Recognition of the relationship between alcohol abuse and adverse prenatal outcomes is reflected in the warning labels on every alcoholic beverage sold in the United States. Because alcohol abuse has serious consequences for both individuals and society as a whole, much research has been devoted to this problem. Fetal Alcohol Syndrome provides straightforward facts regarding the impact of alcohol consumption as it affects the development of the embryo and fetus. Surveying current research of fetal alcohol syndrome and its related problems, the book addresses the immediate effects on development at various stages. Long-term action of prenatal alcohol exposure later in life is also considered. A chapter devoted to assessing the behavior of children who were prenatally exposed to alcohol emphasizes the necessity of longitudinal studies of fetal alcohol syndrome. This important reference offers a thorough overview of a problem that cannot be ignored.

This book offers recent knowledge, research and theory about the earliest developmental period-from conception to birth. It provides an in-depth exploration of eleven current themes related to prenatal development. The book illuminates how experiences during the preconception, prenatal and early postnatal period impact an individuals physically, cognitively, socially and emotionally, and form enduring response patterns that shape their development, behaviour and health over the lifespan.

The work looks at all human aspects of new prenatal technology. It includes the view of both parents involved in making difficult decisions about their pregnancy, and clinicians and counsellors involved in diagnosis and discussion of results of investigations, as well as the view of prenatal diagnosis by society as a whole - the ethical, legal and public health aspects. As genetic and ultrasound technology is developing rapidly, it is likely that more couples, their clinicians and counsellors will be faced with complex decisions and that the debate about ethics, legal aspects and rationing of health services will increase. This book aims to lay the foundation to those debates.;This book should be of interest to ultrasonographers; midwives; genetic counsellors; doctors specialising in obstetrics; genetic nurses; genetic social workers; clinical geneticists; general practitioners; psychotherapists; public health doctors; and purchasing managers.

The third volume of this successful Series brings together studies of particular relevance to the care provided by midwives for childbearing women and their families. midwifery research is essential for sound practice and is of importance as a basis for education and management. Topics in this volume include: care during pregnancy, tabour and delivery, and the post natal period midwifery education midwives responsibilities midwives careers.;The maternity services' continue to be in the public eye in the UK and the West. Debate on consumer satisfaction with the experience of pregnancy and childbirth and perinatal mortality is increasing.;This Series is intended primarily for midwives but it will be of interest to other health professionals involved in the provision of maternity care and members of social science disciplines concerned with women's health.;Sarah Robinson is Senior Research Fellow, Nursing Research Unit, King's College, London, England. Ann M Thomson is Senior Lecturer in Midwifery, School of Nursing Studies, University of Manchester and Director, Health Care Research Unit, Stockport, Tameside & Glossop College of Nursing, England.

Birth is a sudden, traumatic transition of environments. Once the placental oxygen supply ceases, the foetus has only minutes to establish pulmonary oxygen transport, which requires not only inflation of the lungs, but also sudden and sustained changes in the lung circulation. Not long ago, research in this field was largely restricted to morphology and physiology. Now the powerful new tools of cellular and molecular biology have begun to
shed light on the physiological processes in the developing lung and its supporting vasculature.

In 22 chapters, three main sections explore lung growth and development, vascular cell growth and differentiation, and the mechanisms of hemodynamic control in the neonate; extensive illustrations give a comprehensive picture of pulmonary circulatory development. Factors controlling vasculogenesis and angiogenesis are described by the scientists who pioneered the field. Similarly, the intracellular signaling cascades that determine proliferation or growth inhibition of fibroblasts, smooth muscle cells, and endothelial cells are also presented in an understandable manner. Finally, the role of
substances, such as nitric oxide and endothelin, that control the hemodynamics of the fetal and neonatal circulations are discussed in detail, particularly in relation to the changes occurring at birth.

This book will inform basic scientists as well as the clinician and student, and should be of particular interest to pediatric cardiologists, pulmonary medicine physicians, and vascular biologists.

