Գլխավոր էջ Journal of Midwifery & Women's Health Birth your way: choosing birth at home or in a birth center: By Sheila Kitzinger. London: Dorling...
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fluency in Arabic, as well as issues raised about the accuracy of the relayed dialogue in light of her inability to speak the indigenous dialects. This text is an excellent example of the importance of cross-discipline communication and the usefulness of incorporating anthropologic works into curriculum and ongoing education for health care providers. It is written for a variety of audiences and is accessible to undergraduate students and the lay public. This would be an excellent recommended reading for supplemental work in the area of global women’s health. Nurse-Midwifery Handbook, 2nd Edition. By Linda Wheeler. Lippincott Williams & Wilkins Publishers, 2002. $36.95, softcover. Reviewed by: Elizabeth Gabzdyl, CNM, MS. Community Liaison, University of Washington, Seattle, Washington. Linda Wheeler’s Nurse-Midwifery Handbook (2nd Edition) is a “must have” for the office library of anyone caring for women during their childbearing years. It has been 5 years since Linda wrote the first edition. She promised and has successfully delivered more in this second edition. The purpose of both editions is to “help novice practitioners enter the midwifery circle,” suggesting a “framework for combining art and science” then offering “a course of action that is safe, nurturing, respectful and caring.” Linda Wheeler, CNM, EdD is a seasoned nurse-midwife and a well-respected senior member of the Faculty at Oregon Health and Sciences University in Portland, Oregon. This book is a beautifully written, compact handbook, organized in a logical and thoughtful way, providing the reader with current, comprehensive information. It is divided into four major parts: Preconception Counseling, The Initial Prenatal Visit, The Prenatal Revisit, and The Postpartum Period. It is further subdivided into 15 chapters for easy reference. The organization of the topics in the chapters is logical and flows well. There is a multitude of very useful appendices at the end (a total of 21!). In a very concise manner these appendices diagram su; ch things as Food Guide Pyramids (including the traditional pyramid as well as pyramids using popular Mexican, vegetarian, and Native American foods), The Body Mass Index Table, and Areas of the World Where Female Circumcision is Found, to name a few. A great deal of very fundamental information is presented, making it useful to providers who are new to OB or who do not provide OB frequently enough to feel well-versed in the basics. However, there is also a tremendous amount of information that is useful to providers at more advanced levels. The seasoned clinician might find it to be a useful resource when coming across a situation that calls for a review such as Antibodies Causing Hemolytic Disease, 80 Hemoglobinopathies, or how to proceed when a client’s Hepatitis B screen is positive. Wheeler has dramatically increased the number of boxes, tables, and figures in this edition. These efficiently diagram and summarize information, making it very clear and easy to access. They provide a simpler way to summarize information provided in the text. Some of them would indeed (as the author suggests) be useful to have copied and laminated and carried in one’s pocket for easy reference. She has included more than double the references compared to her first edition. The references include a wide variety of sources, many very current, as well as some older classics. When issues are controversial (as in the case of Group B Streptococcus), she presents the issue fairly, describing both the screening-based and risk-based approaches. She cites the need for further study to determine which approach is the best to implement into one’s practice. Often in OB, it is difficult to keep up with changes, as issues and interventions can change quickly and frequently. Wheeler did a great job of including many current topics. The Fetal Fibronectin Assay is one example. She presents a thorough discussion of what it is, what current research shows, how to obtain the specimen for the test, and advantages and drawbacks of the test. Another example is cervical length as a predictor of preterm birth. This reviewer appreciates how different Wheeler’s book is from the typical textbook. A textbook normally presents didactic material and factual explanations. This book does an excellent job accomplishing this, but goes one step further. Wheeler adds discussions about aspects that are the heart and soul of midwifery. She stresses and describes the importance of things such as communication between midwife and patient, health education topics to be covered at various times during the pregnancy, and cultural competence. She successfully instructs the reader on how to address the social, emotional, and spiritual needs of the woman stressing the importance of providing holistic care. In conclusion, I most highly recommend this book as an easy-to-use, thorough, concise, and practical guide that can help both the novice and the experienced practitioner understand, interpret, and use the information provided here in his or her day-to-day practice. Birth Your Way: Choosing Birth at Home or in a Birth