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.

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.

The Bedside Dysmorphologist is a thoughtful clinical guide to common-and often quite subtle-congenital malformations in clinical exam. Organized by area of the body, each section provides the user with a concise, illustrated roadmap for assessment and differential diagnosis of highly nuanced elements of dysmorphology. Narrated by a world-class clinical geneticist and enriched with a library of original photos, it provides a safety net for physicians encountering abnormalities in physical exam. No other book in the market sets out to assist the pediatrician and other non-geneticists in how to interpret the clinical signs in syndromology and to lead the clinician to sensible conclusions, both in terms of clinical management and in terms of initiating of appropriate investigation. The Bedside Dysmorphologist distills a lifetime of clinical experience, nuance, and variation into a manageable volume, one that will instill confidence in clinicians and guide them through this arcane area of medicine.

This book summarises the state of cognoscibility with regard to normal new-born care that has accumulated over the past centuries, especially the 20th and now 21st century. This compendium is not an ersatz discussion of neonatology, but of the fascinating zone that involves the new-born in the normal new-born nursery. It is not a homogenous area and thus, some overlap is inevitable in such a compilation of data. The preface details historical concepts that have followed new-borns over the millennia of homo sapiens' existence, such as infanticide, breast feeding, swaddling, neonatal resuscitation, and principles of caring for new-borns. The mortality rate of new-borns has been reduced in many parts of the world in this century and we have learned much more about how to keep increasing numbers of new-borns alive, especially when health care providers and society collaborate in this important endeavour and emphasise known preventative principles. Current modern paediatric and perinatal treatments allow new-borns in the current 21st century America to have a start on an overall life expectancy of 78.5 years (up to 76 years in males and 80.9 years in females), if they receive meticulous medical care even if born into a penurious state. Such deserved care and inevitable ongoing medical discoveries will only lengthen these life trajectories.

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.

This book has been written to summarise the available knowledge regarding transcutaneous bilirubinometry, the first technique that allows a completely non-invasive measurement of a clinical variable. This technique led to important changes in the management of neonatal jaundice, the most common clinical condition of new-born infants world-wide. Transcutaneous bilirubinometry has its roots in the old observation that yellow skin colour is due to the deposition of bilirubin, a chromophore molecule. More recently, transcutaneous bilirubinometry has involved many disciplines; and accordingly, this book has contributions from physicists, biologists, paediatric dermatologists and neonatologists who have clinical research expertise in the field of neonatal hyperbilirubinemia. We hope that this book may prompt the advancement of research that will answer the as-yet unanswered questions, improve the reliability and usefulness of transcutaneous bilirubinometry, and respond to the clinical needs of our little patients.

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?

Growth Parameters of the Newborn Revisited With Review of the Standardized Placental Measurements

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.

The award-wining Birth Emergency Skills Training is the interface between the world of midwifery and the world of medicine. BEST is designed to improve the midwife's ability to act decisively in an emergency and to see it though until resolved or until mother and baby are under physician management. Topics covered include pain and bleeding in pregnancy, hypertension, preterm labor, malpresentations, undiagnosed twins, abnormal fetal heart rate, neonatal resuscitation, shock, trauma, syncope and cardiac arrest.Richly illustrated with drawings and photographs by the author.

Completely updated for its Fourth Edition, this atlas provides detailed, step-by-step instructions on procedures performed in the neonatal intensive care nursery. In an easy-to-follow outline format, with more than 450 drawings and clinical photographs, the book presents clear, current information on indications, preparation, technique, precautions, and how to avoid potential complications. More than 150 of this edition's illustrations are in full color. New chapters cover transcutaneous bilirubin testing, auditory screening, relocation of a dislocated nasal septum, management of natal and neonatal teeth, and lingual frenotomy. An accompanying DVD (by Alfonso Vargas, III, MD) provides seven videos: umbilical line placement, paracentesis, PICC placement, venous blood draw, endotracheal intubation, endotracheal intubation, part II, and sterile gown and glove. The DVD also includes three animations: exchange transfusion, emergency evacuation of air leaks, and endotracheal intubation.

Mientras que mas de catorce millones de norteamericanos sufren de diabetes, la proporcion se incrementa de manera considerable entre la poblacion hispana, ya que los hispanos tienen dos veces mayor propension de desarrollar esta enfermedad que otros grupos. Las estadisticas senalan que al llegar a los cuarenta y cinco anos de edad, uno de cada diez hispanos estara enfermo de diabetes. Despues de los cuarenta y cinco anos, uno de cada cuatro hispanos habra sido diagnosticado con este padecimiento.

