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  • Contents

  • Contributor List for the Fourth Edition

  • Preface to the Fourth Edition

  • Acknowledgments

  • Preface to the Third Edition

  • Preface to the Second Edition

  • Preface to the First Edition

  • Part I: Midwifery

    • Chapter 1 The Profession and History of Midwifery in the United States

      • Definitions and Practice

      • Beliefs Characterizing Midwifery

      • Early History

      • Factors Leading to Disrepute

      • The Early Twentieth Century

      • The First Nurse-Midwifery Education Programs

      • The 1940s and 1950s

      • The 1960s

      • The 1970s

      • The 1980s

      • The 1990s and Early 2000s

      • The American College of Nurse-Midwives

      • References

      • Bibliography

    • Chapter 2 Basics of Management of Care

      • Primary Care and Scope of Practice

      • Independent and Collaborative Management of Care

      • The Management Process

      • Screening for Abnormality and Differential Diagnosis

      • Physical Assessment for a Database

      • References

      • Additional References

  • Part II: Primary Care of Women

    • Chapter 3 Cultural Competence in Midwifery Practice

      • The Demographic Shift

      • Women of Color Population Overview

      • Culturally Competent Care

      • Application of the Cultural Competence Continuum

      • Conclusion

      • References

      • Additional References

    • Chapter 4 International Midwifery and Safe Motherhood

      • Introduction

      • The Situation Worldwide

      • The Newborn

      • Global Partners Promoting the Health of Women and Childbearing Families

      • Frequently Asked Questions About International Midwifery

      • Future Trends and Challenges in International Midwifery

      • References

      • Bibliography

      • Appendix A: Sources for International Health Low Cost Books

      • Appendix B: Helpful Websites and Videos

    • Chapter 5 Preconception Care

      • Health and Risk Assessment

      • Counseling Specific to Preconception Care

      • Medical Risk Factors

      • Environmental and Workplace Issues

      • Preconception Issues for Men

      • Other Considerations

      • Intervention

      • References

    • Chapter 6 Nutrition in Women's Health

      • Principles of Nutrition

      • Weight and Body Fat Measurements and Overweight and Obesity

      • Cardiovascular Disease

      • Cancer

      • Diabetes

      • Nutrition, the Menstrual Cycle, and Fertility

      • Adolescence

      • Nutrition During Menopause and Beyond

      • Eating Disorders

      • Nutrition and Vegetarianism

      • Nutrition and the Female Athlete

      • Alcohol and Nutrition

      • Nutritional Guidelines

      • Conclusion

      • References

      • Additional References

    • Chapter 7 Primary Care and Midwifery

      • Primary Care

      • Hematologic Conditions

      • The Cardiovascular System

      • Respiratory Diseases

      • Gastrointestinal Disorders and Abdominal Pain

      • Assessing Abdominal Pain

      • Genitourinary Problems

      • Diabetes

      • Thyroid Disease

      • Carpal Tunnel Syndrome

      • Headache

      • Depression

      • Conclusion

      • References

      • Additional References

    • Chapter 8 Chronic Infectious Diseases

      • HIV/AIDS

      • Tuberculosis

      • Hepatitis

      • References

    • Chapter 9 Women and Exercise

      • The Value of Exercise to Women's Health

      • A New Exercise Model for Adolescent Girls

      • Appropriate Exercise during Pregnancy

      • Exercise for Postpartum Recovery

      • Essential Exercise for Menopause

      • Exercise in the Senior Years

      • Summary

      • References

      • Additional References

    • Chapter 10 Pharmacology and Midwifery

      • Introduction

      • The Lexicon of Pharmacology

      • Drugs in Modern Society

      • Practicalities and Issues Involving Drugs

      • Adverse Drug Reactions/Adverse Drug Events

      • Drug Resistance

      • Drug-to-Drug Reactions

      • Drug Costs

      • Drugs and Herbs

      • Pregnancy and Drug Use

      • Metabolism

      • Elimination/Clearance

      • Teratology and Drugs During Pregnancy

      • Commonly Used Pharmaceuticals

