L'opera descrive in maniera semplice e chiara l'occhio, il suo sviluppo, i suoi difetti e le sue malattie. Presenta l'igiene oculare, la protezione dalle radiazioni tossiche e spiega come usare le lenti a contatto e gli occhiali da sole. Il volume offre anche un panorama degli interventi laser e chirurgici di maggior diffusione, che consentira al paziente che si deve fare operare di capire meglio l'atto operatorio e il decorso postoperatorio.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

This is a story about the cutting-edge medicine that has saved a generation of babies.

It's about the love and fear a parent feels for a child they haven’t yet met.

It's about doctors, mothers, fathers and babies as together they fight for the first breath.

The First Breath is a book about motherhood and medicine.

Olivia Gordon decided to find out how, exactly, modern science saved her son’s life. Crossing medical memoir with popular science, The First Breath is an investigation into the pioneering fetal and neonatal care bringing a new generation into the world, who would not have lived if they had been born only a few decades ago.

The First Breath explores the female experience of medicine and details the relationship mothers develop with doctors who hold not only life and death in their hands, but also the very possibility of birth.

From the dawn of fetal medicine to neonatal surgery and the exploding field of perinatal genetics, The First Breath tells of fear, bravery and love. Olivia Gordon takes the reader behind the closed doors of the fetal and neonatal intensive care units, resuscitation rooms and operating theatres at some of the world’s leading children’s hospitals, unveiling the untold story of how doctors save the sickest babies.

Dieser Buchtitel ist Teil des Digitalisierungsprojekts Springer Book Archives mit Publikationen, die seit den Anfangen des Verlags von 1842 erschienen sind. Der Verlag stellt mit diesem Archiv Quellen fur die historische wie auch die disziplingeschichtliche Forschung zur Verfugung, die jeweils im historischen Kontext betrachtet werden mussen. Dieser Titel erschien in der Zeit vor 1945 und wird daher in seiner zeittypischen politisch-ideologischen Ausrichtung vom Verlag nicht beworben.

A generation has passed since a physician first noticed that women who drank heavily while pregnant gave birth to underweight infants with disturbing tell-tale characteristics. Women whose own mothers enjoyed martinis while pregnant now lost sleep over a bowl of rum raisin ice cream. In "Message in a Bottle," Janet Golden charts the course of Fetal Alcohol Syndrome (FAS) through the courts, media, medical establishment, and public imagination.

Long considered harmless during pregnancy (doctors even administered it intravenously during labor), alcohol, when consumed by pregnant women, increasingly appeared to be a potent teratogen and a pressing public health concern. Some clinicians recommended that women simply moderate alcohol consumption; others, however, claimed that there was no demonstrably safe level for a developing fetus, and called for complete abstinence. Even as the diagnosis gained acceptance and labels appeared on alcoholic beverages warning pregnant women of the danger, FAS began to be de-medicalized in some settings. More and more, FAS emerged in court cases as a viable defense for people charged with serious, even capital, crimes and their claims were rejected.

Golden argues that the reaction to FAS was shaped by the struggle over women's relatively new abortion rights and the escalating media frenzy over "crack" babies. It was increasingly used as evidence of the moral decay found within marginalized communities--from inner-city neighborhoods to Indian reservations. With each reframing, FAS became a currency traded by politicians and political commentators, lawyers, public health professionals, and advocates for underrepresented minorities, each pursuingseparate aims.

South Asia Region (SAR) has decreased maternal mortality ratio (MMR) by 65 percent between 1990 and 2013, which was the greatest progress among all world regions. Such achievement implores the question, What made SAR stand out against what is predicted by standard socioeconomic outcomes? Improving Maternal and Reproductive Health in South Asia: Drivers and Enablers identifies the interventions and factors that contributed to reducing MMR and improving maternal and reproductive health (MRH) outcomes in SAR. In this study, the analytical framework assumes that improving MRH outcomes is influenced by a multitude of forces from within and outside the health system and considers factors at the household and community levels, as well as interventions in other sectors and factors in the enabling environment. The analysis is based on a structured literature review of the interventions in SAR countries, relevant international experience, and review of the best available evidence from systematic reviews. The focus of the analysis is mainly on assessing the effectiveness of interventions. The findings from this study indicate that the most effective interventions that prevent maternal mortality are those that address the intra-partum stage - the point where most maternal deaths occur - and include improving skilled birth attendance coverage, increasing institutional delivery rates, and scaling up access to emergency obstetric care. There is also adequate evidence that investing in family planning to increase contraceptive use also played a key role during the inter-partum phase by preventing unwanted pregnancies and thus averting the risk of maternal mortality in SAR countries. Outside the programmatic interventions, the levels of household income, women's education, and completion of secondary education of girls were also strongly correlated with improved MRH outcomes. Also, there is strong evidence that health financing schemes - both demand and supply side - and conditional cash transfer programs were effective in increasing the uptake of MRH services. The study points out to many other interventions with different degrees of effectiveness. The study also identified four major reasons for why SAR achieved this progress in MMR reduction. The best practices and evidence of what works synthesized in this study provide an important way forward for low- and middle-income countries toward achieving the health-related Sustainable Development Goals

