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

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.

2013 BMA Medical Book Awards Highly Commended in Paediatrics

An essential resource, covering possible problems expected at birth and common facets of antenatal consultations. "Antenatal Consults: A guide for neonatologists and paediatricians" is a logically ordered and highly illustrated medical resource, essential for anyone involved in antenatal care. This important book informs the multidisciplinary team - from obstetricians and maternity staff through to materno-foetal medicine specialists and, of course, paediatric and OBGYN trainees. Featuring contributions from leading neonatal specialists in Australia, the book's authoritative contents help arm antenatal staff with advice, information and examples of how to best counsel parents expecting a foetus at risk. With over 50 informative, concise chapters, "Antenatal Consults" addresses numerous possible problems expected at birth - the most common reasons for an antenatal consultation - combined with advice on how to manage them. These include maternal disorders that may affect the foetus; babies delivering prematurely or with a severe growth restriction; babies with a significant abnormality such as congenital heart disease, spina bifida or gastroschisis; and babies with a skeletal issue, a cleft palate or renal tract problem. "Antenatal Consults: A guide for neonatologists and paediatricians" is also useful to midwifery, nursing and allied health staff that care for mothers and babies.

This pocket-sized book, presented in an easy-to-follow format, is designed as a tool for students and professionals to carry in any setting, providing a quick reference guide to supporting women during labour. Used as a platform for wider reading, this text is an ideal reference point for any student or professional involved with the care of childbearing women.

　

Table of Contents

Anatomy. Apgar scores. Birth environment – promoting normality. Caesarean Section (LSCS). Catheterisation. Cord bloods. CTG interpretation. Diabetic women in labour. Degrees of Tears. Deteriorating conditions. Emergencies. Emergency birth. Epidurals. Episiotomy. Examination of the placenta. Fetal blood sampling. Home birth preparation. Initial baby check. Instrumental birth. Mechanism of normal labour (LOA). Monitoring maternal and fetal well-being in labour. Obesity and labour. Pain relief. Perineal repair. Positions for labour and birth. Resuscitation equipment. Signs of transition. Stages and phases of labour. Third stage management. Vaginal assessments. Vaginal birth after caesarean (trial of scar). Waterbirth. Stillbirth and neonatal death.

This book presents the latest evidence-based guidelines for perinatal management and is designed to help obstetricians and neonatologists minimize complications and offer patients the best possible care. Since 1960, there has been a significant increase in basic and clinical investigations on normal and pathological pregnancy in the developed world. This has provided insights into the physiopathology of pregnant women, fetuses and newborns and led to the development of new technologies, bringing about a new medical subspecialty: perinatal medicine. The book is divided into eight main sections: The first examines basic periconceptional care and discusses the ethical aspects of perinatology. The next section focuses on prenatal considerations, such as the nutritional aspects of gestation and puerperium, physical exercise during pregnancy, routine laboratory tests, prenatal care of multiple gestations and the role of the neonatologist in prenatal care. The third and fourth sections then explore fetal evaluation, and clinical intercurrences in pregnancy, respectively. The next section addresses pregnancy complications: prevention, diagnosis and management. The sixth section covers the basic aspects of congenital infections and the seventh examines labor and delivery aspects. Lastly, the final section includes chapters on neonatal assistance. Written by leading experts in obstetrics, neonatology, and perinatology, this thoroughly updated, comprehensive resource reflects the latest information in all areas, including genetics and imaging.

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.

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.

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.

While the general understanding of prenatal care as crucial to the wellbeing of mothers and their babies is now enshrined in American culutre, Strong draws upon scientific research to show that few procedures are as helpful as we think, aiming to dispel misconceptions about prenatal care. He explains how mothers themselves may influence the course and outcome of their pregnancies to a greater degree than do their obstetricians. He provides scientific questions that parents should be asking their health care providers to ensure that they and their babies recieve the best care possible.

This book is based on the experience of an European Network on Congenital Toxoplasmosis which associates more than 50 European specialized Centers from 17 diferent European Countries. Some American colleagues among the best specialists in the world also collaborate to this book which gives the most recent data on congenital toxoplasmosis in epidemiology, biology, clinical symptoms, diagnostic, treatment and prevention.