Given the rapid increase in the worldwide incidence of gestational diabetes, the need for defining the risks and effects associated with raised glucose concentrations in pregnancy is great. Recent large studies are helping to define the risks, as well as identify the benefits of reducing glucose intolerance. Written by an esteemed list of international authors, Gestational Diabetes: Origins, Complications, and Treatment presents timely reviews relating to some of the most important aspects of gestational diabetes, specifically its causes, consequences, and treatments. Divided into five sections, the book begins with a section on metabolism in pregnancy and gestational diabetes, dealing with maternal and foetal glucose metabolism and the controversial area of what actually constitutes gestational diabetes. The next section examines risk factors and causes of gestational diabetes, including the obvious but often overlooked factors-being female and pregnant. The text also outlines environmental and genetic risk factors. The third section deals with the potential complications of gestational diabetes for both mother and offspring, considering short-term and long-term effects. The largest section in the book addresses treatments in an effort to improve the outcome for the mother and the baby. Chapters describe the nutritional approach, considered the cornerstone of treating gestational diabetes, as well as evidence for the role of exercise in its treatment and a useful strategy for treating gestational diabetes pharmacologically. The final section discusses future prospects in screening, diagnosis, prevention, pathophysiology, and treatment of gestational diabetes.

This book is an obstetric formulary, for doctors and others concerned with the medical care of pregnant women and their newborn babies. It provides specific prescribing information on the drugs necessary to the obstetric management of antenatal patients, women in labour and the puerpurium, and the newborn. It aims to be a readily available source of information for resident obstetric staff and family practitioners who undertake obstetrics. It is also intended to provide guidelines for specialist obstetricians in training their juniors in the safest and most effective ways of using drugs during pregnancy, and for midwives, nurses and pharmacists, who need to understand the drug treatment of pregnant women.;The prescribing sections of this handbook are restricted to agents of known safety and proven efficacy and as well as covering the use of drugs in pregnancy the book includes sections on the transfer of drugs into breast milk. Advice on diet, nursing care and physiotherapy are mentioned where relevant and an account of the procedures involved in providing an epidural service are included. Doses of drugs used for newborn babies are given in the last chapter.;A section on preconception counselling has been added to the second edition and the drugs included in the volume have been revised, some preparations which have become of value to obstetric practice have been added and some which have been found to have limited clinical value have been withdrawn. This edition has been adjusted so that the prescribing procedures are in line with those used in North America.

There is an increasing demand for high-standard fetal and infant neuropathology examinations. Novel imaging techniques, development of new diagnostic methods and advances in genetics have stimulated the interest in gaining additional knowledge on developmental, perinatal and neonatal neuropathology. Approaching the subject from a practical standpoint, diagnostic templates for reports are provided in this essential guide to aid clinicians with different areas of expertise. Each chapter will includes numerous high-quality images, accompanied by explanatory legends from the authors' own experiences. Covering autopsy and tissue processing techniques, the authors discuss a range of disorders such as neural tube defects, brain tumours, storage disorders and many others. This book provides access to an online version on Cambridge Core, which can be accessed via the code printed on the inside of the cover. Compiling the latest advances in fetal and infant diagnostics and care, this book is a highly valuable educational resource.

This brief explores the resurgence of the role of doulas in the child birthing process in Chinese clinical settings, as a lens to understand comparative pre- and post-natal care worldwide. The demand for doulas in China is increasing, and the rise in the use of doulas is thought to be due to increasing dissatisfaction with current institutional maternity health care. Attention is focused on Chinese women's relationships with their bodies and on women's experiences of choice, agency, and access to health and reproductive services as well as maternal health care information and support. Chapters present an overview of the current experience of pre- and post- natal care in China. In addition, chapters explore interview data on how Chinese doulas construct multiple identities, in terms of serving as lactation consultants, child care providers, and child care educators for women during pregnancy and childbirth. Maternal Healthcare and Doulas in China will be of interest to researchers in public health and health policy, particularly with an interest in maternal health or Asian studies, as well as, health practitioners, and clinicians who are interested in issues related to women, maternity, health care, childbirth, and feminist research in China.