This handbook addresses universal developmental and cultural factors contributing to child and adolescent mental health and well-being across the globe. It examines sociocultural contexts of development and identifies children's and adolescents' perspectives as critical to understanding and promoting their psychological well-being. It details the Promoting Psychological Well-Being Globally project's methodology for data collection and analysis, provides cross-cultural analyses of its findings, and offers a practical model for clinicians and other professionals seeking to apply this knowledge to real-life settings. Featured topics include: Sexual health, gender roles, and psychological well-being in India. Psychological well-being as a new educational boundary in Italy. Mapping psychological well-being in Romania. Youth perspectives on contributing factors to psychological well-being in Sri Lanka. Culturally specific res ilience and vulnerability in Tanzania.Longing for a balanced life - the voices of Chinese-American/immigrant youth in the United States. The International Handbook of Psychological Well-Being in Children and Adolescents: Bridging the Gaps Between Theory, Research, and Practice is an invaluable resources for researchers, clinicians, scientist-practitioners, and graduate students in child and school psychology, social work, public health, positive psychology, educational policy and politics, and maternal and child health.

This handbook addresses universal developmental and cultural factors contributing to child and adolescent mental health and well-being across the globe. It examines sociocultural contexts of development and identifies children's and adolescents' perspectives as critical to understanding and promoting their psychological well-being. It details the Promoting Psychological Well-Being Globally project's methodology for data collection and analysis, provides cross-cultural analyses of its findings, and offers a practical model for clinicians and other professionals seeking to apply this knowledge to real-life settings. Featured topics include: Sexual health, gender roles, and psychological well-being in India. Psychological well-being as a new educational boundary in Italy. Mapping psychological well-being in Romania. Youth perspectives on contributing factors to psychological well-being in Sri Lanka. Culturally specific res ilience and vulnerability in Tanzania.Longing for a balanced life - the voices of Chinese-American/immigrant youth in the United States. The International Handbook of Psychological Well-Being in Children and Adolescents: Bridging the Gaps Between Theory, Research, and Practice is an invaluable resources for researchers, clinicians, scientist-practitioners, and graduate students in child and school psychology, social work, public health, positive psychology, educational policy and politics, and maternal and child health.

The placenta plays an essential role in childbirth. It becomes disposable after the baby is born which makes it the only organ in the human body that serves a vital function and then becomes obsolete. It is an extremely complex piece of biological equipment which allows the mother's and the baby's blood to come into very close contact, without mixing, to supply nutrients and oxygen to the baby, and move waste products like carbon dioxide back from baby to mother. Thus, the placenta acts as the lung, kidney and digestive system for the baby. The placenta also plays an important role in hormone production. Human chorionic gonadotropin is produced by the placenta and can be found in the baby's blood as early as 10 days into pregnancy. The placenta is also responsible for the production of other hormones including oestrogen and progesterone and protects the baby from possible infection or from damage by substances found in the environment or used by the mother, such as alcohol, drugs, pollutants and endocrine disrupters. This book presents the reader with a comprehensive, well written and informative collection of chapters written by experts from around the world. It will be a valuable asset for anyone interested in reproduction and pregnancy and wanting to access excellent reviews as well as the most current discussion of the biology and medicine of the placenta.

