This second edition of a groundbreaking book is substantially revised to deliver the foundation for an evidence-based model for best practices in midwifery a model critical to raising the United States current standing as the bottom-ranking country for maternity mortality among developed nations. With a focus on updated scientific evidence as the framework for midwifery practice, the book includes 21 completely new chapters that address both continuing and new areas of practice, the impact of institutional and national policies, and the effects of diversity and globalization. Incorporating the midwifery model of care, the book provides strategies for change and guidance for implementing evidence-based best practices. The book examines midwifery efforts to improve the health of women and children in the U.S., for example, Strong Start, US MERA, Centering Pregnancy, a focus on physiologic birth, and successful global endeavors. It encompasses a diverse nationwide authorship that includes leaders in midwifery, academicians, midwives representing diversity, hospital- and community-based practitioners, and policymakers. This coalition of authors from diverse backgrounds facilitates an engaging and robust discussion around best practices. Chapters open with a contemporary review of the literature, a comparison of current (often scientifically unsubstantiated and ineffective) practices, evidence-based recommendations, and best practices for midwifery. Key Features: Focuses on scientific evidence as the framework for midwifery practice Addresses continuing and new, controversial areas of practice with strategies and guidelines for change Includes 20 out of 27 completely new chapters Authored by a diverse group of 44 prominent midwifery leaders Examines practices that are in conflict with scientific evidence

The overturning of Roe v Wade makes the ethical consideration of abortion more important than ever. Appealing to reason rather than religious belief, this book is the most comprehensive case against the choice of abortion yet published. This third edition of The Ethics of Abortion critically evaluates all the major grounds for denying basic rights to fetal human beings, including the views of those who defend not only abortion but also post-birth abortion. It also provides several (non-theological) justifications for the conclusion that all human beings, including those in utero, should be respected as persons. This book also critiques the view that abortion is not wrong even if the human fetus is a person. The Ethics of Abortion examines hard cases for those who are prolife, such as abortion in cases of rape or in order to save the woman's life, as well as hard cases for defenders of abortion, such as sex selection abortion and the rationale for being "personally opposed" but publicly supportive of abortion. It concludes with a discussion of whether artificial wombs might end the abortion debate. Answering the arguments of defenders of abortion, this book provides reasoned justification for the view that all intentional abortions are ethically wrong and that doctors and nurses who object to abortion should not be forced to act against their consciences. Updates and Revisions to the Third Edition Include: Discusses Achas Burin's 2014 essay, "Beyond Pragmatism: Defending the 'Bright Line' of Birth" in chapter 3 Incorporates into chapter 8 David Boonin's cogently argued 2019 book, Beyond Roe: Why Abortion Should be Legal - Even if the Fetus is a Person Expands chapter 9 to examine tragic cases in which prenatal diagnosis determines with certainty that a fetus will die shortly after birth Includes an updated and expanded section in chapter 11 on recent debates about conscience protections Considers in chapter 12 recent arguments that parents have a right to kill if the product of conception is in an artificial womb Updates statistics on numbers of abortions in the United States, including corrections to statistics that were once thought true but are now known as erroneous Updated bibliography

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What makes us the "w"ay "w"e are? "Some say it's the genes we inherit at conception. Others are sure it's the environment we experience in childhood. But could it be that many of our individual characteristics--our health, our intelligence, our temperaments--are influenced by the conditions we encountered before birth?
That's the claim of an exciting and provocative field known as fetal origins. Over the past twenty years, scientists have been developing a radically new understanding of our very earliest experiences and how they exert lasting effects on us from infancy well into adulthood. Their research offers a bold new view of pregnancy as a crucial staging ground for our health, ability, and well-being throughout life.
Author and journalist Annie Murphy Paul ventures into the laboratories of fetal researchers, interviews experts from around the world, and delves into the rich history of ideas about how we're shaped before birth. She discovers dramatic stories: how individuals gestated during the Nazi siege of Holland in World War II are still feeling its consequences decades later; how pregnant women who experienced the 9/11 attacks passed their trauma on to their offspring in the womb; how a lab accident led to the discovery of a common household chemical that can harm the developing fetus; how the study of a century-old flu pandemic reveals the high personal and societal costs of poor prenatal experience.
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Origins "also brings to light astonishing scientific findings: how a single exposure to an environmental toxin may produce damage that is passed on to multiple generations; how conditions as varied as diabetes, heart disease, and mental illness may get their start in utero; why the womb is medicine's latest target for the promotion of lifelong health, from preventing cancer to reducing obesity. The fetus is not an inert being, but an active and dynamic creature, responding and adapting as it readies itself for life in the particular world it will enter. The pregnant woman is not merely a source of potential harm to her fetus, as she is so often reminded, but a source of influence on her future child that is far more powerful and positive than we ever knew. And pregnancy is not a nine-month wait for the big event of birth, but a momentous period unto itself, a cradle of individual strength and wellness and a crucible of public health and social equality.
With the intimacy of a personal memoir and the sweep of a scientific revolution, "Origins "presents a stunning new vision of our beginnings that will change the way you think about yourself, your children, and human nature itself.