At the cutting-edge of maternal and neonatal management and research, this reference presents the most recent advances in fetal DNA/RNA, embryoscopy/fetoscopy, open fetal surgery, and ethnic population screening to manage pre-existing and newly detected maternal medical complications, detect genetic and congenital abnormalities, prevent preterm births, and optimize pregnancy outcomes. With illustrative color photographs, this source offers contributions by esteemed professionals at respected institutions around the globe and covers legal issues concerning prenatal assessment and diagnosis.

Ultrasound is the main diagnostic tool in the prenatal detection of congenital abnormalities. The Fetal Medicine Foundation has recognized the importance of this tool by setting up a program of training and certification to help establish high standards of scanning on an international scale. Diagnosis of Fetal Abnormalities: The 18-23-Week Scan provides the basis of learning for the theoretical component of this program. The book is a complete, authoritative clinician's textbook on using ultrasound in the prenatal detection of congenital abnormalities. It summarizes the prevalence, etiology, prenatal sonographic features and prognosis for both common and rare fetal abnormalities.

There are relatively high rates of complications in the fetal and neonatal periods (1 in 33 fetuses born with birth defects and 1 in 10 preterm births in the US). With advances in maternal-fetal care and growing services and life-extending medical innovations in the neonatal period, more families are presenting to Neonatal Intensive Care Units (NICUs) and often for longer lengths of time. The growing recognition of mental health needs of families and providers in fetal care centers, NICUs, and neonatal follow-up programs has led to a quickly increasing presence of behavioral health providers in these settings. Behavioral Health Services with High-Risk Infants & Families is a practical guide for mental health clinicians working in fetal care, NICU, and neonatal follow-up care. The book provides a broad overview of common medical conditions in fetal and NICU settings (e.g., congenital anomalies, premature birth, hypoxic injury in the perinatal period), prevalence, and symptoms of behavioral health challenges, specific considerations for assessment and intervention, and cross-cutting issues to assist the clinician with optimizing behavioral health care integration with mothers, partners, babies, and families. Additionally, information about the provision of psychosocial support and education to staff is also included. The text represents a comprehensive, practical resource for behavioral health clinicians working with pregnant women, partners, infants, families, and providers in perinatal and neonatal intensive care settings. The book features de-identified case examples, trauma-informed care prompts/scripts, specific questions for assessment and intakes, key medical terms, resource guides, and reference lists.

This book reveals the structures of poverty, power, patriarchy and imperialistic health policies that underpin what the World Health Organization calls the "hidden disease" of vaginal fistulas in Africa. By employing critical feminist and post-colonial perspectives, it shows how "leaking black female bodies" are constructed, ranked, stratified and marginalised in global maternal health care, and explains why women in Africa are at risk of developing vaginal fistulas and then having adequate treatment delayed or denied. Drawing on face-to-face, in-depth interviews with 30 Kenyan women, it paints a rare social portrait of the heartbreaking challenges for Kenyan women living with this most profound gender-related health issue - an experience of shame, taboo and abjection with severe implications for women's wellbeing, health and sexuality. In absolutely groundbreaking depth, this book shows why research on vaginal fistulas must incorporate feminist understandings of bodily experience to inform future practices and knowledge.

