
Principles and Practices of Obstetrics and Gynaecology Nursing I and II
- 1st Edition - July 26, 2023
- Authors: Sudha A. Raddi, Lekha Viswanath
- Language: English
- Paperback ISBN:9 7 8 - 8 1 - 3 1 2 - 6 3 9 5 - 2
- eBook ISBN:9 7 8 - 8 1 - 3 1 2 - 6 4 5 9 - 1
This is a comprehensive textbook of Midwifery/Obstetrics and Gynaecology Nursing I and II that offers complete information about normal and abnormal midwifery and gynaecology,… Read more

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Request a sales quoteThis is a comprehensive textbook of Midwifery/Obstetrics and Gynaecology Nursing I and II that offers complete information about normal and abnormal midwifery and gynaecology, along with high-risk labour, pregnancy and newborn care. The textbook provides evidence-based information to undergraduate nursing students; it helps them to prepare how to provide preventive and promotive care to mothers and newborns during pregnancy, labour and postpartum period and to assist mothers and newborns with various complications and gynaecological disorders. It follows the revised competency-based curriculum prescribed by the Indian Nursing Council (INC) and includes both theory and practical content related to the subject, which lays a strong foundation for higher education.
SALIENT FEATURES • Content is aligned with the revised INC curriculum for BSc Nursing (semesters VI and VII). • Learning objectives are given in all chapters to facilitate focused learning. • Multiple processes that must be carried out when caring for women in pregnancy, labour and puerperium is elaborately described. • Description of drugs used in obstetrics, commonly used instruments and some basic obstetrical nursing procedures are covered in the appendix section. • Self-assessment in the form of long- and short-answer questions and multiple choice questions is provided at the end of each chapter to aid speedy recapitulation. • Images and figures wherever relevant, especially for topics like antenatal and postnatal exercises, have been provided for quick visual understanding/learning. • Nursing care plans are provided to help in the integration of theory and practice. • Complimentary access to lecture PPTs, along with e-book, is provided.
- Cover image
- Title page
- Disclaimer
- Table of Contents
- Copyright
- Foreword
- Preface
- Acknowledgements
- Contributors
- Reviewers
- Syllabus mapper
- List of Illustrations
- List of Tables
- Midwifery/Obstetrics and Gynaecology Nursing I
- Unit 1. Introduction to Midwifery
- 1. History of midwifery in India
- Introduction
- History of midwifery – global perspectives
- Midwifery in India
- Conclusion
- Multiple choice questions
- Long answer questions
- References
- 2. Current scenario and trends in midwifery and gynaecology nursing
- Introduction
- Definitions
- Philosophy of the midwifery model of care
- Difference between obstetric model care and midwifery model care
- Models of maternity care
- Vital health indicators
- Maternal death audit
- National programmes related to reproductive, maternal, newborn, child and adolescent health (RMNCH+A)
- Current trends in midwifery, obstetrics and gynaecology
- Respectful maternity and newborn care
- Sexual and reproductive health rights
- Midwifery-led care units
- Essential competencies for midwifery practice
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 3. Legal and ethical issues in maternal and newborn care
- Introduction
- Legal framework for midwifery practice
- Accreditation of educational institutions
- Registration or licensure
- Scope of practice of midwife
- Code of ethics for midwives
- Ethical principles applied to midwifery
- Ethical dilemma and ethical decision-making
- Legal and ethical issues in maternal and neonatal care
- Rights of women
- Legal provisions in midwifery practice in India
- Roles and responsibilities of a midwife related to ethicolegal issues
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 2. Maternal, Fetal and Newborn Physiology — Anatomy and Physiology of the Human Reproductive System and Conception
- 4. Female reproductive organs and menstrual cycle
- Introduction
- External genital organs
- Internal genital organs
- Menstruation
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 5. Female pelvis and fetal skull
- Introduction
- Female pelvis
- Pelvic floor
- Fetal skull
- Fetopelvic relationship
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 6. Conception and fetal growth
- Introduction
- Fertilization
- Sex determination
- Embryological development
- Placental development and functions
- Amniotic fluid
- Umbilical cord
- Fetal circulation
- Normal circulatory changes at birth
- Fetal nutrition
- Fetal growth and development
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 3. Assessment and Management of Normal Pregnancy (Antenatal)
- 7. Prepregnancy care
- Introduction
- Review of sexual development
- Sociocultural aspects of human sexuality
- Preconception care
- Planned parenthood
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 8. Normal pregnancy
- Introduction
- Common terminologies related to pregnancy
- Physiological changes during pregnancy
- Assessment and diagnosis of pregnancy
