The touching, honest and laugh-out-loud account of what it's like to become a first-time mum after 40 Whatever your age, becoming a mum for the first time brings excitement, anxiety and numerous challenges. But how do you cope when, to top it all off, you discover you are almost old enough to be the mother of everyone else in your birth prep group? As one in five babies is born to a mum over 35, and the number of women over 40 giving birth has doubled, The Secret Diary of a New Mum (Aged 43 1/4) is Cari Rosen's timely and hilarious account of becoming a first-time mother in her 40s. Whether it's deftly side-stepping questions about your age and baby number two, weeping as younger counterparts ping back into their size ten jeans within thirty seconds of giving birth, or your doctor suddenly referring to you as geriatric, Cari approaches the shared experiences of an ever-increasing number of mothers with insight, humour and honesty. ***Praise for The Secret Diary of a New Mum*** 'Hilariously candid.' Daily Mail 'Brilliantly observed... funny, embarrassing and yet cruelly honest. It feels good to laugh about it, now the stitches are out.' Fay Ripley 'Warm, witty and very, very wise the perfect antidote to all those po-faced pregnancy books. As a fellow ''Geriatric Mother'' I found myself constantly laughing and nodding along in agreement.' Imogen Edwards-Jones

A study of the mother and father's internal world during the first four months of their premature baby's life. It also explains the baby's situation and the effects on staff. Most important are the implications of handling the parents of premature infants in a way that will counter the trauma they have suffered and give them and their child a better start in life. The book provides information on emotional care for both parent and infant, and is rich in clinical material. It contains information from 216 first-hand interviews with parents, and expresses theoretical constructs from many professionals.

A concise introduction to the principles and practice of point-of-care echocardiography for neonatologists Practical Neonatal Echocardiography is based on an acclaimed course that the authors havetaught for the past 15 years at USC training neonatologists in cardiac ultrasound ofneonatal patients for on-the-spot examination and diagnosis. Drs. Siassiand Noori have trained hundreds of physicians to use ultrasound equipment toexamine neonatal cardiac function at the first sign of distress, leading to fasterdiagnosis and referral to pediatric cardiologists for treatment. This book is designed to helpreaders develop the skills necessary to perform a high quality neonatalechocardiographic examination, evaluate cardiac function, and recognizeabnormalities and defects. Practical Neonatal Echocardiography begins with an introduction to the basic principles of echocardiography and the ultrasound scanners commonly used at pediatric cardiac centers. Neonatal cardiac anatomy is clearly described through the use of 2-dimensional images andvideo clips. Subsequent chapters teach the assessment of cardiac function, bloodflow, shunts, physical defects, and abnormalities that may exist in the absence of adefect. Myocardial dysfunction, heart failure, shock, hypertension, cardiomyopathy,cyanosis, and more are discussed in detail with multiple illustrative cases. *Integrated throughout the chapters are 110 video clips, which when looped, will display a beating heart. These real-life cases will help readers hone their skills in recognizing defects in cardiac function and growth.*Covers essential principles of echocardiography with clear descriptions and illustrations*Describes common features of ultrasound scanners and how to use them

This book is an excellent summary of contemporary knowledge of the clinical pathogenesis and manifestations of hypoxic-ischemic encephalopathy and birth asphyxia.

This text presents a state-of-the-art review of asphyxial brain injury to the fetus and new born, a leading source of both neonatal mortality and long-term neurologic disability. Beginning with an historical overview of birth-related injury, followed by an epidemiologic review of the relationship of birth injury to later neuromotor disability, it provides a detailed analysis and exhaustive review of each aspect. The contributors are among the most knowledgeable international authorities in the field; they have synthesized a uniformity of medical and scientific quality, clarity of style, and thoroughness of scope. Continual emphasis is placed on the material's relevance and usefulness to clinicians; equally important is the emphasis on communication between clinicians and basic neuroscientists.