Master the effective evaluation, analysis and management of placental-fetal growth restriction (PFGR), developing strategies to reduce the risk of perinatal mortality and morbidity in patients worldwide. Extensively researched by international experts, this manual provides practitioners with a detailed, hands-on approach to the practical 'pearls' for direct patient management. This authoritative volume advises on matters such as the correct evaluation and management of high-risk patients in danger of PFGR through to delivery. Extensive and wide-ranging, this book is an invaluable companion to the developing research interest and clinical applications in PFGR, including developmental outcomes in early childhood. Featuring a critical evaluation of a variety of abnormal conditions, such as fetal hypoxia and extreme prematurity, which are clearly displayed through extensive illustrations, this essential toolkit ensures that practitioners at all levels can effectively limit adverse outcome and reach the correct diagnosis.

The definitive reference in the field for more than 35 years, Creasy and Resnik's Maternal-Fetal Medicine provides today's MFM practitioners with authoritative, comprehensive guidance on every aspect of this fast-changing field. The fully revised 9th Edition brings you up to date with the latest evidence-based guidelines and research as well as the fundamental scientific foundation needed for effective practice, helping you minimize complications and ensure the best possible outcomes for your patients. Renowned experts in obstetrics, gynecology, and perinatology provide valuable information in every area of complex obstetric care, highlighting the most commonly encountered anomalies and providing clear guidelines for obstetric and neonatal management. Offers comprehensive updates on rapidly changing topics, including extensively revised genetic content throughout. Includes two new chapters: maternal and fetal viral infections, including COVID-19; and sexually transmitted disease, covering the epidemiology, pathogenesis, diagnosis, and treatment of individual infectious diseases that may complicate pregnancy. Contains user-friendly features such as numerous diagnostic and treatment algorithms for quick access to current protocols; key points at the end of each chapter; and counseling pearls with practical guidance on patient consultation. Features a comprehensive imaging section, including a video library to aid in everyday diagnosis. Shares the expertise of a renowned editorial team-including new co-editors Drs. Lorraine Dugoff and Judette M. Louis-who lead authors representing top institutions from around the globe. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Prenatal diagnosis, especially noninvasive prenatal testing (NIPT), has changed the experience of pregnancy, prenatal care and responsibilities in Israel and Germany in different ways. These differences reflect the countries' historical legacies, medico-legal policies, normative and cultural identities. Building on this observation, the contributors of this book present conversations between leading scholars from Israel and Germany based on an empirical bioethical perspective, analyses about the reshaping of 'life' by biomedicine, and philosophical reflections on socio-cultural claims and epistemic horizons of responsibilities. Practices and discussions of reproductive medicine transform the concepts of responsibility and irresponsibility.

This textbook presents essential and accessible information about human embryology including practical information on human health issues and recent advances in human reproductive technology. Starting with biological basics of cell anatomy and fertilization, the author moves through the development of specific organs and systems, before addressing social issues associated with embryology. Each chapter includes specific objectives, general background, study questions, and questions to inspire critical thinking. Human Life Before Birth also contains two appendices and a full glossary of terms covered in the text. Clinicians and researchers in this field will find this volume indispensable. Key selling features: Explores all the developmental and embryological events that occur in human emryonic and fetal life Reviews basic cell biology, genetics, and reproduction focusing entirely on humans Summarizes the development of various anatomical systems Examines common birth defects and sexually transmitted diseases including emerging concerns such as Zika Documents assisted fertilization technologies and various cultural aspects of reproduction

Sadly, women often feel they have no alternative but to give up breastfeeding, having been prescribed or purchased medication. In many cases, however, this is unnecessary. This book outlines the evidence base for the use of medication during breastfeeding. Breastfeeding and Medication presents a comprehensive A to Z guide to the most frequently prescribed drugs and their safety for breastfeeding mothers. Evaluating the evidence for interventions and using a simple format for quickly identifying medications that are safe or unsafe to use, it also highlights those drugs where there is inconclusive evidence. Additional contextual information makes this the most complete text for those practitioners who support and treat breastfeeding women. It: provides an overview of the anatomy and physiology of the breast together with hormonal influences to better understand how complications, such as mastitis, arise and inform the approach to their treatment; includes a section on conditions that affect women specifically when they are lactating where prescription of medication may be necessary; discusses the importance of breastfeeding and its advantages, as well as its disadvantages; and explores how to support breastfeeding mothers, and presents a counselling model approach. This new edition contains information on more drugs and a chapter on the management of some chronic conditions which may affect breastfeeding mothers. In most cases there are options to support the mother's optimal care whilst allowing her to continue to breastfeed her baby as long as she wishes. This is a topic which raises many questions on social media, which informed the choice of conditions to consider. This is an invaluable reference for all health practitioners and volunteers who work with, support and treat breastfeeding women, including lactation consultants, breastfeeding support workers, health visitors, GPs, practice nurses, pharmacists and midwives.

