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THE ESSENTIAL WORK IN TRAVEL MEDICINE -- NOW COMPLETELY UPDATED FOR 2018 As unprecedented numbers of travelers cross international borders each day, the need for up-to-date, practical information about the health challenges posed by travel has never been greater. For both international travelers and the health professionals who care for them, the CDC Yellow Book 2018: Health Information for International Travel is the definitive guide to staying safe and healthy anywhere in the world. The fully revised and updated 2018 edition codifies the U.S. government's most current health guidelines and information for international travelers, including pretravel vaccine recommendations, destination-specific health advice, and easy-to-reference maps, tables, and charts. The 2018 Yellow Book also addresses the needs of specific types of travelers, with dedicated sections on: · Precautions for pregnant travelers, immunocompromised travelers, and travelers with disabilities · Special considerations for newly arrived adoptees, immigrants, and refugees · Practical tips for last-minute or resource-limited travelers · Advice for air crews, humanitarian workers, missionaries, and others who provide care and support overseas Authored by a team of the world's most esteemed travel medicine experts, the Yellow Book is an essential resource for travelers -- and the clinicians overseeing their care -- at home and abroad.
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.
As women of childbearing age have become heavier, the trade-off between maternal and child health created by variation in gestational weight gain has become more difficult to reconcile. Weight Gain During Pregnancy responds to the need for a reexamination of the 1990 Institute of Medicine guidelines for weight gain during pregnancy. It builds on the conceptual framework that underscored the 1990 weight gain guidelines and addresses the need to update them through a comprehensive review of the literature and independent analyses of existing databases. The book explores relationships between weight gain during pregnancy and a variety of factors (e.g., the mother's weight and height before pregnancy) and places this in the context of the health of the infant and the mother, presenting specific, updated target ranges for weight gain during pregnancy and guidelines for proper measurement. New features of this book include a specific range of recommended gain for obese women. Weight Gain During Pregnancy is intended to assist practitioners who care for women of childbearing age, policy makers, educators, researchers, and the pregnant women themselves to understand the role of gestational weight gain and to provide them with the tools needed to promote optimal pregnancy outcomes.
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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.
Introduction Congratulations on your pregnancy journey! As you embark on this incredible and life-changing experience of growing a new life within you, it's essential to prioritize your health and well-being. Pregnancy is a magical and transformative time, but it also comes with responsibilities to ensure the best possible outcome for both you and your baby. Taking precautions during pregnancy is vital to safeguarding your health, promoting a smooth pregnancy, and supporting the healthy development of your little one. These precautions encompass a range of factors, from maintaining a balanced and nutritious diet to avoiding harmful substances and activities. In this guide, we will explore the various precautions you can take to nurture your pregnancy and enhance the well-being of both you and your baby. From prenatal care and nutrition to managing stress and avoiding potential hazards, we will delve into the essential steps you can integrate into your daily routine to ensure a safe and joyful journey to motherhood. Remember, each pregnancy is unique, and the information provided here serves as a general guideline. Always consult with your healthcare provider for personalized advice based on your medical history, individual needs, and any specific considerations you may have. With these precautions and the support of your healthcare team, you can embrace this magical time with confidence and create beautiful memories that will last a lifetime. Prenatal care Prenatal care is the medical care and support provided to pregnant women to ensure the health and well-being of both the mother and the developing baby throughout the pregnancy. Regular prenatal check-ups and consultations with healthcare professionals are essential for monitoring the pregnancy's progress, identifying and addressing any potential issues, and providing guidance and support to expectant mothers. Here are some key aspects of prenatal care: Early Pregnancy Visit: Once a woman confirms her pregnancy or suspects she is pregnant, she should schedule an early prenatal care visit with a healthcare provider. This visit usually occurs during the first trimester (first 12 weeks) of pregnancy. Regular Check-ups: Throughout the pregnancy, expectant mothers will have regular prenatal check-ups. The frequency of these visits may vary depending on the individual's health and any specific risk factors associated with the pregnancy. Typically, the visits occur monthly during the first and second trimesters and become more frequent (bi-weekly or weekly) in the third trimester. Physical Examinations: During each prenatal visit, the healthcare