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

This second edition offers an expanded and updated history of the field of fetal and neonatal development, allowing readers to gain a comprehensive understanding of the biological aspects that contribute to the wellbeing or pathophysiology of newborns. In this concluding opus of a long and prominent career as a clinical scientist, Dr. Longo has invited new contributions from noted colleagues with expertise in various fields to provide a historical perspective on the impact of how modern concepts emerged in the field of fetal physiology and contributed to the current attention paid to the fetal origins of diseases in adults. In addition to new chapters on maternal physiology and complications during pregnancy, others trace the history of the Society for Reproductive Investigation, governmental funding of perinatal research, and major initiatives to support training in the new discipline of maternal fetal medicine, including the Reproductive Scientist Development program. The extensive survey provided by the author, who personally knew most of the pioneers in the field, offers a unique guide for all clinical and basic scientists interested in the history of - and future approaches to diagnosing and treating - pathologies that represent the leading causes of neonatal mortality and, far too often, life-long morbidity.

Highlighting the experiences of midwives who provide care to women opting outside of guidelines in the pursuit of physiological birth, Claire Feeley looks at the impact on midwives themselves, and explores how teams and organisations can support or discourage the promotion of women's birth choices. This book investigates the processes, experiences, and sociocultural-political influences upon midwives who support women's alternative birthing choice and argues for a shift in perspective from notions of an individual's professional responsibility to deliver woman-centred care, to a broader, collective responsibility. The book begins by exploring the normal birth debates to demonstrate how hegemonic birth discourse and maternity practices have detrimentally affected physiological birth rates, as well as the wellbeing of women who opt outside of maternity guidelines. It also provides real life examples of how midwives can facilitate a range of birthing decisions within mainstream midwifery services. The second part develops a new model to explore how a midwife's socio-political context can significantly mediate or exacerbate the vulnerability, conflict and stigmatisation that they may experience as a result of promoting alternative birth choices. Part three further explores the implications of the model, looking at how team and organisational culture can be developed to better support women and midwives, making recommendations for a systems approach to improving maternity services. Discussing the invisible nature of midwifery work, what it means to deliver woman-centred care, and the challenges and benefits of doing so, this is a thought-provoking read for all midwives and future midwives. It is also an important contribution to interprofessional concerns around workforce development, sustainability, moral distress and compassion in health and social care.

Outlines the basics of nutrition for healthcare professionals. Directed towards an international audience; written from the holistic perspective. There has been a definite shift in our perception and understanding of foods and diet. More attention is being given towards how we grow and cultivate food sources whilst being mindful about the environmental impact this may have - this book is timely, the medical community is now giving due importance to dietary content.

Originally published in 1977 and as a second edition in 1988, this book introduces the reader to the women at the top of the midwifery profession up until the 17th Century who attended the aristocracy and Royalty. The author shows how their successors were gradually driven out of the better paid work until in the middle of the 19th Century it appeared that attendance on childbearing women would inevitably become the male monopoly it has virtually become in North America. This downward trend was reversed, thanks to efforts to preserve for women the choice of female attendance in childbirth and also to the labour of philanthropists to improve maternity services to the poor. However, the drive for the institutionalization and mechanization of childbirth during the 20th Century as well as a chronic shortage of midwives, has once again shone a spotlight on the profession. This unique history of developments in midwifery will be of interest to students of medical politics, 19th Century social history, the sociology of the professions and gender studies.

Originally published in 1986, this book examines the history of midwifery, concentrating on 19th and 20th Century Britain. It shows how the evolution of the midwife has been influenced by cultural waves which started in the Near East and Egypt in pre-classical times and slowly spread Northwards and Eastwards over Europe. The authors emphasize the effects of specialization and professionalization upon midwifery and also the influence of male authority and interest group politics. The evolution of the educated qualified midwife of the 20th Century is recorded, leading up to the ongoing debates about high technology birth vis-a-vis natural birth and home deliveries.

