Midwifery and Obstetrical Nursing—Practical Dr Sunita Lawrence Principal, Pragyan College of Nursing, Bhopal, Madhya Pradesh Copyright © 2013 Dorling Kindersley (India) Pvt. Ltd. Licensees of Pearson Education in South Asia No part of this eBook may be used or reproduced in any manner whatsoever without the publisher’s prior written consent. This eBook may or may not include all assets that were part of the print version. The publisher reserves the right to remove any material in this eBook at any time. ISBN 9788131773451 eISBN 9789332514256 Head Office: A-8(A), Sector 62, Knowledge Boulevard, 7th Floor, NOIDA 201 309, India Registered Office: 11 Local Shopping Centre, Panchsheel Park, New Delhi 110 017, India Dedicated to the mothers and newborns who died due to incompetent maternal practices This page is intentionally left blank. About the Author Dr Sunita Lawrence, B.Sc. (Nursing), M.Sc. (Maternity Nursing), Ph.D. (Nursing), M.A. (Sociology), RN, RM, is the Principal of Pragyan College of Nursing, Bhopal. She has authored many nursing books and is the Editor- in-Chief of the Indian Journal of Holistic Nursing and Trends in Nursing Administration and Education, published from Bhopal. She is the President of Trained Nurses’ Association of India, Madhya Pradesh State Branch, since 2008 and is the advisor of the Society of Midwives India, Bhopal Chapter. Previously, she has served as the Assistant Director and as the Head of Department of Nursing and Health Sciences in the Madhya Pradesh Bhoj (Open) University and has also worked in various nursing institutions under the Government of Madhya Pradesh. Dr Sunita Lawrence is a nursing researcher, teacher, examiner, and guide for graduate, postgraduate, and doctoral students of various Indian universities. She is also a member of the nursing board of stud- ies in various universities. She is the writer of numerous study materials for IGNOU, UNICEF, and Madhya Pradesh Bhoj (Open) University. Her scientifi c and research articles have been published in various national and international nursing journals. She has received the Best Nurse Arunachalam Award in 1997, Bhartiya Shiksha Ratna Award in 2008, Research Fellowship Award in 2010, and the Best Principal Award in 2011 for her contribution towards the nursing profession. This page is intentionally left blank. Contents About the Author v Foreword ix Preface xi Acknowledgements xiii SECTION I Preconception Counselling: An Introduction 1 1. Preconception Education 3 2. Genetic Counselling 7 3. Preparation for Parenthood 11 4. Teaching Self-care Methods of Determining Ovulation 17 5. Assisted Artifi cial Reproductive Techniques 21 SECTION II Prenatal Assessment and Care 25 6. Initial History Documentation of Antenatal Woman 27 7. Determination of Expected Date of Delivery 33 8. General Physical Examination 36 9. Abdominal Examination and Application 41 10. Breast Self-examination 47 11. Vaginal Examination and Assessment of Pelvic Adequacy 50 12. Prenatal Advices 54 13. Prenatal Exercises 57 14. Nutritional Advices 73 15. Teaching Self-care Methods for Common Discomforts During Pregnancy 77 16. Assessing Foetal Well-being 80 17. Subsequent Prenatal Visits 98 SECTION III Intranatal Assessment and Care 101 18. Admission in Labour Room 103 19. Nursing Care During Labour 105 20. Preparing the Labour Room 107 21. Assessment of Labour Progress 109 22. Conducting Delivery 115 23. Assessment and Management of the Third Stage of Labour 121 24. Assessment and Management of the Fourth Stage of Labour 123 25. Assessing the Placenta 125 SECTION IV Postpartum Assessment 129 26. Postnatal Assessment 131 27. Perineal Care 136 viii | Contents 28. Assessing the Involution of the Uterus 140 29. Postnatal Exercises 143 30. Techniques of Breastfeeding 148 SECTION V Assessment of the Newborn 155 31. Initial Assessment of the Newborn 157 32. Weighing the Infant 169 33. Newborn Resuscitation 171 34. Assisting in Thermoregulation of the Newborn 178 SECTION VI Assisting in Operative Procedures 181 35. Episiotomy 183 36. Preparation for Medical/Surgical Induction 186 37. Preparing the Woman for LSCS 191 38. Preparation for Forceps Delivery 194 39. Preparation for Tubectomy and Vasectomy 196 40. Insertion of Intrauterine Contraceptive Device 200 Bibliography 203 Index 205 Foreword It gives me immense pleasure to write a foreword to the book Midwifery and Obstetrical Nursing— Practical written by Dr Sunita Lawrence. She has written the essential material needed for midwifery students and nurses in a clear and con- cise manner, in an easy and lucid style. In this edition, the practical text is presented in six sections, with Preconception counselling, Prenatal assessment and care, Intranatal assessment and care, Postpartum assessment, Assessment of the newborn, and Assisting in operative procedures being the topics discussed. Today, students and maternity nurses need to be empowered with professional knowledge, attitude and professional competency in the areas of maternal and child health care. This book will help them to be confi dent in carrying out their role by giving updated information. This book will also be useful for faculty in nursing, and I am sure that both the providers and consumers will be benefi ted. Dr Alamelu Venketaraman