As more premature infants survive the immediate neonatal period and require prolonged periods of hospitalization, researchers in fetal development and infancy have begun to reassess the strategies for their care. In the past, the focus of neonatal intensive care was to sustain life, with little attention to the quality and implications of survival. Today, however, researchers and clinicians are seeking to enhance the development of these small infants by ameliorating the effects of extreme prematurity and the associated medical and surgical complications. This book reports the work of leading researchers who have begun to use a variety of developmental interventions in the management of small infants in neonatal intensive care units.

Each year in the United States, 250,000 infants are born too soon, weighing too little. For these low birth weight, premature infants, the future is uncertain, since they are at risk for a variety of serious medical and developmental problems--including behavioral and learning disorders that may have damaging effects for the rest of their lives. The extent to which a comprehensive early intervention program could improve or prevent these adverse outcomes was examined in the Infant Health and Development Program, a randomized controlled trial involving almost 1,000 infants in eight cities in the United States. This book describes in detail the program, its research methodology, the progress of the program, and the results of the clinical trial.
The program was administered by an interdisciplinary team composed of physicians, biostatisticians, child development specialists, and researchers from several disciplines. It was instituted upon the discharge of the infants from the neonatal nursery and was maintained for three years. One-third of the infants were randomly assigned to an intervention group, the remainder to a follow-up group. Infants in both groups received pediatric care and community referral services, but only those in the intervention group participated in a program that included extensive home visits, attendance at a child development center, and group meetings for parents.
The results of the program proved to be clinically important; at age three, the children in the intervention group had significantly higher IQ scores, greater cognitive development, and fewer behavioral problems. The implications of the findings for public policy are equally important, for there is increasing interest in the prevention, early detection, and management of developmental disabilities in children, as evidenced by such legislation as the Education for All Children Act. Strategies to minimize the problems of low birth weight children, with their potential for long-term savings through the prevention of disabilities and their attendant costs, could have significant repercussions in such governmental areas as medical care, education, and social welfare.

This book is an obstetric formulary, for doctors and others concerned with the medical care of pregnant women and their newborn babies. It provides specific prescribing information on the drugs necessary to the obstetric management of antenatal patients, women in labour and the puerpurium, and the newborn. It aims to be a readily available source of information for resident obstetric staff and family practitioners who undertake obstetrics. It is also intended to provide guidelines for specialist obstetricians in training their juniors in the safest and most effective ways of using drugs during pregnancy, and for midwives, nurses and pharmacists, who need to understand the drug treatment of pregnant women.;The prescribing sections of this handbook are restricted to agents of known safety and proven efficacy and as well as covering the use of drugs in pregnancy the book includes sections on the transfer of drugs into breast milk. Advice on diet, nursing care and physiotherapy are mentioned where relevant and an account of the procedures involved in providing an epidural service are included. Doses of drugs used for newborn babies are given in the last chapter.;A section on preconception counselling has been added to the second edition and the drugs included in the volume have been revised, some preparations which have become of value to obstetric practice have been added and some which have been found to have limited clinical value have been withdrawn. This edition has been adjusted so that the prescribing procedures are in line with those used in North America.

Ein Screening auf angeborene endokrine und metabole Stoerungen ermoeglicht die Fruherkennung von Krankheiten wie Hypothyreose, AGS (adrenogenitales Syndrom), Phenylketonurie, Galaktosamie, Biotinidasemangel, Cystische Fibrose oder Homocystinurie. Je nach Land und politischen Bestimmungen unterscheiden sich jedoch die routinemassig durchgefuhrten Untersuchungen. Dieses Handbuch beschreibt praxisbezogen die biochemischen Grundlagen, die Grundsatze der Labor- und Bestatigungsdiagnostik sowie Therapiemoeglichkeiten zu insgesamt zwoelf Krankheiten. Daruber hinaus werden praanalytische Fragen, wie Zeitpunkt und Art der Blutentnahme oder moegliche Stoerfaktoren, umfassend behandelt. Der allgemeine Teil geht auf ethische und psychosoziale Aspekte des Screenings ein. Ein Verzeichnis der Screeningzentren und jener Labors, die fur die Bestatigungsdiagnostik Dienste anbieten, sowie ein Adressenverzeichnis von Elterngruppen und Informationsquellen im Internet komplettieren dieses Buch.