La diabetes es un padecimiento complicado que amenaza la vida misma, pero hoy en dia los diabeticos pueden reducir sus riesgos y llegar a tener una vida mas duradera, feliz, y productiva si cuentan con un plan para el manejo y control de su tratamiento. El "Manual Joslin para la Diabetes, " elaborado por el famoso Centro Joslin para la Diabetes, es el libro mas adecuado para la atencion personal, indispensable para todos aquellos que padecen esta enfermedad.

El Centro Joslin para la Diabetes es considerado como el instituto de investigacion y clinica mas importante del mundo en el estudio y el tratamiento de este mal, lo que hace al "Manual Joslin para la Diabetes" el libro mas actual en la materia. Escrito bajo la direccion del doctor Richard Beaser, en colaboracion con Joan Hill y un equipo de expertos, en este libro se presentan todos los aspectos esenciales para que los propios pacientes sean quienes controlen su enfermedad. Se trata de un libro practico, actualizado, y accesible, escrito en un lenguaje claro y sencillo. Se apoya en graficas y cuadros sobre que, como y cuando comer; como verificar el contenido de los azucares en la sangre; como administrar insulina y medicamentos por via oral; como controlar las alzas y bajas de azucar; y como y cuando hacer ejercicio.

Some 20-million low-birth-weight babies are born each year because of either preterm birth or impaired prenatal growth mostly in less developed countries. For many small preterm infants receiving prolonged medical care is important. However kangaroo mother care is an effective way to meet baby's needs for warmth breastfeeding protection from infection stimulation safety and love. Kangaroo mother care is care of preterm infants carried skin-to-skin with the mother. It is a powerful easy-to-use method to promote the health and well being of infants. This document describes the kangaroo mother care method for care of stable preterm/low-birth-weight infants who need thermal protection adequate feeding frequent observation and protection from infection. It provides guidance on how to organize services at the referral hospital and on what is needed to introduce and carry out kangaroo mother care focusing on settings where resources are limited. Evidence for the recommendations are provided whenever possible. This book has been prepared for health professionals in charge of low-birth-weight and preterm newborn infants in first referral hospitals in settings with scarce resources. It is also aimed at decision-makers and planners at national and local levels.

For use as a core text for Maternity Nursing courses.

Nurses working with childbearing families face a variety new challenges, including shortened lengths of hospital stay, the trend toward greater use of community-based and home care, and downsizing and mergers of health-care systems. The Seventh Edition of this popular text continues to emphasize the central role played by maternity nurses working with today's childbearing families, but also includes a global perspective, covering culture as a factor in relating to the woman's childbirth experience.

This book on obstetrics provides a fundamental knowledge on embryology, and foetal and placental physiology. It emphasizes the importance of antenatal supervision throughout pregnancy and discusses complications and high risk pregnancies. Further, it has sections on normal and abnormal labour and their management, and also on foetal growth and neonatal management. In the present era of 'safe motherhood' and childcare, this book aims to enable practitioners to maintain positive health of pregnant women, leading to the delivery of healthy children, and making the experience of pregnancy and childbirth joyful and gratifying. The procedures and precautions described in this book, if followed, should help in achieving reduced maternal and perinatal mortality.

Contents include subject overview, structure and function of the reproductive organs, fetal growth and development, the normal prenatal period, complications and high-risk conditions of the prenatal period, normal labor and delivery, complications and high-risk conditions of labor and delivery, the normal neonate, the high-risk neonate, the normal postpartum period, complications and high-risk conditions of the postpartum period, reproductive issues and concerns, and appendices.

This manual allows the user to detect the development of different motor skills during the first year of life and shows how specific motor components build the foundation for babies to achieve developmental milestones. It also refers to the indications of possible disturbances that may occur in motor development to help in treatment. The manual aims to enable the user to gain a wider perspective of motor skill acquistion that also considers maturation, behaviour, kinesiology, learning and goal direction, environment, biomechanics and perception.

"The definitive work in genetic evaluation of newborns. I cannot recommend it strongly enough." -Judith G. Hall As demand continues to exceed availability when it comes to clinical geneticists, Genetic Consultations in the Newborn offers an essential new resource for practitioners everywhere: a streamlined diagnostic manual that connects subtle symptoms of newborn dysmorphology to their differential diagnosis. Comprising more than 60 chapters organized by system and symptom, this book facilitates fast, expert navigation from recognition to management in syndromes that manifest during the newborn period. Richly illustrated and packed with pearls of practical wisdom from the authors' decades of practice, it empowers readers to recognize the outward signs and symptoms crucial for an effective diagnosis. For geneticists, neonatologists, pediatricians, and anyone else who cares for infants in their first days of life, Genetic Consultations in the Newborn provides an essential and unmatched resource for navigating one of the most challenging areas of clinical practice. It should not be missed.