      • Drugs for the Treatment of Various Medical Conditions

      • Pharmaceuticals and Breastfeeding

      • Selected Drugs and the Breastfeeding Woman

      • Conclusion

      • References

      • Additional References

      • Appendix A: Top 200 Drugs by Rank, by Generic Name, and by Brand Name

      • Appendix B: Teratology Information Systems by Location

      • Appendix C: The Transfer of Drugs and Other Chemicals into Human Milk

    • Chapter 11 Health Issues of Lesbian and Bisexual Women

      • Background

      • Data Collection

      • Management of Health Care Issues

      • Childbearing and Parenting

      • Special Health Concerns

      • Summary

      • References

      • Appendix: Resources

    • Chapter 12 Substance Abuse

      • Introduction

      • Women and Substance Abuse

      • Attraction of Substance Abuse

      • Assessment of Drug Use

      • General Treatment Issues

      • General Management of Substance Abuse During Pregnancy

      • Substance Abuse and Lactation

      • Neonatal Implications

      • Common Substances of Abuse

      • Appendix A: Health Education Fact Sheet from the American Lung Association on Nicotine Replacement Therapy (NRT)

      • References

      • Additional References

    • Chapter 13 Health Care of Midlife and Aging Women

      • Definitions

      • Age at Menopause

      • Adult Development, Society, and Menopause

      • Medicalization of Menopause

      • Endocrinology

      • Changes of Perimenopause and Aging

      • Breast Cancer

      • Cardiovascular Disease

      • Osteoporosis

      • The Perimenopausal Visit

      • Postmenopausal and Older Woman Visit

      • Menopausal Therapeutic Interventions, Preventive Measures, and Health Promotion

      • The Menopause as Opportunity

      • References

  • Part III: Reproductive Health Care

    • Chapter 14 Common Diagnoses in Women's Gynecological Health

      • Issues Concerning the Menstrual Cycle

      • Abdominal and Pelvic Pain

      • Pelvic Masses

      • Congenital Uterine Anomalies

      • Pelvic Floor

      • Urinary Incontinence

      • Effects of DES Use

      • Special Considerations in Gynecologic Care

      • Cancer Screening/Diagnoses

      • Conclusion

      • References

    • Chapter 15 Infections of the Genital Tract

      • Vulvovaginal/Cervical Infections and Sexually Transmitted Diseases

      • Pelvic Inflammatory Disease

      • Anaphylactic Shock

      • References

    • Chapter 16 Family Planning and Contraception

      • History and Concepts of Family Planning

      • Selection of a Contraceptive Method

      • Effectiveness of a Contraceptive Method

      • Folklore Methods

      • Sterilization

      • Future Methods of Contraception

      • References

      • Bibliography

    • Chapter 17 Natural Methods of Family Planning

      • The Calendar Method (Rhythm Method)

      • The Ovulation Method (Cervical Mucus Method; Billings Method; Creighton Model)

      • The Basal Body Temperature Method

      • The Sympto-Thermal Method

      • Lactation Amenorrhea Method

      • Client/Couple Instruction

      • Technology and Natural Family Planning

      • References

      • Bibliography

      • Resources

    • Chapter 18 Nonhormonal Contraceptive Methods

      • Spermicidal Preparations

      • Condoms

      • Diaphragms

      • Cervical Caps

      • Other Vaginal Contraceptive Barrier Methods

      • References

      • Additional References

    • Chapter 19 Intrauterine Contraceptive Devices

      • Description, Effectiveness, User Response, and Noncontraceptive Benefits

      • Contraindications and Side Effects

      • Management Plan for the IUD

      • References

    • Chapter 20 Hormonal Contraception

      • Combination Pills

      • Progestin-Only Contraceptive Pills (Minipills)

      • Emergency Postcoital Contraception

      • Injectable Hormonal Contraception

      • Subdermal Implants

      • Contraceptive Vaginal Ring (NuvaRing)

      • Transdermal Contraceptive Patch (OrthroEvra)

      • References

      • Additional References

  • Part IV: Antepartal Care

    • Chapter 21 Normal Pregnancy Database: Adaptations of the Mother, Development and Growth of the Embryo and the Fetus, and the Placenta