"Praise for the 1st edition: "

""This book is a must have for any midwife, particularly those working in the community, clinics and in high-risk areas.... This book is an extremely useful reference tool." (MIDIRS Midwifery Digest)"

""The important facts are laid out concisely, primarily focusing on management, using evidence based guidelines for best midwifery practice." (RCGP Journal)"

"Medical Disorders in Pregnancy: A Guide for Midwives, 2nd edition" clearly outlines existing and pre-existing conditions which women can experience during pregnancy. This comprehensive and practical handbook identifies issues for pre-conception care, defines the condition, explores possible complications, outlines recommended treatment and emphasizes specific midwifery care.

This fully revised and updated edition of "Medical Disorders in Pregnancy: A Guide for Midwives" builds on the success of the first edition by covering more subjects. It includes physiology, more illustrations and algorithms and its accessible reference-style text enables information to be quickly and easily found.

"Special Features"A practical guide on medical disorders written specifically for midwivesJointly written by medical and midwifery experts in the fieldAccessible reference style format makes information easy and quick to findEmphasis on inter-professional working

Authored by a well-known expert on prenatal massage, this comprehensive text helps you understand the intricate physiology of pregnancy so you can confidently apply appropriate massage techniques for each trimester, and throughout labor and postpartum. You'll find clear, colorfully illustrated explanations of a wide range of techniques and procedures, including Swedish massage, acupuncture points, myofascial release, trigger point therapy, lymphatic drainage, and reflexology. A companion DVD packaged with the book enables you to watch demonstrations of techniques. Contraindications and precautions are also provided where necessary to help you provide safe and effective care for every client. Comprehensive coverage guides you through all aspects of prenatal massage in a single book, addressing fundamentals, techniques, preparation, and prevention of potential problems. Many useful techniques are described in detail for prenatal through postpartum massage with step-by-step instructions so you can begin using these techniques with your clients immediately. Numerous boxes throughout the text highlight key information and provide clinical tips. Touch Points and In My Experience boxes share the author's personal observations about the chapter material with real-life examples from her years in practice. Over 350 detailed, full-color illustrations and photographs illuminate procedures, concepts, and techniques. Clear writing and organization addresses content in four main units: pregnancy massage, labor massage, postpartum massage, and marketing strategies. A companion DVD packaged with the book contains 45 minutes of video demonstrating different massage techniques presented in the book. DVD icons within the text encourage you to watch relevant video footage at appropriate points. Learning objectives and key terms at the beginning of each chapter clearly identify the concepts you should focus on in the chapter. Review questions at the end of each chapter enable you to assess your understanding and review important information presented in the book. A glossary of all key terms and definitions makes it easy to quickly look up a new term or to refresh your memory.