The book's first section provides an overview of the history and epidemiology of birth-related brain injury and its relationship to later neuromotor disability. The next section examines mechanisms of injury from a cellular and molecular perspective, including: and examination of the neurotoxic cascade; cytokine-mediated brain damage; the roles of glucose and acidsosis on neuronal injury; cerebral energy depletion; apoptosis and necrosis; the roles of neuronal and vascular nitric oxide; and free radical-mediated processes. The following section deals with clinical birth asphyxia, and includes chapters on prenatal injury, intrapartum injury, clinical management, neuroimaging, and hypothermia as a potential intervention. The lastsection discusses the medico-legal aspects of asphyxial brain injury. Throughout the various chapters, the authors have preserved the important context of normal development, with an emphasis on the need for fundamental pathogenetic data, to allow for rational approaches to prevention and treatment.

The task of paediatricians and neonatologists in coming years will be to better understand the mechanism of brain damage, the prediction of disability, and the introduction of efficacious neuroprotective strategies. To that end, this volume deserves wide recognition by physicians in all disciplines related to neonatal care, including paediatricians, neonatologists, neurologists, obstetricians, family practitioners, nurses and legal counsel.

Decision-making pervades all aspects of midwifery practice across the world. Midwifery is informed by a number of decision-making theories, but it is sometimes difficult to marry these theories with practice. This book provides a comprehensive exploration of decision-making for midwives irrespective of where in the world they practice or in which model of care. The first part critically reviews decision-making theories, including the Enhancing Decision-making Assessment in Midwifery (EDAM) tool, and their relevance to midwifery. It explores the links between midwifery governance, including professional regulation and the law, risk and safety and decision-making as well as how critical thinking and reflection are essential elements of decision-making. It then goes on to present a number of diverse case studies, demonstrating how they interrelate to and impact upon optimal midwifery decision-making. Each chapter presents examples that show how the theory translates into practice and includes activities to reinforce learning points. Bringing together a diverse range of contributors, this volume will be essential reading for midwifery students, practising midwives and midwifery academics.

Decision-making pervades all aspects of midwifery practice across the world. Midwifery is informed by a number of decision-making theories, but it is sometimes difficult to marry these theories with practice. This book provides a comprehensive exploration of decision-making for midwives irrespective of where in the world they practice or in which model of care. The first part critically reviews decision-making theories, including the Enhancing Decision-making Assessment in Midwifery (EDAM) tool, and their relevance to midwifery. It explores the links between midwifery governance, including professional regulation and the law, risk and safety and decision-making as well as how critical thinking and reflection are essential elements of decision-making. It then goes on to present a number of diverse case studies, demonstrating how they interrelate to and impact upon optimal midwifery decision-making. Each chapter presents examples that show how the theory translates into practice and includes activities to reinforce learning points. Bringing together a diverse range of contributors, this volume will be essential reading for midwifery students, practising midwives and midwifery academics.

This second edition offers an expanded and updated history of the field of fetal and neonatal development, allowing readers to gain a comprehensive understanding of the biological aspects that contribute to the wellbeing or pathophysiology of newborns. In this concluding opus of a long and prominent career as a clinical scientist, Dr. Longo has invited new contributions from noted colleagues with expertise in various fields to provide a historical perspective on the impact of how modern concepts emerged in the field of fetal physiology and contributed to the current attention paid to the fetal origins of diseases in adults. In addition to new chapters on maternal physiology and complications during pregnancy, others trace the history of the Society for Reproductive Investigation, governmental funding of perinatal research, and major initiatives to support training in the new discipline of maternal fetal medicine, including the Reproductive Scientist Development program. The extensive survey provided by the author, who personally knew most of the pioneers in the field, offers a unique guide for all clinical and basic scientists interested in the history of - and future approaches to diagnosing and treating - pathologies that represent the leading causes of neonatal mortality and, far too often, life-long morbidity.

