Pregnancy complicated by neurological disorders is a challenging area for both Obstetricians and Neurologists. Treatment of the maternal condition often needs to be adjusted because of concerns for the fetus, and some conditions will have a major impact on the method, mode and timing of delivery. Many of the clinical problems that arise in pregnant women with neurological disease have not been the subject of clinical trials, so management must often be based on what published evidence is available and a good understanding of the likely interactions between the condition and pregnancy and vice versa.

The editors and contributors represent a team with considerable experience in this area. They offer their best practice advice as how to treat the mother effectively, ensuring fetal safety, as well as embracing a philosophy that the pregnancy of a woman with neurological disease should be made as enjoyable and rewarding for her as is possible.

?er 1000 Stichworte: Wer schnelle Information ?er Krankheitsbilder, Ursachen, Symptome, Behandlung und Vorbeugung sucht, findet hier verst?dliche Antworten und Rat.

When mothers feel depressed in the months after childbirth, their feelings have often been dismissed as understandable reactions to the stress of caring for a new baby, perhaps complicated by family and marital demands. Most mothers cope, with varying degrees of support and success, but for many the neglect and misunderstanding of postnatal emotional problems can lead to long-term difficulties, with implications for their families as well as for mental health services. This book provides an understanding of depression following childbirth which draws together current theories and a synthesis of key research with a framework for intervention. It provides a novel way of thinking about postnatal depression, and a treatment program which is based on this model. The clinical programs and interventions which are outlined have been found to be effective at reducing postnatal depression. These programs are aimed at developing coping skills in women which:

• Reduce the symptoms of postnatal depression
• Improve maternal functioning in terms of self-esteem, assertiveness and coping
• Address marital and partner difficulties which often arise
• Deal with parent-infant difficulties the may exist
• Facilitate the use and development of existing social networks

The authors have reviewed current knowledge on postnatal depression, and given guidelines for best practice in a variety of approaches to treatment and prevention, Included is a detailed account of a tried-and-tested 10-week treatment program, together with materials and resources that a busy clinician might need to implement a similar program. Treating postnatal Depression will be a valuable resource for clinical psychologists, counsellors, psychiatrists, nurses, health visitors, midwives and other professionals who need to understand and deal with the emotional problems of mothers and babies. "A very readable book which presents an excellent overview of this important topic, and allows the authors to share their wealth of clinical experience in the clinical management of depressed mothers." Professor Peter Lewinsohn, University of Oregon "This book is a very timely and accessible approach for health care workers who treat women with postnatal depression Medical interventions alone are rarely adequate in the management of this disorder, an understanding of the psychological issues is essential, and this comprehensive manual, which deals with how to approach the complexities of the disorder, will aid workers significantly and, ultimately, benefit those who are suffering." Professor Anne Buist, University of Melbourne Austin & Repatriation Medical Centre

Providing a comprehensive yet concise guide for trainee doctors, neonatal nurses and midwives, Essential Neonatal Medicine continues to be an indispensable resource that combines the depth and breadth of a textbook with the efficiency of a revision guide. Extensively updated and full-colour throughout, this edition includes new chapters on neonatal transport and palliative care, as well as further content on pathophysiology and embryology, quality improvement and risk management, infection control, and non-invasive ventilation. With an improved artwork programme and a new glossary of terms, Essential Neonatal Medicine is ideal for all trainee health professionals new to neonatology, or looking for a comprehensive aid to support them.

Newborn babies are examined at around 6 to 72 hours after their birth to rule out major congenital abnormalities and reassure the parents that their baby is healthy. This practical text is a step-by-step guide for all practitioners who undertake this clinical examination. It is particularly valuable for midwives and nurses undertaking Examination of the Newborn modules as well as a useful reference work for those already performing this role. It provides midwives and other practitioners involved in neonatal examination with a comprehensive guide to the holistic examination of the newborn infant. Examination of the Newborn encourages the reader to view each mother and baby as unique, taking into account their experiences preconceptually, antenatally and through childbirth. The text covers: * the role of the first examination as a screening tool; * normal fetal development; * parents' concerns and how to respond to them; * the impact of antenatal diagnostic screening; * the events of labour and birth; * the clinical examination of the neonate; * the identification and management of congenital abnormalities; * accountability and legal issues. This new edition is thoroughly revised throughout to meet current Nursing and Midwifery Council (NMC), General Medical Council (GMC) and National Screening Committee standards. It reflects the new standards and key performance indicators (KPIs) from Public Health England (2016b). Case scenarios, model answers, questions and further reading help the reader to apply the content to their own practice.