Caesarean Section has become the most common major operation in the world, and with the increasing number there are many serious and long-term healthcare implications for gynaecology, general surgery, neonatology, and epigenetics. A full perspective of the procedure and its consequences is therefore essential for practitioners, residents, and trainees alike. The Textbook of Caesarean Section is the key textbook on this subject, and is an informative and practical tool for clinicians performing this procedure in all areas of the world. The accompanying professional medical videos demonstrate in clear and expert detail the two alternative procedures for caesarean section, ensuring that readers of this book gain an in-depth understanding of the techniques involved, and supporting blended learning in postgraduate education globally. Written by a distinguished team of expert contributors, this book carefully describes current best practice for caesarean section alongside key chapters on the history of caesarean section, and other important and related issues that obstetricians must be aware of, such as anaesthesia, prevention of complications of surgery, reproduction after C-section, and perinatal outcomes. The text is extensively illustrated with colour images, and fully referenced throughout, providing all the information essential for the reader to perform the optimal caesarean delivery procedures, and diagnose and manage the short- and long-term complications associated with different methods of caesarean sections.

The Oxford Specialist Handbook in Obstetric Anaesthesia returns for a second edition with updated practical management advice for medical and nursing staff in a portable, accessible format. An invaluable quick-reference resource for all consultant anaesthetists and SAS doctors involved in obstetric anaesthesia, as well as a succinct exam revision aid for the FRCA, this go-to guide provides incisive coverage of all aspects of the sub-specialty. This is essential reading for anyone working on the labour ward, with concise instructions for both antenatal and postnatal care. * Illustrated with clear line diagrams of the ideal positioning for regional techniques. * Includes top tips for techniques and troubleshooting, plus practical advice for the busy labour ward. * Headings and bullet points are used throughout for ease of reference and navigation. * Fully updated, with new chapters on 'Obesity in Pregnancy', 'Neonatal Resuscitation', 'The Sick and Septic Mother', and 'Ultrasound in Obstetric Practice'.

The fourth edition of this popular resource features step-by-step skill instruction and practice-focused exercises covering maternal and fetal evaluation and immediate newborn care. Developed by a distinguished editorial board, the Perinatal Continuing Education Program (PCEP) is a comprehensive, self-paced education program in 4 volumes. This book features 8 units covering information and skills for obstetric evaluation and neonatal resuscitation (consistent with AAP guidelines) as well as units to provide the necessary information for initial stabilization of a newborn. The neonatal resuscitation unit has been updated to reflect the new NRP (R), 8th Edition, guidelines. TOPICS INCLUDE Is the Mother Sick? Is the Fetus Sick? Fetal Age, Growth, and Maturity Fetal Well-being Is the Baby Sick? Recognizing and Preventing Problems in the Newborns Pulse Oximetry Resuscitating the Newborn Gestational Age- and Size-Associated Risk Factors Thermal Environment Hypoglycemia Blood Glucose Screenings And more...

This book brings together an international collection of experts in reproductive ethics, law, disability studies, and medicine to explore the challenging future of reproduction and children. From the medical to the social and from the financial to the legal, the authors explore the expanding impact of reproductive genetics on our society. New advances in genetic technologies are revolutionizing the practice of reproductive medicine. We have expanded our ability to detect genetic changes in embryos and fetuses in ways that potentially allow to identify, treat, or prevent a growing range of diseases. The development of gene-editing technologies raises questions about the possibility of removing disease-causing variants from embryos before pregnancy implantation. The growing sophistication of prenatal genomic sequencing offers us glimpses into the whole genome of the developing fetus. And, the increasingly sophisticated science of 'gene matching' allows us greater and greater foreknowledge of how the genomes of two individuals will combine in a future child. This is an indispensable book on the newest developments in bioethics caused by the sciences. Chapter 5 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

This book constitutes the refereed proceedings of the First International Workshop on Perinatal, Preterm and Paediatric Image Analysis, PIPPI 2022, held in conjunction with the 25th International Conference on Medical Imaging and Computer-Assisted Intervention, MICCAI 2022, in Singapore, Singapore, in September 2021. The 10 full papers and 1 short papers presented at PIPPI 2022 were carefully reviewed and selected from 12 submissions. PIPPI 2022 workshop complements the main MICCAI conference by providing a focused discussion of perinatal and paediatric image analysis, including the application of sophisticated analysis tools to fetal, neonatal and paediatric imaging data.