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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.

Drogenmissbrauch in der Schwangerschaft hat negative Folgen für die werdende Mutter und ihr ungeborenes Kind. Eine möglichst frühe und umfassende Aufklärung ist deshalb eine der wichtigsten Aufgaben, die vor allem Ärztinnen und Ärzte leisten müssen, aber auch Angehörige aller Gesundheitsberufe, die Schwangere und junge Mütter betreuen. Ziel ist dabei, Mutter und Kind vor den Folgen des Drogenkonsums zu bewahren bzw. zumindest die Risiken so weit wie möglich zu minimieren. Grundlegende pharmakologische Kenntnisse der intrauterinen Exposition mit deren Langzeitfolgen und den sich daraus ergebenden therapeutischen Maßnahmen bilden die Basis zu diesen Aufgaben.

Simultane registratie van foetale hartactie en uterusactiviteit (cardiotocografie; CTG) is de internationale standaard bij de uitvoering van foetale bewaking. Ook de volledig herziene tweede druk van'Foetale bewaking'concentreert zich grotendeels op de achtergronden en de beoordeling van het CTG. Het oek behandelt de foetale bewaking vóór de bevalling (antepartaal) en tijdens de bevalling (durante partu).Het eerste deel besteedt veel aandacht aan de basiskenmerken van het hartfrequentiepatroon en aan de pathofysiologie van afwijkingen. Ook komt de foetale oxygenatie ruim aan bod. In het tweede deel worden meerdere aspecten van het CTG in het tweede en derde trimester van de zwangerschap en durante partu behandeld.'Foetale bewaking'gaat ook in op andere technieken, zoals dopplerflowmetingen en het belang van microbloedonderzoek. In dit kader wordt tevens het zuurbase-evenwicht besproken. Alternatieve bewakingstechnieken worden behandeld om de lezer te laten zien welke nieuwe veelbelovende technieken in ontwikkeling zijn. Tevens wordt aandacht besteed aan de pasgeborene: zowel reanimatie bij perinatale asfyxie als mogelijke neonatale morbiditeit wordt behandeld. Het boek sluit af met een introductie van medicolegale aspecten; de lezer maakt kennis met de juridische terminologie en met valkuilen.Gynaecologen (in opleiding), verloskundigen, arts-assistenten en verpleegkundigen die vanuit hun specialisatie belangstelling hebben voor foetale bewaking beschikken met dit standaardwerk over alle actuele informatie. Tevens bevat het boek alle gegevens waarop de cursus Foetale bewaking, die verplicht is voor assistenten in opleiding tot vrouwenarts, is gebaseerd.De redactie van'Foetale bewaking'is samengesteld uit de meest vooraanstaande autoriteiten op het gebied van de perinatologie in Nederland. Bij de inhoud van het boek zijn vrijwel alle academische centra en meerdere niet-academische ziekenhuizen betrokken.

Formerly the policy of masterly inactivity was generally accepted in obstetrical practice. However, this is no longer true at the beginning of the present decade, and the authors are to be congratulated in trying to stimulate their juniors to approach the problems of Pre-natal Paediatrics in a well informed manner. Whilst inactivity may still be the treatment of choice in certain cases, it should only be carried out with the full knowledge that all is well, and this obviously will involve the use and understanding of new investigations and techniques. In my opinion the authors have achieved their aims and though there are those who may always have reservations, they must surely accept the authors'appraisal of the modern approach to this science. VICTOR R. TINDALL Cardiff, I97 I PREFACE This book confines itself to those aspects of pre-natal develop­ ment which are of importance to the clinician. We hope to present a reasonably concise account of this relatively new and rapidly expanding field of medical science. Stress is given to concepts which may not yet be in many standard obstetric and paediatric texts. Also, we wish to provide an easily accessible collection of reference data for the busy member of junior staff to refer to during the course of his routine work. We therefore make no apology for any repetition needed to make each section readable without many cross references.

Praxisorientiertes Handbuch, welches die gängigen Diagnose- und Therapieschritte in der Gynäkologie und Geburtshilfe auf dem Hintergrund der evidenzbasierten Medizin darstellt. Die Herausgeber verfügen als Chefärzte gynäkologisch-geburtshilflicher Abteilungen über große Erfahrung darin diagnostische und therapeutische Standards mit dem steigenden Kostenbewusstsein in Einklang zu bringen und althergebrachte Verfahren zu hinterfragen. Das ganze Krankheitsspektrum der Gynäkologie und Geburtshilfe ist berücksichtigt. Mit einem Geleitwort von Detlev Ganten.

Each year more than 4 million children are born with birth defects. This book highlights the unprecedented opportunity to improve the lives of children and families in developing countries by preventing some birth defects and reducing the consequences of others. A number of developing countries with more comprehensive health care systems are making significant progress in the prevention and care of birth defects. In many other developing countries, however, policymakers have limited knowledge of the negative impact of birth defects and are largely unaware of the affordable and effective interventions available to reduce the impact of certain conditions. Reducing Birth Defects: Meeting the Challenge in the Developing World includes descriptions of successful programs and presents a plan of action to address critical gaps in the understanding, prevention, and treatment of birth defects in developing countries. This study also recommends capacity building, priority research, and institutional and global efforts to reduce the incidence and impact of birth defects in developing countries.

Despite recent declines in infant mortality, the rates of low birthweight deliveries in the United States continue to be high. Part I of this volume defines the significance of the problems, presents current data on risk factors and etiology, and reviews recent state and national trends in the incidence of low birthweight among various groups. Part II describes the preventive approaches found most desirable and considers their costs. Research needs are discussed throughout the volume.

Written for a broad audience, including program administrators, policymakers, teachers, students, and health care professionals and their patients—anyone with an interest in preventing low birthweight—this summary is a condensation of the full report, Preventing Low Birthweight. It clearly and concisely covers most of the topics discussed in the comprehensive volume. 2-9 copies, $4.00 each; 10 or more copies, $2.50 each (no other discounts apply).

Prenatal care programs have proven effective in improving birth outcomes and preventing low birthweight. Yet over one-fourth of all pregnant women in the United States do not begin prenatal care in the first 3 months of pregnancy, and for some groups—such as black teenagers—participation in prenatal care is declining. To find out why, the authors studied 30 prenatal care programs and analyzed surveys of mothers who did not seek prenatal care. This new book reports their findings and offers specific recommendations for improving the nation's maternity system and increasing the use of prenatal care programs.