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.

This contributed volume explores flexible, adaptable, and sustainable solutions to the shockingly high costs of birth across the globe. It presents innovative and collaborative maternity care practices and policies that are intersectional, human rights-based, transdisciplinary, science-driven, and community-based. Each chapter describes participatory and midwifery-oriented care that helps improve maternal and newborn outcomes within minoritized populations. The featured case studies respond to resource constraints and inequities of access by transforming relations between providers and families or by creating more egalitarian relations among diverse providers such as midwives, obstetricians, and nurses that minimize inefficient hierarchies within maternity care. The authors build on a growing awareness that quality and respectful midwifery care has lower costs and improved outcomes for child bearers, newborns, and providers. Topics include: Sustainable collaborations including transfers of care among midwives and obstetricians in India, The Netherlands, Germany, United Kingdom, and Denmark Midwifery-oriented, femifocal, indigenous, and inclusive models of care that counter obstetric violence and gender stereotypes in Mexico, Chile, Guatemala, Argentina, and India Doula care and midwifery care for women of color, previously incarcerated women, indigenous women, and other minoritized groups in the global north and south Practices and metrics for improving quality of newborn and maternal care as well as maternal and newborn outcomes in disruptive times and disaster settings Sustainable Birth in Disruptive Times is an essential and timely resource for providers, policy makers, students, and activists with interests in maternity care, midwifery, medical anthropology, maternal health, newborn health, obstetrics, childbirth, medicine, and global health in disruptive times.

This book addresses the essential topic of child survival in Tanzania, especially focusing on the role of mutual assistance, which has received little attention to date. Further, it identifies a range of key factors for child survival by combining a literature review, regional data analysis, and case studies. These studies center on rural villages in high Under-5 mortality rate (U5MR) regions and assess their strengths and weaknesses regarding child survival. By focusing on deprived rural areas as of 2002 and evaluating the improvements in the 2012 census data, the book also highlights the potential held by rural semi -subsistence economies. An analysis of the focus villages indicates that children in food-sharing circles had better chances of survival. However, food sharing is not necessarily inclusive; a significant number of children have fallen out of such circles, especially in mainland villages. Furthermore, monetary support for children's medicine has often failed to arrive in time. Lastly, the book argues that, in addition to direct factors such as access to health services, water and sanitation, food intake, and education, it is essential that children receive inclusive support at various levels: family, community, village, national, and international.

"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

This book analyzes the effects of parental smoking on all aspects of reproduction and child development. With contributions from respected and authoritative specialists, it includes new research findings and new methods of data analysis, with particular emphasis on social class factors. The authors discuss how smoking affects placental, fetal, and child development. Important subjects covered include the relationships between smoking and pre-eclampsia, ectopic pregnancy. Sudden Infant Death Syndrome, and respiratory disease in children. The final chapters discuss research related to health education and the prevention of maternal smoking. This comprehensive volume will be of interest to obstetricians, pediatricians, epidemiologists, and those involved in public health medicine.

This casebook profiles exceptional traumatic injury prevention programs from all over the globe. Its detailed description and analysis employ a multi-stage process of identifying, evaluating, and casing effective prevention practices. The case studies reflect how legislative and regulatory information impact prevention efforts and provide insight into how national centers for injury prevention and control inform prevention practices on countrywide levels. The authors work with outcome-based research criteria to select and develop their comprehensive and contextually aware profiles of the programs. All included case studies follow the BRIO approach (Background, Resources, Implementation, and Outcome) - a model designed to provide a consistent way of describing programs that have been evaluated and found to be exceptional practices. The scope of the Casebook ranges across: The challenge of traumatic injury prevention Sports and recreation-related traumatic injury prevention Fall-related traumatic injury prevention Road traffic-related traumatic injury prevention Traumatic injury prevention within complex systems In its recognition of traumatic injury prevention across the lifespan as a critical and complex public health challenge, the Casebook of Traumatic Injury Prevention promises to be an influential and authoritative resource for professionals and students in public health, safety, injury prevention, medicine, psychology, sociology, nursing, and engineering. Government agencies and institutions such as the Centers for Disease Control and Prevention (CDC), public health departments, and safety associations also would find the Casebook relevant to their work.

