifery Research Advocate Aurora UW Medical Group Milwaukee, WI Participating Faculty Marquette University College of Nursing Milwaukee, WI
Clinical Adjunct Associate Professor University of Wisconsin School of Medicine and Public Health Madison, WI
Amy Marowitz, DNP, CNM, CNE Associate Professor Frontier Nursing University Maple City, MI
Latrice Martin, DNP, CNM, FNP-C, PMHNP-BC Instructor Frontier Nursing University Versailles, Kentucky
LuVerda Sayles Martin, DNP, CNM Staff Midwife Advocate Aurora Health Milwaukee, WI
Katie McDevitt, MSN, CNM, WHNP-BC Staff Midwife Mary's Center Washington, DC
Linda McDaniel, DNP, CNM, FACNM, RNFA Assistant Professor Frontier Nursing University Versailles, KY
Carrie E. Neerland, PhD, CNM, FACNM Assistant Professor School of Nursing University of Minnesota Minneapolis, MN
Lisa Noguchi, PhD, CNM, FACNM, CPPS Director, Maternal Newborn Health, Jhpiego Associate, Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Washington, DC
Cynthia Nypaver, PhD, CNM, WHNP-BC, FACNM Associate Professor of Clinical College of Nursing University of Cincinnati Cincinnati, OH
Signey Olson, DNP, CNM, WHNP-BC, FACNM Assistant Professor Nurse-Midwifery/WHNP and WHNP Programs Georgetown University School of Nursing Washington, DC
Nancy Pesta Walsh, DNP, PMHNP, FNP Assistant Professor Frontier Nursing University Belgrade, MN
Catherine Ruhl, DNP, CNM Certified Nurse-Midwife Presbyterian Hospital Albuquerque, New Mexico
Jenna Shaw-Battista, PhD, PHN, NP, CNM, FACNM Certified Nurse-Midwife, Sutter Health Women's Health Nurse Practitioner, Elica Health Centers Yolo County, California
Nell L. Tharpe, MS, CNM, FACNM, CRNFA (E) Perinatal Consultant Perinatal Quality Collaborative for Maine Midwifery Educator Midwife Workshops East Boothbay, ME
Signy Toquinto, MSN, CNM, WHNP, MA (she/her/ella) OB Program Manager Marin Community Clinic MarinHealth Medical Center San Francisco, CA
Tanya Tringali, MS, CNM, FACNM Adjunct Faculty New York University, Rory Meyers College of Nursing Georgetown University School of Nursing Plantation, FL
Kimberly K. Trout, PhD, CNM, FACNM, FAAN Associate Professor M. Louise Fitzpatrick College of Nursing Villanova University Villanova, PA
Marsha Walker, RN, IBCLC Vice President National Lactation Consultant...
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