Traumatic Childbirth: Near Miss and Morbidities


Book Description

An array of healthcare services are available to pregnant women from the prenatal to the postnatal period. Over many years, the implementation of risk approach strategies and the confidential inquiry into maternal deaths have been used and have enhanced clinical care. Maternal mortality has decreased, but the declining trend has plateaued, with maternal deaths continuing to occur at a constant pace. New strategies must be sought to resolve the current situation. Sustainable Development Goals continue to have priorities relevant to maternal health. The attention on maternal mortality has grown, nevertheless maternal morbidity has remained a silent issue. Although maternal morbidity can quantify and evaluate maternal well-being, it has been neglected. Standardization in the assessment of severe maternal health conditions would eliminate issues that arise from the diverse descriptions and measurements in maternal research at present. This book presents a multifaceted perspective of maternal morbidity. It provides an outline of regulations and a means for gauging maternal well-being when used with maternal mortality and morbidity. It offers a review of local research on maternal health aspects, including physical and psychological elements, which have received insufficient attention to date. The clinical and public health practice implications and recommendations for healthcare providers and policymakers in the field of maternal health are included.




New Postpartum Visit: Beginning of Lifelong Health, An Issue of Obstetrics and Gynecology Clinics, E-Book


Book Description

In collaboration with Consulting Editor, Dr. William Rayburn, Dr. Haywood Brown has put together a an important issue of Obstetric and Gynecology Clinics of North America that provides clinical information on how to prepare the new mother with life-long health after delivery. Top experts have contributed clinical review articles on the following topics: Breast feeding benefits for mother and infant; Achieving a healthier weight between pregnancies; Gestational diabetes follow-up and long-term health; Postpartum depression and other Mental health issues; Cesarean delivery: Trail of labor for vaginal birth following cesarean; Preterm birth prevention of recurrence; Hypertension, Preeclampsia and cardiovascular disease; Immunizations; Incontinence: Diagnosis and management; Pregnancy loss and stillbirth: Evaluation and follow up; The new mother with substance abuse; and The role of telemedicine in postpartum follow up. Readers will come away with the clinical tools they need to prepare their patients for life-long health after delivery.




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.




Interrogating Motherhood


Book Description

It has been four decades since the publication of Adrienne Rich’s Of Woman Born but her analysis of maternity and the archetypal Mother remains a powerful critique, as relevant today as it was at the time of writing. It was Rich who first defined the term “motherhood” as referent to a patriarchal institution that was male-defined, male controlled, and oppressive to women. To empower women, Rich proposed the use of the word “mothering”: a word intended to be female-defined. It is between these two ideas—that of a patriarchal history and a feminist future—that the introductory text, Interrogating Motherhood, begins. Ross explores the topic of mothering from the perspective of Western society and encourages students and readers to identify and critique the historical, social, and political contexts in which mothers are understood. By examining popular culture, employment, public policy, poverty, “other” mothers, and mental health, Interrogating Motherhood describes the fluid and shifting nature of the practice of mothering and the complex realities that define contemporary women’s lives.




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.




Complications of Trauma


Book Description

A textbook that explicitly concentrates on arming surgeons with the knowledge to meet the challenges of the myriad complications that may be encountered in treating trauma patients. The first section addresses the five major complications (hemorrhage, respiratory failure, renal failure, sepsis, and multi-organ syndrome) that can occur in any trauma patient. The second section, Prehospital and Emergency Center Trauma Complications, discusses the problems inherent in the first stages of managing a trauma patient, as well as those that can occur within systems (transportation, communication). The third section addresses complications specific to certain areas or populations (e.g., immunology, pediatrics, radiology, wounding agents), and the final section discusses complications by anatomical region. Annotation copyright by Book News, Inc., Portland, OR




Maternal Critical Care


Book Description

Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.




Traumatic Childbirth


Book Description

Postpartum depression has become a more recognized mental illness over the past decade as a result of education and increased awareness. Traumatic childbirth, however, is still often overlooked, resulting in a scarcity of information for health professionals. This is in spite of up to 34% of new mothers reporting experiencing a traumatic childbirth and prevalence rates rising for high risk mothers, such as those who experience stillbirth or who had very low birth weight infants. This ground-breaking book brings together an academic, a clinician and a birth trauma activist. Each chapter discusses current research, women’s stories, the common themes in the stories and the implications of these for practice, clinical case studies and a clinician’s insights and recommendations for care. Topics covered include: mothers’ perspectives, fathers’ perspectives, the impact on breastfeeding, the impact on subsequent births, PTSD after childbirth and EMDR treatment for PTSD. This book is a valuable resource for health professionals who come into contact with new mothers, providing the most current and accurate information on traumatic childbirth. It also presents mothers’ experiences in a manner that is accessible to women, their partners, and families.




The Maternal Health Crisis in America


Book Description

Describes how nursing professionals can mitigate the maternal health crisis through advocacy and improved practice. This graduate-level nursing text and professional clinical reference is the first to comprehensively address the escalating crisis in U.S. maternal health—our country experiences the highest maternal mortality among developed nations—and provides strategies and roadmaps for improved outcomes. It challenges the current approach to ameliorating the maternal crisis, which embeds maternal care into “child health” and ”women’s health,” and characterizes maternal health as a distinct, contemporary epidemiological crisis in America. At its heart, the book calls for the application of nursing knowledge and skill in advocating for and changing practices. The text examines the social determinants responsible for the crisis, including structural and systemic economic and political forces, declining accessibility to maternal care, and lack of a national effort to improve maternal health. With a strong public focus, the book engages readers through narratives and interactive critical thinking exercises in analyzing the problem and related structural and systemic barriers. It offers guidelines for advocacy and improved practice while fostering creative thinking by which readers can imagine their own solutions. Specific issues addressed include the current status of health care delivery, the public health safety net, practice-policy initiatives, specific sociocultural factors contributing to enhanced risk, myths and impugning attitudes about childbearing women, the life-long impact of maternal health neglect, and the contribution of nursing to advocacy, prevention, and improved practice. Key Features: Synthesizes key data on the maternal health crisis in America focusing on nursing leadership and contributions Underscores the need for a collaborative public health nursing perspective in addressing the maternal health crisis Examines social determinants responsible for the crisis Presents exercises and narratives for advocacy and improved practice Spotlights maternal health as a specific entity Includes learning objectives, expert opinions, key questions to guide critical thinking, brief summary, and references in each chapter




Improving Diagnosis in Health Care


Book Description

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.