This popular resource features step-by-step skill instruction and practice-focused exercises covering neonatal 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 11 units covering information and skills assessment and initial management of frequently encountered neonatal illnesses, plus a brand-new unit on how to care for babies with neonatal abstinence syndrome (neonatal opioid withdrawal syndrome). TOPICS INCLUDE Oxygen Respiratory distress Umbilical catheters Low blood pressure (hypotension) Intravenous therapy Feeding Hyperbilirubinemia Infections Identifying and caring for sick and at-risk babies Preparation for neonatal transport Neonatal abstinence syndrome (neonatal opioid withdrawal syndrome)

The new edition of this practical guide draws on the clinical skills of a wide range of international experts to help you recognize and manage heart disease in pregnancy. Designed for on-the-spot use, this convenient and concise text helps you identify a cardiac problem, understand its pathophysiology, and respond appropriately.

Under the careful editorial direction of Drs. Oakley and Warnes, the Second Edition introduces new contributors from North America and Europe as well as new chapters on:
pulmonary hypertension
rheumatic heart disease
artificial heart valves
Marfan syndrome
auto-immune diseases
hypertrophic cardiomyopathy
rhythm disorders
hypertension
cardiac intervention

The entire book is scrupulously updated to reflect the most current standards of care. The contributors - all recognized leaders in their respective fields - outline the pathway to diagnosis and appropriate management by a multi-disciplinary team.

Although heart disease is the leading medical cause of maternal death, clinical trials in this population are few and the evidence base is small. The expert recommendations in Heart Disease in Pregnancy, Second Edition, are a welcome source of information for cardiologists, obstetricians, general practitioners, and all members of the patient care team.

In response to the complexity involved in treating leukemia during pregnancy, and the need to find the most efficient treatment possible without harming the fetus, this book offers essential guidelines for institutions and practitioners alike. Pursuing a comprehensive approach, the book addresses a broad range of subjects, including: pregnancy and its characteristics; staging, pathology, morbidity and what to expect in each type of leukemia; chemotherapy for leukemia in pregnant women with complete trials; dose adjustment of chemotherapy for leukemia in pregnancy based on serum dosages; and pharmacokinetics and pharmacodynamics for this unique group of patients. In turn, subsequent chapters focus on protecting the fetus and neonatal management regarding chemotherapy for leukemia in pregnancy, including the treatment and risks for the fetus (for each type of leukemia), intrathecal therapy and its effects on the fetus; supportive drugs, antibiotics and antifungals for pregnant patients during chemotherapy, including intervention and dose adjustments; palliative care for women with leukemia in pregnancy; breastfeeding during treatment for leukemia; pharmacological aspects of supplements, vitamins and nutrition in pregnancy during leukemia treatment; and more. Combining contributions from highly qualified hematology professionals, who have pooled their knowledge to address the treatment of virtually every aspect of leukemia in pregnancy, the book is aimed at a complete pharmacological treatment, including guidelines and trials. It is a must-have not only for institutions providing care for hematology patients, but also for residency programs, research institutions, and professionals in areas that involve leukemia treatment for pregnant women - e.g. hematology, neonatology, obstetrics clinics, intensive medicine and critical care units.

This timely resource brings child health to the forefront of global health and the crucial goal of universal equity of care. Its resource-based framework offers contemporary perspective on factors driving child health disparities, specific vulnerabilities of underserved children, and ways readers can become effective advocates for children. The book critiques current child health policy worldwide, examining both policies that are helping to alleviate and are contributing to further inequities. And the authors provide an extensive toolkit to aid professionals in multidimensional screening for child, newborn, maternal, and post-natal health as well as socioeconomic determinants of health. Included in the coverage:* What is global health? * The current state of global child health and disparities * Global health disparities in high-resource settings * Pathologies disproportionally affecting the underserved * Policy and advocacy framework * Navigating the domestic resources (an advocate's well child check) Global Child Health will find a ready audience among child health providers (physicians, advanced practice providers, nursing staff, social workers, allied healthcare providers, public health professionals), medical educators (medical schools, departments of pediatrics, schools of public health, nursing schools and programs, schools of allied health), and child health policymakers (staff at USAID, Health and Human Services, health services researchers in child and global health policy, health advocacy-related nonprofit organizations).