Management, Organization and Childbirth: Towards a New Model for the Birth Path explores the complex topic of the birth path with a multidisciplinary magnifying glass on the paradigms, languages, and tools critical to the organization, management, and clinical science. The work consists of five chapters. The first chapter provides a multidimensional analysis of childbirth. The second chapter presents an organizational analysis that moves in unison with different models of health. The third chapter studies the birth path in organizational and cynical terms by describing it in its core processes. The fourth chapter proposes a study conducted in the Italian context, which identifies some useful determinants for redesigning the birth path. The fifth chapter formulates a proposal for redesigning the birth path based on a new health paradigm. The proposed model offers useful insights for multiple categories of readers. To students of medicine and higher education tracks in healthcare management, it can offer opportunities to raise awareness not only regarding multi-professional practice but also regarding confrontation with complementary disciplines. To practitioners and policy makers, it can provide useful stimuli to promote rational and informed decisions around the childbirth. To researchers studying the health context within different disciplinary domains, the model can offer unexplored research spaces within the new business complex system.

Management, Organization and Childbirth: Towards a New Model for the Birth Path explores the complex topic of the birth path with a multidisciplinary magnifying glass on the paradigms, languages, and tools critical to the organization, management, and clinical science. The work consists of five chapters. The first chapter provides a multidimensional analysis of childbirth. The second chapter presents an organizational analysis that moves in unison with different models of health. The third chapter studies the birth path in organizational and cynical terms by describing it in its core processes. The fourth chapter proposes a study conducted in the Italian context, which identifies some useful determinants for redesigning the birth path. The fifth chapter formulates a proposal for redesigning the birth path based on a new health paradigm. The proposed model offers useful insights for multiple categories of readers. To students of medicine and higher education tracks in healthcare management, it can offer opportunities to raise awareness not only regarding multi-professional practice but also regarding confrontation with complementary disciplines. To practitioners and policy makers, it can provide useful stimuli to promote rational and informed decisions around the childbirth. To researchers studying the health context within different disciplinary domains, the model can offer unexplored research spaces within the new business complex system.

Mindfulness in the Birth Sphere draws together and critically appraises a raft of emerging research around mindfulness in healthcare, looking especially at its relevance to pregnancy and childbirth. Divided into three parts, this reflective book: * Investigates the phenomena of mindfulness through discussions of neuroscience, an indigenous worldview and research methods. * Develops the concept of mindfulness for use in practice with women/and babies across the continuum of childbirth. It includes chapters on birth environments, intrapartum care, mental health, fertility, breastfeeding and parenting among others. * Explores mindfulness as a tool for birth practitioners and educators, promoting self-care, resilience and compassion. Each chapter discusses specific research, evidence and experiences of mindfulness, including practical advice and an example of a mindfulness practice. This is an essential read for all those interested in mindfulness in connection to pregnancy and childbirth, including midwives, doulas, doctors and birth activists, whether involved in practice, research or education.

Originally published in 1983, in the two decades prior to publication, specialised neonatal units for the treatment of sick or preterm babies had been set up in most major neonatal centres. In the early years these units did little to prevent separation of parents and babies and evidence accumulated of the ill effects of this situation. In addition, we had gradually become aware of the difficulties of building a relationship with a sick or immature baby even under more ideal circumstances. This book, in a series of authoritative review chapters, sets out to describe the process by which social relationships develop after birth and the ways in which this process may be distorted by separation, the condition of the baby or by the process of medical treatment. Experienced practitioners describe practical steps which may be taken to support parents and foster their relationship with their babies in treatment situations. The final section of the book examines the organisation of neonatal care in a number of widely different settings and indicates that diverse approaches may be successful in achieving the same ends.

The overturning of Roe v Wade makes the ethical consideration of abortion more important than ever. Appealing to reason rather than religious belief, this book is the most comprehensive case against the choice of abortion yet published. This third edition of The Ethics of Abortion critically evaluates all the major grounds for denying basic rights to fetal human beings, including the views of those who defend not only abortion but also post-birth abortion. It also provides several (non-theological) justifications for the conclusion that all human beings, including those in utero, should be respected as persons. This book also critiques the view that abortion is not wrong even if the human fetus is a person. The Ethics of Abortion examines hard cases for those who are prolife, such as abortion in cases of rape or in order to save the woman's life, as well as hard cases for defenders of abortion, such as sex selection abortion and the rationale for being "personally opposed" but publicly supportive of abortion. It concludes with a discussion of whether artificial wombs might end the abortion debate. Answering the arguments of defenders of abortion, this book provides reasoned justification for the view that all intentional abortions are ethically wrong and that doctors and nurses who object to abortion should not be forced to act against their consciences. Updates and Revisions to the Third Edition Include: Discusses Achas Burin's 2014 essay, "Beyond Pragmatism: Defending the 'Bright Line' of Birth" in chapter 3 Incorporates into chapter 8 David Boonin's cogently argued 2019 book, Beyond Roe: Why Abortion Should be Legal - Even if the Fetus is a Person Expands chapter 9 to examine tragic cases in which prenatal diagnosis determines with certainty that a fetus will die shortly after birth Includes an updated and expanded section in chapter 11 on recent debates about conscience protections Considers in chapter 12 recent arguments that parents have a right to kill if the product of conception is in an artificial womb Updates statistics on numbers of abortions in the United States, including corrections to statistics that were once thought true but are now known as erroneous Updated bibliography