      • Maternal Anatomical and Physiological Changes

      • Maternal Physiological Changes

      • Maternal Psychological Adjustment and Processes

      • Fetal Growth and Development

      • Placental Development, Circulation, and Functions

      • References

      • Additional References

    • Chapter 22 Management Plan for Normal Pregnancy

      • Philosophy and Scope

      • Diagnosis and Early Management of Care During Pregnancy

      • Assessment and Evaluation of the Well-Being of the Woman

      • Case Study

      • Common Discomforts of Pregnancy and Their Relief Measures

      • Nutritional Intervention in Pregnancy

      • Instruction and Anticipatory Guidance

      • References

      • Bibliography

      • Appendix A: Immunization During Pregnancy

    • Chapter 23 Fetal Assessment

      • First Trimester Assessment of Pregnancy Well-Being

      • Second Trimester Screening

      • Invasive Fetal Assessment Throughout Gestation

      • Third Trimester Fetal Assessment

      • References

      • Additional References

    • Chapter 24 Screening for and Collaborative Management of Antepartal Complications

      • First Trimester Bleeding

      • Ectopic Pregnancy

      • Hydatidiform Mole

      • Hyperemesis Gravidarum

      • Incompetent Internal Cervical Os

      • Infections

      • Tuberculosis

      • Hepatitis

      • Rubella

      • Cytomegalovirus

      • Toxoplasmosis

      • Varicella

      • Parvovirus B19 (Fifth Disease, Erythema Infectiosum)

      • Urinary Tract Infections

      • Anemias and Hemoglobinopathies

      • Heart Disease

      • Thyroid Disorders

      • Asthma

      • Multiple Pregnancy

      • Polyhydramnios (Hydramnios)

      • Oligohydramnios

      • Diabetes Mellitus

      • Rh(D) Isoimmunization

      • Placenta Previa

      • Abruptio Placentae

      • Management of Hemorrhage Due to Placenta Previa or Abruptio Placentae

      • Hypertensive Disorders of Pregnancy

      • References

    • Chapter 25 Complications of Gestational Age Assessment and the Postdate Pregnancy

      • Fetal Age Determination

      • The Size/Date Discrepancy: Identifying the Problem

      • Postdate Pregnancy: The Clinical Problem

      • Anatomy and Physiology of the Cervix

      • Management Approach for the Postdate Pregnancy: Anticipatory Versus Active

      • Summary

      • References

  • Part V: Intrapartal Care

    • Chapter 26 The Normal First Stage of Labor

      • Signs and Symptoms of Impending Labor

      • Database for the First Stage of Labor

      • Management of Care During the First Stage of Labor

      • References

    • Chapter 27 Fetal Assessment During Labor

      • Introduction and History

      • Physiology and Scope of Problem

      • Midwifery Management of Nonreassuring Fetal Heart Rate Patterns

      • Methods to Evaluate Fetal Acid-Base Balance Directly

      • Fetal Oxygen Saturation Monitoring

      • Admission to L&D and Establishing Initial Well-Being

      • Summary

      • References

    • Chapter 28 The Normal Second Stage of Labor

      • Database for the Second Stage of Labor

      • Management Plan for the Second Stage of Labor

      • References

      • Bibliography (Chapters 26 and 28)

    • Chapter 29 Screening for and Collaborative Management of Selected Complications During the First and Second Stages of Labor

      • Previous Cesarean Section

      • Preterm Labor/Birth

      • Premature Rupture of the Membranes

      • Amnionitis and Chorioamnionitis

      • Group B Streptococcus

      • Umbilical Cord Prolapse

      • Cephalopelvic Disproportion

      • Deep Transverse Arrest

      • Uterine Dysfunction

      • Maternal Exhaustion (Maternal Distress; Ketoacidosis)

      • Uterine Rupture

      • Blood Transfusion Reaction

      • References

      • Additional References

    • Chapter 30 Management of Selected Obstetric Complications and Deviations from Normal