This book critically analyzes the place of caesarean in childbearing at the beginning of the twenty first century. It questions the changes that are taking place in childbirth and, in particular, the effects and implications of an increase in caesarean births.

This controversial work by a practising midwife and researcher, includes discussion of:

• the context of the operation and description of it
• health systems around the world and their caesarean incidence rates
• decision-making and cultural/medical constraints
• the short and long term implications of caesarean for baby and mother.

Using up-to-date research, Rosemary Mander bases her argument on a firm evidence-base and argues that the rapidly rising caesarean section rate may not be for the benefit of either the woman giving birth or her baby. Rather, the beneficiaries may actually be those professionals whose investment is in extending the range of theirinfluence and thus increasing the medicalization of normal life.

The only text to provide in-depth illustrations of the normal and abnormal fetal anatomy on MR imaging, this guide includes chapters highlighting the state-of-the-science in the imaging of the fetal skull, face, neck, nervous system, chest, abdomen, and musculoskeletal system. Discussing applications at the forefront of the discipline, this reference studies data gleaned from MR examinations of maternal and fetal health, reviews common fast imaging techniques, details pitfalls related to fetal MR imaging, and analyzes methods for improving image resolution.

As research in neuroscience increasingly points to the unparalleled influence of the first 1000 days of life from conception to two years of age in determining the baby's life trajectory, the need for high-quality early parenting education delivered by knowledgeable and dedicated professionals becomes ever more apparent. This book describes the global aims of early parenting education. It identifies the key areas that research suggests are important: building a relationship with the unborn and newborn baby; preparing for labour and birth; supporting parents' mental health; protecting the couple relationship across the transition to parenthood; and education for special groups such as same-sex couples, women with fear of birth, prisoners, military wives and parents from black and minority ethnic backgrounds. All practitioners providing early parenting programmes - midwives, health visitors, family link workers, children's centre staff and voluntary sector teachers - will gain new ideas for their practice in this book. Students taking midwifery and early childhood courses will find much to support their studies. Ultimately, the book provides inspiration for all those who are committed to the role of parenting education in reducing social inequalities.

It is only in recent years that there has been development in the awareness of the father's mental health. Yet, the father's mental health can influence the mother, the infant, the family and society. This book seeks to address the reasons why the father or the potential father could suffer from a mental disorder or illness during the perinatal period, his reactions, and what can be done to help him. The book explores the way in which fathers' mental health has presented in the past and how it presents now. It looks at the father's attitudes towards his mental well-being and how he may self-manage and self-medicate. It examines the impact and influence the potential father and the father's mental health has on his partner, infant and children. The reasons for certain disorders and illnesses are outlined, along with how they may manifest and are managed. Treatment options and types of medication are discussed and the ways in which the father can access the best possible help and support. Stories from fathers who have suffered from a particular mental illness or condition help others to understand both the practicalities and realities. The uniqueness of the shared stories from fathers highlights why recognition treatment and management are important to help other fathers improve their relationship with their partner and infant and to improve their own wellbeing. The book is intended to help health practitioners and anyone who is concerned about fathers' mental health.

In this issue of Clinics in Perinatology, guest editors Drs. Nathalie Maitre and Andrea F. Duncan bring their considerable expertise to the topic of Neurological and Developmental Outcomes of High-Risk Neonates. Preterm birth complications are the leading cause of death among children under five years of age, and three-quarters of these deaths could be prevented with current, cost-effective interventions. In this issue, top experts provide neonatologists and perinatologists with the clinical information they need to improve outcomes in high-risk newborns. Contains 15 practice-oriented topics including neonatal opioid withdrawal syndrome; healthcare disparities in high-risk neonates; autism spectrum and high-risk infant phenotypes; NICU transition to home interventions; telehealth and other innovations in NICU follow up; and more. Provides in-depth clinical reviews on neurological and developmental outcomes of high-risk neonates, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Maternal-Fetal and Neonatal Endocrinology: Physiology, Pathophysiology, and Clinical Management systematically examines the normal and abnormal endocrinology of the pregnant and lactating female and of the fetus and neonate. This reference volume expands coverage of specific disorders and diseases beyond the current endocrinology content on the market, which in most cases has a paragraph or no mention at all about pregnancy or aspects of fetal/neonatal development.