This book presents models describing HIV transmission rates at population level, discussing the main statistical methods and analytical interventions. It also assesses the practical applicability of the various modelling techniques, offering readers insights into what methods are available and, more importantly, when they should be used to address HIV transmission at global level. The book includes realistic simulation models fitted to clarify the rate of HIV mother-to-child transmission (HIV MTCT), and substantiates the conclusions that can be drawn as well as the appropriate time for making global-level clinical decisions concerning people living with HIV/AIDS (PLHIVs). Intended for students, academics and researchers, the book offers more than just an introduction to the topic - it also features in-depth, yet easy-to-understand, descriptions of a new mathematical/statistical HIV mother-to-child transmission model, making it a useful resource for clinicians, public health workers and policymakers involved in implementing HIV-prevention programmes at national /global level.

This book uses global household data to examine the prevalence, trends and geographic variation of female genital mutilation (FGM) around the world. It also addresses the underlying legal and policy aspects as well as explores the medical consequences, both immediate and long term, for those undergoing the practice. The book analyses the position of victims of this gender-based violence both from the medical and legal perspective and adopts a largely practical approach to the study of the practices, offering a fresh thinking into one of the challenges in global health and the law. In addition, it offers some insights into how health professionals can approach this category of victims and how legal practitioners can obtain a good legal result for their clients before domestic and international forums. The book addresses fundamental issues such as state liability and defences in enforcement proceedings for actions or omission of state or non-state actors, and due diligence standard in international human rights law, the main gateways available for obtaining relief for the victims of FGM. This book goes beyond the traditional debate between zero tolerance and those who wish to see the practice medicalised and tolerated and favours an advocacy programme standing firmly in favour of the right of FGM victims. This book offers a unique perspective likely to assist victims and their representatives to secure a remedy against perpetrators and the state. As such this book will be of interest to medical professionals, national and international lawyers, academics and policymakers in the field of public health.

This book offers a timely and detailed exploration and analysis of key contemporary issues and challenges in child sexual abuse, which holds great relevance for scholarly, legal, policy, professional and clinical audiences worldwide. The book draws together the best current evidence about the nature, aetiology, contexts, and sequelae of child sexual abuse. It explores the optimal definition of child sexual abuse, considers sexual abuse in history, and explores new theoretical understandings of children's rights and other key theories including public health and the Capabilities Approach, and their relevance to child sexual abuse prevention and responses. It examines a selection of the most pressing legal, theoretical, policy and practical challenges in child sexual abuse in the modern world, in developed and developing economies, including institutional child sexual abuse, female genital cutting, child marriage, the use of technology for sexual abuse, and the ethical responsibility and legal liability of major state and religious organisations, and individuals. It examines recent landmark legal and policy developments in all of these areas, drawing in particular on extensive developments from Australia in the wake of its Royal Commission Into Institutional Responses to Child Sexual Abuse. It also considers the best evidence about promising strategies and future promising directions in enhancing effective prevention, intervention and responses to child sexual abuse.

This comprehensive reference uses an ecological perspective to sort out the complex mix of biological, psychological, social, and other factors influencing adolescent health as well as shaping professional responses to the needs of adolescents. Describing critical concerns at the global level and innovative strategies from selected countries, the book urges readers to develop and support practices and policies to enhance optimal youth development. Expert coverage centers on key areas: the global state of adolescent health and development, adolescent health issues and public health answers, making health systems more responsive to youth, and improving school health services. And bedrock themes such as social determinants of health, young people's right to health care, and health and gender disparities are discussed throughout these chapters. Included among the topics: * The epidemiology of adolescent health * Adolescent sexual health and sexuality education * Restorative justice and the mental wellbeing of adolescents * Critical issues in adolescent nutrition: needs and recommendations * Towards an adolescent competent workforce * Pairing children with health services: the changing role of school health services in the 21st century The International Handbook on Adolescent Health and Development is essential to medical schools, public schools, and college libraries; teaching faculty; graduate and post-graduate students in public health, medicine, social work, other behavioral sciences and health disciplines (e.g., nursing, allied heath); as well as practitioners interested in better orienting their services to the health needs of adolescents.

