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Books > Medicine > Clinical & internal medicine > Paediatric medicine > Neonatal medicine
This is a story about the cutting-edge medicine that has saved a
generation of babies.
It's about the love and fear a parent feels for a child they haven’t
yet met.
It's about doctors, mothers, fathers and babies as together they fight
for the first breath.
The First Breath is a book about motherhood and medicine.
Olivia Gordon decided to find out how, exactly, modern science saved
her son’s life. Crossing medical memoir with popular science, The First
Breath is an investigation into the pioneering fetal and neonatal care
bringing a new generation into the world, who would not have lived if
they had been born only a few decades ago.
The First Breath explores the female experience of medicine and details
the relationship mothers develop with doctors who hold not only life
and death in their hands, but also the very possibility of birth.
From the dawn of fetal medicine to neonatal surgery and the exploding
field of perinatal genetics, The First Breath tells of fear, bravery
and love. Olivia Gordon takes the reader behind the closed doors of the
fetal and neonatal intensive care units, resuscitation rooms and
operating theatres at some of the world’s leading children’s hospitals,
unveiling the untold story of how doctors save the sickest babies.
The Visual Guide to Neonatal Cardiology is a comprehensive, highly
illustrated, reference covering the evaluation, diagnosis and
management of cardiac disease in the newborn. Contains over 900
color illustrations, including patient photographs, chest
roentgenograms, electrocardiograms, echocardiograms,
angiocardiograms, 3D computed tomogramphy, magnetic resonance
imaging, pathologic specimens, and other relevant visual aids
Discusses the natural history of fetal heart disease and the
rationale, indications, technique, and impact of fetal cardiac
intervention Reviews the anatomy and physiology of the neonatal
cardiovascular system, including differences within the fetal,
transitional, neonatal, child and adult circulatory system
Highlights key steps for taking a patient history, including
detailed discussion of the cardiac examination (inspection,
palpation and auscultation of heart sounds and murmurs) Presents
over 35 morphologic conditions with sections covering introduction,
epidemiology, etiology with accepted or postulated embryogenesis,
pathophysiology, clinical presentation, physical examination
findings, diagnostic evaluation, management, and prognosis Includes
a neonatal formulary reviewing selected medications currently used
for treatment of perioperative low cardiac output, congestive heart
failure, pulmonary hypertension, sedation, pain and anticoagulation
in neonates
Awarded Third Place in the 2016 AJN Book of the Year Awards in the
Maternal-Child Health Category! Breastfeeding Management for the
Clinician: Using the Evidence, Fourth Edition is an essential and
practical reference guide for clinicians. Using a research-based
approach, it 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, this reference offers a problem-solving
approach to help busy clinicians integrate the latest research into
everyday clinical practice. Completely updated and revised, the
Fourth Edition includes a new discussion of the vitally important
newborn gut microbiome. In addition, it features new and more
effective techniques for addressing breastfeeding barriers, new
research, and the latest guidelines.
Care of the Well Newborn is a unique text that focuses on care of
the term newborn for the first month of life. Written by
distinguished experts in the field, it teaches students and
professionals how and what to assess in the care of the nonverbal
newborn, while also providing criteria for recognizing deviations
from normal and strategies for managing complications that arise.
The first text of its kind, it provides easily accessible
information on evidence-based neonatal care that follows current
guidelines, standards, and recommendations. Also explored are
physiology and pathophysiology, data collection, differential
diagnosis, cultural considerations, and parental education. An
ideal resource for both students and professionals, each chapter
includes multiple choice questions, case studies, or activities to
facilitate critical thinking and learning.
In 1983 two doctors, one from each side of the world, decided to
form a partnership, and so began a scientific adventure that would
improve the odds that babies could be born healthy and whole.
Neural tube defects that severely disabled or killed babies were
epidemic in China (where the folk term was guai tai--roughly
""monster baby""--for an infant whose embryonic neural tube doesn't
completely close and whose head and neck may be misshapen or spine
may protrude) and a significant problem in the United States,
leading teams of researchers from the United States and China to
combine forces to recruit more than 285,000 Chinese women and to
follow nearly 250,000 pregnancies in an epidemiological study.
Sixteen thousand staff were involved in running the project, which
encountered massive bureaucratic obstacles as well as cultural
differences, politicking for study designs and funding, the crisis
of Tiananmen Square, and testy debates over research ethics.
Nevertheless, the researchers persevered in a collaboration that
lasted more than three decades and led to landmark findings on the
role of folic acid in preventing spina bifida. Fortifying cereal
grain products with folic acid became routine in the United States
and a growing number of nations around the world: that intervention
was named one of the ten great public health achievements of the
last decade.
