Every year in the United States, 12 per cent of all births are preterm births, 5 per cent of all babies need help to breathe at birth, and 3 per cent of neonates are born with at least one severe malformation. Many of these babies are hospitalized in a neonatal intensive care unit. Annie Janvier and her husband, Keith Barrington, are both pediatricians who specialize in the care of these sick babies and are internationally known for their research in this area. In 2005, when their daughter Violette was born extremely prematurely, four months before her due date, they faced the situation "from the other side" as parents. Despite knowing the scientific facts, they knew nothing about the experience itself. "Knowing how a respirator works did not help me be the mother of a baby on a respirator," writes Annie. She did not know how to navigate the guilt, the uncertainty, the fears, the predictions of providers, and the responses of friends and family. In a society obsessed with goals, performance, efficiency, and high percentages, she discovered that the daily lack of control that new parents of sick babies face changes their lives. And that, for physician parents, it also changes the way they practice medicine. Most of the articles and books written about premature babies and neonatal intensive care units examine the technological and medical aspects of neonatology. Breathe, Baby, Breathe!, however, is written in the voice of a parent-doctor and tells the story of Violette and her parents, alongside the stories of other fragile babies and their families with different journeys and different outcomes. With the story of Violette at the core of the book, the interwoven stories and empirical articles provide essential insights into the medical world of premature birth. This original and clever blend of narrative and evidence provides a new, experiential view of the way forward during a parental crisis.

This pocket atlas explains how to use pulmonary graphics as a valuable adjunct for patient management. Actual patterns commonly encountered in neonatal practice are presented side-by-side with schematic illustrations that take apart the graphic and identify its key features, accompanied by brief explanatory text. The book addresses the principles of real-time pulmonary graphics, discusses waveforms and loops, and examines how both are affected by mechanical ventilation and disease states. A series of clinical cases brings key points to life.

Lung disease affects more than 600 million people worldwide. While some of these lung diseases have an obvious developmental component, there is growing appreciation that processes and pathways critical for normal lung development are also important for postnatal tissue homeostasis and are dysregulated in lung disease. This book provides an authoritative review of fetal and neonatal lung development and is designed to provide a diverse group of scientists, spanning the basic to clinical research spectrum, with the latest developments on the cellular and molecular mechanisms of normal lung development and injury-repair processes, and how they are dysregulated in disease. The book covers genetics, omics, and systems biology as well as new imaging techniques that are transforming studies of lung development. The reader will learn where the field of lung development has been, where it is presently, and where it is going in order to improve outcomes for patients with common and rare lung diseases.

Mental health problems during and immediately after pregnancy are a major concern across the world. As well as affecting the health of the mother, they can have significant, harmful, and long term effects on the infant if not dealt with effectively. Perinatal Psychiatry honours the work of Channi Kumar, one of the seminal figures in the history of perinatal psychiatry, and presents a comprehensive multidisciplinary review of the field. Bringing together the leading researchers in the area, it covers the causes of perinatal mental health problems, the biology of perinatal depression and its more extreme form, puerperal psychosis, as well as psychosocial and psychological interventions, hormonal and neural substrates of perinatal depression, and risk factors and epidemiology.

50 Studies Every Pediatrician Should Know presents key studies that have shaped the current clinical practice of pediatrics. Selected using a rigorous methodology, the studies cover topics including: allergy immunology, behavioral, cardiology, dermatology, endocrinology, ENT, general pediatrics, hematology, infectious disease, neonatology, nephrology, neurology, oncology, ophthalmology, orthopedics, and pulmonary. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. An illustrative clinical case concludes each review, followed by brief information on other relevant studies. This is one of the only books of its kind to present a collection of the most influential clinical trials in pediatrics that are detailed enough to be used on rounds, but still easily digestible.