Although there is an increasing number of pregnant individuals taking nutraceuticals to maintain good health, many gaps exist in the knowledge base. These nutraceuticals might be involved in a wide variety of biological processes, and the biological and epidemiological findings of relevant studies should be examined and analyzed. Nutraceuticals for Prenatal, Maternal and Offspring's Nutritional Health focuses on the role of nutraceuticals for prenatal, mothers, and offspring's health. In recent years, new trends have been established in this area of prenatal nutrition, that is, mother and offspring health based on appropriate nutrition during pre-pregnancy, pregnancy, and after pregnancy. Nutraceuticals and natural products have been used by many cultures and societies around the world. This book focuses on recent trends and potential clinical evaluations of such nutraceuticals and natural products. Features: Examines the role of Nutraceuticals on the mothers and offspring's disease and health Focuses on human population-based research Discuses role of nutraceuticals in placental development, nutraceuticals for gestational weight pain and post-partum obesity Covers nutraceuticals impacting uterine growth, gestational age, and mortality rate Explores the question whether Nutraceuticals intake in pregnant women is safe as they might be involved a wide variety of biological processes With 19 chapters written by established lead authors in this field, Nutraceuticals for Prenatal, Maternal and Offspring's Nutritional Health addresses important findings of the latest scientific research regarding the role of nutraceuticals intake before and during pregnancy.

This concise guide offers a comprehensive step-by-step framework for midwifery students to learn about all aspects of the newborn infant physical examination (NIPE), a screening assessment completed on all babies between 6 and 72 hours of age. The Student Guide to the Newborn Infant Physical Examination encourages the reader to approach the examination in a system-based format, with case studies and practice tips to support learning. The book offers: * Evidence-based, well-illustrated assessment tools, which take into account the national screening committee standards, and is written by authors with both academic and clinical experience; * A clear direction on how to perform the NIPE in practice while exploring the wider context of screening in healthcare today; * Coverage of the changing role of the midwife, and the importance of understanding the whole context of the mother's care, health promotion and starting the practitioner-parent conversation. The Student Guide to the Newborn Infant Physical Examination is a core text for all pre-registration midwifery students and a useful resource for qualified midwives, neonatal nurses and practice nurses.

Detailed, step-by-step instructions and abundant full-color illustrations make MacDonald's Atlas of Procedures in Neonatology, Sixth Edition, an indispensable resource in the neonatal intensive care nursery. This unique reference uses a practical outline format to present clear, easy-to-follow information on indications, preparation, technique, precautions, and how to avoid potential complications. New chapters, new procedural content, and new videos bring you fully up to date with current practice in the NICU. Uses a step-by-step format that presents more than 200 photographs and illustrations along with user-friendly procedural descriptions, helping you minimize errors and promote safe practice standards. Contains six new chapters: Making Low-Cost Simulation Models for Neonatal Procedures, Delayed Cord Clamping and Cord Milking, Surfactant Administration via Thin Catheter, Amplitude-integrated EEG, VP shunts and EVD Management and Wound Care. Includes a new quick-reference appendix with a convenient checklist of procedures. Provides access to updated videos that depict both common and emergency neonatal procedures. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

The first reports of the successful use of mechanical ventilation to treat respiratory disorders in the neonate were published in the 1960s. Subsequent decades have seen the widespread use of ventilation technology, the development of high-frequency ventilation and extracorporeal support, and, most recently, the use of surfactant replacement therapy and synchronized ventilation. Neonatal and pulmonary clinicians now have a wide range of diagnostic and therapeutic tools from which to select a customized management strategy. As a result, the modern neonatal intensive care unit has become a technological wonder, and an occasional source of confusion.