Over the last hundred years, pregnancy and childbirth has become increasingly safe - yet it is still a site of risk, and a contested ground on which health professionals and pregnant women both face high costs of error. In this context, all those involved in managing pregnancy and birth are expected to identify and mitigate risk: pregnant women are subject to increasing surveillance to ensure the safety of the unborn foetus, and every aspect of childbearing is increasingly medicalised. This publication brings together fascinating social science research to explore the ways in which risk is both created and managed in pregnancy and childbirth. The introductory chapters reflect on the changing social context of childbirth, in particular the medicalisation of both pregnancy and childbirth with development of specialist practitioners, such as obstetricians and midwives who claim to have the knowledge, technology and skills to identify and manage the risks involved. The next three chapters that examine the ways in which women's behaviour during pregnancy is constructed as potentially risky -- for example smoking, drinking alcohol and taking drugs, and how these risks are monitored and mitigated. The final two parts of the book address the construction of and responses to both medicalisation and risk in childbirth. Altogether, it represents a valuable insight into the complex world of pregnancy, childbirth and risk. This book brings together editorials and articles originally published in special and open issues of Health, Risk and Society.

This book provides an overview of fetal psychobiological research, focusing on brain and behavior, genetic and epigenetic factors affecting both short and long-term development, and technological breakthroughs in the field. These focal points intersect throughout the chapters, as in the challenges of evaluating the fetal central nervous system, the myriad impacts of maternal stressors and resiliencies, and the salience of animal studies. It also discusses specific monitoring and assessment methods, including cardiotocography, biomagnetometry, 4D ultrasound, in utero MRI, and the KANET test. Spanning assessment, identification, and pre- and postnatal intervention, the book weighs the merits of standardized evaluations and argues for more integrative research in the future. Included in the coverage: Effects on the fetus of maternal anxiety, depression, and stress during pregnancy. Clinical and experimental research in human fetuses and animal models. Observational research including the use of behaviors in developing tests to assess fetal health. Fetal auditory processing and implications for language development. Fetal effects of prenatal exposure to selective SRI antidepressant exposure. Structural and functional imaging of the prenatal brain. The effects of alcohol exposure on fetal development. Fetal Development: Research on Brain and Behavior, Environmental Influences, and Emerging Technologies is an essential resource for researchers, clinicians and related professionals, as well as students in a wide range of fields such as developmental psychology, pediatric and obstetrical medicine, neuroscience, nursing, social work, and early childhood education.

The most common abnormal growth of the female reproductive system, fibroids, are thought to affect the majority of women at some point during their reproductive years. This text from leading fibroid experts looks at the latest evidence on how the problem impinges on reproduction and the most up-to-date management and treatment options available to help patients with fibroids hoping to conceive. Print versions of this book also include access to the eBook version with links to procedural videos.

This new edition of an acclaimed text reviews the evidence for best practice in obstetrics to present the reader with the right information, with appropriate use of proven interventions and avoidance of ineffectual or harmful ones. The information is presented in the right format by summarizing evidence succinctly and clearly in tables and algorithms. The aim is to inform the clinician, to reduce errors, and "to make it easy to do it right." The volume can be purchased separately or together with the companion volume on Maternal-Fetal Evidence Based Guidelines (set ISBN 9780367567033). The Series in Maternal-Fetal Medicine is published in conjunction with the Journal of Maternal-Fetal and Neonatal Medicine. From reviews of previous editions: Obstetric Evidence Based Guidelines is a text that will prove useful to residents and fellows as well as to practicing obstetric clinicians. Furthermore, it can be used as a source for the development of hospital policies for the management of these obstetric problems ... The major advantage of this text is that it provides guidelines for the management of commonly encountered obstetric issues in a single book. -JAMA This is a welcome addition to a physician's library. Its use of current studies and easy-to-read format allow for easy fact-checking and referencing. -Doody's Review Service

Designed for easy revision of the key points, key references, and key management stages, the two volumes in this set review the evidence for best practice, presenting the reader with the right information, in the right format, summarized in easy-to-use tables and algorithms. Each guideline is designed to "make it easy to do it right", with appropriate use of proven interventions. The quality of evidence available is graded so that a well-informed clinician can improve the health of mother and baby by providing quality care. *Offers an easy-to-assimilate guide to the key points in maternal-fetal and obstetric practice *Supplies an invaluable resource for those revising topics for professional or clinical requirements *Ensures providers of care can locate the best intervention quickly and confidently

Sixteen British specialists pool their extensive knowledge of spontaneous abortion in one source. Their discussion is directly applicable to clinical situations and helps identify areas of debate and alternative methods.

