Placenta accreta comprises a spectrum of disorders where all or part of the placenta becomes attached to the muscular wall of the uterus, which can result in life-threatening hemorrhage at the time of delivery. Previous surgical procedures (including cesarean delivery) and placenta previa are important risk factors, and the incidence is dramatically increasing. This important practical guide to how clinicians should diagnose and manage placenta accreta will be an invaluable reference for all obstetricians and maternal-fetal specialists.

From World Health Organization data, the prevalence of hearing impairment among infants varies between 0.5 and 3.0 cases per thousand, but in children hospitalised in the Newborn Intensive Care Unit (NICU) and in those with other risk factors (ie: anatomically small for gestational age, craniofacial abnormalities, intrauterine infections, family history of hearing loss, ototoxic drugs, mechanical ventilation , etc.), the prevalence is 10-20 times greater. Newborn Intensive Care Unit (NICU) can be defined as an intensive care unit for sick newborns who need specialised treatment. NICU combines equipment and advanced technology with medical staff specially trained in newborn care. The Joint Committee on Infants Hearing (JCIH) identified many risk factors in NICU infants like prolonged mechanical ventilation, asphyxia, low birth weight and ototoxic medication, and so it also considers intensive care as a whole a risk factor. The present book focuses its attention on this hearing loss risk factor, starting from risk factors and screening strategies, highlighting the various neonatal levels of care, focusing on the treatment of infants with neural tube defects and the future motor development of premature babies. This should be done until caregivers can get the attention of drug therapies used in the NICU.

The acclaimed quick-reference guide to the diagnosis and treatment of fetal abnormalities - completely updated in full color Structural Fetal Abnormalities delivers practical, authoritative coverage of the detection and treatment of more than 100 of the most common fetal anomalies, grouped by organ system, and discussed in concise, bulleted text. This unique resource puts at your fingertips valuable content that includes the features of a condition, its differential diagnosis, how to manage the pregnancy, and what to expect in the neonatal period and beyond. Each condition and syndrome discussed is presented in a standardized fashion with input from experienced clinicians in many different specialties, including maternal-fetal medicine, genetics, sonography, neonatology, pediatric cardiology, and pediatric surgery. This edition has been updated to include all new images that demonstrate many of the new and improved technologies, including 3-D and power Doppler. FEATURES * Conditions were selected for inclusion in the book because they are relatively common, or have distinctive features that allow definitive recognition * Includes numerous high-quality ultrasound images and photographs of the fetus or infant * Each section has an updated bibliography of suggested readings to provide you with a source of greater detail for each condition * Completely updated sections on important topics such as genetic etiologies of the structural malformations, reflecting the rapid advances in genomics and molecular diagnostics that have occurred over the past decade * Consistent, efficient templated chapter structure covers important topics such as Epidemiology/Genetics, Sonography, Pregnancy Management, Neonatal Management, Interventions, and Surgical Options * Hundreds of sonographic and gross clinical images illustrate the common features expected of each condition. * Valuable appendices include Differential Diagnosis of Abnormal in Utero Sonographic Findings and Sonographic Features of Other Less Common Syndromes

A better understanding of neural activity and the development of cortical connections and networks is an important requirement for evaluating the cause and treatment of neonatal seizures. There have been many advances in the management of neonatal seizures such as increased use of EEGs, therapeutic hypothermia for HIE and exome sequencing, to name a few. Neonatal Seizures, Current Management, Future Challenges distils what is known about these advances into one scholarly yet practical text.

Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. More than 280 real-world cases and 800 board-style Q&As provide the preparation you need for the Neonatal-Perinatal Medicine Board Examination McGraw-Hill Specialty Board Review: Neonatal-Perinatal Medicine is the perfect resource to prepare for the Neonatal-Perinatal Medicine subspecialty in-training, certification, and MOC exams. Here you will find everything you need in one comprehensive case-based review: 800+ board-style questions based on 280+ real-world cases with answer discussion, helpful hints, and high-yield objectives. With years of experience preparing residents and physicians to be master test-takers, the authors are uniquely qualified to author this indispensable review tool. They have crafted a collection of cases and questions that promote understanding of the key medical concepts fundamental to neonatal-perinatal practice, making them easily transferrable to real-life clinical situations. Here's why this is the best review tool for any neonatal-perinatal examination: Focuses on the content most likely to appear on the exam, with individual topics weighted according to the content outline Real-world case vignettes are followed by multiple high-yield Q&As along with helpful hints and take-away objectives Detailed discussion and explanation for correct and incorrect answers