The definitive guide to sonography in obstetrics and gynecology-thoroughly updated and enhanced by the addition of teaching cases This acclaimed guide is a clinically relevant reference text, an atlas, and a teaching/learning resource. Presented in full color and enriched by more than 2,000 illustrations, it expertly examines the full spectrum of disorders and conditions likely to be encountered in gynecologic and maternal-fetal care. You will find expert, all-inclusive coverage of everything from sonographic operating instruments and screening the fetal patient for syndromes and anomalies, to diagnosing the female patient for cysts, infertility, and incontinence. This edition has been updated to include coverage of the latest procedures and diagnostic guidelines for the use of sonography in ob/gyn, including 3D and 4D US and enhanced image processing, contrast enhanced sonography, ultrasound guided fetal therapy, sonographic evaluation of pelvic pain, and much more. The Eighth Edition also features an extensive series of teaching cases. Each case consists of the patient's medical history, representative US images, cineloop videos, Q&A, and teaching points with references. Fleischer's Sonography in Obstetrics & Gynecology, Eighth Edition opens with general obstetric sonography, covering such pivotal topics as normal pelvic anatomy and fetal echocardiography, before moving into fetal anomalies and disorders. Risk assessment and therapy, including first trimester screening and amniocentesis, are explored in the next section, while the remaining parts of the book focus on maternal disorders, gynecologic sonography, and the newest complementary imaging modalities.

Neonatal nutrition has a pivotal role in normal child development and is of even greater importance in the sick or premature neonate. This 2006 edition includes a comprehensive account of the basic science, metabolism and nutritional requirements of the neonate, and a greatly expanded number of chapters dealing in depth with clinical issues ranging from IUGR, intravenous feeding, nutritional therapies for inborn errors of metabolism, and care of the neonatal surgical patient. Evolving from these scientific and clinical aspects, the volume highlights the important long-term effects of fetal and neonatal growth on health in later life. In addition, there are very practical chapters on methods and techniques for assessing nutritional status, body composition, and evaluating metabolic function.

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

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.

Caring for the well newborn is an essential element of everyday midwifery practice. Providing a comprehensive guide to the problems associated with newborn babies, Care of the Newborn by Ten Teachers is a key textbook for trainee midwives. The ten teachers involved in writing this book are drawn from all over the UK and bring together a wealth of experience in midwifery and neonatal nursing teaching and practice. The emphasis is on caring for the normal neonate, with deviations from the normal threaded throughout. Taking a holistic approach, each chapter links theory and practice, with explicit reference to professional standards and guidelines. As well as infant feeding, skin care and thernal care practice, this book covers signs and causes of common problems such as jaundice, infections, respiratory problems, and birth injury, providing care and treatment strategies for the neonate and family. This easy-to-follow full colour design, with superb diagrams and photographs and helpful features such as key points, case histories and chapters overviews, makes this essential reading for all student midwives, as well as those on post-qualifying courses in neonatal care. It is also a useful reference for practising midwives and neonatal nurses.

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.

Extreme Prematurity examines the controversial issues surrounding the clinical management of this group of neonates by the intervention of modern neonatal intensive care. The foregoing of life-sustaining treatment is of particular importance. The subject matter is very relevant because of the alarming increase in multiple and preterm births, due to the increase in women who are undergoing assisted reproductive procedures, and the large increase in premature labor. No recent book covers the subject in such comparable breadth. The first section of this very timely monograph covers the epidemiology and practices in different parts of the world; the second section covers bioethics considerations, including ethical theories, moral principles and quality of life issues; the third section covers national and international guidelines; the last section covers medical law aspects in the US and around the world.

Ensure you're referencing the most accurate information surrounding nursing practice in today's neonatal intensive care unit with AWHONN's Core Curriculum for Maternal-Newborn Nursing, 6th Edition. Developed by one of the most authoritative associations in neonatal intensive nursing care, AWHONN, this renowned guide provides in-depth coverage of the most common neonatal disorders and their management - focusing on the latest evidence-based practice for preterm infants, medications, and antepartum-intrapartum complications. Additionally, the concise outline format makes information easy to find as it highlights the essentials of each condition including the definition, etiology, pathophysiology, signs and symptoms, diagnostic tests, treatments, and outcomes. With timely content that sets the standard for neonatal nursing practice, this trusted reference is an excellent resource for practicing nurses working in any NICU worldwide. Content developed by AWHONN, one of the most authoritative associations in neonatal intensive care nursing, ensures the information is both accurate and relevant. Concise outline format provides access to important nursing considerations associated with the management of the most common conditions in the neonate. Full-scope coverage of neonatal nursing practice provides information on families, ethics, legal issues, research, case management, the transition to home, and more. Focus on evidence-based practice related to preterm infants, medications, and antepartum-intrapartum complications sets the standard for neonatal nursing practice. Strategies to promote inclusionary care better reflect today's nursing care today with a focus on family-centered care, comprehensive perinatal records, health care teams in the NICU, and infant care best practices. NEW! Expanded information on breastfeeding and acquired opioid dependency keep you informed with the latest best practices related to these two everchanging areas. NEW! Updated neonatal resuscitation guidelines ensures you follow the most up-to-date protocols and procedures in this critical skill area. NEW! Additional tables and boxes help you quickly find important information.

