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.

There is general consensus regarding threshold levels that describe the gray zone on the limits of viability, and gestational age alone should not be used solely in making a decision. This issue will bring light to the latest thoughts and clinical recommendations for delivery during the periviable period. Top thought leaders and clinicians have submitted articles in the following areas: Consequences of Birth at Periviable Gestions on Organ Systems; Medical and Surgical Interventions Before Birth; NICU Care: Nutrition/NEC; Pulmonary Care and Circulatory Support; NICU Stay and Microbiome; and Ethical Considerations and Counseling, to name a few. Readers will come away with the most current content written on this topic and details that can be incorporated into clinical care.

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

Preterm birth interrupts the normal developmental progression of most organs, particularly when birth occurs at the lowest level of viability. An immediate task is to successfully transition to a post-natal life without a placental circulation. To do this demands careful management of the cardiorespiratory systems. To best help the fragile preterm infant at this demanding time, care-givers must remember two most pressing goals. These are first to maintain adequacy of gas exchange and delivery, while simultaneously minimizing any secondary injury to the fragile preterm lung. However, after these immediate priorities in the delivery room, the longer term effects of an immature lung development and its associated problems come to the forefront. These problems include the inflammation of perinatal infection, oxygen, and invasive mechanical ventilation. Both the immaturity itself, and secondary lung injury and its inflammation - collectively will often lead to the condition termed bronchopulmonary dysplasia (BPD). Although many of these infants may eventually be discharged to home without a need for oxygen supplementation or pulmonary medications, the long-term impact of interrupted lung development and secondary lung injury remain serious concerns. It is now well recognized that mechanical ventilation is pivotal to developing secondary lung injury and BPD. Consequently, a great deal of time and effort has been put into the development and application of non-invasive ventilator (NIV) approaches to supporting respiratory function in neonates. Since the landmark publication by Gregory and colleagues in 1967, nasal continuous positive airway pressure (nCPAP) has been the most commonly applied approach to NIV. This approach has been supported by the recent generation of randomized controlled trials. However, cumulatively these trials have shown only a small reduction in rates of BPD. Outside of the trial data, despite the wider application of nCPAP, rates of BPD remain relatively unchanged over recent years. This has led to investigations of other NIV approaches including nasal ventilation and high flow nasal cannula therapy. Not only have available modes increased, but so have the interfaces through which these modes may be applied. In the issue of Clinic in Perinatology, readers will find an up-to-date review of non-invasive approaches to supporting preterm respiratory function. This draws on the expertise of leading investigators in the field. This issue reviews the physiologic mechanisms by which the various approaches to NIV may support respiratory function; the evidence base supporting different NIV approaches; and adjunctive aspects of NIV therapy including their use during neonatal transport and the application of other supportive therapies such as inhaled NO.

This issue of Clinics in Laboratory Medicine, edited by Drs. Anthony Odibo and David A. Krantz, covers issues surrounding Prenatal Screening and Diagnosis. Topics examined in this issue include, but are not limited to: Strategies for Implementing cfDNA Testing; Genetic Counselling for Patients Considering Screening and Diagnosis of Chromosomal Abnormalities; Microdeletions/Duplications; Sex Chromosome Abnormalities; First-, Second- and Third-Trimester Screening for Preeclampsia and Intrauterine Growth Restriction; Biophysicial/Biochemical Screening for the Risk of Preterm Labor; Preimplantation Genetic Testing; Toxoplasmosis, Parvovirus and Cytomegalovirus in Pregnancy; and Sleep Apnea and Adverse pregnancy Outcomes.

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.

This practical book provides comprehensive and up to date information of the detection and management of hypertension in pregnant women. Written especially for those at the fromt end of obstetric management - general practitioners, midwives, and junior hospital doctors - it deals with the essentials in a user friendly format. Chapters include:
Definitions and classifications
Epidemiology
Investigation of pregnancy induced hypertensive disorders
Treatment of hypertension in pregnancy
Prevention of the development of pre-eclampsia
Intensive care of the pre-eclamptic and eclamptic patient
Follow up
Rare causes

All those managing pregnant women need to be alert to the development of hypertension and the concomitant risk of full blown pre-eclampsia. This authoritative handbook is an invaluable aid to both prevention and management of all eventualities.