Providing essential knowledge and understanding that midwives, health visitors, nursery nurses and lay birth and early parenting educators need to deliver effective and evidence-based education to all new parents and families, this book explores key issues in perinatal education. Bringing together research and thinking around preconception and birth, infant sleep, nutrition, attachment and development, it also includes chapters on topics of growing importance, such as preconception education, LGBTQ+ parent education, the role of parenting advice, parent education across different cultures and teaching antenatal classes online. Each chapter includes a key knowledge update and pointers for practice. This wide-ranging and practical text is an important read for all those supporting new parents from pregnancy through the first 1000 days, especially those delivering antenatal care and birth and early parenting education.

One day you will feel better... Eyes without Sparkle is a powerful medical autobiography describing the journey followed by the author into, through, and out of puerperal psychosis, the most severe form of postnatal depression. With vivid and intimate descriptions of events and the author's feelings, this is the only book offering a single first-hand account of postnatal illness. The book serves as an inspiration for anyone suffering from or involved with a depressive illness. For health and social care professionals it is a reflective guide to learning from patients' experiences, and the examples of positive and negative aspects of treatment can inform mental health services and policies.

This book describes control of ventilation during sleep in both health and disease states. The topics are presented in a fashion that can be easily comprehended with many figures to illustrate complex concepts. Thus, a wide range of topics, starting from the site of normal respiratory rhythm generation to chemoreceptor control of sleep apnea, description of the apneic threshold, pathophysiology of upper airway closure, novel techniques to measure control of breathing, effect of cerebral blood flow on breathing, effect of opioids on ventilation, effect of heart failure on ventilation, genetic aspects of breathing disorders, age and gender differences, and various therapies are discussed. Key Features * Helps to bridge the gap between straight forward physiology and clinical practice through a range of topics and use of case vignettes * Explores various aspects of clinical management and control which is beneficial to sleep clinicians, respiratory physiologists, intensivists, trainees, and researchers. * Distills complex concepts into understandable language and figures, providing helping resource to the clinicians, that transforms a dry topic vis a viz control of ventilation into an exciting understandable 'clinician' language.

Infancy: The Basics offers an introduction to the developmental science behind the fascinating world of infant development. This book takes the reader from before birth through the moment infants come into the world seemingly unable to do much but eat, eliminate, and sleep, and across the few short, incredible years, to when infants are walking, talking, thinking humans with clear preferences, wishes, and dreams, having already forged strong long-lasting relationships. Dispelling common myths and misconceptions about how infants' perception, cognition, language, and personalities develop, this accessible evidence-based book takes a novel whole-child approach and provides insight into the joint roles of nature (biology) and nurture (experiences) in infant development, how to care for babies to give them the best start in life, and what it means for infants to become thinking communicating social partners. Topics in this book are covered with an eye firmly fixed on how infants' first years set the stage for the rest of their lives. By helping us understand infants, experts Marc H. Bornstein and Martha E. Arterberry give us the opportunity to learn about the resiliency of our species and the many different contexts in which families rear infants. They cover key topics, including how babies are studied scientifically, prenatal development and the newborn period, how infants explore and understand the world around them, how infants begin to communicate, how infants develop an emotional life, personality, and temperament, how infants build relationships, and how parents succeed in bringing up babies in challenging circumstances. This concise clear guide to the years from before birth to 3 is for students of developmental psychology, pediatric medicine and nursing, education, and social work. It also for all parents and professionals caring for infants, who want to understand the secret world of infancy.

Perinatal hospice is a novel form of care for an unborn child who has been diagnosed with a significantly life-limiting condition. In this book, Aaron D. Cobb develops a virtue-based defense of the value of perinatal hospice. He characterizes its promotion and provision as a common project of individuals, local communities, and institutions working together to provide exemplary care. Engaging with important themes from the work of Alasdair MacIntyre and Robert Adams, he shows how perinatal hospice manifests virtues crucial to meeting the needs of families in these difficult circumstances. As a work of applied virtue ethics, this book has important normative, social, and political implications for the creation and development of structured programs of care. It grounds the view that communities ought (i) to devote resources to ensure that these programs are widely available and (ii) to develop social structures that promote awareness of and accessibility to these forms of care. A Virtue-Based Defense of Perinatal Hospice will be of interest to philosophers working in bioethics and applied virtue ethics, as well as scholars in the fields of neonatology, nursing, palliative and hospice care, and counseling who are interested in the study of perinatal hospice.

