Preterm Birth


Book Description

The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.




Guidelines for Perinatal Care


Book Description

This guide has been developed jointly by the American Academy of Pediatrics and the American College of Obstetricians and Gynecologists, and is designed for use by all personnel involved in the care of pregnant women, their foetuses, and their neonates.




Birth Settings in America


Book Description

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.




Science and Babies


Book Description

By all indicators, the reproductive health of Americans has been deteriorating since 1980. Our nation is troubled by rates of teen pregnancies and newborn deaths that are worse than almost all others in the Western world. Science and Babies is a straightforward presentation of the major reproductive issues we face that suggests answers for the public. The book discusses how the clash of opinions on sex and family planning prevents us from making a national commitment to reproductive health; why people in the United States have fewer contraceptive choices than those in many other countries; what we need to do to improve social and medical services for teens and people living in poverty; how couples should "shop" for a fertility service and make consumer-wise decisions; and what we can expect in the futureâ€"featuring interesting accounts of potential scientific advances.




Midwifery Continuity of Care


Book Description

Endorsed by the Australian College of Midwives and The Royal College of Midwives Midwifery Continuity of Care is a robust 'how to' guide to establishing midwifery continuity of care. Written by a team of international experts in their field, this book highlights lessons learned to help develop new ways of planning, implementing, evaluating and sustaining midwifery continuity of care for the benefit of women, babies and communities. - Summarises the evidence for midwifery continuity of care to support policy makers, commissioners of maternity services and health service executives with their implementation of midwifery continuity of care - Practical real world examples, stories and experiences to bring to life the diversity of ways that midwifery continuity of care can be implemented - Highlights a range of issues for managers and leaders to be aware of, including organisational, industrial and safety and quality issues - Explores how building alliances can enable midwifery continuity of care to flourish, addressing scaling up and sustainability Evolve Student and Faculty Resources: - eBook on VitalSource - An inspirational video interview with author, Jane Sandall




AWHONN's Perinatal Nursing


Book Description

An official publication of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN), Perinatal Nursing, Fourth Edition presents up-to-date information based on the most rigorous evidence and offers suggestions for best practices. This new edition of the authoritative, comprehensive text used by perinatal nurses worldwide features a wealth of new content to keep practice current. New chapters related to patient safety and the development of a highly reliable perinatal unit, inform nurses how to conduct team training and drills for obstetric emergencies, create checklists, and effectively handoff patients. It features expanded coverage of high-risk pregnancy, from bleeding in pregnancy to preterm labor and birth, diabetes, cardiac disease, pulmonary complications, multiple gestation, and maternal-fetal transport. An all-new chapter on obesity in pregnancy covers risks to the mother and fetus, care from preconception to postpartum, as well as bariatric surgery. An expanded chapter on newborn nutrition includes new sections on the infant feeding decision, benefits of breastfeeding, nutritional components, and preterm milk and lactation.




Health Insurance is a Family Matter


Book Description

Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.




Disease Control Priorities, Third Edition (Volume 2)


Book Description

The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.




Current Controversies in Perinatology, An Issue of Clinics in Perinatology


Book Description

Neonatal-perinatal medicine has a strong history of evidence based practice but unfortunately there remain many areas of uncertainty and unproven hypotheses and treatments that may harm our highly vulnerable patients. When new ideas are introduced into the labor and delivery room or the NICU we have to evaluate these procedures and therapies before they become accepted as standards of care. We need to learn from the past lessons of grey baby syndrome and chloramphenicol and of kernicterus and sulfonamide antibiotics where therapeutic good intentions actually did more harm than good and increased the mortality rate of premature babies in the NICU.This proposed edition addresses a broad range of current topics in perinatal neonatal practice. The AAP has just issued new guidelines for the approach to a neonate exposed to maternal genital herpes virus infection. The recommendations were not evidence based and are highly controversial as well as confusing. These topics are addressed in a scholarly and objective manner to both address the controversy and help the practitioner make informed decisions.




Complex Social Issues and the Perinatal Woman


Book Description

Pursuing a multidisciplinary approach, this book demonstrates the best quality care for pregnant women and new mothers who may have complex social needs. This book will benefit all health and social care professionals working in women’s health, while also providing a valuable reference guide for maternity departments. The latest Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK (MBRRACE-UK) demonstrates the consequences that having multiple complexities has and the need to ensure that susceptible groups receive personalised, appropriate care and meeting the needs of all women is urgent and essential. This book brings together a blend of health and social care professionals, experts by experience and the charity third sector. All have expertise in caring for and supporting perinatal women with issues that may affect their health and the type of care they require. Through our collective writing, we provide a paradigm for partnership working and hope to have strengthened voices by highlighting women’s experiences and the importance of third sector partnerships, working in tandem with women who are experts by experiences and bringing health professionals together. In combination with recommendations from specialists in the field, we have offered a unique mix of compassion and evidence-based guidance. From substance abuse, domestic violence and HIV to experiences of Black, Asian and Ethnic Minorities, homelessness, women seeking asylum and women in prison, we have addressed a range of current issues and provided essential information and opportunities to reflect. Each chapter invites the reader to step into the shoes of the perinatal woman. Through our collective writing, we provide a paradigm for partnership working and hope to have strengthened voices by highlighting diverse experiences. We have looked at how using a trauma informed approach can be applied universally to care for all women and learn from charities such as Birth Companions, the 4M project and the Salamander Trust, how different approaches may directly impact women’s care in a positive and holistic way. An overarching aim of our book has been to find ways to deliver multi-agency continuity of care, whilst being aware of bias, professional responsibilities and an understanding how we can take a holistic approach - crucial for attaining excellence in 21st century maternity care provision.