Neural Tube Defects (NTDs) are congenital malformations of the central nervous system caused by partial or complete failure of the neural tube to close, within 28 days of conception. They represent the second most frequent cause of congenital abnormality. In this book, the authors discuss the prevalence, pathogenesis and prevention of neural tube defects. Topics include preconception folic acid as a primary prevention tool for NTD and its risk assessment; understanding and preventing folic acid-resistant neural tube defects; knowledge of the cellular mechanisms responsible for normal neural tube formation in comprehending and preventing NTDs; developmental delay in interneuron, motor neuron, sensory tract, and synapse formation in chick spina-bifida; and an examination of whether neural tube defects lead to structural alterations in the urinary and genital organs in human foetuses.

Despite today's historically low maternal and infant mortality rates in the United States, labor continues to evoke fear among American women. Rather than embrace the natural childbirth methods promoted in the 1970s, most women welcome epidural anesthesia and even Cesarean deliveries. In "Deliver Me from Pain," Jacqueline H. Wolf asks how a treatment such as obstetric anesthesia, even when it historically posed serious risk to mothers and newborns, paradoxically came to assuage women's anxiety about birth.

Each chapter begins with the story of a birth, dramatically illustrating the unique practices of the era being examined. "Deliver Me from Pain" covers the development and use of anesthesia from ether and chloroform in the mid-nineteenth century; to amnesiacs, barbiturates, narcotics, opioids, tranquilizers, saddle blocks, spinals, and gas during the mid-twentieth century; to epidural anesthesia today.

Labor pain is not merely a physiological response, but a phenomenon that mothers and physicians perceive through a historical, social, and cultural lens. Wolf examines these influences and argues that medical and lay views of labor pain and the concomitant acceptance of obstetric anesthesia have had a ripple effect, creating the conditions for acceptance of other, often unnecessary, and sometimes risky obstetric treatments: forceps, the chemical induction and augmentation of labor, episiotomy, electronic fetal monitoring, and Cesarean section.

As American women make decisions about anesthesia today, "Deliver Me from Pain" offers them insight into how women made this choice in the past and why each generation of mothers has made dramatically different decisions.

Updated by a team of internationally renowned experts, this book gives a thorough overview of fetal pathophysiology and an evidence base for in utero: both medical (non-invasive) and surgical treatments. Many topics are expanded to cover recent advances, including: stem cell transplantation; tissue scaffolding; minimally invasive approaches to 'open fetal surgery'; the etiology, prevention and treatment of preterm birth and PROM; the genetic etiologies of fetal disease; and gene therapy. In addition, there are in-depth discussions as to the role of open fetal myelomeningocele repair and several fetoscopic approaches to therapy. The international editors have added important new chapters on reducing stillbirth and prenatal counselling. This book is an invaluable reference guide to the latest fetal therapy options, and an essential, in-depth study book for maternal-fetal and neonatology specialists.

This is an up-to-date evidence-based textbook for junior obstetricians and gynaecologists. It contains all the material relevant to everyday practice and the new RCOG curriculum. It has been written and edited by inspiring teams that combine juniors, new and established consultants working in a range of settings and many of the UK's top experts in obstetrics and gynaecology.
Step-by-step descriptions and pictures of practical procedures help trainees integrate their clinical and drills-and-skills teaching with the theoritical basis of the vital, life-saving and emergency aspects of this specialty. The text covers the basic knowledge, skills, and attitudes required before taking advanced modules or training in the subspecialty areas of obstetrics and gynaecology. Full reference is made to grades and levels of evidence, to specialty, and RCOG, and NICE guidance.
A novel section on professional skills covers a wide range of issues that other textbooks skim over, but will add quality to practice: breaking bad news, clinical errors and negligence, the Confidential Enquiries, law and ethics, and what to do when things go wrong.
The book manages to combine both a freshness and enthusiasm for the specialty along with wisdom rooted in reflective clinical practice. The text is laid out with excellent instructions, diagrams, clinical tips, landmark studies, key references and useful websites, all encouraging understanding and enjoyable learning.

The stimulus of this study was the question as to whether current program strategies can reduce maternal mortality quicker than in the historically successful countries for Malaysia and Sari Lanka. Through cases studies, research and analysis of extent data of safe motherhood programs in seven countries, the answer is yes: lessons learned concern six factors associated with recent success in reducing maternal mortality. This book provides a thorough analysis of factors reducing maternal mortality through three retrospective case studies in China, Honduras and Zimbabwe; and four research studies in Bolivia, Egypt, Indonesia, and Jamaica. Reduction of maternal mortality has now become an explicit focus of many programs. Where such is targeted, and strategies adapted to address the local barriers to move women into appropriate care for birth has resulted, this has impacted on the reported maternal mortality.

