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Here is an informative book that provides theoretical perspectives on the study of fetal movement and introduces observational assessments that can be used in fetal research. It provides research tools that can be used to delineate early patterns of movement, preparing therapists for neonatal intervention and leading to a better understanding of functional activity of the fetus. Concepts in Fetal Movement Research describes various ideas in fetal development and contains original research on a variety of topics, including: the way in which events experienced in utero help neonatal interaction with parents inductive and deductive approaches to assessment development scapular movement activity/inactivity of the 12-20 week old fetus two different research tools for assessing fetal movement. future directions for research by physical therapists in collaboration with other researchers Researchers, clinicians, obstetricians, radiologists, sonographers, and neonatologists will all find this book full of helpful information. Concepts in Fetal Movement Research is an invaluable guide for both their research and their day-to-day work with patients.
Here is an informative book that provides theoretical perspectives on the study of fetal movement and introduces observational assessments that can be used in fetal research. It provides research tools that can be used to delineate early patterns of movement, preparing therapists for neonatal intervention and leading to a better understanding of functional activity of the fetus. Concepts in Fetal Movement Research describes various ideas in fetal development and contains original research on a variety of topics, including: the way in which events experienced in utero help neonatal interaction with parents inductive and deductive approaches to assessment development scapular movement activity/inactivity of the 12-20 week old fetus two different research tools for assessing fetal movement. future directions for research by physical therapists in collaboration with other researchers Researchers, clinicians, obstetricians, radiologists, sonographers, and neonatologists will all find this book full of helpful information. Concepts in Fetal Movement Research is an invaluable guide for both their research and their day-to-day work with patients.
This work sees the light for various reasons. There is a general lack of detailed information about the earliest stages of human motor development. The reasons for this are explained more fully in the Introduction; here we may simply state that, apart from their intrinsic interest, earlier phenomena are fundamental to the comprehension of later phenomena rooted in them, whether pathological or normal. This is especially so in the rapidly - veloping young organism. At birth the neonate is catapulted into a profoundly different physical and social envir- ment requiring extremely diverse functioning: suffice it to mention aerial respiration, no longer being fed through the placenta and the cord, and the full impact of gravity on neonatal movements. The neonate generally adapts smoothly to the transition, as it has been equipped to do so during the 9 months of pregnancy. However, the study of the early stages of fetal motor development should not be exclusively directed towards the und- standing of functioning in the neonate.
Background: Presentation with decreased fetal movements (DFM) is associated with adverse pregnancy outcomes including fetal growth restriction and stillbirth. The optimal approach to fetal movement monitoring and management of presentations for DFM is controversial. Further, information provided to pregnant women about fetal movements is inconsistent, in part due to a paucity of data about normal fetal movement patterns in healthy pregnancies. For women with high body mass index (BMI) the significance of DFM has also been contested. Thus, the aims of this thesis are to describe perceived fetal movements, including strength, frequency and pattern, in women with normal pregnancy outcome, women with late stillbirth, and women with obesity. Methods: Fetal movement data were collected using an identical interviewer-administered questionnaire across three studies. The first was a cross-sectional study of fetal movements in women (n=274) in the third trimester with subsequent normal pregnancy outcome. The second was a case-control study of late stillbirth; cases (n=164) were interviewed within six weeks of a third trimester stillbirth about fetal movements in the two weeks before their baby died and controls (n=569) were matched by location and gestation but had ongoing pregnancies. The third study compared maternally perceived fetal movement quality and pattern in women with obesity (n=239) to women with normal BMI (n=149). Results: In the cross-sectional study, a diurnal fetal movement pattern, involving increasing likelihood of perception of strong fetal movements later in the day was present. In the case-control study, perception of quiet fetal movement in the evening was associated with increased odds of stillbirth (aOR 3.82, 95% CI 1.57-9.31), as was perception of decreased frequency (aOR 2.14, 95% CI 1.25-3.67). In women with obesity, compared to women with normal BMI, perceived strength and frequency of fetal movements were not different. However, women with obesity were more likely to report strong fetal movements when hungry (29.1% vs 17.7%, p=0.001) and quiet fetal movements after eating (47.4% vs 32.0%, p=0.001). Conclusions: The fetus has a diurnal movement pattern. Fetal movement strength and frequency are not altered in women with obesity. Quiet fetal movements in the evening may indicate fetal compromise.
This decade has seen a resurgence of interest in the prenatal development of behavior in animals, in part due to new technology which permits noninvasive, indirect monitoring of fetal activity and in part due to improved surgical procedures and other techniques that permit direct monitoring. All of these new techniques and methods are replacing the speculation of the past with empirical data about prenatal behavior. This volume provides a summary of the current state of thought. Historically, researchers have approached the subject from many different fields: child development, pediatric medicine, obstetrics, behavioral embryology, neurobiology, and psychobiology. This present volume attempts to unite these diverse interests by providing a concise introduction to the major conceptual issues, theoretical questions and empirically derived speculation as framed by leading scholars in the field of prenatal behavioral research. Researchers in fetal physiology and behavior, neonatal physiology and behavior, obstetrics, pediatrics, child development, and behavioral development will find this book useful in their own specific areas of concentration.