- Psychological adaptation of pregnancy
- Maternal nutrition and malnutrition
- Nutritional assessment
- Nutritional interventions
- Follow-up and evaluation
- Building partnership with women and partner – respectful maternity care
- Birth experience – disrespect and abuse
- Rights of childbearing woman
- Translation of respectful maternity care
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 9. Antenatal care – first trimester
- Introduction
- Objectives of antenatal care during the first trimester
- Antenatal assessment during the first trimester
- Minor discomforts of pregnancy during the first trimester
- Danger signs of pregnancy during the first trimester
- Antenatal care during the first trimester
- Respectful communication
- Documentation
- National and international guidelines related to antenatal care
- Nursing management during the first trimester
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 10. Antenatal care – second trimester
- Introduction
- Objectives of antenatal care during the second trimester
- Antenatal assessment during the second trimester
- Minor discomforts of pregnancy during the second trimester
- Danger signs of pregnancy during the second trimester
- Antenatal care during the second trimester
- Exercises during pregnancy
- Nursing management during the second trimester
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 11. Antenatal care – third trimester
- Introduction
- Objectives of antenatal care during the third trimester
- Antenatal assessment during the third trimester
- Minor discomforts of pregnancy during the third trimester
- Danger signs of pregnancy during the third trimester
- Antenatal care during the third trimester
- Nursing management during the third trimester
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 4. Physiology, Management and Care during Labour
- 12. Labour and birth process
- Introduction
- Onset of labour
- Physiology of labour
- Physiological adaptation to labour
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 13. First stage of labour
- Introduction
- Definition of the first stage of labour
- Major events of the first stage of labour
- Signs and symptoms of the first stage of labour
- Assessment and monitoring during the first stage of labour
- Partogram
- Management of the first stage of labour
- Nursing care needs during the first stage of labour
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 14. Second stage of labour
- Introduction
- Definition of the second stage of labour
- Major events of the second stage of labour
- Other features of the second stage of labour
- Assessment and monitoring during the second stage of labour
- Management of the second stage of labour
- Nursing care needs during the second stage of labour
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 15. Third stage of labour
- Introduction
- Definition of the third stage of labour
- Major events of the third stage of labour
- Assessment and monitoring during the third stage of labour
- Management of the third stage of labour
- Nursing care needs during the third stage of labour
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 16. Fourth stage of labour
- Introduction
- Definition of the fourth stage of labour
- Assessment and management during the fourth stage of labour
- Nursing care needs during the fourth stage of labour
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 17. Safety and comfort during labour
- Introduction
- Safety concerns during labour
- Organization and management of labour room
- Promoting comfort during labour
- Pain management during labour and birth
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 5. Postpartum Care
- 18. Physiology and management of puerperium
- Introduction
- Definition of puerperium
- Physiology of puerperium
- Minor discomforts of puerperium
- Psychological adaptation of puerperium and transition to parenthood
- Assessment of a postnatal mother
- Nursing management of puerperium
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 19. Physiology of lactation and lactation management
- Introduction
- Anatomy of breast
- Physiology of lactation
- Breast milk
- Initiation of breastfeeding and skin-to-skin contact
- Breastfeeding technique
- Expression of breast milk
- Baby-friendly hospital initiative
- Common breastfeeding problems
- Role of a nurse in the promotion of breastfeeding
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 6. Assessment and Care of Normal Neonate
- 20. Newborn assessment
- Introduction
- Physiological adaptation
- Essential newborn care
- Care of newborn immediately after birth
- Assessment and screening
- Breastfeeding
- Family-centred care
- Respectful care and communication
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 21. Routine care of newborn
- Introduction
- Definition
- Components of kangaroo mother care
- Advantages/benefits of kangaroo mother care
- Requirements for kangaroo mother care
- Eligibility criteria for kangaroo mother care
- Preparing for kangaroo mother care
- The kangaroo mother care procedure
- Immunization
- Types of vaccines
- Infection prevention
- Minor disorders of newborns
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Midwifery/Obstetrics and Gynaecology Nursing II
