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Awarded First Place in the 2016 AJN Book of the Year Awards in the
Maternal-Child Health Category! Pharmacology for Women's Health,
Second Edition is a unique text that discusses pharmacology as it
specifically relates to women's health. Completely updated and
revised to reflect the changing field of pharmacology, it includes
new pharmacological agents for common conditions, changes in
indications, the use of vaccines, updated guidelines from the
Centers for Disease Control and Prevention (CDC) for treatment of
sexually transmitted infections, and the effects of the Affordable
Care Act. It also includes new resource boxes in each chapter for
easy access to more information. Each new print copy includes
Navigate 2 Advantage Access that unlocks a comprehensive and
interactive eBook, student practice activities and assessments, a
full suite of instructor resources, and learning analytics
reporting tools.
Electronic Fetal Heart Rate Monitoring: The 5-Tier System, Third
Edition reviews the practice of fetal heart rate monitoring.
Beginning with a description of the anatomy of fetal circulation,
placental function as a respiratory organ, and acid-base balance,
it also presents normal fetal cardiovascular and cerebral
metabolism. In addition, the pathophysiologic mechanisms involved
in progressive fetal asphyxia are examined via a review of the
seminal animal and human studies conducted in this field. Also
included is a brief summary of fetal heart rate monitoring
technology currently used in clinical practice and standard
nomenclature for fetal heart rate characteristics. Variant fetal
heart rate patterns and the underlying physiologic mechanisms are
presented as well. The Third Edition summarizes the research
identifying the relationship between specific fetal heart rate
patterns and an increasing risk of fetal acidemia, including the
effect of deceleration depth, duration, and pattern evolution. It
also evaluates the scientific basis that supports management
algorithms currently in use and recommends the Parer/Ikeda 5-tier
system. This algorithm assigns fetal heart rate patterns to 5
categories based on their progressive risk of fetal acidemia and
has been tested in several studies. Clinical management using the
5-tier system is presented in detail.
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