The first resource of its kind, this authoritative handbook holistically addresses the multidimensional aspects of perinatal and neonatal palliative care. Written by an interprofessional team of renowned specialists, it is both a text and evidence-based reference for all members of the palliative care team. The book helps individual team members forge interdisciplinary approaches to care, assess current programs, improve the quality of care, and tailor new models of care.Encompassing the perspectives of neonatologists, maternal-fetal medicine and other physicians, neonatal and perinatal nurse practitioners, midwives, nurses in all sectors of perinatal care, and child life specialists, chaplains, social workers, genetic counselors, lactation consultants, and others, the book underscores the unique aspects of perinatal and neonatal palliative care, with a focus on improving quality of life, as well as comfort at the end of life. It describes healthcare for neonates and pregnant mothers, care and support of the family, planning and decision making, and effective support for grief and bereavement. It addresses all palliative and neonatal palliative care settings, including home care, and covers elements of comfort care, such as pain medication and oxygen. Other chapters focus on the prenatal period after diagnosis of the expected baby's life-threatening condition. These include such topics as care of the mother, delivering devastating news, and advance care planning. Each chapter contains photos, figures, and/or tables and case studies with clinical implications and critical thinking-focused questions. Some chapters also include supportive online materials, such as video clips of interactions between healthcare professionals and the family, demonstrating family support and clinician skills. Also included is an extensive listing of relevant palliative care organizations. Paintings and poetry provide an artistic backdrop to the authors' inspiring words. Key Features: Comprehensive and authoritative knowledge from recognized leaders in the field Addresses a growing need for specific provider resources in neonatal palliative care Covers the clinical and emotional aspects of palliative care for babies and their families Abundant resources for effective and compassionate family-centered care Case studies with critical thinking questions Accompanying video clips of healthcare and family interactions

Who decides, and on what basis, how to treat a child with severe birth defects? Any decisions made on such cases are painful and complex, and have far-reaching consequences for society at large. Addressing the medical, legal, and ethical aspects of the issue, Robert Weir presents the first serious survey of the major arguments regarding selective non-treatment, which have been advanced by physicians, attorneys, and the judicial system.

Many children spend their first days, weeks, and sometimes months in a neonatal intensive care unit as a consequence of prematurity, congenital anomalies, or birth complications. Their medical needs are thoughtfully appraised and attended to, yet some questions are rarely asked: What experiences do these newborns have? What experiences are we giving them? How can we and do we understand what their lives are like? What are the interventions and actions of medical care actually like for them? Michael van Manen explores the experiential life of newborn infants with particular consideration for those newborns who require medical care. Drawing on contemporary research findings from physiology, psychology, biology, and other disciplines, he offers phenomenological insights and raises thought-provoking questions as to how we ought to understand and care for such young children. In our contemporary world, it is often the experiences of inception, of first contact, with those who seem most distant, foreign, or even alien that we need to try to apprehend and understand. The inceptual lives of newborn infants challenges us to explore those experiences phenomenologically - to investigate the originary meanings of early life experiences. Phenomenology of the Newborn is an essential text for researchers seeking to employ phenomenology for the study of neonatal life and related concerns that may seem inaccessible to other more traditional qualitative and quantitative methods.