      • Management of Shoulder Dystocia

      • Delivery of an Infant with a Face Presentation

      • Delivery of an Infant with a Breech Presentation

      • Delivery of a Woman with Multiple Gestation

      • References

      • Bibliography

    • Chapter 31 The Normal Third Stage of Labor

      • Database for the Third Stage of Labor

      • Management Plan for the Third Stage of Labor

      • References

    • Chapter 32 Third Stage Complications and Management

      • Retained Placenta

      • Third Stage Hemorrhage

      • Placenta Accreta

      • Uterine Inversion

      • References

    • Chapter 33 The Normal Fourth Stage of Labor

      • Database for the Fourth Stage of Labor

      • Management Plan for the Fourth Stage of Labor

      • Initiation of Family Relationships with the Newborn

      • References

    • Chapter 34 Management of Immediate Postpartum Hemorrhage

      • Causes of Immediate Postpartum Hemorrhage

      • Predisposing Factors

      • Preparatory Measures

      • Action, Effect, Dosage, and Route of Oxytocic Drugs

      • Management Steps

      • References

    • Chapter 35 Birth in the Home and in the Birth Center

      • Introduction

      • History

      • Characteristics of Birth Center and Home Birth

      • Birth Center and Home Birth Practice Models

      • Midwife/Client Relationship

      • Initial Visit

      • Return Visits

      • The Family's Preparation for Birth and Postpartum

      • The Experience of Birth at Home or in the Birth Center

      • The Early Postpartum Period and Follow-up

      • Maintaining Safety

      • How to Accomplish an Effective Hospital Transfer

      • Business Issues

      • Special Home and Birth Center Resources

      • References

  • Part VI: Newborn Care

    • Chapter 36 Physiological Transition to Extrauterine Life

      • Immediate Extrauterine Transition

      • Ongoing Extrauterine Transition

      • References

    • Chapter 37 Immediate Care and Assessment of the Healthy Newborn

      • Assessment Prior to Birth

      • Assessment at the Moment of Birth

      • Care During the First Hours After Birth

      • Plan of Care for the First Few Days of Life

      • Planning Discharge

      • References

    • Chapter 38 Resuscitation at Birth

      • Infrastructure for Safe Resuscitation of the Newborn

      • Pathophysiology of Asphyxia

      • Care of the Newborn Following Resuscitation

      • The Process of Resuscitation

      • Special Situations in Neonatal Resuscitation

      • Quality Assurance and Risk Management

      • References

    • Chapter 39 Examination of the Newborn

      • Structuring the Newborn Examination

      • Gestational Age Assessment

      • Physical Examination of the Newborn

      • References

    • Chapter 40 Primary Care of the Newborn: The First Six Weeks

      • The Midwife's Role in Neonatal Well-Child Care

      • Newborn Behavior

      • Developmental Milestones in the First Six Weeks

      • Psychological Tasks of Early Infancy

      • Physical Care of the Newborn

      • The Circumcision Decision

      • Nonnutritive Sucking

      • Feeding

      • Common Variations in the First Six Weeks

      • Eating Patterns and Weight Gain

      • Physiological Jaundice

      • References

    • Chapter 41 Recognition and Immediate Care of Sick Newborns

      • The Midwife's Roles and Responsibilities

      • The Sick Newborn

      • Signs of Possible Infection

      • Signs of Birth Injuries

      • Signs of Neurological Disease

      • Signs of Surgical Emergencies

      • Signs of Drug Exposure in the Newborn

      • Infants of Diabetic Mothers

      • Signs of Intrauterine Growth Restriction

      • References

  • Part VII: Postpartal Care

    • Chapter 42 The Normal Puerperium

      • Database for the Puerperium

      • Management Plan for the Puerperium

      • References

      • Additional References

    • Chapter 43 Infant Feeding

      • Breastfeeding-Optimal Infant Nourishment

