Prenatal and Postnatal Care A Person-Centered

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:

New chapters covering health equity, ethics in perinatal care, exercise, and more
All chapters updated to reflect evidence concerning health disparities and inequities
Concrete ways for clinicians to disrupt the systems of harm and exclusion that can mediate care at every level

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 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

Contributors

Preface

About the Companion Website

Part I: Foundational Approaches to Prenatal and Postnatal Care

1 Health Equity

Noelene K. Jeffers and Karen Trister Grace

2 Ethics in Perinatal Care

Mary B. Donnelly

3 Reproductive Tract Structure and Function

LuVerda Sayles Martin

4 Conception, Implantation, and Embryonic and Fetal Development

LuVerda Sayles Martin

5 Physiologic Alterations during Pregnancy

Ella T. Heitzler

6 Physiologic Alterations during the Postnatal Period

Cindy L. Farley and Tanya Tringali

Part II: Preconception, Prenatal Care, and Postnatal Care

7 Preconception and Interconception Care

Cynthia Nypaver

8 Prenatal Care: Goals, Structure, and Components

Emma Clark

9 Nutrition during Pregnancy

Rhea Williams

10 Pregnancy Diagnosis and Gestational Age Assessment

Joyce D. Cappiello and Janet L. Engstrom

11 Risk Assessment during Pregnancy

Robin G. Jordan

12 Prenatal Ultrasound

Jenna Shaw-Battista

13 Genetic Counseling, Screening, and Diagnosis

Aishwarya Arjunan and Susan Hancock

14 Assessment of Fetal Well-Being

Jenifer Fahey

15 Common Discomforts of Pregnancy

Robin G. Jordan and Anne Cockerham

16 Oral Health

Julia Lange Kessler

17 Medication Use during Pregnancy

Katie McDevitt

18 Substance Use during Pregnancy

Signy Toquinto

19 Culture and Community

Cindy L. Farley and Raven Fulton

20 Physical Activity & Exercise in the Perinatal Period

Meghan Garland & Tanya Tringali

21 Sexuality

Jenna Benyounes & Tanya Tringali

22 Occupational and Environmental Health in Pregnancy

Katie Huffling

23 Psychosocial Adaptations in Pregnancy

Cindy L. Farley

24 Health Education during Pregnancy

Kathlyn Albert, Lisa Hanson, and Emily Malloy

25 Preconception, Pregnancy, and Postpartum Care of LGBTQ+ Individuals

Signey Olson and Katie DePalma

26 Violence and Trauma in the Perinatal Period

Karen Trister Grace

27 Planning for Physiologic Birth

Carrie E. Neerland, Melissa D. Avery

28 Triage during Pregnancy

Catherine Ruhl

29 Assessment and Care at the Onset of Labor

Amy Marowitz

30 Components of Postnatal Care

Tia P. Andrighetti and Judy Butler

31 Lactation and Breastfeeding

Marsha Walker

32 Contraception in the Postnatal Period

Katie Daily

Part III: Complex Prenatal and Postnatal Conditions

33 Bleeding during Pregnancy

Sascha James-Conterelli

34 Amniotic Fluid and Fetal Growth Disorders

Victoria H. Burslem and Cindy L. Farley

35 Spontaneous Preterm Birth

Esther Ellsworth Bowers

36 Hypertensive Disorders of Pregnancy

Melissa Kitzman

37 Gestational Diabetes Mellitus (GDM)

Kimberly K. Trout

38 Multifetal Gestation

Heather M. Bradford

39 Post-Term Pregnancy

Heather M. Bradford

40 Hyperemesis Gravidarum

Ella Heitzler and Jennifer Wolfe

41 Abdominal Pain

Karen Trister Grace

42 Pregnancy after Infertility

Melicia Escobar & Ebony Marcelle

43 Common Complications during the Postnatal Period

Deborah Brandt Karsnitz & Linda McDaniel

44 Common Lactation and Breastfeeding Problems

Marsha Walker

45 Perinatal Loss and Grief

Robin G. Jordan and Holly White

46 Obesity in the Perinatal Period

Cecilia M. Jevitt

47 Mood and Anxiety Disorders

Latrice Martin

48 Hematologic and Thromboembolic Disorders

Katie Daily

49 Respiratory Disorders

Lisa Hachey and Cynthia Nypaver

50 Urinary Tract Disorders

Nancy Pesta Walsh and Rhonda Arthur

51 Gastrointestinal Disorders

Debora M. Dole

52 Endocrine Disorders

Elizabeth Gabzdyl

53 Neurological Disorders

Lise Hauser

54 Dermatologic Disorders

Nell L. Tharpe

55 Infectious Diseases

Lisa Noguchi

56 Sexually Transmitted Infections and Vaginitis

Gina M. Fullbright

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Prenatal and Postnatal Care A Person-Centered Approach

Summary

Author Biography

Table of Contents

Supplemental Materials