Now In Its Third Edition, Breastfeeding Management For The Clinician: Using The Evidence Is A Trusted Compendium On Breastfeeding For The Practicing Clinician. It Provides A Research-Based Approach To Breastfeeding Care By Including Literature Reviews While Covering The Incidence, Etiology, Risk Factors, Prevention, Prognosis And Implications, Interventions, Expected Outcomes, Care Plans, And Clinical Algorithms. Expanded To Include New Approaches To Solving Common And Uncommon Breastfeeding Problems, The Third Edition Discusses The Political And Social Landscape Of Breastfeeding Including New State And Federal Laws And Policies Related To Breastfeeding. Also Explained And Clarified Are New Revelations About Infant Sucking Mechanics As Seen Under Ultrasound Presented As A Combination Of Vacuum And Compression. Breastfeeding Management For The Clinician: Using The Evidence, Third Edition Provides Both The Problem Solving Approach Busy Clinicians Need To Resolve Issues Encountered In Everyday Practice And The Evidence-Based Foundation They Need To Impact Positive Change In The Workplace.

The full renewal program slides are also included on the CD. Difficult concepts are simplified and brought to life for all levels of learners. S.T.A.B.L.E. stands for the 6 assessment parameters covered in the program: Sugar, Temperature, Airway, Blood pressure, Lab work, and Emotional support for the family.

In this book, the authors present new research in the study of neonatal care. Topics discussed include the effects of maternal stress and intrauterine environmental factors on foetal behaviour and central brain processes related to cognition, memory and habituation; phosphodieterases and their inhibitors in some respiratory system disorders; glucocorticoids in meconium aspiration syndrome and the possible benefits versus the risks of treatment; and the evidence linking hyperbilirubinemia to auditory neuropathy and prelingual deafness.

Meconium aspiration syndrome (MAS) is a major cause of respiratory morbidity and mortality in the term and post-term new-borns. Aspirated meconium obstructs the airways and subsequently may cause an alveolar atelectasis behind the plug, air-trapping, and air leak. In a very short time after the aspiration, meconium triggers a progressive dysfunction of pulmonary surfactant, chemical pneumonia, and ventilation/perfusion mismatch, which often leads to persistent pulmonary hypertension. Due to complex pathophysiology and multiple interactions between the individual pathomechanisms, MAS is often difficult to treat. Therapeutic protocols usually include airway suctioning, ventilator support or artificial ventilation, in severe cases also administration of exogenous surfactant, inhaled NO, partial liquid ventilation, or anti-inflammatory treatment. Growing information on the role of various pathomechanisms participating in the meconium-induced respiratory, inflammatory, and cardiovascular changes widens the spectrum of drugs which may be perspectively beneficial in the treatment of MAS.

Prenatal diagnosis is a method to detect foetal disease before delivery. Ideally, prevention of foetal exposure to harmful influences begins before conception because all major organ systems develop early in pregnancy, often before a woman realises that she is pregnant. Prenatal diagnosis is composed of non-invasive and invasive methods. This book summarises recent developments in the field of non-invasive prenatal diagnosis (NIPD) through the use of foetal cells and ffDNA in maternal circulation during pregnancy and provides an overview of the possibilities for future clinical applications. The various options for prenatal screening for Down Syndrome (DS) is also outlined, in addition to current research efforts made to improve non-invasive prenatal diagnosis based on foetal cells, cell free foetal DNA and proteins present in maternal circulation. Additionally, this book gives an overview of essential aspects of primary prevention efforts and effecting factors including age and socio-demographical factors, obstetric history, maternal medical conditions, genetic disorders, psycho-social issues and infections and vaccination. Other chapters in this book discuss the close correlation between hypertensive dysfunction in pregnancy and the development of cardiovascular diseases, the various techniques and applications of MRI in foetal imaging, a review of prenatal genetic diagnosis (PGD), the relation between antithrombin congenital deficiency and high risk miscarriages and recurrent abortions, and a review of literature on arthrogryposis multiplex congenita, the occurrence of multiple joint contractures at birth.

The objective of this book is to review specific haematologic disorders that commonly present in the new-born period. It summarises and presents the topics specifically relating to the haematological disorders in neonates.

Birth defects are defined as abnormalities of structure, function, or body metabolism that are present at birth. These abnormalities lead to mental or physical disabilities or are fatal. There are more than 4,000 different known birth defects ranging from minor to serious, and although many of them can be treated or cured, they are the leading cause of death in the first year of life. This book presents leading research in this field from around the world.