In this book, the authors present current research from across the globe in the study of the development, prognosis and potential complications of pre-term infants. Topics discussed in this compilation include the cognitive and behavioural problems in moderately pre-term children at pre-school age; the socio-emotional development and early intervention of pre-term infants; later pre-term birth and the developing brainstem; readiness of pre-term infants to start breastfeeding; hormonal dysregulation of the HPT and HPA axes in pre-term infants; effect of additional weight in proximal and distal adjustments of reaching behaviour in pre-term infants; language and literacy in pre-term children; and cognitive, motor and communicative-linguistic developmental trajectories of extremely low gestational age pre-terms.

Fetal cardiology is an important part of management for high-risk pregnancies: one in every 100 babies is born with a heart problem. Fully updated, this second edition of Fetal Cardiology covers all aspects of fetal heart disease and relevant non-cardiac aspects of diagnosis and management. This handbook provides clinically relevant guidance in a concise, practical format which is ideal for use in the clinic and as a quick reference for the reader. Featuring new chapters on the three vessel trachea view and neurodevelopment issues in fetal cardiac disease, and brand new high-quality annotated images; this new edition is the definitive pocket guide to the subject. Clearly structured to allow a systematic approach to diagnosis, decision making, and patient counselling, Fetal Cardiology is perfect as a refresher for experienced clinicians in fetal and cardiological care, or as an informative overview for the paediatrician, echocardiographer, and trainees in associated disciplines.

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.

"Neonatal Nursing" offers a systematic approach to the nursing care of the sick newborn baby. Nursing actions and responsibilities are the focus of the text with relevant research findings, clinical applications, anatomy, physiology and pathology provided where necessary.;This comprehensive text covers all areas of neonatal nursing including ethics, continuing care in the community, intranatal care, statistics and pharmokinetics so that holistic care of the infant is described.;This book should be of interest to neonatal nurses, paediatric nurses, midwives and students in these areas.

The fourth edition of this popular resource features step-by-step skill instruction and practice-focused exercises covering maternal and fetal care. Developed by a distinguished editorial board, the Perinatal Continuing Education Program (PCEP) is a comprehensive, self-paced education program in 4 volumes. This book features 12 units containing information and skills essential for the recognition and initial management of high-risk and sick pregnant women and their fetuses. In this updated fourth edition, new units have been added on medical risk factors in pregnancy and obstetric risk factors in prior or current pregnancy. TOPICS INCLUDE Hypertension in pregnancy Obstetric hemorrhage Infectious diseases in pregnancy Gestational diabetes Prelabor rupture of membranes and intra-amniotic infection Preterm labor Inducing and augmenting labor Abnormal labor progress and difficult deliveries Imminent delivery and preparation for maternal/fetal transport And more...

Breastfeeding Management for the Clinician: Using the Evidence is the perfect tool for busy clinicians who need a quick, accurate, and current reference. It provides the essentials of breastfeeding management to support best outcomes for breastfeeding families. Now in an updated and modernized fifth edition, this unique resource features new information on the political and social landscape of breastfeeding, LGBTQI+ families, milk sharing, exclusive pumping, new breastfeeding products, breastfeeding in emergencies, additional feeding care plans, and access to downloadable Patient Care Plan Handouts to help both patients and clinicians navigate common breastfeeding challenges and questions. Breastfeeding Management for the Clinician: Using the Evidence, Fifth Edition includes literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. With a focus on the practical application of evidence-based knowledge and a problem-solving approach, this reference helps busy clinicians integrate the latest research into their everyday clinical practice.

Most neurologists, fellows, and residents are familiar with adult EEG, but have not developed a similar understanding of pediatric EEG. There are fewer resources covering pediatric electroencephalography and existing books are either too comprehensive or lack the main details that differentiate the EEG in childhood. This accessible text includes the most recent classification and nomenclature published by the International League Against Epilepsy. It provides a practical and well illustrated text of value to residents, fellows, and neurologists in need of an update on pediatric EEG.