Divided into twenty main sections, this book offers a wealth of information to those providing intensive respiratory care to the newborn. Eighty-three separate chapters, written by leaders in their respective fields, cover a comprehensive range of material, including lung development and function, the principles of mechanical ventilation, available diagnostic and therapeutic equipment, strategies for treating various respiratory disorders, alternative treatments, outcomes, and ethical considerations pertaining to the care of newborns. The outline-style presentation is clinically focused, ensuring that all subjects are described in a manner that is easily understood and easily applied to bedside treatment.

This manual will be of immense value to all those who come in contact with a neonatal intensive care unit, including pediatricians, neonatologists, pulmonary specialists, respiratory therapists, neonatal nurses and nurse practitioners, fellows, residents, interns, and medical students.

This Clinic in Developmental Medicine describes a meticulous survey of germinal matrix/intraventricular hemorrhage in preterm infants, which took place in three New Jersey counties between 1984 and 1987. The babies under study weighed 501-2000g at their birth. They were studied prospectively with cranial ultrasound; the findings were correlated with very detailed pathological examination of the brains of those who died, and with later outcome in the survivors. The numbers studied in this population-based sample were large enough both to test and to generate hypotheses about the causes and consequences of hemorrhage.

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.

Although there are far more opportunities for LGBTQ people to become parents than there were before the 1990s, attention to the reproductive challenges LGBTQ families face has not kept pace. Reproductive Losses considers LGBTQ people's experiences with miscarriage, stillbirth, failed adoptions, infertility, and sterility. Drawing on Craven's training as a feminist anthropologist and her experiences as a queer parent who has experienced loss, Reproductive Losses includes detailed stories drawn from over fifty interviews with LGBTQ people (including those who carried pregnancies, non-gestational and adoptive parents, and families from a broad range of racial/ethnic, socio-economic, and religious backgrounds) to consider how they experience loss, grief, and mourning. The book includes productive suggestions and personal narratives of resiliency, commemorative strategies, and communal support, while also acknowledging the adversity many LGBTQ people face as they attempt to form families and the heteronormativity of support resources for those who have experienced reproductive loss. This is essential reading for scholars and professionals interested in LGBTQ health and family, and for individuals in LGBTQ communities who have experienced loss and those who support them. See additional material on the companion website: www.lgbtqreproductiveloss.org/

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.

Community-based primary care physicians are routinely challenged as they stabilize, evaluate, and care for term and late-preterm neonates. Although there have been many spectacular advances in care of neonates, the challenges and successes of caring for the most preterm, very low birth-weight newborns seem to dominate presentations and the Pediatric literature. This issue concentrates on the current evidence and the collected experience of neonatologists regarding the basics of caring for the vast majority of newborns. The newest recommendations of multiple organizations (including the AAP) are presented, including the rationale for each recommendation as well as controversial issues. The individual articles will provide the primary care provider with a comprehensive foundation for care of the neonate.

This edited book includes new policy-relevant research on women's health issues in Africa. Scholars explore critical topics from different disciplinary traditions using a variety of research methodologies and data sources. The contributors include African scholars with in-depth knowledge of their home contexts, who can furnish nuanced interpretations of local health issues and trends; international researchers who bring vigorous comparative viewpoints; emerging scholars adding to scientific knowledge; and more established researchers with a deep global knowledge of women's health issues. The range of women's health issues is vast, including the HIV epidemic and its impacts; domestic violence; the persistence of homebirths; and abortion. In addition, the book investigates emerging health concerns such as CVDs and cancers. Readers will learn that, while old health issues have persisted and assumed new dimensions, newer concerns have materialized and are now gaining momentum. The inability of health systems to tackle these issues complicates matters in Africa, creating a sense of desperation that can only be successfully confronted through strong political will and strategic planning, grounded in further research. The chapters in this book were originally published in the journal Health Care for Women International.