      • The Baby-Friendly Hospital Initiative

      • The International Code of Marketing of Breast-milk Substitutes

      • Anatomy and Physiology of Lactation

      • Antepartum Preparation for Breastfeeding

      • The Effect of Birth Practices on Breastfeeding

      • Successful Breastfeeding

      • Problem Prevention and Management

      • Breast Discomfort

      • Milk Supply

      • When Breast Is Not Best

      • Conclusion

      • References

      • Professional Resources and Equipment and Supply Resources

    • Chapter 44 Screening for and Midwifery Management of Puerperal Abnormality

      • Puerperal Morbidity

      • Puerperal Infection

      • Other Puerperal Complications

      • Postpartum Depression

      • Attachment Failure and the Potential for Child Abuse or Neglect

      • References

      • Additional References

  • Part VIII: Skills

    • Chapter 45 Universal Precautions

      • References

    • Chapter 46 Finger Puncture

      • Bibliography

    • Chapter 47 Venipuncture

      • Bibliography

    • Chapter 48 Inserting an Intravenous Catheter

      • Bibliography

    • Chapter 49 Giving Intravenous Medications

    • Chapter 50 Spin-Down Hematocrit

    • Chapter 51 Removal of Norplant

      • References

    • Chapter 52 Breast Examination

      • Relevant History

      • Physical Examination

      • Variations in Breast Examination and Findings for the Pregnant Woman

      • Variations in Breast Examination for the Postpartal Woman

      • Teaching Breast Self-Examination

      • References

      • Additional References

    • Chapter 53 Obstetric Abdominal Examination

      • Antepartal/Intrapartal Abdominal Examination

      • Postpartal Abdominal Examination

      • References

      • Additional References

    • Chapter 54 Checking for Costovertebral Angle Tenderness

      • Anatomy

      • Significance and Charting

      • Procedure and Rationale for Examination

    • Chapter 55 Checking for Deep Tendon Reflexes and Clonus

      • Deep Tendon Reflexes

      • Clonus

      • Bibliography

    • Chapter 56 Pelvic Examination

      • Procedures, Observations or Findings, and Significance

      • Bibliography

    • Chapter 57 Obtaining a Specimen for Papanicolaou (Pap) Diagnostic Evaluation

      • Reference

    • Chapter 58 Obtaining a Specimen for Gonococcal (GC) and Chlamydia Diagnostic Testing

    • Chapter 59 Making a Wet Smear Slide of Vaginal Secretions

    • Chapter 60 Using a Microscope

    • Chapter 61 Anatomy of the Pelvis, Pelvic Types, Evaluation of the Bony Pelvis, and Clinical Pelvimetry

      • Anatomy

      • Types of Pelves

      • Procedure, Rationale, and Description of Findings

      • Evaluation of Findings

      • Bibliography

    • Chapter 62 Breast Massage, Manual Expression, and Nipple Rolling

      • Procedure for Breast Massage

      • Procedure for Manual Expression

      • Procedure for Nipple Rolling

      • Reference

      • Additional Reference

    • Chapter 63 Injection of Intradermal Sterile Water Papules for Relief of Low Back Pain in Labor

      • References

    • Chapter 64 Inserting an Intrauterine Pressure Catheter; Amnioinfusion

      • References

    • Chapter 65 Attaching a Fetal Scalp Electrode

      • References

    • Chapter 66 Perineal Prep (Cleaning)

    • Chapter 67 Second Stage Pushing

      • Breath Control

      • Body Position

      • Arm Position and Action

      • Pubic Pressure

      • Vaginal Stimulation

    • Chapter 68 Pudendal Block

    • Chapter 69 Local Infiltration

      • Local Infiltration Before Birth

      • Local Infiltration for Repair After Birth

    • Chapter 70 Hand Maneuvers for Birth with the Mother in Lithotomy or Modified Lithotomy Position

      • Reference

    • Chapter 71 Hand Maneuvers for Birth with the Mother in Dorsal Position

    • Chapter 72 Hand Maneuvers for Birth with the Mother in the Hands and Knees Position

    • Chapter 73 Hand Maneuvers for Birth with the Mother in the Squatting or Supported Squat Position

