This volume brings together an unusually broad range of experts from reproductive medicine, medical ethics, and law to address the important ethical problems in maternal-fetal medicine which impact directly on clinical practice. The book is divided into parts by the stages of pregnancy, within which the authors cover four main areas: the balance of power in the doctor-patient relationship and the justifiable limits of paternalism and autonomy; the impact of new technologies and new diseases; disability and enhancement; and difference--to what extent should the clinician respect the tenets of other faiths in a multicultural society.

This forward-looking resource shines needed light on-and offers realistic solutions for eliminating-health disparities affecting one of the most vulnerable populations: children. Its multilevel framework identifies sources of pediatric health inequities in developmental, societal, familial, financial, and service delivery contexts and sets out innovations for breaking down and addressing longstanding concerns. Plentiful opportunities are described for reducing gaps and promoting equity at various service platforms, from locally-based improvements to systemwide tech upgrades, that can be used as models for revamping larger health policy. And the authors' long-term perspective emphasizes screening, wellness care, early intervention, and prevention strategies to support young patients in the transitions between childhood, adolescence, and young adulthood. Included in this compact idea book: Disparities in child health: a review Quality of care in pediatrics and health disparities: the increasing role of quality improvement science Community health worker interventions Technology-based interventions to address pediatric health disparities Place-based strategies in promoting health equity Future directions for a solutions-based approach With its clear delineation of issues and priorities, and its workable recommendations for addressing them, Disparities in Child Health is a ready source of ideas and advocacy for practitioners and researchers in pediatrics, maternal and child health, and general practice/family medicine.

This immensely practical handbook provides the busy clinician with a self-contained account of the diagnosis and management of ectopic pregnancy. Such pregnancies, which develop outside the uterine cavity, are an increasingly common occurrence. The focus throughout is on diagnosis and management issues, and the author provides rapid solutions to the most difficult problems posed by ectopic pregnancy. The text is fully supported by numerous and helpful ultrasound images, line diagrams illustrating surgical techniques, and by highlighted summaries of key facts and decision trees.

This book explores the emerging speciality of fetal medicine. The new technology for examining DNA is described as a background to later chapters concerned with gene therapy and the examination of the conceptus. An account of laboratory techniques for studying the mouse embryo is illustrated by outstanding photographs of scanning electron microscopy. This book will be of interest to all those who are involved with the care of the pregnant woman and her fetus whether in medicine or in the law.

The fourth edition of this popular resource features step-by-step skill instruction and practice-focused exercises covering maternal and fetal 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 12 units containing information and skills essential for the recognition and initial management of high-risk and sick pregnant women and their fetuses. In this updated fourth edition, new units have been added on medical risk factors in pregnancy and obstetric risk factors in prior or current pregnancy. TOPICS INCLUDE Hypertension in pregnancy Obstetric hemorrhage Infectious diseases in pregnancy Gestational diabetes Prelabor rupture of membranes and intra-amniotic infection Preterm labor Inducing and augmenting labor Abnormal labor progress and difficult deliveries Imminent delivery and preparation for maternal/fetal transport And more...

An A-Z practical guide on the pharmacology and toxicology of pregnancy and nursing

"Medication Safety in Pregnancy and Breastfeeding: The Evidence-Based, A-to-Z Clinician's Pocket Guide" gives you comprehensive, authoritative coverage on the effects of prescription and over-the-counter drugs as well as herbals, chemicals, and radiologicals, on the mother, fetus, and nursing child. Organized A-Z for ease of use, this hands-on resource also includes evidence-based recommendations from the renowned Motherisk Program at the Hospital for Sick Children in Toronto.