LEARN-APPLY-ASSESS Text An expertly designed, balanced presentation of evidence-based nursing care that meets the needs of today's students and instructors in person, online, or hybrid for combination or separate courses A unique emphasis on optimizing outcomes, evidence-based practice, compassionate care, and research supporting the goal of caring for women, families and children in in traditional and community settings A thematic organization reflects the state-of-the-art in nursing today through 'Holistic Care,' 'Critical Thinking,' 'Validating Practice,' and 'Tools of Care,' each with special features to foster the development of the skills and clinical judgment integral to the delivery of quality nursing care. Davis Advantage (Personalized Learning, Clinical Judgment, and Quizzing) Personalized Learning engages students through videos and interactive activities that present key concepts in a way that makes content more relatable and understandable Clinical Judgment challenges students with complex questions that align with the cognitive areas of the NCSBN's Clinical Judgment Measurement Model, requiring careful analysis, synthesis of the data, and critical thinking Quizzing provides thousands of NCLEX (R)-style questions (including alternate format questions) and detailed rationales to test students' knowledge and promote in-depth understanding Personalized Learning Plans and dashboards track students' progress across their assignments and highlight where they need to focus their study time Actionable analytics allow instructors to track comprehension and participation, monitor performance, and identify areas for remediation Personalized Teaching Plans provide instructors with engaging lesson plans and activities that can be leveraged in both virtual and in-person classroom settings Integrated ebook allows students to reference the textbook anytime, anywhere Davis Advantage for Maternal-Child Nursing Care combines an innovative text with an immersive online program that make this challenging but must-know content easier to master by making learning personal. Together, they create a seamless experience that tracks each student's progress and assesses their knowledge until they have mastered the concepts and are ready to apply them in class, clinical, and practice. An access code inside new, printed textbooks unlocks an ebook, as well as access to Davis Advantage. Or choose the all-digital Instant Access option, which includes the ebook and immediate access to Davis Advantage. TEXTBOOK Streamlined, redesigned, and revised by a new author team, the 3rd Edition of this AJN Book-of-the-Year Award winner offers the perfect balance of maternal and child nursing care with the right depth and breadth of coverage for students in today's maternity/pediatric courses. And, it's accompanied by six online bonus chapters covering the role of the nurse in promoting women's health. A unique emphasis on optimizing outcomes, evidence-based practice, and research supports the goal of caring for women, families, and children, not only in traditional hospital settings, but also wherever they live, work, study, or play. Clear, concise, and easy to follow, the content is organized around four major themes, holistic care, critical thinking, validating practice, and tools for care that help students to learn and apply the material. ONLINE (DAVIS ADVANTAGE) Using a unique and proven approach across a Learn-Apply-Assess continuum, Davis Advantage engages students and helps them make the connections to key topics. Whether teaching in-person or online, this complete, integrated solution aligns seamlessly with the textbook and equips instructors with actionable analytics to track students' progress, remediate where needed, and facilitate an active learning environment. LEARN-Personalized Learning The foundation of the Davis Advantage platform, Personalized Learning, immerses students in an online learning experience tailored to their needs. Students are assessed on their comprehension of key topics from the text, and then are guided through animated mini-lecture videos and dynamic activities to reinforce learning and bring concepts to life. APPLY-Clinical Judgment Clinical Judgment develops students' critical thinking and clinical reasoning, helping them to build the clinical judgment skills they need to practice safe and effective nursing care and to prepare for the Next Generation NCLEX (R) with confidence. Progressive case studies featuring real-life, complex clinical situations challenge students to apply knowledge, make informed decisions, and evaluate outcomes. ASSESS-Quizzing Quizzing uses NCLEX (R)-style questions for assessment and remediation. Its adaptive, question-based format provides the additional practice students need to test their knowledge, master course content, and perform well on course and board exams. New To This Edition: FREE, 3-year access to Davis AdvantageThoroughly revised and updated to reflect the art and science of nursing practice today Streamlined and redesigned to make the content more relevant, student friendly and easier to teach.