Significantly revised and updated, the new 8th edition of this bestselling manual provides the latest recommendations on quality care of pregnant women, their foetuses, and their newborn infants. Jointly developed by the AAP and ACOG, this unique resource addresses the full spectrum of perinatal medicine from obstetric and pediatric standpoints. * New section on suggested levels of maternal care from birth centres to level IV institutions. * New sections on screening for preterm delivery risk added to chapter on antepartum care. * New topics covered include the timing of cord clamping, the need (or not) for bedrest, and updates in hypertension. * Guidance regarding postpartum contraception recommendations has been expanded. * New sections on mosquito-borne illnesses (including Zika). * New section infections with high risk infection control issues. * Updated recommendations on neonatal resuscitation, screening and management of hyperbilirubinemia, and neonatal drug withdrawal. Topics include: * Organization of perinatal health care. * Inpatient perinatal care services. * Quality improvement and patient safety. * Maternal and neonatal inter-hospital transfer. * Preconception care. * Antepartum care. * Intrapartum care of the mother. * Postpartum care of the mother. * Medical and obstetric complications. * Care of the newborn. * Neonatal complications and management of high-risk infants. * Perinatal infections. * Infection control.

The new edition of this authoritative review of the clinical approach to diagnostic and therapeutic obstetric, maternal-fetal and perinatal procedures will be welcomed by all professionals involved in childbirth as a significant contribution to the practice of maternal-fetal medicine and surgical obstetrics.

The third edition of this established reference is the product of the combined efforts of many professionals - obstetricians, pediatric cardiologists, sonographers, molecular biologists, and medical physicists - and is a comprehensive guide intended for anyone interested in scanning the fetal cardiac system.

This book summarizes the state of cognoscibility regarding normal newborn care that has been accumulated over the past centuries, especially the 20th and now 21st century. The preface/introduction details historical concepts that have followed newborns over the millennia of Homo sapiens sapiens' existence, such as infanticide, breast feeding, swaddling, neonatal resuscitation, and principles of caring for newborns. The mortality rate of newborns has been reduced in many parts of the world in the past two centuries, and we have learned much about how to keep increasing numbers of newborns alive and healthy. This is especially seen when healthcare providers and society collaborate in this important endeavor that includes emphasizing known preventive principles. Current modern pediatric and perinatal treatments allow newborns in the current 21st century America to have a start on an overall life expectancy of 78.5 years (up to 76 years in males and 80.9 years in females) if they receive meticulous medical care, and even if they are born into a penurious state. Such deserved care and inevitable medical discoveries will only lengthen these life trajectories. This second edition updates principles of caring for the newborn that were identified in the first edition. It considers the newborn examination, newborn screening, safe-sleep concepts, mother and newborn skin-to-skin contact, effects of prenatal drug use, mental health issues in the newborn, maternal mood disorders, infant feeding, circumcision, anticipatory guidance, and concepts of surgery in the newborn. Also considered are selective disorders found in some newborns that includes newborn neurology, cardiology, pulmonology, nephrology, gastroenterology, endocrinology and dermatology.

TWO BOOKS IN ONE! Q&A Course Review NCLEX Prep Maternal and Newborn made manageable! Assure your mastery of maternal and newborn nursing knowledge while honing your critical-thinking and test-taking skills. Over 1,160 NCLEX (R)-style questions on maternal and newborn nursing care reflect the latest test plan, including the more difficult SATA format. Rationales for correct and incorrect responses as well as test-taking tips help you to critically analyze the question types. Together, with a comprehensive exam at the end of the book, they provide the practice you need to build your confidence for course exams and the NCLEX. BONUS! FREE, 30-day access to Davis Edge NCLEX-RN (R) included with purchase of a new print book. This online Q&A platform lets you create practice quizzes with more than 10,000 NCLEX-style questions; review proven test-taking strategies; and prepare for the biggest test of your career with simulated NCLEX exams. Use this exceptional resource with your current book or combine it with Roberta Durham and Linda Chapman's Davis Advantage for Maternal-Newborn Nursing text. It follows the same organization as Maternal and Newborn Success, 4thEdition for the ideal teaching and learning experience.

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.