In this new, startlingly original book, John D. Lantos weaves a compelling story that captures the dilemmas of modern medical practice. The Lazarus Case: Life-and-Death Issues in Neonatal Intensive Care begins with a fictional malpractice case-an amalgam of typical cases in which Lantos appeared as an expert witness-and uses it as the framework for addressing the ethical issues surrounding neonatal intensive care. Lantos draws on his experience in neonatal medicine, pediatrics, and medical ethics to explore multiple ethical dilemmas through one poignant representative situation. In Lantos's model case, a doctor decides to stop resuscitation of a premature infant, a tiny "preemie" who seems past reasonable care. The baby survives with severe neurological defects and the parents sue the doctor, alleging that stopping treatment was negligent. From this case, Lantos considers our moral obligations to critically ill babies, the meaning of negligence, and the sorts of social structures that shape the moral consciences of doctors. Each chapter begins with Lantos deposing in the conference room of the plaintiffs' lawyers. The questions put to Lantos throughout the deposition spark an engrossing retelling of his personal experiences with premature babies, as well as his thoughtful discussions of ethics, morality, history, and medical statistics. Sprinkled throughout the book are references to fictional works by Camus, Dostoevsky, Shakespeare, Twain, and others. Lantos uses these literary examples to further illustrate the ambiguities, misunderstandings, responsibilities, and evasions that plague our decisions regarding life and death, medical care and medical education, and ultimately the cost and value of preserving the lives of the most vulnerable among us.

This extensively illustrated reference work is designed for health professionals who care for newborn infants including neonatologists, pediatricians, NICU nurses, pediatric neurologists, pediatric surgeons, geneticists, and genetic counselors. It describes the most common malformations and draws from many sources the information needed for a full diagnostic evaluation and discussion of treatment options and genetic counseling. The text also covers minor anomalies, birthmarks and includes dozens of charts of anthropologic measurements, material that is needed in the initial physical examination to describe an infant's physical features. With over 400 photographs and original illustrations, Dr. Holmes has created an authoritative, well organized, and easy to use reference guide to common malformations of the infant, which will become an invaluable tool in hospitals and neonatal clinics across the world. The text is grounded in research gathered from the Active Malformations Surveillance Program conducted since 1972 at Brigham and Women's Hospital in Boston, Massachusetts. The program began as a three year study which monitored over 18,155 births and aimed to determine the frequency of many major malformations. The study was expanded to include minor physical features and birth marks. This text includes many never-before published photographs from these studies, as well as other major research findings in this area.

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.

Clinics in Developmental Medicine No. 190Fourth edition of the most comprehensive examination of newborn behavior availableWell established and used globally as a research instrument and in clinical practiceCase studies from a range of disciplines and settings enrich this editionNew administration guidelines and refined scoring criteria for researchers and clinicians

The Neonatal Behavioral Assessment Scale (NBAS) is the most comprehensive examination of newborn behaviour available today and has been used in clinical and research settings around the world for more than 35 years. The scale assesses the newborn's behavioral repertoire with 28 behavioral items and also includes an assessment of the infant's neurological status on 20 items. The NBAS items cover the following domains of neonatal functioning: autonomic regulation; motor organization; state organization and regulation and attention/social interaction.
The first part of this new edition book describes in detail the procedures involved in administering and scoring the NBAS. This is followed by chapters setting the assessment in the context of psychological influences around birth, the relationship between the examiner, infant and parents, and what we know about newborn motor behaviour. After a chapter on the use of the NBAS in research settings, the final part comprises descriptions by professionals around the world of its use in clinical practice.

Since the time it was first published, the NBAS has been used in hundreds of studies to examine the effects of a wide range of pre- and perinatal variables. This new edition therefore contains an updated review of research using the NBAS. Because the NBAS is being used increasingly as a way of promoting a positive relationship between parent and child, the new edition also includes new guidelines for clinicians. New guidelines and numerous refinements in the administration and scoring have now been added, and a section describing advances in our understanding of motor behaviour has been added. Finally, new chapters present the uses of the NBAS in a range of contexts around the world, highlighting the wide range of research and clinical applications of the NBAS.

Readership:
Paediatricians, neonatologists, all those involved in the examination of the newborn infant including, for example, nurses, psychologists, infancy specialists, lactation consultants, home visitors, occupational therapists, physical therapists, early intervention specialists, social workers and other allied health professionals (all of whom attend NBAS training courses)