    • Chapter 74 Inspection of the Placenta, Membranes, and Cord

      • Database

      • Procedure

      • Bibliography

    • Chapter 75 Postbirth Inspection of the Cervix and Upper Vaginal Vault

      • Procedure for Cervical Inspection

      • Procedure for Inspection of the Upper Vaginal Vault

    • Chapter 76 Manual Removal of the Placenta

    • Chapter 77 Fourth Stage Intrauterine Exploration

    • Chapter 78 Bimanual Compression

    • Chapter 79 Cutting an Episiotomy and Repairing Episiotomies and Lacerations

      • Relevant Anatomy

      • Cutting an Episiotomy

      • Aids to Wound Healing

      • Manipulation of Equipment

      • Knots and Suture Stitches

      • Principles of and Thoughts About Episiotomy and Laceration Repair

      • Repair of a Midline Episiotomy

      • Repair of First and Second Degree Lacerations and Sulcus Tears

      • Repair of Third Degree Lacerations

      • Repair of Fourth Degree Lacerations

      • Repair of Periurethral and Clitoral Lacerations

      • Repair of Cervical Lacerations

      • Defibulation and Repair

      • References

    • Chapter 80 Physical Examination of the Newborn

    • Chapter 81 Circumcision

      • Relevant Male Genital Anatomy

      • Circumcision Instruments

      • Pain Relief

      • Postcircumcision Care and Parental Instruction

      • References

      • Additional References

    • Chapter 82 Endometrial Biopsy

      • Indications for Endometrial Biopsy

      • Contraindications and Precautions

      • Potential Side Effects/Complications and Preventive Measures

      • Procedure and Rationale

      • Results and Management

      • References

      • Additional References

  • Index

    • A

    • B

    • C

    • D

    • E

    • F

    • G

    • H

    • I

    • J

    • K

    • L

    • M

    • N

    • O

    • P

    • Q

    • R

    • S

    • T

    • U

    • V

    • W

    • X

    • Y

    • Z

Nội dung

[...]... 1269 Fourth Stage Intrauterine Exploration 1271 Bimanual Compression 1273 Cutting an Episiotomy and Repairing Episiotomies and Lacerations 1275 Physical Examination of the Newborn 1295 Circumcision 1313 Vivian H Lowenstein Endometrial Biopsy 1327 Wendy Grube William F McCool Contents Contributor List for the Fourth Edition Preface to the Fourth Edition xxix Acknowledgments xxx Preface to the Third Edition. .. Preface to the Third Edition xxxii Preface to the Second Edition xxxv Preface to the First Edition xxxviii Part I xxvii Midwifery Chapter 1 The Profession and History of Midwifery in the United States Definitions and Practice 3 Beliefs Characterizing Midwifery 4 Early History 5 Factors Leading to Disrepute 5 The Early Twentieth Century 7 The First Nurse -Midwifery Education Programs 10 The 1940s and 1950s... preface and acknowledgments to each of the previous editions are included for historical purposes As with earlier editions, the comments and suggestions of readers are encouraged Finally, the fourth edition is the last edition of this book that I will author The continuity and future of this book has been ensured by the two coauthors with whom I worked on this edition and who henceforth will be the authors... this has been a book from the profession to the profession Helen Varney Burst New Haven, Connecticut Preface to the Second Edition T he First Edition of this book reflected the basic practice of nurse -midwifery in the United States The Second Edition addresses the full scope of nurse -midwifery practice in the United States, thereby adding the two ends of a continuum that extends from home birth to collaborative... elaboration on the Hallmarks of Midwifery that enables the midwife to function with knowledge, safety, and caring in all settings The book thus reflects a balance of art and science, a blend of spirituality and evidence-based care, and a commitment to being “with woman” The book once again expanded with the fourth edition to provide more comprehensive coverage of the scope of practice of midwifery as the primary... Nurse -Midwifery Specialty Yale University School of Nursing Joyce Beebe Thompson, CNM, DrPH, FAAN, FACNM Lacey Professor of Community Health Nursing Western Michigan University Bronson School of Nursing Director, Board of Management International Confederation of Midwives Mary Ann Faucher, CNM, PhD Faculty, Parkland School of Nurse -Midwifery Dallas, Texas xxvii xxviii Contributor List for the Fourth Edition. .. have learned, been stimulated, and renewed our commitment to midwifery and to the constant search for knowledge HVB JK CG Preface to the Third Edition throughout the book The second edition was in press just before the HIV/AIDS epidemic was generally recognized The topics of HIV/AIDS and universal precautions are integrated throughout the third edition, in addition to being covered in depth in new chapters... third edition of this book marks a time of change and expansion in the profession This change and expansion is reflected in the title and in the size of the book The change in the title from Nurse -Midwifery to Midwifery reflects the recent actions of the American College of NurseMidwives and the ACNM Certification Council, which assumed responsibility for setting the standard for the practice of midwifery. .. postcoital contraception The second edition added a chapter on out-ofhospital birth settings; the third edition takes the additional step of integrating all practice settings Acknowledgments The third edition is the product of many helping hands I am going to run the risk of naming them because I believe that contributions should be acknowledged publicly and because the third edition is truly the effort of... Throughout the subsequent year and a half it has taken to write the third edition, Margaret-Ann has provided continuous support, encouragement, wise counsel, and a sane balance in my life as well as help with obtaining permissions and proofreading I am deeply grateful for all The Guardian Angels of Varney’s Midwifery, Third Edition was what I named a group of Air Force nurse-midwives at Andrews Air . Cadwell/Turner-Maffei Varney’s Midwifery Study Question Book, Fahey Varney’s Pocket Midwife, Varney/Kriebs/Gegor Varney’s midwifery fourth edition  helen varney,. List for the Fourth Edition xxvii Preface to the Fourth Edition xxix Acknowledgments xxx Preface to the Third Edition xxxii Preface to the Second Edition xxxv Preface

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