Covering pertinent basic science and offering today's most authoritative guidance on clinical management, Fetal Medicine, 3rd Edition, is a must-have resource for obstetricians and other healthcare professionals involved in care of the fetus. An international team of expert contributors delivers the knowledge and background you need to effectively diagnose and treat fetal disorders - everything from prenatal screening and diagnostic tests to common and rare prenatal conditions, early pregnancy loss, ethical issues, and much more. Focuses on fetal medicine throughout, bringing you today's most reliable information in both basic science and clinical topics. Offers updated information from cover to cover, including new coverage of genetics, embryology, and clinical management. Features new self-assessment questions, new video clips, and new images throughout - for a total of nearly 1,000 photographs and line drawings, as well as more than 150 quick-reference tables. Details fast-changing developments in fetal medicine, including advances in ultrasound imaging, cytogenetics, molecular biology, and biochemistry. Helps you learn and retrieve complex information quickly thanks to succinct, highly structured text; key points at the beginning of each chapter; and concise chapter summaries. 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.

Obstetrical emergencies can be among the most stressful events an emergency physician will face in their entire career. The purpose of this book is to provide an evidence-based, practical approach to the wide spectrum of obstetric complications an emergency physician must be prepared to manage throughout all trimesters pregnancy as well as postpartum, including complications of assisted reproductive technology, bleeding, precipitous delivery and preterm labor. Clinical pearls and pitfalls are highlighted throughout. The approach to the pregnant patient with trauma, non-pregnancy-related abdominal pain, or in cardiac arrest is discussed. Updates in the classification and management of the hypertensive disorders of pregnancy are presented. Recent controversies surrounding the use of anti-emetics for first trimester nausea and vomiting and the use of a beta-hCG discriminatory zone for the evaluation of pregnancy of unknown location are also addressed. Obstetrical support services vary widely between different facilities, and Emergency Department Management of Obstetric Complications is written for emergency clinicians in all practice settings. This book provides useful information for daily practice as well as preparation for rarely encountered and potentially life-threatening events.

Hypertension: from basic research to clinical practice" contains a unique collection of selected chapters written by experts and enthusiasts engaged in research and treatment of hypertension, a condition that affects around a billion people in the world. The chapters describe fundamental researches at cellular and molecular levels to the science, and art of treatment of the condition in clinical practice. The topics included ranges from pathophysiology of hypertension, through monitoring of hypertension, to the treatment of hypertension in different patient categories. It contains essential background information as well as cutting edge research, and state of the art treatment alternatives in this broad field. From the beginners, and research students to the expert clinicians, and established scientists, everybody has something to learn from this book.

This book discusses 'how' to respectfully and responsibly include pregnant women in clinical research. In sharp contrast, the existing literature predominantly focuses on the reasons 'why' the inclusion of pregnant women in clinical research is necessary - viz., to develop effective treatments for women during pregnancy, to promote fetal safety, to reduce harm to women and fetuses from suboptimal care, and to allow access to the benefits of research participation. This book supports the shift to a new default position, whereby pregnant women are included in clinical research unless researchers argue convincingly for their exclusion. This shift raises many as yet unexplored ethical and policy questions about existing barriers to the equitable inclusion of pregnant women in research. This book is original in three key ways. First, it presents an unparalleled depth of analysis of the ethics of research with pregnant women, bringing together many of the key authors in this field as well as experts in research ethics and in vulnerability who have not previously applied their work to pregnant women. Second, it includes innovative theoretical work in ethics and disease specific case studies that highlight the current complexity and future challenges of research involving pregnant women. Third, the book brings together authors who argue both for and against including more pregnant women in formal clinical trials.

This compact resource presents current data on health literacy as it affects child health outcomes, with a sharp focus on improving communication between healthcare providers and pediatric patients and their families. A frequently overlooked social determinant of health in children, health literacy is shown as a critical skill for patients and families and a key aspect of patient engagement. The authors' evidence-based survey pinpoints common problems in healthcare providers' verbal and written communication with pediatric patients, their parents, and/or caregivers. Readers will learn about practical health literacy strategies for addressing and preventing miscommunication at the individual and systems levels. These improvements are linked to immediate results (e.g., greater compliance, fewer medication errors) as well as improved long-term child health outcomes, including reduced health disparities and enhanced quality of life into adulthood. This transformative guide: Defines optimum health communication as necessary for working with all patients Identifies common barriers to clear health communication Traces the relationship between health literacy and child health outcomes, from the prenatal period and into young adulthood Offers guidelines for creating effective patient education materials and a safe, health literacy oriented patient-centered environment Integrates health literacy into health systems' quality improvement plans Health Literacy and Child Health Outcomes informs students in MPH programs as well as public health scientists and scholars, and can also serve as an introductory text for students in public health ethics or a general applied ethics course. Public health professionals in diverse contexts such as local health departments and nonprofit organizations will appreciate its robust approach to ethical practice, professional development, and systems improvement. This will be a helpful guide for introducing health communication topics in medical education and allied health. Lastly, clinicians taking care of pediatric patients will find concise information and practical advice to apply in the clinical setting.