A new look at how we welcome newborn babies into the world,
whatever context they are born in, but particularly if they are
born in a large maternity hospital. Reflections, exercises and
ideas for midwives and other maternity professionals. "The deeply
ingrained, rational scientific culture we live in today suppresses
our innate knowledge of how things could improve. We focus on
categorising through measuring, counting and documenting what we
do, instead of realising deep inside that things must change with
regard to our rituals around birth in hospital. It's as if we don't
quite know how to engender that change..." Experienced midwife
Debby Gould considers the current situation and explores how change
is not just possible but also beneficial for mother, baby and
healthcare professionals. Questions and exercises are provided to
stimulate reflection and seminar discussion. Following a varied and
distinguished career in many maternity contexts, Debby Gould is
currently Head of Midwifery for University College London Hospitals
and has served two full terms in office (as Deputy Chair, then
Chair) on the Royal College of Midwives Council. She is also named
in Debrett's People of Today as one of the top 25,000 influential
and successful people in the UK. Her words are well worth reading
Thoroughly updated and revised, this new edition of the classic
clinical text provides a comprehensive review of physical
measurements used in the clinical evaluation of neonates, children,
and adults presenting with dysmorphic features, structural
anomalies, or genetic syndromes. It has been formatted as a
practical manual that can be carried to the clinic or ward for an
assessment of physical features and measurements.
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.
Neonatal Formulary provides comprehensive guidance on the safe use
of the drugs prescribed during pregnancy and commonly given to
babies during labour and delivery, as well as during lactation and
the first year of life. Treating the journey from pregnancy to
parenthood as a continuous event, the new edition contains updated
information on how the drugs affect both mother and baby. The first
part of the book focuses on drug storage, drug licensing, and drug
prescribing. In addition, it explains to why the metabolism of
drugs differs in premature and sick infants, and why the practice
of extrapolating doses from adult studies is unsafe. Patient
safety, excipients, and therapies that affect drugs are also
covered. Part 2 consists of monographs for over 250 drugs that may
find use in the neonatal unit, and possibly outside it. Each
monograph is divided into sections covering use, pharmacology,
treatment, drug interactions or other administration, information,
supply and administration, and references. The monographs are
evidence-based and include links to the Cochrane Database of
Systematic Reviews, and national guidelines. The third part
presents information on additional drugs, and groups of drugs, that
are often taken by mothers during pregnancy, labour, or during
breast feeding. The drugs discussed in this section all affect the
foetus or infant. Containing far more detail than is available in
the British National Formulary for Children, and with additional
online material featuring updates related to specific drugs and
dosing, Neonatal Formulary is an essential guide for
neonatologists, neonatal nurses, hospital pharmacists, obstetric
staff, advanced nurse practitioners and for all health care
professionals caring for pregnant women and their infants in the
first year of life.
Growth Parameters of the Newborn Revisited With Review of the
Standardized Placental Measurements
This is the true story of the heart-wrenching struggle for
survival, devastating financial loss, and the power of hope that
comes with extremely premature babies born nearly four months
early. The twin babies arrived at 24 weeks gestation and each
weighed a pound. Imagine that, the same as six sticks of butter
It's a riveting story of despair and tragedy, joy and laughter. I
couldn't put it down and I hope you find it the same way...perhaps
just not so late into the wee hours of the night. Re-told from
journals, the story unfolds like a medical-mystery. Will the twins
survive? Will they have devastating disabilities? The breath-taking
pace of life-altering decisions in a Neonatal Intensive Care
setting is like witnessing an accident--one you can't bear to watch
and yet so compelling you can't look away. Follow the
roller-coaster ride through heroics, medical miracles, unrelenting
fear, and heart-warming joy. The events of this true story will
make you cry. You'll be appalled at the insensitivity of some
towards this young family. You'll be angry at the gall of insurance
companies that use "fine print" to deny coverage for certain
medical treatments. And you'll rejoice with the miracle of life
fought for and won. With less than a 20% chance of survival at
birth, the doctors warned; "If the babies manage to survive, they
have an 80% chance of debilitating issues--including cerebral
palsy, breathing issues, and severe learning disabilities." The
second edition of A Pound of Hope adds the much awaited five-year
look back on this harrowing start in life. Read the unexpected
outcome (I won't spoil the surprise here ) of these one-pound
miracle babies. The backdrop setting for this story of survival is
one of financial disaster. This family is bankrupted by the
unrelenting medical costs to save their babies. They lose
everything--savings and retirement accounts are emptied; belongings
are sold and their house is lost as they fall into the bottomless
pit of medical bankruptcy. Our leaders in health insurance, medical
services, and government have failed to address a hole in the very
fabric of our society. A hole so big it swallows families at a time
when they are experiencing life-threatening issues. For what is the
point of medical miracles if there is no way to pay for them? Our
society has developed machines and techniques to preserve and
extend life against all odds. But at what cost? Families stricken
with the financial burden of catastrophic medical bills will see
their financial stability, their future, even their very viability
as a family slip away. If science can save the babies, who will
save the family?
Many challenges facing premature babies are insurmountable despite
the recent advancements of Neonatal medicine. Often providers need
to decide which patients are the best candidates of the specialized
care. Ideally, families are integral parts of the decision-making
process. This two part story follows the distressing yet sometimes
satisfying journey of a young doctor in two very different
situations challenging his own ego, ethics, and motivations as he
struggles with tough decisions, tough situations, and sometimes
circumstances where his intentions are met with resistance by his
colleagues.
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