擅长感性生理产程助产：安全、关系型护理替代分娩方式

English | 25 October 2023 | ISBN-10: 3031436423 | 140 pages| PDF (True) | 3 MB

This book about the art, craft and science of expert midwifery care, while focusing on ‘alternative physiological births’ that are those ‘outside’ of guidelines, the contents can be applied to any birthing choices. Drawing upon the findings of a PhD that captured the experiences of midwives who proactively supported alternative physiological births while working in the National Health Service, their practice was conceptualised as ‘skilled heartfelt practice’. Skilled heartfelt practice denotes the interrelationship between midwives’ attitudes and beliefs in support of women’s choices, their values of cultivating meaningful relationships, and their expert practical clinical skills. It is these qualities combined that give rise to what is called ‘full-scope midwifery’ as defined by the Lancet Midwifery Series. This book illuminates why and how these midwives facilitated safe, relational care. Using a combination of emotional intelligence skills and clinical expertise while centring women’s bodily autonomy, they ensured safe care was provided within a holistic framework. Moreover, this book offers insights for midwives to move beyond ‘rule-based’ practice, where the benefits of expert practice are illuminated. Midwives facilitating ‘alternative’ physiological births epitomise evidence-based practice, which centres the woman or birthing person as the expert in their life, and the midwife meets them where they are with expert skills to support them. But what does this look like in clinical practice, particularly for those employed by institutions, those ‘working within the system’ who have constraints that private or self-employed midwives don’t have? How does a midwife cultivate those skills within a culture and climate that devalues both relationships, midwives and women’s autonomy? This book aims to provide a roadmap for those seeking to cultivate these skills. The core focus will be the midwife-mother relationship from the perspectives of the midwives, rather than the midwives wider working relationships or workplace contexts. This is purposeful so to offer a deep dive into the nuanced and varied ways of delivering this type of care. However, the realities of practice are also firmly embedded with the book, tensions will be explored, limitations acknowledged.

这本书关于专家助产护理的艺术、工艺和科学，尽管专注于那些“非常规生理分娩”，即那些“超出”指导原则的分娩方式，其内容可以应用于任何分娩选择。该书基于一位博士研究发现——这所捕捉了在国家健康服务体系中积极支持非常规生理分娩的助产士经历的研究成果，将他们的做法视为“有技能而心怀热忱”的实践。“有技能而心怀热忱”的实践表示助产士对妇女选择的支持态度和信念、价值观以及她们作为专家的临床实践技能之间的相互关系。这些特质相结合，孕育了所谓的“全范围助产护理”，这一定义来自《柳叶刀》助产系列丛书。该书揭示了这些助产士如何促进安全且有联系的护理。通过结合情绪智力技巧和临床专业知识，并以确保在全面框架内提供安全护理为中心，她们确保妇女的身体自主权。此外，这本书还为助产士提供了超越“规则导向”实践的方法，其中专家实践的好处得以阐明。 那些促进“非常规”生理分娩的助产士是基于证据为基础的实践的典范，这种实践将女性或怀孕者视为其生命中的专家，并且助产士以专业知识支持她们。但这种做法在临床实践中会是什么样子？特别是在那些受雇于机构、那些在系统内工作的人员，他们由于私家或自行开业助产士所不具备的限制而带来的挑战下？一个助产士如何在这种文化和社会环境下培养这些技能？在这个过程中如何处理关于关系、助产士和妇女自主权的价值观？ 这本书旨在为寻求培养这些技能的人提供路线图。核心关注点将是来自助产士的角度来看待助产士-母亲的关系，而不是助产士的广泛工作关系或工作场所环境。这种做法的目的在于深入探讨这一类护理的不同方式。然而，实践的真实情况也深深地嵌入书中，并且将探索矛盾和承认局限性。

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