Well into the 20th century, one in four newborns failed to survive their first year of life. It was after World War II that medicine "discovered" the newborn as a human being entitled to medical treatment and prioritised care. Since its definition by Alexander Schaffer in 1960, neonatology has evolved into a mature, innovative, and ethical field. A large number of medical professionals' care for neonates, yet no definitive medical history of the newborn has been available until now. The Oxford Textbook of the Newborn: A Cultural and Medical History offers readers a unique and authoritative resource on the 3000-year history of the newborn within Western societies. Written by Professor Michael Obladen, a leading voice in neonatology, this book reflects on our perception of newborns, from the earliest days of human thought, through to the traces that remained in medieval life and persist today. It unearths ideas and evidence of societies' perceptions of newborns through a beautifully illustrated, impressive and often never-seen-before set of historical sources from libraries, archives, churches, excavation fields, and hospital charts around the world. Split into 8 sections which each cover aspects of the natural lifecycle of a neonate, this book demonstrates the impact of religion, law, ethics, philosophy and culture on newborns' quality of life, and covers fascinating topics such as the rites of passage for the newborn, infanticide, opium use, breastfeeding, and artificial feeding. Each chapter is written in an accessible style and includes high-quality historical illustrations which really bring the subject to life.

Provide competent and sensitive maternal and newborn nursing care with Clinical Companion for Maternity & Newborn Nursing, 2nd Edition! Ideal for quick reference in the clinical setting, this book offers the information you need on topics such as pregnancy, childbirth, postpartum care, and care of the newborn, including potential complications for each. Expert authors Dr. Shannon E. Perry, Kitty Cashion, Dr. Deitra Leonard Lowdermilk, and Kathryn R. Alden stress the importance of safe nursing practice as outlined in the Quality and Safety Education for Nurses (QSEN) initiative. Teaching for Self-Management boxes offer a guide to communicating follow-up care to patients and their families. Signs of Potential Complications boxes help you recognize the signs and symptoms of complications and provide immediate interventions. Procedure boxes offer easy-to-use, step-by-step instructions for maternity skills and procedures. Emergency boxes may be used for quick reference in critical situations. Nursing Alerts highlight critical information that must be considered when providing care. Medication Guides in an appendix provide a key reference for common drugs and their interactions. Updated content provides the most current practice guidelines, including expanded information on obesity, the late preterm infant, and fetal heart rate pattern identification. Safety Alerts highlight developing competencies related to safe nursing practice in conjunction with the QSEN initiative on quality and safety in nursing care.

Increase in survival for very low birth weight infants has been observed, due to various improvements in perinatal care. However neurodevelopmental outcome remains a major issue. The effect of early environmental factors (during the hospital stay) and routine NICU practices on neurobehavioral development is discussed. Developmental care is an association of environmental and behavioural strategies designed to decrease the stress of preterm neonates. These interventions can be used alone or in association into more complex programs as the Neonatal Individualised Developmental Care and Assessment Program (NIDCAP). Despite growing scientific literature, the medical impact of developmental care is still controversial. Major differences in medical and nursing practices are observed. This book reviews the theoretical framework underlying developmental care and the research-based data in different fields: neuroscience, developmental psychology, medicine and nursing. Reflections on the impact on staff are included. Recommendations for new research programs on this important aspect of neonatal care are proposed.

Paediatric Respiratory Medicine Second edition remains the first point of reference for those faced with treating acute or chronic respiratory problems. The handbook discusses the approach to clinical problems, specific conditions, supportive care and practical procedures, and includes vital appendices covering specific tests and statistics. Designed as a practical guide, it serves general and specialist paediatricians at both consultant and trainee level. The book is divided into five parts. Part I provides a practical approach to acute and non-acute clinical problems. Part II provides detailed information about common and more rare clinical conditions. Part III provides useful information on supportive care, including for example, use of non-invasive ventilation and the care of a child with a tracheotomy. Part IV gives details on how to perform several practical procedures, such as ciliary brush biopsy, flexible bronchoscopy, and inserting a chest drain. The appendices provide information on lung function testing and tables of age-corrected normal values for several respiratory parameters. Written by three consultants in paediatric respiratory medicine, their expertise in the subject provides all levels of paediatricians with practical guide on a subject that is increasingly relevant in paediatrics.