provider will conduct physical examinations, measure the mother's weight and blood pressure, and monitor the baby's growth and development. Ultrasound and other Tests: Ultrasound scans are performed at specific points during pregnancy to visualize the baby's growth, check for any abnormalities, and determine the due date. Other tests may include blood tests to screen for various conditions and infections. Nutritional Guidance: Healthcare providers offer dietary advice to ensure the mother is getting the necessary nutrients for her own health and the baby's development. Prenatal vitamins, particularly those containing folic acid, iron, and calcium, may be recommended. Managing Discomforts: Prenatal care providers can offer guidance on managing common discomforts of pregnancy, such as morning sickness, back pain, and fatigue. Education and Counseling: Prenatal care involves providing expectant mothers with essential information about pregnancy, childbirth, and newborn care. It may include discussions on breastfeeding, labor and delivery options, and postpartum care. Monitoring High-Risk Pregnancies: Some pregnancies may be classified as high-risk due to pre-existing health conditions or other factors. In such cases, additional monitoring and specialized care may be required. Emotional Support: Prenatal care also encompasses emotional support for expectant mothers, addressing their anxieties and concerns related to pregnancy and childbirth. Birth Plan: Healthcare providers can assist mothers in creating a birth plan that outlines their preferences and desires for labor and delivery. Regular prenatal care plays a crucial role in reducing the risk of complications and promoting a healthy pregnancy and childbirth. It is essential for expectant mothers to actively participate in their prenatal care, communicate openly with their healthcare providers, and follow their recommendations for a successful and safe pregnancy journey. Nutrition Proper nutrition during pregnancy is vital for the health of both the expectant mother and the developing baby. The right balance of nutrients ensures that the baby gets the essential building blocks for growth and development while supporting the mother's overall health during this critical time. Here are some key points to consider for a healthy and balanced prenatal diet: Folic Acid: Adequate folic acid intake is crucial in the early stages of pregnancy to prevent neural tube defects in the baby's brain and spine. Pregnant women are advised to take a prenatal vitamin containing folic acid and consume folate-rich foods such as leafy greens, citrus fruits, beans, and fortified cereals. Iron: Iron is necessary for the formation of red blood cells and to prevent anemia in both the mother and the baby. Good sources of iron include lean meats, poultry, fish, beans, lentils, tofu, fortified cereals, and dark leafy greens. Calcium: Calcium is essential for the development of the baby's bones and teeth. Dairy products like milk, yogurt, and cheese are excellent sources of calcium. Non-dairy options include fortified plant-based milk and leafy greens like kale and broccoli. Protein: Protein is crucial for the growth of the baby's tissues and organs. Good sources of protein include lean meats, poultry, fish, eggs, dairy products, legumes, nuts, and seeds. Omega-3 Fatty Acids: Omega-3 fatty acids, particularly DHA (docosahexaenoic acid), are essential for the baby's brain and eye development. Fatty fish like salmon, mackerel, and sardines are rich sources of DHA. For vegetarians or those who don't consume fish, there are algae-based DHA supplements available. Whole Grains: Whole grains like whole wheat, quinoa, brown rice, and oats provide essential vitamins, minerals, and fiber to support a healthy pregnancy. Fruits and Vegetables: These provide a wide range of vitamins, minerals, and antioxidants. Aim for a colorful variety to get the most nutrients. Hydration: Drink plenty of water throughout the day to stay well-hydrated, as water is essential for overall health and can help prevent constipation.
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.
"If you are pregnant, or are planning to become pregnant, this guide is for you! Having a baby can be a wonderful experience, but it can also be a time of uncertainty. Many parents have questions and concerns as they face all the changes that pregnancy brings. With advice coming from everyone, it's tough to know who to listen to. That's why having accurate information is so important! This guide will help you to make good decisions about how to take care of yourself before, during and after your pregnancy"--Page 1.
Improving maternal health and reducing child mortality are among the eight UN Millennium Development Goals. This publication contains guidance on maternity protection in the workplace, focusing on measures that can be taken to establish a decent workplace and to identify workplace risks. The starting point is the Maternity Protection Convention (No. 183), adopted by the International Labour Conference in 2000 and its accompanying Recommendation (No. 191). The guide is intended for general use as a reference tool for employers, workers, trade union leaders, occupation health and safety advisors, labour inspectors and others involved in workplace health and maternity protection.
A pharmaceutical guide for women who are pregnant or breastfeeding. Offers information on side effects, drug interactions, and effects on both situations for over six hundred common prescription and nonprescription drugs.