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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.
Myriam Szejer talks to newborns. For over a decade she has worked in the maternity ward of a hospital outside Paris. Called in by hospital staff when a baby or its parents are suffering, Szejer uses the psychoanalytic techniques of careful listening and talking to reach failure-to-thrive and other suffering newborns and reverse their conditions. Talking to Babies is the story of her important work. Having psychologists or psychiatrists available to new mothers on maternity wards is not unusual. But having a psychoanalyst available who also talks to newborns is completely revolutionary. Szejer has pioneered her unique approach to treating struggling infants through years of study and apprenticeship. And in Talking to Babies she describes in thoughtful and convincing detail the theory of her practice and how her interventions work, illustrating with the moving stories of the numerous infants she has helped. In the very first days of a baby's life, the newborn, still struggling between birth and its entry into our world, already needs words. By "needing words," Szejer means that infants need to be talked to about the specific situations into which they are born. They need to hear about their mothers, fathers, siblings, and caretakers, but they also need to hear about problematic aspects of their histories, such as the death of a twin sibling or the death of a baby before them. These words must be spoken to the baby in the presence of his or her mother and father if at all possible. Such speech helps everyone-newborn and parents-to find their places in the altered world created by the birth. When such words are not present, physical symptoms and illness may emerge. Talking to Babies is the first book to show how the "talking cure" can help infants and their parents. Post-partum depression in mothers, failure-to-thrive in babies-these problems might be approached quite differently if maternity wards incorporated some of Szejer's practices. High-tech interventions are all too common in American maternity wards; Talking to Babies offers a more humane route for restoring health. Preface: "Sometimes, as I am leaving the hospital late at night, I stop to look in on a patient who has recently given birth. And often, as I open the door, I catch a special moment: the new mother leaning over the crib, or more often face to face with the newborn on her lap, looking intently at him and murmuring motherly words . . . In a maternity ward, however, everything is not always so rosy. Birth is sometimes accompanied by suffering, a suffering too rarely perceived in our Western societies . . . When I met Myriam Szejer, an unknown field opened to me: the reality of the newborn's preverbal behavior. Szejer dares psychoanalyze newborns, dares talk to them, dares intervene before the symptom has taken root, particularly in dangerous situations . . . Her approach ought to become known to all who make perinatal medicine their career. Her approach is innovative. What woman has not been shaken to her very being by becoming a mother; what man has not trembled at becoming a father? Babies feel that profound apprehensiveness. They need to be listened to, which is a form of respect." --from the Preface by René Frydman, M.D.
This guide provides a full range of updated, evidence-based norms and standards that will enable health care providers to give high quality care during pregnancy, delivery and in the postpartum period, considering the needs of the mother and her newborn baby. All recommendations are for skilled attendants working at the primary level of health care, either at the facility or in the community. They apply to all women attending antenatal care, in delivery, postpartum or post abortion care, or who come for emergency care, and to all newborns at birth and during the first week of life (or later) for routine and emergency care. This guide is a guide for clinical decision-making. It facilitates the collection; analysis, classification and use of relevant information by suggesting key questions, essential observations and/or examinations, and recommending appropriate research-based interventions. It promotes the early detection of complications and the initiation of early and appropriate treatment, including time referral, if necessary. Correct use of this guide should help reduce high maternal and perinatal mortality and morbidity rates prevalent in many parts of the developing world, thereby making pregnancy and childbirth safer.
Intended to provide evidence-based recommendations to guide health care professionals in the management of women during pregnancy, childbirth and postpartum, and newborns, and the post abortion, including management of endemic deseases like malaria, HIV/AIDS, TB and anaemia. This edition has been updated to include recommendations from recently approved WHO guidelines relevant to maternal and perinatal health. These include pre-eclampsia & eclampsia; postpartum haemorrhage; postnatal care for the mother and baby; newborn resuscitation; prevention of mother-to- child transmission of HIV; HIV and infant feeding; malaria in pregnancy, interventions to improve preterm birth outcomes, tobacco use and second-hand exposure in pregnancy, post-partum depression, post-partum family planning and post abortion care.
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.
Book description to come.
This text examines the research and evidence connecting birth practices to breastfeeding outcomes. It takes an in-depth look at the post-birth experiences of the mother and baby, using the baby’s health as the vehicle and the intact mother-baby dyad as the model to address birth practices that affect breastfeeding. The Second Edition has been completely revised to include new information on infant outcomes, including epidural anesthesia and Cesarean surgery, clinical strategies for helping the mother and baby recover from birth injuries, medications and complications, and information on Baby-Friendly Hospital Initiatives with a Mother-Friendly Module.
Midwifery & Women's Health
This is a collection of essays on the spatial dimensions of motherhood. Engaging both theoretical and empirical perspectives, contributors describe the intersection of space and gender across a variety of contexts with both familiar and unexpected territories explored.
Based on the latest brain research, this reference about everything parents need to know, from pre-conception to age five, includes health care information, developmental and behavioral milestones.