This comprehensive, case-based title takes a practical approach to treating the pregnant patient by illustrating common and less common issues that arise during pregnancy. Outlining how difficult it often is to discern normal changes from pathological changes in the pregnant patient, Medical Problems During Pregnancy addresses not only this core dilemma but also a full array of specific, challenging issues to consider when pregnant patients present with conditions like epilepsy, hypertension, cardiac arrhythmias and renal disease - disorders requiring medication despite some risks. Although standard best practices generally determine medication use, the practicality of medication at various stages of pregnancy is highly variable. Medical Problems During Pregnancy outlines key points to consider when prescribing medication and additionally offers a range of practical suggestions that can greatly improve the physician-patient interaction. A unique and invaluable addition to the literature, Medical Problems During Pregnancy will be of great interest to practicing obstetricians, primary care clinicians, family practice physicians, nurse practitioners, and other allied health professionals.

In this definitive new text, the major medicines, devices and vaccines used by women worldwide are brought together for the first time in a single volume. Written and edited by international experts with an evidence-based approach, the book offers a comprehensive summary of all the key areas of women’s medicines. In the first part, issues relating to female drug exposure and considerations for prescribing for subgroups of women - for example during pregnancy and lactation - are presented in the context of contemporary clinical practice. In the second part, specific groups of pharmaceutical products are reviewed, including oral contraceptives, emergency contraception, treatment of chronic pelvic pain, hormone replacement therapy, bisphosphonates, herbal medicines for women, contraceptive devices and human papilloma virus (HPV) vaccines.  Every chapter reviews and summarises the efficacy and safety of each group of products and concludes with a useful set of clinical take home messages. In the third part, broader perspectives are presented - from a primary care overview of prescribing for women, through to regulatory, political and religious aspects, including issues with women’s medicines in developing countries. The final two chapters focus on risk communication and conclude that women themselves should be placed at the centre of all discussions about their medicines. The book is aimed at prescribers, other healthcare professionals and students in the field of women’s health throughout the world. It is an extremely valuable resource for all in clinical practice, for students of medicine, nursing, pharmacy and related sciences, and also for those in medicines regulation, pharmacovigilance and the pharmaceutical industry.

The rates are on the decline worldwide. But adolescent pregnancies still occur, placing millions of girls each year at risk for medical complications and social isolation and their babies for severe health problems-especially when prenatal care is inadequate or nonexistent. But as the opportunity for young women and girls increases around the world, adolescent pregnancy will continue to decline. Featuring reports from countries across the developed and developing worlds, the International Handbook of Adolescent Pregnancy analyzes the scope of the problem and the diversity of social and professional responses. Its biological/ecological perspective identifies factors influencing childhood pregnancy, as well as outcomes, challenges and needs of very young mothers as they differ across nations and regions. Salient comparisons are made as cultural contexts and community support vary widely and attention is paid to issues such as child marriage, LGBT concerns and the impact of religion and politics on health care, particularly access to contraception, abortion and other services. This global coverage heightens the understanding of readers involved in care, education and prevention programs and otherwise concerned with the psychosocial development, reproductive health and general well-being of girls. Included in the Handbook: Biological influences of adolescent pregnancy. Adolescent maternal health and childbearing. Adolescent pregnancy and mental health. International perspectives on adolescent fathers. Adolescent pregnancy as a feminist issue. Adolescent pregnancy as a social problem. Plus viewpoints from more than thirty countries. As a unique source of up-to-date findings and clear-headed analysis, the International Handbook of Adolescent Pregnancy is a go-to reference for practitioners and researchers in maternal and child health, pediatrics, adolescent medicine and global health.