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.

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 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.

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.

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.

In consultation with Consulting Editor, Dr. Lucky Jain, Drs. Jonathan M. Davis and Errol R. Norwitz have put together a state-of the-art issue of the Clinics in Perinatology devoted to Perinatal Pharmacology. Clinical review articles are specifically devoted to the following: Drugs for the prevention and treatment of preterm labor; Drugs for the prevention and treatment of hypertensive disorders of pregnancy; Drugs to promote neuroprotection; Medications that cause fetal anomalies and possible prevention strategies; Safety and efficacy of psychotropic medications during pregnancy; Treatment of viral infections during pregnancy (HIV, herpes, CMV, hepatitis C); Drugs to control diabetes during pregnancy; Cardiotonic drugs; Drugs to treat coagulation disorders in the newborn; Drugs for the prevention and treatment of bronchopulmonary dysplasia; Drugs for the prevention and treatment of neonatal brain injury; Drugs for the prevention and treatment of sepsis in the newborn; Analgesia, opioids and other drug use during pregnancy and Neonatal Abstinence Syndrome; Medications and breast feeding; Principles of pharmacokinetics in the pregnant woman and fetus; and Challenges in designing clinical trials to test new drugs in the pregnant woman and fetus. Readers will come away with the latest information on therapeutics as they seek to utilize evidence-based recommendations to improve patient outcomes.

The perfect companion to Safe Maternity & Pediatric Nursing Care, 2nd Edition! Each chapter in the Study Guide corresponds to a chapter in the text. Exercise by exercise, activity by activity, you'll develop your critical-thinking and problem-solving skills while mastering the principles, concepts, and procedures essential to success in the classroom and in practice.

Cambridge Pocket Clinician / Maternal-Fetal Medicine is designed to provide the busy clinician with precisely the information needed where and when it is needed. The text covers a wide variety of topics related to maternal and fetal medicine, as well as clinical questions that will challenge providers both in the outpatient setting and on Labor & Delivery. Special attention has been paid to incorporating an evidence-based approach to obstetric management, and a number of chapters have been included to assist in the management of obstetric emergencies. In total, over 000 diseases and conditions are discussed 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.

There is a documented link between fetal nutrition and the development of disease risk in adult life. Including the early postnatal period, during which a newborn continues to grow rapidly influenced by environmental factors, suggests that individuals are subject to risks for more than just the fetal period. Fetal and Early Postnatal Programming and its Influence on Adult Health focuses on interrelated aspects of cellular programming related to early nutrition and this potential global health problem.

The impact of cardiovascular disease on an infant extends from the fetal period to well beyond childhood. Perinatalogists and neonatologists can impact maternal and fetal health through wide range of diagnostic modalities and interventional techniques. For our edition focused on cardiovascular health, we sought to encompass the breadth of knowledge that would be the most relevant for the bed side clinician. Our goal was to assemble contents that would allow a clinician to quickly peruse the journal, and then be prepared to make a medical decision. The interaction between cardiology and perinatology/neonatology includes genetics, diagnostics, interventions, counseling, routine stabilization and day to day care. Ultimately, the goal is to establish the foundation for a healthy adult. For this reason, we have even included chapters on topics that are significant on a day to day basis (such as the proper environment for a newborn) and a long term basis (like the overall neurodevelopmental impact of our interventions). Hopefully, whether in the middle of the night as an emergency reference or during the day as a reliable guide, this edition of Clinics in perinatology will be an important bedside tool for anyone that participates in the care of a patient with perinatal heart disease.