The idea for this book developed during the course of several discussions among the editors while we were working together as staff scientists in the laboratories of the Clinical Neuro science Branch of the National Institute of Mental Health. It was a happy coincidence that the three of us, child psychiatrists with predominantly clinical interests, selected a collaborative bench research project involving neurotransmitter receptor characterization and regulation. We appreciated the relevance of our work to child psychiatry and wished for a forum to share the excitement we enjoyed in the laboratory with our clinical colleagues. Moreover, it seemed to us that much of the pharmacological research in child psychiatry proceeded on an empirical basis, often without a compelling neurochemical rationale. This could reflect the paucity of neurochemical data that exists in child psychiatry and the very limited understanding of the pathophysiology in most psychiatric disorders that occur in childhood. Also, we bemoaned the fact that there was a virtual absence of meaningful interchange between clinical investigators in child psychiatry and their colleagues in the neurosciences. We believed that an edited book appealing to clinicians and basic scientists could serve as an initial effort to foster interchange between them. The editors wish to emphasize that this book is viewed as only a beginning in the process of interchange that must take place."

Provide competent and sensitive maternal and newborn nursing care with Clinical Companion for Maternity & Newborn Nursing, 2nd Edition! Ideal for quick reference in the clinical setting, this book offers the information you need on topics such as pregnancy, childbirth, postpartum care, and care of the newborn, including potential complications for each. Expert authors Dr. Shannon E. Perry, Kitty Cashion, Dr. Deitra Leonard Lowdermilk, and Kathryn R. Alden stress the importance of safe nursing practice as outlined in the Quality and Safety Education for Nurses (QSEN) initiative. Teaching for Self-Management boxes offer a guide to communicating follow-up care to patients and their families. Signs of Potential Complications boxes help you recognize the signs and symptoms of complications and provide immediate interventions. Procedure boxes offer easy-to-use, step-by-step instructions for maternity skills and procedures. Emergency boxes may be used for quick reference in critical situations. Nursing Alerts highlight critical information that must be considered when providing care. Medication Guides in an appendix provide a key reference for common drugs and their interactions. Updated content provides the most current practice guidelines, including expanded information on obesity, the late preterm infant, and fetal heart rate pattern identification. Safety Alerts highlight developing competencies related to safe nursing practice in conjunction with the QSEN initiative on quality and safety in nursing care.

Rheumatic and autoimmune diseases are often present in women during the childbearing years and as such, correct management of pregnancy throughout its course is of significance to all those affected. Previously women with systemic rheumatic diseases were counselled against pregnancy as the majority of medications carried potential or perceived teratogenic risk. But in recent years new therapies have emerged that have advanced treatment. Patients have experienced significant improvements in physical function, quality of life, and reduced damage accrual. As a result, an expanded cadre of health care providers now need to be able to manage pregnancy in women with underlying rheumatic disease, both in acute or chronic settings. Practical Management of the Pregnant Patient with Rheumatic Disease is a quick-access guide of the most up-to-date understanding of the interplay between pregnancy and rheumatic diseases and principles of management before, during and after pregnancy assisting in decision making regarding treatment of women with autoimmune diseases. This collection of 70 cases covers pregnancy counseling, the management of disease flares, thromboembolic disease, the management of patients with end organ disease, advice on medications, obstetric complications, infections and the management of rare diseases in women with rheumatic diseases before and during pregnancy and post-partum. The handbook provides concise recommendations for all providers who may encounter women of child-bearing age including rheumatologists, gynaecologists, paediatricians, primary care providers and health professionals dealing with pre-conceptional and pregnant women with rheumatic diseases.

This book evaluates the effectiveness of prenatal care interventions and provides a framework for prenatal care that looks beyond the limited perspective of immediate neonatal outcomes. Ultimately, this book seeks to improve the content and the implementation of prenatal care by shifting the focus away from short-term technocentric medical advances to concentrate on the broader public health issues. A unique aspect of this book is its focus on the effectiveness of prenatal care interventions on longer-term benefits for women and children's health. Traditional medical interventions, as well as social support and behavioral interventions during prenatal care are reviewed. Effectiveness is considered within the context of its implications for public policy and service delivery. This book is an important resource for maternal and child health professionals, policy makers and health care managers because it provides evidence of the prenatal care services that improve the long-term health of women and children.

