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Ebook Varney's Midwifery
What is the purpose of a clinical textbook today? Current research findings, national guidelines, and evidence-based
recommendations can be found online and information needed to practice midwifery changes daily, so why read a book?
Midwives, like all healthcare providers, need some core knowledge about anatomy, physiology, the natural course of
physiologic events, and signs or symptoms that indicate deviations from normal. Much of this core material is timeless, and it is
valuable to have this information gathered together in one text, available for all of us. Providing an overview of this core
knowledge in one place is the first purpose of any textbook.
Occasionally, new research and scientific techniques shed light on old knowledge, and then new understandings and clinical
applications ensue. For this reason, it is also important to periodically review the basic knowledge and revisit the evidence that
supports practice on a regular basis. Updates of the content in this text found in each new edition serve this second purpose as
well. Every 5 years or so, the authors who contribute to this text methodically review midwifery practice in light of current
scientific findings, and revise this compendium for the profession.
Over time and through subsequent editions, this text documents the growth of the knowledge base that underlies midwifery
practice. Thus, the evolution of this text has a third purpose—it provides documentation of how midwifery practice changes
over time.
The first edition of this text was written more than 30 years ago. Prior to publication of this text, midwifery students
obtained core knowledge from obstetric textbooks, British midwifery books, journal articles, and nursing publications. Midwifery
students and midwives in practice still use these sources, yet perhaps the greatest evolution in the last decade has been the rapid
expansion of scientific research and explosion of sources of information. Clinicians today are faced with a bewildering number
of studies, guidelines, and ever-changing recommendations from different professional organizations. Thus, the fourth purpose of
this book is to review the evidence that supports current guidelines and standard therapeutic interventions.
The voices of authors from practices across the nation allow for a robust recognition of practice variations. The advent of
evidence-based care enables midwives to provide care so that shared decision making can be a reality. As society has changed,
and midwifery has evolved, so has this text evolved. This edition includes a new chapter that presents an overview of the
factors that affect an individual’s health beyond the biomedical model. Health is profoundly influenced by social and cultural
factors, just as it is influenced by genetics and exposure to infectious organisms. The biomedical model is no longer sufficient as
a lens for framing determinants of health. The new chapter introduced in this edition, Midwifery: Clients, Context, and Care,
is dedicated to the recipients of midwifery care and the midwife pioneers who began modeling holistic care long before the
value of such care was recognized by the medical community.
These are the reasons why this text is written and rewritten, in an ongoing cycle. Nevertheless, it is equally important that all
readers understand that this text is simply a beginning—a starting point for their exploration of the many facets of midwifery.
Today, several complementary midwifery texts are available, and those texts can also be used by individuals in their quest to
practice safe, quality midwifery care. Midwives must be lifelong learners, and the Internet is an invaluable resource for ensuring
that midwives stay up-to-date with the knowledge needed to be a member of this profession. All readers of this text are
encouraged to maintain competency in practice by learning how to stay abreast of current evidence via use of online resources.
To that end, clinical chapters list suggested websites to facilitate expansion of knowledge and maintain currency.
Varney’s Midwifery is one of the primary texts used in midwifery education in the United States. Forecasting the next 3
decades is an impossible task, but this edition and future editions of this text are intended to help midwives on the journey of
knowledge acquisition and evolution of midwifery practice
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