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.

In this issue of Clinics in Perinatology, guest editors Joseph B. Cantey and Andi Shane bring their considerable expertise to the topic of Perinatal and Neonatal Infections. Provides in-depth, clinical reviews on Perinatal and Neonatal Infections, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Nutrients play a significant role in brain development throughout fetal and postnatal life. This book reviews the evidence from animal and human research, highlighting the influence of specific nutrients on brain function and cognitive development. With a unique, integrative approach to the nutritional, environmental, and genetic influences on brain development, the book examines issues such as single versus multiple limiting nutrients, critical periods of deficiency, and the impact of the child-parent relationship on the architecture of the developing brain. The effect of undernutrition on the developing brain of infants and young children can be devastating and enduring. It can impede behavioural and cognitive development and educability, thereby undermining future work productivity. Chapter authors are experts in this field of research and provide an up-to-date insight into the role of the individual nutrients in brain development and function.

In collaboration with Consulting Editor, Dr. Lucky Jain, Guest Editor Dr. Daniel Wechsler has assembled expert authors to provide a current update on the diagnosis and treatment of neonatal malignant disorders. Articles are specifically devoted to the following topics: Genetic Predisposition and Neonatal Cancer; Infant Leukemias; Neonatal Malignant Disorders: Brain Tumors; Retinoblastoma; Neonatal Malignant Disorders: Kidney Tumors; Neonatal Malignant Disorders: Liver Tumors; Neuroblastoma; Neonatal Malignant Disorders: Sarcoma; Neonatal Malignant Disorders: Germ Cell Tumors; Neonatal Histiocytoses; Lymphatic Malformations; and Long-Term Outcomes in Neonatal Cancer Survivors. Readers will come away with the information they need to improve outcomes in infants with neonatal malignant disorders.

The first 1,000 days, from conception to two years of age, is a critical period of growth and development. Exposures to dietary, environmental, hormonal, and other stressors during this window have been associated with an increased risk of poor health outcomes, some of which are irreversible. The book addresses this crucial interval of early life across biological disciplines, linking concepts related to all biological fields to outcomes during the first 1,000 days (e.g. fetal growth and pregnancy outcomes) and beyond (e.g. gut microbiome and cardiovascular disease later in life). The strength of this book lies in its cross-disciplinary nature.

Reflects a dramatic evolution in the concept of trauma-informed care in the NICU.Substantially revised and updated, the new edition of this acclaimed resource for neonatal nurse practitioners and NICU clinicians remains the only book to provide the most current, evidence-based caring strategies for managing current and later-life trauma associated with the NICU experience. This second edition builds on the foundation established in the first: trauma-informed care begins with the clinician. Aimed at transforming NICU practice, the second edition delivers five completely new chapters that reflect state-of-the-art developments in neonatal care and the changing role of the NICU clinician. Transformative Nursing in the NICU, Second Edition provides an in-depth examination of the biological effects of neonatal trauma, changes to the neuro-endocrine-immune network, and epigenetics, as well as the foundations of caring science in the NICU. Brimming with practical strategies and evidence-based core measures, the book describes protocols proven to mitigate or reduce the profound neonatal morbidities and subsequent challenges afflicting newborns in the NICU. It includes examples of favorable outcomes from practitioners worldwide and presents engaging online learning activities that facilitate the translation of content into clinical practice. New to This Edition: Presents FIVE completely new chapters: Neurologic Consequences of NICU Trauma The Value-Proposition of Trauma-informed Care in the NICU The Science of Trauma-informed Care in the NICU The Soul of Trauma-informed Care in the NICU Attributes of the Trauma-Informed Clinician Covers the needs and attributes of competent neonatal clinicians including those required for role development, teamwork, and NICU success Delivers expanded coverage of the Global Health Care Quality Chasm and the Institute of Health Care Improvement's Quadruple Aim Key Features: Reframes the concept of developmentally supportive care to trauma-informed, age-appropriate care Addresses the foundations of caring science in the NICU Underscores the importance of holistic NICU care that encompasses the neonate, the family, and the clinician Advances the concept of trauma-informed NICU care from theory to practice and demonstrates how this results in improved outcomes Presents current evidence-based best practices in trauma-informed care in the NICU to improve effective practice for interdisciplinary neonatal clinicians