Since childbirth became a medicalized - and usually hospitalized - event a century ago, women's and families' psychosocial needs have been relegated to a somewhat peripheral role within the clinically focussed hierarchy of medical care. This text reinstates psychosocial issues as a primary focus of care, together with clinical excellence. Family-centred care is a familiar phrase in today's maternity services, with professional guidelines and hospital policies including the term in their care protocols; however, few definitions, and no specific standards, for family-centred care exist. While all caregivers and care services are likely to define their care as sensitive to women's needs, and family-centred, the actual implementation of a family-centred approach - despite it being a current fashion in care - is still inadequate. This book clearly defines family-centred perinatal care, and outlines how truly family-centred care can, and should, be implemented, and how, and where, this has been done.

Midwifery & Women's Health

Many regulatory and professional agencies countenance the idea of patient-and family-centered care, yet lack an infrastructure able to support such care or employ health care professionals who lack the necessary education, experience, or skills. This book is a comprehensive guide to family-centered care for healthy, ill, or preterm newborns. It guides health care professionals in creating, supporting, and advancing a culture that values partnerships with families. The book is replete with practical suggestions, strategies for effectively communicating with families, and best practices for health professionals who wish to develop partnerships with families before and after childbirth. At the core of family-centered care is the belief that family-centered care and the ability to convey its particular language is as important to newborn and family wellbeing as clinical care. The book is based on four guiding principles that include treating people with dignity and respect, providing information in ways that are useful and affirming, welcoming family participation in care and decision-making at a level chosen by the family, and collaborating with families at the bedside and beyond. The book offers strategies to promote implementation of a family-centered environment in the delivery room or NICU, practical approaches to communicating with families before and after delivery, and tips on policy review to facilitate a culture of family-centered care. It also discusses how to welcome families during interdisciplinary rounds and nurse hand-offs, and ways to support families during procedures and resuscitation. Key Features: Provides a comprehensive guide to implementing family-centered care for healthy, ill, and preterm newborns Guides health care professionals in creating, supporting, and advancing a culture that values partnerships with families Offers strategies for effectively communicating with families to foster family-centered care Reflects on the power of language used with and about families Includes tips on policy review to foster and support a culture of family-centered care

This ground-breaking book challenges us to re-think ourselves as techno-sapiens—a new species we are creating as we continually co-evolve ourselves with our technologies. While some of its chapters are imaginary, they are all empirically grounded in ethnography and richly theorized from diverse disciplines. The authors go far beyond a techno-optimism vs. techno-pessimism stance, stretching our thinking about birthing techno-sapiens to consider not only how our cyborgian reproductive lives are constrained and/or enabled by technology but are also about emotions and spirit. The world of reproductive health care and particularly that of genetic engineering is developing exponentially, and current challenges are vastly different from those of a decade ago. The book is provocative, intended to generate debate, ideas, and future research and to influence ethical policy and practice in human techno-reproduction. It will be of interest across the social sciences and humanities, for reproductive scholars, bioethicists, techno-scientists, and those involved in the development and delivery of maternity services.

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

NEW! Consolidated, revised, and expanded mental health concerns chapter and consolidated pediatric health promotion chapter offer current and concise coverage of these key topics. NEW and UPDATED! Information on the latest guidelines includes SOGC guidelines, STI and CAPWHN perinatal nursing standards, Canadian Pediatrics Association Standards, Canadian Association of Midwives, and more. NEW! Coverage reflects the latest Health Canada Food Guide recommendations. UPDATED! Expanded coverage focuses on global health perspectives and health care in the LGBTQ2 community, Indigenous, immigrant, and other vulnerable populations. EXPANDED! Additional case studies and clinical reasoning/clinical judgement-focused practice questions in the printed text and on the Evolve companion website promote critical thinking and prepare you for exam licensure. NEW! Case studies on Evolve for the Next Generation NCLEX-RN® exam provide practice for the Next Generation NCLEX.