Birth defects are defined as abnormalities of structure, function, or body metabolism that are present at birth. These abnormalities lead to mental or physical disabilities or are fatal. There are more than 4,000 different known birth defects ranging from minor to serious, and although many of them can be treated or cured, they are the leading cause of death in the first year of life. This book presents leading research in this field from around the world.

There is a rapidly growing international literature on very early infant relationships. Many authors have addressed the psychological aspects of neonatal intensive care and indicated a need for greater understanding and research into the links between caregiving interventions and the baby's physical and emotional development. This book looks specifically at the experiences of the premature baby in hospital and how the way professionals and parents interact with it and between themselves affects its future development. The author draws from psychoanalysis, developmental psychology, and ethnology, but takes a systemic perspective throughout. Observational material graphically illustrates the theoretical points and makes the book particularly useful for the practitioner and student.

Human Placental Trophoblasts: Impact of Maternal Nutrition explores the vital roles of trophoblasts play in fetal growth and pregnancy, giving you new insight into the modulation of placental trophoblast functions by nutrients. It also reviews the role of fatty acids, folic acids, and specific vitamins in this aspect. The book highlights the critical role of nutrients on human placental development and its' in utero programming effects on the development of chronic diseases such as type 2 diabetes, cardiovascular diseases, hypertension, and obesity in later life. The book begins with discussions of the central process of placentation and its regulation on size and growth of the fetus. It also covers the effects of key macronutrients on placental growth, metabolism, transport, and secretory function. The text details important vitamins and few micronutrients and their roles in the feto-placental growth and development. It includes information on the influence of maternal lifestyle and environmental factors on regulation of the growth, metabolism and gene expression in the feto-placental unit. A review of the genes linked to the process of placentation rounds out the coverage. An examination of a broad range of evidence in the areas of placental growth, function, and its impact on feto-placental outcome, the book presents new knowledge on nutrition and its relevance with early human development. This includes not only the effects of maternal nutrients on possible neonatal growth and development but also their regulation by maternal lifestyle associated factors. A fine blending of epidemiology, clinical nutrition, perinatal and neonatal medicine, and biochemistry and molecular biology areas of research activities, the book helps you to understand the impact of maternal nutrition on placentation and its relevance with pregnancy outcome and fetal programming of adult health and disease.

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.

This book is written to simplify complex topics of neonatal and pediatric liver and metabolic diseases which are encountered by clinicians on a day to day basis. Neonatal and early pediatric liver diseases are very much different from adult liver diseases. Most of them are either structural diseases or genetically modulated metabolic disorders affecting liver. They all look same; however the underlying etiology could be quite different. This book thoroughly covers various neonatal and pediatric liver and metabolic diseases through a unique clinical case based approach via a vast clinical experience of the author. The book presents more than 50 unique cases and presents real life learning scenario with various examples facilitating better understanding of the disease and the ways to analyze it. The book uses a simple language and presents line diagrams and algorithms facilitating learning. This book shall be a valuable resource for practicing general pediatricians, pediatric residents and gastroenterologists with involvement in pediatric liver and liver related metabolic diseases.

Cancer in pregnancy presents physicians with a serious and ethical challenge, yet the sources of concise data and guidance for the management of this disease are scarce. The Motherisk program, based at the Hospital for Sick Children, Toronto, is dedicated to addressing this problem. Cancer in Pregnancy and Lactation: The Motherisk Guide tackles this subject by providing evidence-based information needed to address the complex issues of maternal diagnosis, management, treatment, prognosis and long-term impact on the unborn child. Based on the research by members of the international Consortium of Cancer in Pregnancy Evidence (CCoPE) this book provides physicians with the core knowledge required to make sound clinical decisions in the face of sometimes conflicting interests. Co-edited by recognized experts in the field with over 25 years' experience, this comprehensive volume is essential reading for all maternal-fetal medicine physicians, obstetricians, neonatologists, oncologists and pharmacologists.

Doctors, midwives and other professionals entering the field of postnatal care frequently feel ill-prepared for the task, and a lack of accessible and relevant learning resources can leave learning on the job as the only realistic option. This combined book and DVD resource has been specifically created to provide an accessible guide to the clinical problems those new to postnatal care will face: what to do, how to counsel parents, and how to manage the most common scenarios. Demystifying the transition into the field, it provides practical solutions, and access to relevant background information through extensive references. The accompanying DVD explores specific areas though audiovisual presentations, including jaundice, hypoglycaemia, common issues in newborn examinations and neonatal management of antenatally-detected renal tract dilation. Created by experienced consultant neonatologists and senior trainees who deal regularly with the recurrent themes of day-to-day newborn care, this groundbreaking resource will be essential reading and viewing for all doctors, midwives, nurses and other health professionals new to the field.