Essentials for Midwives

Kathryn “Cassie” Giles Groll, DNP, CNM, is a doctorally prepared, certified nurse midwife, who is part of a full-scope OB/GYN private practice in New Jersey. She earned her master’s degree in nursing and doctoral degree from the University of Medicine and Dentistry of New Jersey. She is licensed in both New Jersey and New York as a certified nurse midwife with prescriptive authority and as an OB/GYN nurse practitioner in the state of New York. She has worked as a midwife since 2006 and clinically as an RN in obstetrics in a variety of capacities, including as a clinical instructor of obstetrics at Columbia University, New York, and in the high-risk women’s health float pool at New York-Presbyterian/Weill Cornell Medical Center, New York. She is a member of the American College of Nurse-Midwives, the Medical History Society of New Jersey, and Sigma Theta Tau International Honor Society of Nursing. She has served as an advocate for sexual assault victims in Somerset, New Jersey.

Kathryn “Cassie” Giles Groll, DNP, CNM, is a doctorally prepared, certified nurse midwife, who is part of a full-scope OB/GYN private practice in New Jersey. She earned her master’s degree in nursing and doctoral degree from the University of Medicine and Dentistry of New Jersey. She is licensed in both New Jersey and New York as a certified nurse midwife with prescriptive authority and as an OB/GYN nurse practitioner in the state of New York. She has worked as a midwife since 2006 and clinically as an RN in obstetrics in a variety of capacities, including as a clinical instructor of obstetrics at Columbia University, New York, and in the high-risk women’s health float pool at New York-Presbyterian/Weill Cornell Medical Center, New York. She is a member of the American College of Nurse-Midwives, the Medical History Society of New Jersey, and Sigma Theta Tau International Honor Society of Nursing. She has served as an advocate for sexual assault victims in Somerset, New Jersey.


Contents
Preface


Acknowledgments


Part I: General Orientation and Labor and Delivery Overview


Amniotic Fluid


Antepartum Tests


Apgar Score


Bishop Score


Breastfeeding


Cervix in Labor


Cesarean Section (C/S)


Dating a Pregnancy (Assessment for Gestational Age)


Drug Classifications


Electronic Fetal Monitoring (EFM)


Emergency Drugs


Fetal Demise (IUFD)


Fetal Kick Counts


Gestational Diabetes Mellitus (GDM)


Group B Streptococcus (GBS)


Labor Progression


Labs


Magnesium Sulfate (MgSO4)


Montevideo Units (MVU)


Multiple Gestations


Newborn


Pain Management


Pitocin


RhoGAM


Surgical Instruments


Vaginal Birth After Cesarean Section (VBAC)


Vaginal Delivery


Part II: Procedures


Amniotomy


Amnioinfusion


Biophysical Profile (BPP)


External Cephalic Version


Fetal Fibronectin (fFN)


Fetal Scalp Sampling


Nonstress Test (NST)


Operative Vaginal Delivery


Part III: Emergencies


Abruptio Placentae


Amniotic Fluid Embolism


Bleeding in Pregnancy


Breech


Chorioamnionitis


Hypertension in Pregnancy


Meconium


Placental Abnormalities


Postpartum Hemorrhage


Prematurity


Shoulder Dystocia


Umbilical Cord Prolapse


Appendix A: Abbreviations


Appendix B: An Alphabetic Synopsis of Medications Commonly Used in Pregnant and Postpartum Women


Appendix C: General Charts


Notes


Index