"I would recommend this book to my peers and I would use it in my day-to-day work. It is most helpful to have a comprehensive guide that can be used in a variety of care settings and by many different healthcare providers."--Doody's Medical Reviews

Evidence-based research underscores the importance of breastfeeding for the healthy development of late preterm infants, yet significant challenges can impede its success. This is a groundbreaking, problem-solving guide to the most effective techniques for breastfeeding this vulnerable population. Written for lactation consultants, NICU nurses, obstetrical nurses, and nurse-midwives, the book offers clear, simple, evidence-based solutions to the distinct breastfeeding difficulties affecting late preterm infants.

The guide describes the characteristics of late preterm infants and the physiological challenges-often invisible and overlooked by health care providers-caused by disturbances of respiratory, metabolic, neurologic, and immunologic functions. These problems are often exacerbated by poor breastfeeding and result in 13% of hospital readmissions by late preterm infants. The book examines maternal conditions that affect breastfeeding success and provides detailed, easy-to-follow instructions for the most effective breastfeeding techniques. It describes specific strategies health care professionals can take to overcome breastfeeding difficulties, including proper positioning and latch technique, the use of breast pumps and other helpful equipment, supplemental feedings, and more. Pictures that illustrate correct procedures clarify specific techniques, and user-friendly patient teaching guides further encourage successful breastfeeding. The book also supports the goals of many hospitals seeking to achieve Baby-Friendly Status, as well as the goals of the Multidisciplinary Guidelines for Care of Late Preterm Infants recently issued by the National Perinatal Association. Key Features:

Comprises the only comprehensive guide specific to the breastfeeding issues of late preterm infants Describes developmental challenges faced by late preterm infants Provides detailed, easy-to-follow instructions for breastfeeding and techniques for overcoming difficulties Offers clear, simple, evidence-based solutions that nurses, lactation consultants, and midwives can offer to mothers Supports the goals of hospitals seeking Baby-Friendly Status

This book is a collection of state-of-the-art reviews on the various aspects of nutrition for the preterm neonate, by internationally renowned clinicians and researchers from Australia, UK, USA, Canada, and Italy. It provides the scientific basis and clinical perspective on the A to Z of enteral and parenteral nutrition for extremely preterm neonates, making it valuable for all involved in the care of this high-risk population. The topics covered range from the developmental physiology of the gastrointestinal tract, and early trophic feeds, to aggressive enteral and parenteral nutrition, and feeding under special conditions such as intrauterine growth restriction and chronic lung disease. Survival of extremely preterm neonates has improved significantly following the advances in neonatal intensive care. Extrauterine growth restriction is recognised as a serious and almost universal issue in this population. Considering the long term consequences of nutritional deficit and poor growth (e.g. neurodevelopmental impairment, short stature and metabolic disorders), optimising nutrition in the early postnatal life of the preterm neonate is crucial. However this is easier said than done considering the frequency of feed intolerance, fear of necrotising enterocolitis, and the hesitancy in adopting an aggressive approach to parenteral nutrition in this population. The simple and practical approach of this comprehensive and unique book makes it a must read for clinicians as well as researchers involved in neonatal intensive care. It is a useful resource for trainees in neonatology, paediatric gastroenterology, and neonatal nursing, and also for dieticians specialising in neonatal nutrition.

Innovations in technology and new therapies have changed the face of medicine in the last few decades. These include advances in fetal diagnosis (preimplantation genetics, chorionic villous sampling and amniocentesis), drugs that have been developed to treat unique conditions in neonates such as respiratory distress syndrome (surfactant) and pulmonary hypertension (inhaled nitric oxide), as well as technological advances and interventions resulting in diagnostic (ultrasounds and MRI) and therapeutic interventions (intrauterine transfusion to ECMO). Research in fertility treatments has resulted in test tube babies and cloned animals, and that has also fostered technological advances in diagnostic and therapeutic interventions. The primary purpose of Innovations in Neonatal-Perinatal Medicine is to highlight these innovations in technology and therapy that have not only changed the way doctors deliver care to fetus and neonate but also reduced neonatal mortality thereby saving millions of lives in the process. These issues are addressed by the authors who are experts in their respective fields. The book will be valuable not only to healthcare providers but also to educators and policy makers.

