Perinatologie & Neonatologie

A practical, expert-led, straight-talking guide to exercising during pregnancy and post-birth.Staying active during pregnancy and the postpartum period has vast physical and mental health benefits, but it's also a subject that's fraught with fear, myths, and misinformation. We're told by doctors to exercise, but we're not given the tools with which to do so.Enter: The Bump Plan, by personal trainer, pre-and-postnatal exercise specialist and mother of two, Hollie Grant. With illustrated trimester-by-trimester plans on what you can safely do at each stage, guidance about the physical shifts you can expect, information on how to move and get back to doing the things you love after your baby has arrived, and nutrition and pelvic health advice, there is no better companion to see you through this exciting but daunting time.

This book brings together an international collection of experts in reproductive ethics, law, disability studies, and medicine to explore the challenging future of reproduction and children. From the medical to the social and from the financial to the legal, the authors explore the expanding impact of reproductive genetics on our society. New advances in genetic technologies are revolutionizing the practice of reproductive medicine. We have expanded our ability to detect genetic changes in embryos and fetuses in ways that potentially allow to identify, treat, or prevent a growing range of diseases. The development of gene-editing technologies raises questions about the possibility of removing disease-causing variants from embryos before pregnancy implantation. The growing sophistication of prenatal genomic sequencing offers us glimpses into the whole genome of the developing fetus. And, the increasingly sophisticated science of 'gene matching' allows us greater and greater foreknowledge of how the genomes of two individuals will combine in a future child. This is an indispensable book on the newest developments in bioethics caused by the sciences.Chapter 5 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

This book offers clinicians involved in perinatal care a detailed and in-depth perspective on electronic fetal monitoring (EFM). Topics include EFM management, antepartum and intrapartum fetal assessment and application of EFM in abnormal pregnancy, obstetrical complications, fetal acid-base balance, and fetal arrhythmias. Variant fetal heart rate patterns are presented with interpretation, diagnosis and comments from experts who have wealthy experience in high risk pregnancy intervention. It will be a valuable reference for physicians, nurses, and midwives who are responsible for initiating, performing, and interpreting EFM.

In Full Circle Moments: What 20 Years in Neonatology Taught Me About Life, Love & Loss, Dr. Terri Lynn Major-Kincade invites us to join her on a roller-coaster ride through a fascinating world of magic, miracles, plastic boxes, blessings, and burdens-the world of the neonatal intensive care unit (NICU).In a montage of interwoven stories and poignant examples, Dr. Terri explains how she helps tiny human beings in plastic boxes say both "hello" and "goodbye" to their parents, and how she helps to empower the families of those infants to make difficult, seemingly impossible, decisions. In a heartfelt tribute, she tenderly thanks the preemies, her tiny patients, for helping her to discover the power of the human spirit, to experience moments where the art of medicine supersedes the science of medicine, and to be reminded that, even if it only lasts for a few weeks or days, all life is precious.

Offers assistance to practicing obstetricians in managing patients with fetal anomaliesProvides recent evidence-based guidelines for management of fetal diseases Provides practical management solutions for difficult fetal problems

Paperback

Paperback

Paperback

This little book first appeared on the public stage to a small audience in 2011. The 2019 6th edition now bows out for the last time. There had to be further editions after the first when the author, his most severe critic, introduced new ideas and corrected the errors of the previous ones. But running through them all has been the strong thread of his conviction that the placental supply for the foetus feeds the left atrium, not the right, and that it is the foetus which is delivered: the baby is born after the delivery when the first deep breath is taken. In this final edition the author shows the correct supply for the left atrium by some fundamental facts of physiology and by direct observations of the foetus: human and sheep, which demolish the long-established orthodox accounts. One of his glaring errors in the 4th version was to deny the lungs a pulmonary circulation. In this present edition he not only corrects himself, but uncovers the full pathway of this circulation, which shows the course taken by the arterial supply and the venous return. There is a comprehensive valuable account of the foramen ovale, which, like many of the other aspects of this work, is entirely new. The unique characteristics of the foetal heart sounds are described, which any lady in the later months of pregnancy may hear with a Doppler monitor, and which confirm that the placental fl ow enters the left atrium. The invisible birth changes which have never been seen, are guessed at in full detail. The work is generously illustrated with diagrams, drawings and photos from the hands of the author.