Over the last decade, epidemiological studies have suggested that the risk of coronary heart disease, stroke mortality and hypertension is, in part, related to the environment encountered during fetal life. In particular, maternal undernutrition during pregnancy has been highlighted as a causal factor in the long-term programming of disease risk. This book, which brings together the perspectives of leading researchers from Europe, the USA and Australasia, provides the reader with a detailed account of the evidence for and against the nutritional programming of human disease, and considers the biological basis of programming. The book addresses a topic of great current interest and consists of three sections: programming the fetus, programming human disease, and the biological basis of nutritional programming.

This irreplaceable reference compiles the most up-to-date and relevant material on obstetrics and gynaecology into one volume. Strongly evidence-based, it includes the latest knowledge and guidelines from a wide range of sources and contains the key recommendations that a practising obstetrician or gynaecologist needs to know; presenting them in a uniform and accessible way, allowing for quick diagnosis and optimal care. In line with the Royal College of Obstetrics and Gynaecology curriculum for specialty training, this book covers not just the clinical knowledge required but also information on the communication, technical and professional skills needed to practise in the specialty. With each chapter written by internationally renowned specialists and edited by five of the leading figures in obstetrics and gynaecology, this book will be a vital resource for all practising clinicians.

This timely professional reference and educational resource applies current concepts of pediatric adherence to medical treatment to create a model for a family-centered, collaborative approach to managing chronic illness. At its core are the latest findings on adherence: the factors that encourage it, the barriers that derail it, and the most effective interventions for its improvement. The book's developmental lens highlights how adherence waxes and wanes across different stages of childhood and adolescence, and specialized chapters analyze social realities exacerbating adherence problems. And its end product is a framework for how patients, parents/caregivers, and providers can work together effectively for improved adherence and optimum outcomes. Included in the coverage: The scope and impact of nonadherence. Poverty, stress, and chronic illness management. Racial/ethnic health disparities and adherence. Reconsidering the idea of self-management. * Screening for nonadherence in pediatric patients. * A comprehensive behavioral health system for identifying and treating nonadherence. Healthcare Partnerships for Pediatric Adherence offers relevant contemporary perspective for pediatricians looking for new ways to reduce treatment failure, improve support to patients and their families, and promote patient involvement in their own care.

Maintaining consistent and reliably high success rates is a daily challenge for every IVF laboratory. This step-by-step guide is an essential aid in navigating the complex maze of physical, chemical, biological, and logistic parameters that underpin successful gamete and embryo culture: temperature, pH, osmolality, gas supplies, air quality, light exposure, infections, managing supplies, personnel, as well as overall quality control. Numerous real-life troubleshooting case reports are presented, identifying all aspects necessary for troubleshooting. Process maps and flow charts accompanying each chapter offer a logical and systematic approach to problem solving in the laboratory. This is an essential resource for scientists in assisted reproductive technology and specialists in reproductive biology and medicine, helping IVF clinics to achieve the dream of every infertile couple: the birth of a healthy child.

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.

This is the second volume in an annual series reviewing important areas and advances in obstetric ultrasound, with wide-ranging reviews as well as chapters that look at chosen topics in more depth. This volume again draws together outstanding contributions from radiologists, obstetricians, and scientists to provide full coverage of clinical problems of particular current interest, such as extopic pregnancy, prenatal diagnosis of neural tube defects, fetal cardiac arrhythmias, and non-immune hydrops, while also covering litigations, equipment, and randomized trails of obstetric ultrasound.

A new addition to the Oxford Case Histories series, Obstetric Medicine provides the reader with 55 cases of different clinical presentations in obstetric medicine. Each case is presented with a background to the subject area, a summary of the history, and examination findings, and relevant investigation results. This is followed by several questions on clinically important aspects of the case with answers and detailed discussion, particularly of the differential management options. Each topic is mapped on to both the curriculum for physicians undertaking obstetric medicine, and for obstetric trainees studying for membership exams, the Advance Training Skills Module in maternal medicine, and speciality training in maternal and fetal medicine. Providing an ideal self-assessment tool, this new title is of interest to all doctors working in obstetrics, midwives, and students revising for exams.