Evidence-Based Neonatal Infections is expertly written by David Isaacs, an experienced author renowned for his knowledge in both pediatric infections and evidence-based medicine. It critically analyses the evidence for decision making in neonatal infections. Evidence-Based Neonatal Infections * The first evidence-based text on neonatal infections * Provides practical guidance where evidence is poor * Complements David Isaacs' Evidence-Based Pediatric Infectious Diseases (9781405148580) Practical and evidence-based, Evidence-Based Neonatal Infections is designed to help the clinician with day-to-day decisions on the care of newborn babies with possible, probable or proven infections. It considers clinical questions relevant to neonatologists, analysing the evidence carefully and providing recommendations for optimum management of neonatal infectious diseases, whilst reflecting on: * Efficacy and safety * Antibiotic resistance * Cost effectiveness * Adverse effects * Ethical considerations Evidence-Based Neonatal Infections provides a unique reference for neonatologists, pediatricians, trainees, specialist nurses; general practitioners, microbiologists, infection control doctors, and all staff in neonatal units.

Nutrition in Early Life is a comprehensive authoritative text providing an in -depth scientific basis for nutrition during prenatal, postnatal and childhood growth and development. The book is an up-to-date reference for all those seeking to understand the application of science in support of a successful outcome of the reproductive cycle. It has a strong public health emphasis, dealing with nutritionally related health promotion issues from the fetus to maturity. Additionally, the book includes key practical guidelines for good nutritional practice in chapter twelve.

Nutrition in Early Life:

• is a clear up-to-date scientific text focusing on nutrition throughout the reproductive cycle.

• provides practical guidelines for good nutritional practice with a strong public health emphasis.

• includes learning outcomes and a detailed list of references at the end of each chapter.

Using a highly effective, case-based approach, Workbook in Practical Neonatology puts neonatal evaluation, diagnosis, and treatment in a clinical context and tests your knowledge with questions and answers for each topic. You'll find authoritative guidance on the problems you're most likely to see in practice, including issues regarding resuscitation, mechanical ventilation, anemia, fluid therapy, and bronchopulmonary dysplasia. The 6th Edition has been extensively revised, with new authors, rewritten content, improved figures and tables, and many new cases throughout. Organizes chapters around case studies, followed by questions and answers that require you to make diagnostic decisions and help you understand how scientific concepts apply to each clinical problem. Guides you step-by-step through patient care with abundant diagnostic algorithms, illustrations, and decision trees. Features eleven chapters rewritten by new authors, new tables and algorithms, new cases, and updated discussions of existing cases. Provides online access to echocardiograph and fluoroscopic video clips that show you what to expect and how to proceed. An excellent learning tool and everyday reference for practicing neonatologists, as well as students, trainees, nurses, and other clinicians. Expert ConsultT eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.

The rhetoric of choice is much used in UK health policy and home birth is one of the three options that women are entitled to choose between when deciding where to have their baby. However, many women making this choice run into considerable opposition from the maternity service. Home Birth: the politics of difficult choices focuses on the experiences of women whose choices were opposed by health professionals during their pregnancy journey. It confronts why and how women are being denied home birth and raises some challenging issues for current midwifery practice. Using ten women's narratives, this important volume explores why women might want to give birth at home and considers ideas of risk and informed choice in pregnancy and birth. The book includes chapters on communication and language; fear and stress; advocacy and autonomy; fathers' experience of contested place of birth and free birthing. Pointers to best practice are presented whilst the text incorporates women's narratives throughout, making this a practical and relevant read for midwifery students as well as practising midwives and childbirth educators, all of whom have a duty to make home birth a real option for women.