Breast-Feeding: Early Influences on Later Health is a new book which draws together areas of research in early lifel programming of adult health, with a unique focus on the post-natal period in terms of early life programming particularly the extent to which differences in infant feeding practices can lay an indelible imprint on metabolism and behaviour, and hence affect later function and risk of disease. This is an area where there is much less information currently available than there is for fetal programming, and the book raises many new questions and highlights numerous areas where further research is needed. The book chapters are arranged in three core sections: Chapters 1-4 lay down some of the basic biology of early life development; Chapters 5-9 examine how breast-milk and breast-feeding might programme these processes by acting as modulators of development; Chapters 10-17 examine the epidemiological evidence that such effects do indeed exist. In addition the book includes unique chapters on the Evolution of human lactation and complementary feeding, The Macy-Gyorgy Prize Lecture My Milky Way, updates on HIV and Breast-Feeding and on Early breastfeeding cessation and infant mortality in low-income countries, and measuring trace immune factors in human milk, all important topics that have such a critical impact on child health and survival in many countries."

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.

This book is a comprehensive guide to caesarean section for practising obstetricians. Divided into four sections, the text begins with an overview of anatomy and physiology in childbirth, followed by discussion on diagnosis in clinical obstetrics and use of a partograph to record key data on both the mother and baby during labour. Section three covers the complete process of caesarean section, describing indications for the operation, anaesthesia, and the actual procedure. A chapter is dedicated to perimortem and post-mortem caesarean delivery. Postoperative recovery and potential complications are also explained. The final section of the book examines alternatives to caesarean section surgery. With a highly experienced team of authors, this practical guide is further enhanced by more than 300 illustrations and tables. Key points Comprehensive guide to caesarean section for practising obstetricians Covers complete procedure, from indications and anaesthesia, to operating techniques and complications Includes chapter on perimortem and post-mortem caesarean delivery Final section covers alternatives to caesarean section surgery

The acclaimed quick-reference guide to the diagnosis and treatment of fetal abnormalities - completely updated in full color Structural Fetal Abnormalities delivers practical, authoritative coverage of the detection and treatment of more than 100 of the most common fetal anomalies, grouped by organ system, and discussed in concise, bulleted text. This unique resource puts at your fingertips valuable content that includes the features of a condition, its differential diagnosis, how to manage the pregnancy, and what to expect in the neonatal period and beyond. Each condition and syndrome discussed is presented in a standardized fashion with input from experienced clinicians in many different specialties, including maternal-fetal medicine, genetics, sonography, neonatology, pediatric cardiology, and pediatric surgery. This edition has been updated to include all new images that demonstrate many of the new and improved technologies, including 3-D and power Doppler. FEATURES * Conditions were selected for inclusion in the book because they are relatively common, or have distinctive features that allow definitive recognition * Includes numerous high-quality ultrasound images and photographs of the fetus or infant * Each section has an updated bibliography of suggested readings to provide you with a source of greater detail for each condition * Completely updated sections on important topics such as genetic etiologies of the structural malformations, reflecting the rapid advances in genomics and molecular diagnostics that have occurred over the past decade * Consistent, efficient templated chapter structure covers important topics such as Epidemiology/Genetics, Sonography, Pregnancy Management, Neonatal Management, Interventions, and Surgical Options * Hundreds of sonographic and gross clinical images illustrate the common features expected of each condition. * Valuable appendices include Differential Diagnosis of Abnormal in Utero Sonographic Findings and Sonographic Features of Other Less Common Syndromes

Actocardiogram: Analysis of Fetal Motion and Heart Rate is a concise guide to this method of simultaneously tracing foetal heart rate and movement using a single probe, by Kazuo Maeda from the Tottori University Medical School, Yonago, Japan. Divided into fourteen chapters, the book begins with basic information on electronic foetal monitoring, cardiotocogram, and actocardiogram. Subsequent chapters include topics such as foetal response to acoustic and visual stimulation, foetal central nervous system lesions, automatic computerised analysis and diagnosis of foetal heart rate, and diagnosis of foetal heart rate with rapid and direct alarm system. The concluding chapters cover problems of cardiotocogram, the solutions provided by actocardiogram, and strategies to prevent foetal brain damage. Actocardiogram: Analysis of Fetal Motion and Heart Rate includes 90 full colour images, enhancing this practical overview of the latest foetal ultrasound technologies. Key Points Concise guide to actocardiogram ultrasound technology Written by Kazuo Maeda from Tottori University Medical School, Yonago, Japan 90 full colour illustrations