Fundamentals of Maternal Pathophysiology

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.

Contributors xiii 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