Main description:

The Confi dential Enquiry into Maternal Deaths 2006-2008 report, 'Saving Mothers' Lives', highlighted an alarming rise in the number of maternal deaths attributed to sepsis. This launched the issue of infection related illness once again into the forefront of the care of mothers and babies. Alongside concerns about the impact of sepsis, questions have been raised about why this increase has occurred and what is the effect of infective illness in pregnancy generally. At the same time there has been growing concern about antimicrobial resistance which means that the drugs used to fi ght a range of infectious diseases are becoming less effective. The WHO considers antimicrobial resistance an increasingly serious threat to global public health. It is therefore timely to consider the role midwives have in preventing, identifying, referring and managing infection related illness. From the Introduction This full-colour book provides midwives with highly practical, readily accessible information on the wide range of infections affecting pregnancy and childbirth.
It comprehensively outlines the vital role of the midwife in infection, including prevention, identifi cation of high-risk individuals, educational opportunities, signs and symptoms, sample collection, screening and ongoing care - consistently revealing ways in which sympathetic, confi dential and respectful care are essential to restore a sense of emotional well-being alongside physical recovery. It also serves as a concise compendium of policy guidelines from a variety of specialist areas including Public Health England, The British Association for Sexual Health and HIV, The UK National Screening Committee, RCOG, and epic3: National Evidence-based Guidelines for Preventing Healthcare-Associated Infection. Each chapter also includes an invaluable list of online resources where relevant, ideal for keeping abreast of changes to clinical guidance. Infections Affecting Pregnancy and Childbirth is an invaluable reference for all professionals and students of midwifery wanting an empowering, authoritative, hands-on guide for everyday reference.

Contents:

About the authors v List of abbreviations vi INTRODUCTION 1 1 INFECTIOUS ORGANISMS AND THE IMMUNE SYSTEM 5 Infectious organisms 5 Defence against infection: the immune system 13 Support of the immune system in pregnancy 30 2 COMMON INFECTIONS ASSOCIATED WITH CHILDBIRTH 41 Urinary tract infection 41 Chorioamnionitis 46 Post- partum endometritis 50 Mastitis 53 3 WOUND INFECTION 61 4 SEPSIS 81 5 GENITAL AND SEXUALLY TRANSMITTED INFECTIONS 103 Overview 103 Gonorrhoea 111 Chlamydia 114 Herpes simplex virus 119 Syphilis 126 Trichomonas vaginalis 129 Genital warts and human papilloma virus 131 Bacterial vaginosis 134 Vulvovaginal candidiasis (thrush) 136 6 GROUP B STREPTOCOCCUS 147 7 HUMAN IMMUNODEFICIENCY VIRUS 161 8 VIRAL HEPATITIS 181 9 SERIOUS RESPIRATORY INFECTIONS 201 Overview 201 Infl uenza 206 Pneumonia 217 Tuberculosis 221 10 WHOOPING COUGH (PERTUSSIS) 239 11 VIRAL RASH ILLNESSES IN PREGNANCY THAT MAY AFFECT THE FETUS 249 Overview 249 Rubella 255 Parvovirus B19 261 Measles 264 Chickenpox (varicella) 267 Cytomegalovirus 273 12 FOOD- BORNE INFECTIONS IN PREGNANCY 283 Listeria 284 Salmonella 288 Toxoplasmosis 290 13 VECTOR- TRANSMITTED DISEASES 301 Malaria 301 Dengue fever 314 Lyme disease 317 Chagas' disease 322 14 INFECTION CONTROL ISSUES 331 Glossary 349 Index 355