Based on the curriculum of the Royal College of Obstetricians and Gynaecologists' Advanced Training Skills Module in Fetal Medicine, this book provides a comprehensive knowledge base for all doctors practising in obstetrics and maternal-fetal medicine worldwide. It acts as a reference source for the many changing concepts in fetal medicine and is well-illustrated with images of normal and abnormal findings in pregnancy that will facilitate proper understanding of normal and pathological fetal development. Coverage includes embryology, fetal physiology; fetal anomalies; fetal diseases; prescribing and teratogenesis in pregnancy; termination of pregnancy; fetal growth and wellbeing; multiple pregnancy; the placenta and amniotic fluid; and diagnostic and therapeutic invasive procedures. Readers will benefit from the theoretical knowledge and vast clinical experience of the internationally renowned authorship. Overall this book will prepare you for dealing with congenital abnormalities detected during pregnancy, including the organization and supervision of screening programmes for structural and chromosomal anomalies.

Prenatal testing for genetic abnormalities has transformed pregnancy and motherhood. Using sociological research, this book analyses the social-psychological and ethical implications of invasive prenatal testing, particularly CVS and amniocentesis. Among the issues covered are: changes in the genetic counselling profession and in client demographics; the challenge of nondirective genetic counselling; decisions of testing and on which test to have; the timing and risks of the procedures; abortion and grief; the ethics of sex education; potential uses and abuses of genetic knowledge; and policy and ethical implications.

It is now possible for physicians to recognize that a pregnant woman's foetus is facing life-threatening problems, perform surgery on the foetus, and if it survives, return it to the woman's uterus to finish gestation. Although foetal surgery has existed in various forms for three decades, it is only just beginning to capture the public's imagination. These still largely experimental procedures raise all types of medical, political and ethical questions. Who is the patient? What are the technical difficulties involved in foetal surgery? How do reproductive politics seep into the operating room, and how do medical definitions and meanings flow out of medicine and into other social spheres? How are ethical issues defined in this practice and who defines them? Is foetal surgery the kind of medicine we want? What is involved in reframing foetal surgery as a women's health issue, rather than simply a paediatric concern? In this ethnographic study of the social, cultural and historical aspects of foetal surgery, Monica Casper addresses these questions. The Making of the Unborn Patient examines two important and connected events of the second half of the 20th century: the emergence of foetal surgery as a new medical speciality and the debut of the unborn patient. Drawing on a wide range of sources, Casper shows how biomedical work has intersected with reproductive politics for three decades to generate new cultural meanings of foetuses, women and medicine itself. Since its inception, foetal surgery has been controversial both inside and outside of medicine precisely because it transgresses a number of boundaries, challenging our most cherished assumptions about pregnancy, maternal sacrifice, foetal life and death, and the limits of technology. Like many other medical innovations, especially those at the beginnings and ends of human life, foetal surgery is proceeding rapidly but without careful reflection about what it means and without public debate about its consequences. Foetal surgery is risky, expensive and fraught with peril for both women and their foetuses. This book offers a critical social and cultural analysis of this nascent yet significant innovation in biomedicine. Analyzing original data, Casper explores early foetal surgery efforts and the emergence of the unborn patient in the 1960s. She examines several related practices, including foetal physiology, diagnostic technologies, animal experimentation, and foetal wound healing research, and the ways in which they have shaped foetal surgery. She presents ethnographic data collected at one of the premier US foetal treatment facilities, offering a behind-the-scenes look at the various kinds of work involved in operating on human foetuses. She also examines the many ethical dilemmas involved in research on human subjects in experimental foetal surgery. Perhaps most significantly, the book draws attention to the many ways in which foetal surgery affects women's health.

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.

This handy pocket atlas is a complete and convenient guide to the normal sonographic appearances of the embryo and fetus and its uterine environment. The book equips practitioners with the thorough knowledge of normal fetal anatomy that is essential for the timely recognition of abnormalities.The images in this atlas were produced with state-of-the-art high-resolution ultrasound imaging systems and depict a spectrum of normal anatomy encountered during pregnancy. The book begins with the fetal environment (including the cervix, uterus, placenta, and umbilical cord), progresses through successive embryonic stages, and then examines fetal organ systems. The appendix provides a set of basic biometry tables for convenient daily use.