- Unit 7. High-Risk Pregnancy – Assessment and Management/Recognition and Management of Problems during Pregnancy
- 22. Assessment and screening of high-risk pregnancy
- Introduction
- Definition
- High-risk factors
- Screening of pregnancies for high-risk cases
- Tracking of high-risk pregnancies and monitoring of PMSMA
- Diagnostic tests for high-risk pregnancies
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 23. Complications of pregnancy
- Introduction
- Hyperemesis gravidarum
- Bleeding in early pregnancy
- Ectopic pregnancy
- Hydatidiform mole
- Bleeding in late pregnancy
- Abruptio placenta
- Traumatic haemorrhage in the third stage
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 24. Medical and surgical conditions complicating pregnancy
- Introduction
- Anaemia
- Hypertensive disorders of pregnancy
- Diabetes mellitus
- Pulmonary disease
- Cardiac diseases
- Thyroid disorder
- Rh incompatibility
- Appendicitis
- Epilepsy
- Renal disorders
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 25. Infections affecting pregnancy
- Introduction
- Sexually transmitted diseases
- Human immunodeficiency virus
- Urinary tract infection
- Bacterial infections
- Viral infections
- Protozoal infections
- Fungal infections
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 26. Management of selected high-risk pregnancies
- Introduction
- Polyhydramnios
- Oligohydramnios
- Multiple pregnancy
- Abnormalities of placenta and cord
- Intrauterine fetal retardation
- Intrauterine fetal death
- Adolescent pregnancy
- Elderly primigravida
- Grand multiparity
- Mental disorders in pregnancy (depression, anxiety, bipolar disorder and schizophrenia)
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 27. Gynaecological disorders complicating pregnancy
- Introduction
- Uterine abnormalities
- Abnormal discharge
- Incompetent cervix
- Endometriosis
- Fibroid uterus
- Polycystic ovarian syndrome
- Human papilloma virus
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 8. Abnormal Labour and Obstetrical Emergencies
- 28. Disorders of labour
- Introduction
- Preterm labour
- Premature rupture of membrane
- Disorders of uterine action (prolonged labour, precipitate labour, dysfunctional labour)
- Generalized tonic contraction or uterine tetany
- Tonic uterine contraction and retraction ring or bandl’s ring
- Constriction ring (syn: Contraction ring)
- Contracted pelvis
- Cephalopelvic disproportion
- Malposition and malpresentations
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 29. Complications of the third stage of labour
- Introduction
- Postpartum haemorrhage
- Retained placenta
- Adherent placenta
- Injuries to the birth canal
- Nursing diagnosis
- Nursing interventions
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 30. Obstetrical emergencies
- Introduction
- Rupture of uterus
- Amniotic fluid embolism
- Cord prolapse
- Obstetrical shock
- Shoulder dystocia
- Uterine inversion
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 31. Obstetrical procedures
- Introduction
- Episiotomy and suturing
- Forceps delivery
- Ventouse delivery
- Version
- Caesarean section
- Vaginal birth after caesarean (VBAC) delivery
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 32. Induction of labour (medical and surgical inductions)
- Introduction
- Indications of induction
- Contraindications
- Methods of induction
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 9. Recognition and Management of Postnatal Problems
- 33. Postnatal assessment
- Introduction
- Definition
- Purpose
- Aftercare
- Advice given
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer question
- References
- 34. Puerperal complication and management
- Introduction
- Puerperal pyrexia
- Genital tract infection
- Mastitis
- Acute pyelonephritis
- Thromboembolic disorder
- Wound infection (lacerations, episiotomy and caesarean site)
- Puerperal sepsis
- Septicaemia and septic shock
- Urinary complications in puerperium
- Suppression of urine
- Secondary postpartum haemorrhage
- Vulval/perineal haematoma
- Subinvolution
- Thrombophlebitis
- Deep vein thrombosis
- Vesicovaginal fistula
- Rectovaginal fistula
- Breast complications
- Feeding problem/lactation failure
- Postpartum blues
- Postpartum psychosis
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 10. Assessment and Management of High-Risk Newborn
- 35. Models of newborn care
- Introduction
- Definition
- Categories of a high-risk newborn
- Factors that define a high-risk newborn
- Managing a high-risk newborn
- Models of newborn care
- Levels of neonatal care
- Protocols and infection control
- Standard precaution
- Infection control
- Prevention of infection
- Assessment of infant’s progress
- Conclusion
- Multiple choice questions
- Long answer question
- Short answer questions
- References
- 36. Screening and management of high-risk newborn
- Introduction
- Prematurity
- Postmaturity
- Low birth weight
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 37. Disorders of newborn
- Introduction
- Birth asphyxia
- Respiratory distress
- Sudden infant death syndrome
- Neonatal sepsis
- Neonatal hypothermia
- Neonatal jaundice
- Neonatal infections
- Birth injuries