Focuses on nurturing the emotional health of patients and families to ensure improved outcomes. This innovative clinical practice resource for neonatal nurses embodies family-centered care strategies for optimal outcomes through every phase of the NICU experience. While rigorous programs provide the knowledge and skills to care for the physical needs of high-risk mothers and neonates, NICU practitioners often find themselves unprepared to support the emotional health of these patients and their families. Care Coordination in the NICU provides the education, inspiration, and resources to NICU health professionals so they can learn how to be emotionally supportive to their patient's entire family unit. The book addresses a variety of challenging patient and family issues that occur in the NICU as they relate to care coordination throughout the process. Each chapter focuses on a particular area of the perinatal/neonatal family journey, and includes current medical research, clinical examples, and recommendations for best practice alongside case studies that depict families experiencing a perinatal challenge. Most valuable of all, each chapter also includes stories directly from the source, the families, who have experienced the fear, isolation, and uncertainly of an NICU experience, and have greatly benefited from the emotional support of caring practitioners. Key Features: Examines the gamut of challenging patient and family issues that occur in the NICU as they relate to care coordination throughout the process Helps practitioners to incorporate family-centered care into their daily practices Discusses effective listening and communication strategies for families in crisis Includes examples of practice improvement strategies to improve clinical outcome and reduce the risk of re-hospitalization Provides a Case-Based Learning section depicting real-world scenarios for discussion and problem-solving Includes links to abundant resources and educational material Contains chapters on palliative care and bereavement and supporting patients with special challenges.

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.

Ein ubersichtliches Kompendium mit dem notwendigen Wissen fur die Ausbildung und tagliche Praxis: Mutterschaftsvorsorge, Vorbereitungskurse, risikofreie Geburt, Stillberatung, Elternschule oder Hausbesuche am Wochenbett. Neben den Grundlagen der regelrechten Geburt erlautert es Risikominimierung, Geburtsatmosphare, Schmerzausschaltung, Gebarhaltung sowie die Geburt unter Wasser. (Angehende) Hebammen in Klinik und Praxis finden hier viele Anregungen. Eine Lehrhebamme, eine in freier Praxis tatige Hebamme, eine Hebammenlehrerin und der arztliche Leiter einer Hebammenschule geben ihr Wissen weiter, das sie uber viele Jahre erworben haben."

Thoroughly revised and updated, this new edition of Neonatal Intensive Care Nursing is a comprehensive, evidence-based text for nurses and allied health professionals caring for sick newborn infants. This user-friendly text focuses on the common problems and related care occurring within the neonatal specialty. All previous chapters have been thoroughly updated and new content includes chapters on, for example, organisation of neonatal care, assessment of the neonate, the premature and low birth weight neonate as well as palliative care. In addition, the book now includes a broad and in-depth web-based companion comprising online resources, case studies with answer guides and learning activities. This accessible and interactive approach enables nurses to recognise, rationalise and understand clinical problems using an evidence-based approach. Divided into four parts, the book provides an overview of neonatal care, and a detailed look at the physical and emotional wellbeing of neonate and family, a range of clinical aspects of neonatal care, and key practices and procedures. Neonatal Intensive Care Nursing will be essential reading for both new and experienced nurses, allied health professionals and students learning about neonatal care including those undertaking qualifications in the neonatal specialism and pre-registration students taking relevant modules or placements.

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.

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/

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

The Acute Care of at-Risk Newborns (ACoRN) program trains health care providers to stabilize that most challenging and enigmatic of medical patients: the unwell newborn. Early assessment, intervention, and management of at-risk or unstable infants can be critical for their survival and long-term health. Clinical care standards and educational programs to address these requirements are needed. The ACoRN program provides a unique, prioritized, and systematic approach to newborn stabilization for health care professionals with any degree of experience. ACoRN-trained providers learn to gather information, prioritize, intervene appropriately, and deliver high-quality care to at-risk and unwell newborns in any setting. Because research and practice have advanced dramatically in recent years, the need for a new ACoRN text, the program's centrepiece, became essential. Hence the development of this new edition, which reflects current guidelines and evidence-based best practices. ACoRN teaches the concepts and skills required to stabilize unwell newborns through system-based algorithms ('Sequences'), each with its own chapter: - Respiratory - Fluid and Glucose - Cardiovascular - Jaundice - Neurology - Thermoregulation - Surgical Conditions - Infection Each chapter includes educational objectives, key concepts, learning points, and at least one case scenario with questions and answers to reinforce content and learnings. Chapters describing newborn transition, the ACoRN process, supportive care, and safe transport round out the systems-based core. This book is written for any health professional who may be required to participate in the stabilization of sick or preterm babies within their scope of practice.