A Complicated Pregnancy

The virgin birth is a much-loved story in the Christian tradition, but many theologians dispute the tradition of the virginal conception on both historical and scientific grounds. A Protestant theologian, husband, and father, Kyle Roberts was growing unsure of his belief in MaryÔs virginity. So he set out to investigate the virgin birth from every angle. A Complicated Pregnancy records his fascinating journey through the evidence and the myth, through history, biblical interpretation, and church politics. His conclusion surprised him, and it will surprise you, too.

More pregnancies are considered high-risk than ever before. As many as 30 percent fall into this category due to complicating factors that include:

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.

High Risk Pregnancy examines the full range of challenges in general obstetrics, medical complications of pregnancy, prenatal diagnosis, fetal disease, and management of labor and delivery. Drs. David James, Philip J. Steer, Carl P. Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson present an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient. This comprehensive reference features the fully searchable text online at www.expertconsult.com, as well as more than 100 videos of imaging and monitoring. giving you easy access to the resources you need to manage high risk pregnancies. Prepare for clinical challenges and save time in addressing them thanks to expert advice on treatment options from international contributors. Find and apply the information you need quickly and easily through a consistent organization and at-a-glance summary boxes that discuss evidence-based management options. Access the fully searchable text online at www.expertconsult.com, along with links to Medline. View over 140 videos of detailed fetal imaging and monitoring that aid in diagnoses. Tap into recent developments in treatment and management in four new chapters—Global Maternal & Perinatal Health Issues; Recurrent Pregnancy Loss; Surveillance of the Fetus and its Indications; and Training for Obstetric Emergencies. Apply new evidence-based management options to treat genetic and constitutional factors leading to a high-risk pregnancy (such as diabetes, obesity, hypertension, and cardiac disease) through new and expanded coverage of these increasingly common presentations. Reference pregnancy-relevant laboratory values with an updated and comprehensive appendix on "Normal Values in Pregnancy." Effectively manage patients newly diagnosed with hematologic and immunologic malignancies, and explore the available drug options. Confirm your diagnoses with greater confidence thanks to full-color images throughout the text.

Complete with advice on coping with such problems as multiple pregnancy and cesarean delivery--plus a special chapter for fathers--this helpful book is packed with comprehensive information and reassurance for women who develop problems during their pregnancies.

The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.

A practical textbook for clinicians seeking advice on either how to manage a patient or how to perform a procedure within maternal-foetal medicine. This third edition strengthens the evidence base of each chapter with a clear section on evidence supporting different management options.

In this cutting-edge resource-the first of its kind meant specifically for women with high-risk pregnancies-Parijat Deshpande explains why effective stress management is a critical component to prenatal care in order to manage and prevent pregnancy complications.

The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.

Changing demographics and evolving technology continuously affect maternal-fetal medicine Increasing maternal age and weight during pregnancy, higher rates of pregnancies conceived by artificial reproductive technologies and growing numbers of cesarean deliveries have led to a rise in the incidence of complicated pregnancies. The options have also increased for monitoring maternal and fetal health throughout a pregnancy, and identifying and managing risk earlier. For the maternal-fetal physician, constant vigilance throughout a pregnancy remains essential. But continuous change makes this an increasing challenge. Queenan’s Management of High-Risk Pregnancy covers the full spectrum of perinatal care. It guides you through the tough and complex decisions needed to protect the health of both your fetal and the maternal patients. New material in the 6th edition covers contemporary issues such as: Iron-deficient anemia Malaria Pregnancy in the disabled woman Placenta accreta Induction of labor Operative vaginal delivery Patient safety in labor and delivery The stellar cast of expert authors provide evidence, algorithms, case studies and potential outcome measures to ensure that Queenan's Management of High-Risk Pregnancy continues to set the bar for maternal-fetal practice. Titles of Related Interest Stillbirth Edited by Catherine Y. Spong ISBN 978-1-4443-3706-8 The Placenta: From Development to Disease Edited by Helen Kay, D. Michael Nelson and Yuping Wang ISBN 978-1-4443-3366-4 Pregnancy in the Obese Woman: Clinical Management Edited by Deborah E. Conway ISBN 978-1-4051-9648-2