National Academies of Sciences, Engineering, and Medicine
Author : National Academies of Sciences, Engineering, and Medicine Publisher : National Academies Press Page : 369 pages File Size : 49,80 MB Release : 2020-05-01 Category : Social Science ISBN : 0309669820
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.
Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. The newly updated Electronic Fetal Monitoring: Concepts and Applications, 3rd Edition, is an invaluable guide for clinicians (nurses, nurse-midwives, physicians) responsible for ordering, initiating, performing, and interpreting electronic fetal monitoring (EFM). Written by OB/GYN nurses and advanced practitioners, this combination textbook/workbook offers clinicians involved in perinatal care a uniquely detailed, in-depth, and historical perspective on EFM. Topics include maternal-fetal physiology, EFM instrumentation, antepartum and intrapartum fetal assessment and pattern interpretation, and a variety of additional issues and challenges relevant to the current state of EFM practice. Applicable to both the novice and seasoned practitioner, this text is useful as a both a primer for this specialty field and also as a detailed resource to ready for the NCC Certificate of Added Qualification in EFM. Upgrade and update your EFM skills with: Examples of EFM tracings that demonstrate the points presented in the text– including 22 case studies annotated with real-time bedside interpretation, followed by expert review with commentary to support these analyses. Validation of knowledge - New! End-of-chapter study questions and answers are a perfect supplement for certification exam preparation. For the educator, methods of competence validation are discussed and presented in detail. Up-to-date EFM guidelines - explained and demonstrated in real-life, situational context Concise, easy-to-follow support for optimal acquisition and assessment of EFM data, and proper response to findings. Expert advice on handling both clinical and instrumental challenges related to EFM. Detailed explanation of the workings of EFM equipment and technology. Proven algorithms for management of antepartum testing and of EFM data, outlining specific interventions and their rationales. Coverage of crucial knowledge, including maternal-fetal physiology of fetal heart rate patterns and management of unusual EFM tracings, common problems and more. Chapter features include helpful tips (“Stork Bytes”) to highlight important points. Your book purchase includes a complimentary download of the enhanced eBook for iOSTM, AndroidTM, PC, and Mac. Take advantage of these practical features that will improve your eBook experience: The ability to download the eBook on multiple devices at one time—providing a seamless reading experience online or offline Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks Multiple viewing options that enable you to scale images and text to any size without losing page clarity, as well as responsive design The ability to highlight text and add notes with one click About the Clinical Editors Cydney Afriat Menihan, CNM, MSN, RDMS, is a Nurse Midwife and Perinatal Consultant in North Kingstown, Rhode Island. Ellen Kopel, RNC, MS, is a Nurse Educator and Perinatal Consultant in Tampa, Florida.
National Academies of Sciences, Engineering, and Medicine
Author : National Academies of Sciences, Engineering, and Medicine Publisher : National Academies Press Page : 621 pages File Size : 26,56 MB Release : 2019-12-27 Category : Medical ISBN : 0309493382
Children are the foundation of the United States, and supporting them is a key component of building a successful future. However, millions of children face health inequities that compromise their development, well-being, and long-term outcomes, despite substantial scientific evidence about how those adversities contribute to poor health. Advancements in neurobiological and socio-behavioral science show that critical biological systems develop in the prenatal through early childhood periods, and neurobiological development is extremely responsive to environmental influences during these stages. Consequently, social, economic, cultural, and environmental factors significantly affect a child's health ecosystem and ability to thrive throughout adulthood. Vibrant and Healthy Kids: Aligning Science, Practice, and Policy to Advance Health Equity builds upon and updates research from Communities in Action: Pathways to Health Equity (2017) and From Neurons to Neighborhoods: The Science of Early Childhood Development (2000). This report provides a brief overview of stressors that affect childhood development and health, a framework for applying current brain and development science to the real world, a roadmap for implementing tailored interventions, and recommendations about improving systems to better align with our understanding of the significant impact of health equity.
Social Signal Processing is the first book to cover all aspects of the modeling, automated detection, analysis, and synthesis of nonverbal behavior in human-human and human-machine interactions. Authoritative surveys address conceptual foundations, machine analysis and synthesis of social signal processing, and applications. Foundational topics include affect perception and interpersonal coordination in communication; later chapters cover technologies for automatic detection and understanding such as computational paralinguistics and facial expression analysis and for the generation of artificial social signals such as social robots and artificial agents. The final section covers a broad spectrum of applications based on social signal processing in healthcare, deception detection, and digital cities, including detection of developmental diseases and analysis of small groups. Each chapter offers a basic introduction to its topic, accessible to students and other newcomers, and then outlines challenges and future perspectives for the benefit of experienced researchers and practitioners in the field.