- Convulsions and neonatal seizures
- Neonatal tetanus
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 38. High-risk newborn
- Introduction
- Congenital anomalies
- Disorders of increased pulmonary blood flow
- Disorders of decreased pulmonary blood flow
- Cyanotic disorder with decreased pulmonary blood flow
- Cleft lip and cleft palate (Fig. 38.9)
- Hypospadias (Fig. 38.11)
- Spina bifida
- Hydrocephalus (Fig. 38.14)
- Omphalocoele (Fig. 38.15)
- Down syndrome (Fig. 38.16)
- Congenital diaphragmatic hernia (Fig. 38.17)
- Baby of HIV-positive mother
- Baby of Rh-negative mother
- Calculation of fluid requirements
- Integrated management of neonatal and childhood illnesses
- Home-based newborn care programme
- Bereavement counselling
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 11. Pharmacology in Obstetrics
- 39. Oxytocics in obstetrics
- Introduction
- WHO Oxytocics in obstetrics
- Oxytocin
- Ergot derivatives
- Prostaglandins
- Antihypertensive therapy
- Tocolytic agents
- Anticonvulsants
- Anaesthesia and analgesia in obstetrics
- Teratology
- Maternal drug intake and breastfeeding
- Role of a midwife in the administration of drugs
- Standing orders
- Conclusion
- Multiple choice questions
- Long answer question
- Short answer questions
- References
- Unit 12. Assessment and Management of Women with Gynaecological Disorders
- 40. Gynaecological assessment – breast examination
- Introduction
- General and systemic examination
- Gynaecological examination
- Investigations performed for a gynaecological patient
- Breast self-examination
- Conclusion
- Multiple choice questions
- Long answer question
- Short answer question
- References
- 41. Congenital abnormalities of the female reproductive system
- Introduction
- Agenesis of vagina
- Bicornute uterus (uterus with two horns)
- Septate uterus (uterine partition)
- Mullerian duct anomalies
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 42. Gynaecological disorders
- Introduction
- Menstrual abnormalities
- Abnormal uterine bleeding
- Oligomenorrhagia
- Hypomenorrhoea
- Dysfunctional uterine bleeding
- Pelvic inflammatory diseases
- Genital prolapse
- Endometriosis
- Uterine and cervical fibroid/polyp
- Genitourinary fistula
- Ovarian cyst
- Genital tumours/malignancies
- Breast disorders
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 43. Menopause
- Introduction
- Definitions
- Physiology of menopausal transition/climacteric
- Signs and symptoms of menopause
- Menopause and obesity
- Management of menopause-related health problems
- Nursing management of menopausal women
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 44. Infertility
- Introduction
- Definition
- Types of infertility
- Incidence
- Causes of infertility
- Assessment of infertile couple —investigations and evaluations
- Management of infertility
- Prognosis of infertility
- Adoption
- Surrogacy
- Nursing management of infertile couple
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- 45. Gender-based violence against women
- Introduction
- Definitions and types of violence against women
- Factors contributing to violence against women
- Intimate partner violence
- Sexual violence
- Prevention of violence against women
- Legislations related to the prevention of violence against women in India
- Gender-sensitive health care
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Unit 13. Family Planning and Family Welfare Programmes
- 46. National trends and family welfare programmes
- Introduction
- Family planning and the 2030 agenda for sustainable development
- Key family planning indicators
- Family welfare services in India
- Conclusion
- Long answer questions
- Short answer questions
- References
- 47. Family welfare services
- Introduction
- Significance of family planning
- Temporary methods
- Permanent methods
- Counselling for family planning and role of nurse-midwife
- Conclusion
- Multiple choice questions
- Long answer questions
- Short answer questions
- References
- Appendix A. Commonly used instruments in obstetrics and gynaecology
- Appendix B. Drugs used in obstetrics
- Appendix C. Common Nursing Procedures
- Appendix C1. Proforma for antenatal assessment
- Appendix C2. Abdominal assessment during pregnancy
- Appendix C3. Antenatal exercises
- Appendix C4. Vaginal examination during labour
- Appendix C5. Proforma for intranatal assessment
- Appendix C6. Examination of the placenta
- Appendix C7. Episiotomy care
- Appendix C8. Perineal care
- Appendix C9. Newborn resuscitation
- Appendix C10. Postnatal newborn assessment
- Appendix C11. Proforma for postnatal assessment
- Appendix C12. Postnatal exercises for normal and caesarean deliveries
- Appendix C13. Sample OSCE checklist
- Index
- No. of pages: 780
- Language: English
- Edition: 1
- Published: July 26, 2023
- Imprint: Elsevier India
- Paperback ISBN: 9788131263952
- eBook ISBN: 9788131264591
SR
Sudha A. Raddi
Affiliations and expertise
Principal, KAHER Institute of Nursing Sciences, Belagavi, Karnataka, IndiaLV
Lekha Viswanath
Affiliations and expertise
Professor & Head Department of Obstetric & Gynaecologic Nursing, Himalayan College of Nursing, Swami Rama Himalayan University, Jolly Grant, Dehradun, Uttarakhand