Center. By Sheila Kitzinger. London: Dorling Kindersley Limited, 2002. $17.95, large trade paperback. Reviewed by: Kip Kozlowski, CNM, Director, The Greenhouse Birth Center, Okemos, Michigan. In Birth Your Way: Choosing Birth at Home or in a Birth Center, Sheila Kitzinger provides an update of her classic (and now out of print) Homebirth: The Essential Guide to Giving Birth Outside of the Hospital. This prolific British Volume 48, No. 1, January/February 2003 social anthropologist, author of 23 books on pregnancy, birth, and women’s sexuality, continues to educate women about alternatives to the cultural norm of hospital birth. As an anthropologist and a long-time participant in the movement toward woman-centered, normal birth, Ms. Kitzinger is well aware of the powerful hold the medical model has on Western women today. She is an experienced childbirth educator and reaches her audience skillfully. Her books are always beautifully published and lavishly illustrated with many photographs of women, babies, and families. They reach a large and varied audience throughout Europe and the Americas and are published in 20 languages. Ms. Kitzinger feels that birth outside the hospital is an important way for healthy women to reclaim the experience of birth from the medical model. She also believes that informed women making the choice to give birth at home or in birth centers gives control of the birthplace back to mothers in the hospital as well, through a vibrant “control” to the hospital environment and mentality, as the word “control” is defined in research. Birth Your Way begins with explanations of why birth in the hospital may not be the best choice for healthy women, providing an anthropologist’s understanding of the way ritual is played out in Western obstetrics. She discusses the impact of routine interventions, providing a sophisticated review of the physiology of labor that is understandable to the general public. Ms. Kitzinger backs up her assertions with good science and a thorough list of references. The reader is guided through evaluating out-of-hospital birth, arranging for one, and finding a safe and satisfactory care provider. Because the book is British, the midwife option is much easier to find, but the information remains useful to Americans. After covering the decision to give birth at home or in a birth center, Ms. Kitzinger gives information on healthy pregnancy, getting ready for birth, and preparing support people. She discusses challenges and complications in a clear and unfrightening way. She also focuses a chapter on the often “missing piece” of American obstetrical care—the postpartum, new mother stage. Her chapter on the “babymoon” is both sweet, and, in this reviewer’s mind, one of her most important contributions. This book is not as encyclopedic as some written for pregnant women, and it makes no apologies for its feminist, passionate stance. But like all of Ms. Kitzinger’s work on pregnancy and birth, it is a clear, loving, and complete overview of the possibilities for a gentle, whole, womancentered birth that discusses how “everywoman” can go about arranging for this kind of birth for herself and her family. Journal of Midwifery & Women’s Health • www.jmwh.org Midwives working in any setting will be interested in providing this book to their clients. For those providing care in hospitals, it offers their clients a comforting view of the normalcy of birth and ways they can participate powerfully in their own experience. It may very well raise some questions about routines that may be deemed necessary in the hospital-based practice, and the midwife will be wise to have read the book and be prepared to answer these questions in a reassuring manner, when possible. It may be an ally for those midwives who need to help clients understand that the place of birth that they choose will have an impact on the way their care is delivered—always. It can be frustrating to deal with clients who think that by choosing a midwife, they will automatically circumvent all the restrictions to which they object. For midwives practicing at home or in birth centers, it will be an invaluable tool. Buy many copies for your library! Clients will find useful information to help them make good choices. It will also be useful to help convince families and friends of the reasonableness of the decision to give birth in a way and setting that is still not familiar or comfortable to many. Online Media Reviews This Issue Available at http://www.jmwh.org Effects of Antenatal Exercise on Pregnancy and Birth. By Jean Rankin. London: Whurr Publishers, 2002. 197 pages, $38.95, paperback. Reviewed by: Gretchen Brauer-Rieke, CNM, MSN. Principles and Practice of Research in Midwifery. Edited by Elizabeth R. Cluett and Rosaline Bluff. Edinburgh: Baillièr Tindall, 200 –229 pages. $32.95, softcover. Reviewed by: Jacquelyn Reid, CNM, EdD. Obstetrics: Normal and Problem Pregnancies, 4th Edition. By Steven G. Gabbe, Jennifer R. Niebyl, and Joe Leigh Simpson. New York: Churchill Livingstone, 2002. 1429 pages. $129.00, hardcover. Reviewed by: Mary C. Brucker, CNM, DNSc. Women’s Health Data Book: A Profile of Women’s Health in the United States, 3rd Edition. Edited by Dawn Misra. Jacobs Institute of Women’s Health. 219 pages. $29.95, softcover. Reviewed by: Margaret Plumbo, CNM, MS. 81