Fetal Echocardiography is a comprehensive, lavishly illustrated guide to fetal heart scanning for anyone involved in obstetric ultrasound. Authored by a leading pediatric cardiologist with over 30 years of experience, it brings together all the information needed by cardiologists, obstetricians, sonographers or maternal-fetal medicine clinicians in order to obtain clear, high-quality echocardiograms and interpret them. Initial chapters provide the basic principles of echocardiography and how to obtain the standard views, giving numerous illustrations of each standard view and the possible deviations from normal. Subsequent chapters present a complete pictorial representation of almost all malformations recognised in fetal life. An overview of the likely outcome of each malformation is given, backed up by personal data involving nearly 4000 abnormal fetal hearts. Additional chapters cover Fetal Arrhythmias and Early Fetal Heart Scanning. Highly illustrated and full of practical guidance, Fetal Echocardiography is an invaluable resource for all practitioners involved in obstetric scanning.

TWO BOOKS IN ONE! Q&A Course Review NCLEX Prep Maternal and Newborn made manageable! Assure your mastery of maternal and newborn nursing knowledge while honing your critical-thinking and test-taking skills. Over 1,160 NCLEX (R)-style questions on maternal and newborn nursing care reflect the latest test plan, including the more difficult SATA format. Rationales for correct and incorrect responses as well as test-taking tips help you to critically analyze the question types. Together, with a comprehensive exam at the end of the book, they provide the practice you need to build your confidence for course exams and the NCLEX. BONUS! FREE, 30-day access to Davis Edge NCLEX-RN (R) included with purchase of a new print book. This online Q&A platform lets you create practice quizzes with more than 10,000 NCLEX-style questions; review proven test-taking strategies; and prepare for the biggest test of your career with simulated NCLEX exams. Use this exceptional resource with your current book or combine it with Roberta Durham and Linda Chapman's Davis Advantage for Maternal-Newborn Nursing text. It follows the same organization as Maternal and Newborn Success, 4thEdition for the ideal teaching and learning experience.

Health care professionals need to make rapid decisions under pressure to prevent and manage adverse outcomes during childbirth. Using an enquiry-based learning approach, this book offers a straightforward but comprehensive guide to emergency care, with scenarios throughout and expert commentary from a Supervisor of Midwives. It all addresses all major emergency situations as well as legal and clinical governance issues. It is essential reading for all midwives, paramedics and allied health professionals involved in the provision of obstetric care away from the acute setting.

Electronic Fetal Heart Rate Monitoring: The 5-Tier System, Third Edition reviews the practice of fetal heart rate monitoring. Beginning with a description of the anatomy of fetal circulation, placental function as a respiratory organ, and acid-base balance, it also presents normal fetal cardiovascular and cerebral metabolism. In addition, the pathophysiologic mechanisms involved in progressive fetal asphyxia are examined via a review of the seminal animal and human studies conducted in this field. Also included is a brief summary of fetal heart rate monitoring technology currently used in clinical practice and standard nomenclature for fetal heart rate characteristics. Variant fetal heart rate patterns and the underlying physiologic mechanisms are presented as well. The Third Edition summarizes the research identifying the relationship between specific fetal heart rate patterns and an increasing risk of fetal acidemia, including the effect of deceleration depth, duration, and pattern evolution. It also evaluates the scientific basis that supports management algorithms currently in use and recommends the Parer/Ikeda 5-tier system. This algorithm assigns fetal heart rate patterns to 5 categories based on their progressive risk of fetal acidemia and has been tested in several studies. Clinical management using the 5-tier system is presented in detail.

Supporting a Physiologic Approach to Pregnancy and Birth: A Practical Guide provides an overview of current evidence and a range of practical suggestions to promote physiologic birth within the United States healthcare system. Presenting the latest evidence available on practical approaches and minimal interventions, this book looks into clinic exam rooms and hospital labor units to investigate the possibilities for improving the pregnancy and labor experience. Contributors discuss recent research and other published information and present a range of ideas, tools, and solutions for maternity care clinicians, including midwives, nurses, physicians, and other members of the perinatal team. An invaluable resource, Supporting a Physiologic Approach to Pregnancy and Birth is a must-have practical guide for those involved in all aspects of pregnancy and birth.