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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.
Finally, the 2nd edition of a much-needed book! There is no doubt about it-when breastfeeding and pregnancy overlap, the questions abound. This book is still the only comprehensive resource on this topic. Hilary Flower gives complete and in-depth answers to a wide range of questions related to breastfeeding during pregnancy and tandem nursing. Drawn from a great reservoir of mother wisdom, this book pools the stories of over 300 mothers from around the world. Extensive reviews of medical research and discussions with experts in the fields of nutrition, obstetrics, and anthropology have provided the author with a thorough understanding of this important topic. Each person's experience will be a one-of-a-kind adventure, full of surprises and choices. Adventures in Tandem Nursing provides an essential source of support, humor, and information for the journey. The 2nd edition has the latest research on safety and nutrition, many more mothers' stories and quotes, checklists to keep you on track, chapter summaries, online resources, and all new photos and illustrations. You will also find four additional chapters: high risk pregnancy, the nursling's needs, closely spaced babies, and "triandem" nursing.
Many people mistakenly believe that Social Security (SS) will pay for all or most of their retire. needs, but the fact is, since its inception, SS has provided little protection. A comfortable retire. usually requires SS, pensions, personal savings & invest. The key tool for making a secure retire. a reality is financial planning. It will help clarify your retire. goals as well as other financial goals you want to ¿buy¿ along the way. It will show you how to manage your money so you can afford today¿s needs yet still fund tomorrow¿s. You¿ll learn how to save your money to make it work for you & how to protect it so it will be there when you need it. Explains how you can take the best advantage of retire. plans at work, & what to do if you¿re on your own. Illustrations.
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.
This volume provides a state-of-the-art review of the relationship between technology and economic growth. Many of the 42 chapters discuss the political and corporate decisions for what one author calls a "Competitiveness Policy." As contributor John A. Young states, "Technology is our strongest advantage in world competition. Yet we do not capitalize on our preeminent position, and other countries are rapidly closing the gap." This lively volume provides many fresh insights including "two unusually balanced and illuminating discussions of Japan," Science noted.
Instead of preaching what mothers ought to do, psychotherapist Naomi Stadlen explains what mothers already do in the course of any exhausting day's work. Drawing from countless conversations with hundreds of mothers spanning more than a decade, What Mothers Do provides lucid insight into the true experience of motherhood and answers the perennial question common to mothers everywhere: What have I done all day? Stadlen's wise reflections, threaded throughout with the voices of real mothers, explore unsentimental reactions to motherhood-resentment, guilt, splintered identity, crippling inefficiency, and deadening fatigue. Yet the overriding sentiment is one of empowerment and wonder, as Stadlen illustrates how seemingly insignificant skills such as responding to a baby's colicky cry, being instantly interruptible, or soothing an overstimulated child to sleep profoundly contribute to an individual's socialization, self-worth, and curiosity. Remarkably perceptive and heartening, What Mothers Do will resonate with mothers everywhere in search of understanding and wisdom.
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.