Has your journey to parenthood been paved with heartache and loss?Having a baby seems to be more and more difficult these days. We all know someone who has had issues conceiving. Everywhere you turn, dreams of being a parent are shattered.Have you experienced feelings of dread when you’ve thought about taking yet another pregnancy test?Perhaps you’ve experienced the excitement of getting pregnant, only to discover at the next doctors visit that there is no heartbeat.Maybe you’ve been through the emotional rollercoaster of giving birth to a child, loving him or her unconditionally, only to have the child pass away as a result of an unexpected tragedy.These struggles are, indeed, tragic. However, an even greater tragedy is that when these things happen, many people feel alone and isolated in their time of grief.How many times have you grieved in silence?The authors in this book have which is why they felt compelled to talk about their journeys openly and honestly so that you know you are not alone. They want you to know that you can rise-up and rise strong after experiencing a loss of this magnitude - just like they did. Within these pages, you’ll find unbelievable stories that are gut wrenching and heartbreaking, but more importantly, they are truly inspiring. The authors no longer grieve in silence. Instead, they openly share their stories in the true spirit of providing hope and healing for those who read it. Our hope is that we are able to inspire you, too!

This book develops a virtue-based defense of the value of perinatal hospice. Engaging with important themes from the work of MacIntyre and Adams, it shows how perinatal hospice manifests virtues crucial to meeting the needs of families in these difficult circumstances.

This new edition outlines the evidence-base for the use of medication during breastfeeding. It presents an expanded and updated guide to the most frequently prescribed drugs and their safety for breastfeeding mothers. Evaluating the evidence for interventions and using a simple format for quickly identifying medications which are safe or unsafe to use, it also highlights those drugs where there is inconclusive evidence. Additional contextual information - including material on the biology of the breast, chronic conditions, conditions related to lactation, and how to effectively support mothers - makes this the most complete text for practitioners who support and treat breastfeeding women.

Written for labor and delivery nurses, nurse midwives, and maternal-child and family birth nurses, Essentials of Fetal and Uterine Monitoring, Fifth Edition, expertly presents how to identify fetal well-being and the signs of potential fetal and uterine compromise. An accurate interpretation of fetal heart rate patterns and uterine activity helps to ensure the safest labor and delivery process for mother and baby.Chapters present the best practices for distinguishing normal from abnormal fetal heart rate patterns and uterine activity. Designed in an engaging workbook-style format with step-by-step instruction, this evidence-based resource is for the beginning learner as well as the seasoned professional.Key Features- Covers systematic assessment of the pregnant patient- Addresses external and internal fetal and maternal monitoring- Includes a step-by-step guide to fetal monitoring equipment and procedures- Based on peer-reviewed clinically applicable research- Contains detailed reproductions of actual fetal monitor tracings- Clarifies differences between maternal and fetal heart rate patterns- Contains a dedicated section on chronic hypoxia, acute asphyxia, and the nursing role- Identifies ineffective actions that can delay timely interventions- Sets forth legal issues- Provides skill-testing exercisesWhat's NEW- Includes a NEW evidence-based section on normal vs. excessive uterine activity discussing prevention of hypoxic ischemic encephalopathy- Increased focus on the uterus and the effect of contractions on fetal health.- All relevant sections updated to include latest evidence, research, equipment, clinical practice considerations, and interventions.

Congenital and perinatal infections remain a stubborn and major cause of morbidity and mortality in infants throughout the world. This concise, accessible account provides an essential guide to the diagnosis, management and prevention of these infections. The first three chapters underline how and why infections during this critical period can be so devastating. The main section of the book focuses on individual infections, and emphasises effective intervention based on the very latest knowledge and techniques. Another unique feature of this account is its recognition that the severity and types of these infections vary considerably from country to country, and from the developing world to the developed world: the international team of experts involved in this compilation have striven to make this an account that will transcend these boundaries and be suitable for all doctors and allied health professionals around the world charged with the care of the mother and newborn.