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Evidence-based Care for Normal Labour and Birth: A guide for midwives 1st Edition

5 customer reviews
ISBN-13: 978-0415418911
ISBN-10: 0415418917
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Editorial Reviews


'In his multi-faceted book Denis Walsh explores research-based evidence about birth, examining practices in the orthodox medical method and empirically-based and more adventurous midwifery practice. He raises the questions that need to be asked about the medical management of birth, and considers ways in which it might be changed to focus instead on women's needs and spontaneous psycho-physiological processes. Denis Walsh stimulates creative thinking...he is essential reading for all student midwives.' - Sheila Kitzinger, birth activist

'A well written and powerful book which is a must for midwives, mothers and the medical profession. Denis Walsh eloquently exposes the faults and failures in our current provision of maternity services and offers alternatives that challenge the orthodoxy of the biomedical model.' - Professor Paul Lewis, Academic Head of Midwifery and Child Health, Bournemouth University, UK

'This scholarly, readable book provides a springboard for practitioners to jump into the deep pool of their own and their client's experiences...Throughout, this book celebrates the dignity of childbearing women, emphasizing their need for kind, respectful, and compassionate care.' - Jane Pincus, Birth, September 2008


About the Author

Denis Walsh is Senior Lecturer at the University of Central Lancashire, UK, and an independent midwifery consultant.


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Product Details

  • Paperback: 200 pages
  • Publisher: Routledge; 1 edition (June 8, 2007)
  • Language: English
  • ISBN-10: 0415418917
  • ISBN-13: 978-0415418911
  • Product Dimensions: 9.6 x 6.9 x 0.4 inches
  • Shipping Weight: 12.6 ounces
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (5 customer reviews)
  • Amazon Best Sellers Rank: #1,686,833 in Books (See Top 100 in Books)

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Most Helpful Customer Reviews

5 of 5 people found the following review helpful By Jane Pincus on January 14, 2009
Format: Paperback
Denis Walsh, midwife, midwifery consultant, and lecturer in the United Kingdom, believes profoundly in midwifery-led care and in the rhythmic course of physiological labor and birth. In his book, Evidence-Based Care for Normal Labour and Birth: A Guide for Midwives, addressing the relatively new evidence-based care paradigm, he seeks to expand the definition of "evidence" so that qualitative research gains credibility in a technological world enamored of quantification. He reminds readers of the huge collection of knowledge, ancient and modern, that qualifies as authentic evidence -- an extensive body of research supporting the natural physiology of labor and birth; midwives' intuitive and observational powers; and the unique stories, feelings, and reactions of birthing women throughout the ages. Much of this wisdom is in danger of being lost, submerged by the modern focus on technology and childbirth pathology that so many practitioners and childbearing women are struggling with each day.
Throughout, Walsh illustrates his points with studies and articles, suggesting the many areas that that call out for further exploration, and challenging readers to find ways to keep vital knowledge alive. Each chapter ends with "Practice Recommendations and Questions for Reflection.".
Among so many important issues, Walsh discusses "Evidence-based care: the new orthodoxy for maternity services," and acknowledges the proliferation of systematic reviews "embraced...with an almost evangelistic fervour." He critiques them, noting that many are politically laden efforts carried out against a background of increasing medicalization.
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4 of 4 people found the following review helpful By susan on April 6, 2008
Format: Paperback
Working as a midwife in hospital meens negotiating the landmines of intervention with women to ensure that birth can be "normal". Denis Walsh examines the evidence for routine CTG monitoring, the labour progress model, active mamagement of third stage and definitions and management of blood loss etc to question our understanding of what is normal.
Current medical interventionalist models view birth as normal only in retrospect. Midwives understand that birthing women display many types of "normal". READ THIS BOOK AND START ASKING THE QUESTIONS OF YOURSELF AND YOUR PRACTICE. Do we really have the evidence for what we do? Is this kind of evidence able to allow for examination of womens experience of the interventions and their impact on their birthing? There is lots of work to be done to understand what is normal.
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1 of 1 people found the following review helpful By A. Perkins on April 6, 2010
Format: Paperback Verified Purchase
Excellent! Evidence based and easy to read, this book is a must-read for midwife students, midwives, physicians, nurses and all other women's health care providers! The author's candid style and earnest application of evidence will change your thinking (or reinforce your suspicions) about current obstetric practices.
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Format: Paperback
While this book is certainly written to target midwives, doulas and other birth professionals, there is no reason why expectant mothers shouldn't have their own copy. It's fully of wonderful information and studies to help you make informed decisions about your care. This is especially good if you feel alone in your desire for a natural, drug-free birth. You can take this book and show your partner, OB, mom, whoever, the studies that Walsh talks about and why a birth like this is right for you. Wonderfully written and put together, I wish I had had this book for my first pregnancy.
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Format: Paperback
With this guide to evidenced-based maternity care, Denis Walsh makes available research on every aspect of labor and birth care and presents it in a way that helps practitioners incorporate the latest evidence into practice. His chapters include "Practice recommendations" as well as "Questions for reflection" that will stimulate discussion in both the classroom and the clinical setting. While the title refers to this book as "a guide for midwives", it is equally useful for family doctors or obstetricians who attend births.
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