This textbook is a comprehensive reference providing clinicians with the latest advances in the management of diabetes in pregnancy and the role of ultrasound. Beginning with an overview of the diagnosis and basic treatment of diabetes in pregnancy, the next chapter discusses foetal behaviour in normal pregnancy and in diabetic pregnancy. The following sections cover the role of ultrasound in diabetic pregnancy and for diabetes-related congenital anomalies. The final chapter covers diabetes and obesity in pregnancy. Authored by recognised experts in the field, the book is further enhanced by ultrasound images and other illustrations. Key points Comprehensive guide to management of diabetes in pregnancy and the role of ultrasound Examines foetal behaviour in both normal and diabetic pregnancy Includes chapter on diabetes and obesity in pregnancy Authored by recognised experts in the field

Multiple pregnancies are associated with higher risks for both mother and babies. Women with multiple pregnancies have an increased risk of miscarriage, anemia, hypertensive disorders, haemorrhage, and postnatal illness. These pregnancies are more likely to need an operative delivery, and maternal mortality is generally 2.5 times that of singleton births. Fetuses are at increased risk for anatomic and genetic anomalies, growth abnormalities, prematurity, and several physiological problems related to monochorionicity. This book provides a much needed, up-to-date guide to the management of multiple pregnancies. Presented with a uniform approach to all chapters, information is easily navigable, evidence-based, and highly practical. Heavily illustrated, particularly with ultrasound images - the cornerstone of management of multiple pregnancies - this book will appeal to obstetricians and specialists in maternal-fetal medicine, midwives and ultrasonographers and will improve outcomes for mothers and babies.

Congenital and perinatal infections remain a stubborn and major cause of morbidity and mortality in infants throughout the world. This concise, accessible account provides an essential guide to the diagnosis, management, and prevention of these infections. The first three chapters underline how and why infections during this critical period can be so devastating. The main section of the book focuses on individual infections, and emphasizes effective intervention based on the very latest knowledge and techniques. Another unique feature of this account is its recognition that the severity and types of these infections vary considerably from country to country, and from the developing world to the developed world. The international team of experts involved in this compilation have striven to make this an account that will transcend these boundaries and be suitable for all doctors and allied health professionals around the world charged with the care of the mother and newborn.

Cancer in pregnancy, although thankfully a relatively uncommon occurrence, presents physicians and their patients with a major dilemma. The urge to use the highest tolerable doses of chemotherapy, high doses of irradiation and surgery has to be weighed carefully against their risks to the unborn baby. This book is the very first to attempt to quantify these risks and provide physicians with a core of knowledge that will be very relevant to making sound clinical decisions in the face of sometimes conflicting interests. The volume evaluates the results of the Motherisk Program, which was set up specifically to address this problem, and reviews maternal and fetal outcomes from a sizeable database of the most common cases of cancer in pregnancy. In reviewing this program and the experience of others in this area, this volume sets out to create a clinically relevant tool for oncologists, obstetrician-gynecologists, perinatologists and neonatologists.

This 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 on complex neonatal therapies, including 2 new units on neonatal encephalopathy and the ethical issues surrounding perinatology, especially when caring for fetuses of periviable gestational ages. TOPICS INCLUDE Direct blood pressure measurement Exchange, reduction, and direct transfusions Continuous positive airway pressure Assisted ventilation with mechanical ventilators Surfactant therapy Therapeutic hypothermia for neonatal hypoxic-ischemic encephalopathy Continuing care for at-risk babies Biomedical ethics and perinatology

Pregnancy loss can be devastating, regardless of whether it is early or late in pregnancy or in the short period after a baby is born. In many instances, similar emotions are experienced when a couple learns that their fertility treatments were unsuccessful. This wise, compassionate book teaches proven cognitive-behavioral strategies for coping with infertility and pregnancy loss. You will learn about common grief experiences that occur with such losses, as well as ways to find perspective and meaning, identify and change unhelpful thoughts, gain acceptance, reconnect with others, and reengage in life. By applying these strategies, you can break out of the cycle of sadness and rumination and heal with grace and dignity. As a clinical psychologist, Dr. Amy Wenzel has helped countless women who have experienced infertility, pregnancy loss, and other reproductive traumas. Her extensive knowledge and compassion — augmented by her personal experience coping with neonatal loss and infertility — will help you effectively manage the grief associated with reproductive loss.