Fundamentals of Maternal Pathophysiology Fundamentals Series

An introduction to pathophysiology specifically tailored to the needs of midwives

Professional standards of proficiency require that midwives develop a robust understanding of pathophysiology, the study of disordered physical processes including disease and injury. This dedicated text equips both aspiring and registered midwives with the foundational understanding of pathophysiology required to deliver the best patient care.

An understanding of pathophysiology is paramount for the delivery of safe and effective care during the various stages of pregnancy, childbirth and postpartum recovery. This understanding provides midwives with the insight to recognise and respond promptly to complications, fostering optimal outcomes for the mother and the newborn. Early recognition is pivotal, allowing for timely interventions that can significantly influence maternal and fetal well-being.

A holistic approach to care is the cornerstone of midwifery and an understanding of pathophysiology allows midwives to consider the physical, emotional and social aspects of a woman?s health. This holistic perspective contributes to a more comprehensive and person-centred model of care.

This user-friendly introduction is not only a foundational text but also a practical resource for practicing midwives. Informed by the latest research and reflective of current best practices, this book stands as an indispensable tool for this indispensable profession.

Tailored for both undergraduate and graduate midwifery students, as well as registered midwives returning to practice, this resource is an invaluable asset in advancing pathophysiological knowledge within midwifery practice.

Preface xix

Acknowledgements xxi

About the Companion Website xxii

Chapter 1 Learning the Language: Terminology 1
Joyce Targett

Chapter 2 Cell and Body Tissue Physiology 23
Annabel Jay and Cathy Hamilton

Chapter 3 Embryo Development and Fetal Growth 43
Vikki Smith and Jacinta H. Martin

Chapter 4 Genetics and Genetic Conditions 60
Sarah Malone and James Castleman

Chapter 5 The Reproductive System and Associated Disorders 79
Claire Ford

Chapter 6 Homeostasis 105
Deborah Gurney and Janet G. Migliozz

Chapter 7 The Placenta 122
Raya Vinogradov and Vikki Smith

Chapter 8 Inflammation and the Immune Response 141
Claire Ford and Claire Leader

Chapter 9 Cardiovascular System and Associated Disorders 159
Komal Bhatt and Leo Gurney

Chapter 10 Shock 174
Claire Leader

Chapter 11 The Nervous System and Associated Disorders 192
Abbie Tomson and Kristian Tomson

Chapter 12 The Vascular System and Associated Disorders 213
Annabel Jay and Cathy Hamilton

Chapter 13 The Blood and Associated Disorders 230
Thomas McEwan and Suzanne Crozier

Chapter 14 The Renal System and Associated Disorders 247
Amanda Waterman

Chapter 15 The Respiratory System and Associated Disorders 265
Alison Anderson

Chapter 16 The Gastrointestinal System and Associated Disorders and Nutrition 288
Clare Gordon and Claire Leader

Chapter 17 The Endocrine System and Associated Disorders 310
Rosalind Haddrill

Chapter 18 Pain 329
Claire Ford and Matthew Robertson

Chapter 19 The Musculoskeletal System and Associated Disorders 352
Suzanne Britt

Chapter 20 Fluid and Electrolyte Balance and Associated Disorders 380
Kate Nash

Chapter 21 Mental Health and Well-being 396
Maria Noonan

Index 410

Claire Leader is Assistant Professor and Director of Inter-professional Education in the Department of Nursing, Midwifery and Health, Northumbria University, Newcastle, UK. Claire is also an editorial board member of British Journal of Midwifery, and 25 years' experience in Midwifery and Nursing in clinical practice, research and education.

Ian Peate is Visiting Professor of Nursing at St George's University of London and Kingston University London; Visiting Professor, Northumbria University; Senior Clinical Fellow, University of Hertfordshire; Professorial Fellow, University of Roehampton; Editor-in-Chief of the British Journal of Nursing, Consultant Editor of the Journal of Paramedic Practice, and Consultant Editor of the International Journal of Advancing Practice.