This title is now out of print. A new edition with e-book is available under ISBN 9780702041174. This practical handbook presents evidence-based guidelines for the identification and management of postnatal health needs. It reviews the evidence on the physical and psychological postpartum health problems experienced by women, and the primary management of these, and facilitates individualised care. The ten guidelines were developed by experts in postpartum health as part of a large randomised controlled trial and were peer reviewed by nationally acknowledged experts in each subject area. The guidelines were designed for use by midwives and incorporate criteria for referral, but will also be useful for other health professionals and for women. Leaflets presenting a summary of recommended management are held in a pocket inside the back cover, for ease of regular use.An essential reference for those involved with caring for women after childbirth; scientific evidence on management clearly reviewed, assessed and summarised in 'what to do' sections; each guideline is structured around one symptom area, incorporating definitions, prevalence estimates, risk factors and management, including referral; Lift-out leaflets on 'What to Do' are enclosed for easy use in clinical practice.
Preface; Background to the IMPACT study; Development of the guidelines; How to use the guidelines; Endometritis and abnormal blood loss; Perineal pain and dyspareunia; Caesarean section wound care and pain relief; Breastfeeding issues; Urinary problems; Bowel problems; Depression and other psychological morbidity; Fatigue; Backache; Headache; Appendix 1: search strategy; Appendix 2: Use of the Edinburgh Postnatal Depression Scale; Appendix 3: Symptom checklist; Index: Summary Guideline leaflets.
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