Demand for neuromonitoring in neonatal, pediatric and cardiac intensive care units continues to grow, motivated by increased awareness of the high prevalence of seizures among critically ill neonates and children, and emerging evidence that these seizures can contribute to brain injury. This book provides physicians, nurses and trainees caring for critically ill newborns and children with a practical overview of how to use and interpret continuous neuromonitoring to enhance patient care. Authored by international experts from diverse institutions and professional backgrounds, this is a practical guide that is accessible to intensive care specialists, but also comprehensive enough to serve as a reference book for neurologists and neurophysiologists. Concise enough to be read cover-to-cover and illustrated with over thirty case-based examples, this authoritative reference will guide readers in accurate neuromonitoring interpretation and optimal use of conventional EEG, amplitude-integrated EEG and other quantitative EEG techniques.

Prominent scientists from perinatal medicine, paediatrics, psychology and sociology will meet in Modena, Italy to explore birth as a complex psychological experience for mother, father and child. The proceedings of this interdisciplinary congress are here published in English to reach the broadest possible scientific audience. The goal is to create a dialogue between humanistic and medical perspectives with regard to conception, pregnancy and birth in an era of rapid biotechnological progress, taking different social and cultural contexts into account.

This convenient and easy-to-use orientation reference and care guide provides new neonatal nurses and their preceptors with the core information they need to provide all aspects of safe, effective, holistic care to newborn infants and their families. Addressing the needs of both low-risk and high-risk infants, the guide presents specific, evidence-based interventions in consistently formatted chapters. A special "orientation guide" is featured in each chapter to acquaint the new neonatal nurse with essential information on procedures, policies, equipment, medications and evidence-based protocols. Content is divided into key topic areas including physiological adaptations to birth, newborn assessment and basic newborn care, newborn nutrition, common and high-risk neonatal conditions, special topics and information based on a family-centred care model that addresses parent assessments, needs and discharge instructions. Appendices include skills checklist, commonly used medications, abbreviations and lab values. This book was originally published under the Fast Facts series by Springer Publishing Company.

This book is a practical guide for medical practitioners as they navigate through breastfeeding problems that occur in day-to-day practice. If mothers have a breastfeeding complication they are often directed to their GP. In complex situations, medical staff will be making decisions around what treatment plan to follow and whether a mother can keep breastfeeding. In recent years there has been growing evidence that medical professionals often advise mothers to stop breastfeeding while undergoing treatment, when in reality this was not a necessary step. In a time when breastfeeding rates are decreasing, it is important that medical professionals give accurate advice and support a mother's choice to breastfeed if the situation allows it. A Guide to Supporting Breastfeeding for the Medical Profession includes contributions from a wide range of medical professionals and each chapter is written with the practitioner in mind. Contributors include GPs, paediatricians, neonatologists, lactation specialists and midwives. Doctors have a vital role to play in supporting and facilitating breastfeeding, and without the appropriate knowledge they can often inadvertently sabotage it. This book will be of interest to GPs and paediatricians as well as nurse prescribers, midwives and health visitors.

Psychodynamic Interventions in Pregnancy and Infancy builds on Bjoern Salomonsson's experiences as a psychoanalytic consultant working with parents and their babies. Emotional problems during the perinatal stages can arise and be observed and addressed by a skilled midwife, nurse or health visitor. Salomonsson has developed a method combining nurse supervision and therapeutic consultations which has lowered the thresholds for parents to come and talk with him. The brief consultations concern pregnant women, mother and baby, husband and wife, toddler and parent. The theoretical framework is psychoanalytic, but the mode of work is eclectic and adapted to the family's situation and its members' motivation. This book details such work, which can be applied globally; perinatal psychotherapy integrated with ordinary medical health care. It also explains how psychotherapy can be made more accessible to a larger population. Via detailed case presentations, the author takes the reader through pregnancy, childbirth and the first few years of life. He also brings in research studies emphasizing the importance of early interventions, with the aim of providing therapists with arguments for such work in everyday family health care. To further substantiate such arguments, the book ends with theoretical chapters and, finally, the author's vision of the future of a perinatal health care that integrates medical and psychological perspectives. Psychodynamic Interventions in Pregnancy and Infancy will appeal to all psychoanalysts and psychoanalytic psychotherapists working in this area, as well as clinical psychologists, clinical social workers and medical personnel working with parents and infants.