This book evaluates the effectiveness of prenatal care interventions and provides a framework for prenatal care that looks beyond the limited perspective of immediate neonatal outcomes. Ultimately, this book seeks to improve the content and the implementation of prenatal care by shifting the focus away from short-term technocentric medical advances to concentrate on the broader public health issues. A unique aspect of this book is its focus on the effectiveness of prenatal care interventions on longer-term benefits for women and childrens health. Traditional medical interventions, as well as social support and behavioral interventions during prenatal care are reviewed. Effectiveness is considered within the context of its implications for public policy and service delivery. This book is an important resource for maternal and child health professionals, policy makers and health care managers because it provides evidence of the prenatal care services that improve the long-term health of women and children.
Introduction; Part I. Prenatal Care and Complications of Pregnancy:: 1. Effect of prenatal care upon medical conditions in pregnancy Phillip Stubblefield; 2. Health behaviors during pregnancy:: risks and interventions Lisa L. Paine and Lisa M. Garceau; Part II. Preventing Prematurity:: 3. Causes of prematurity David A. Savitz and Lisa M. Pastore; 4. Interventions to prevent prematurity Robert L. Goldenberg and Dwight J. Rouse; 5. Long-term outcomes of prematurity Marie C. McCormick; Part III. New Findings and Long-Term Evidence on Intrauterine Growth Restriction:: 6. Causes of intrauterine growth restriction Kathleen Maher Rasmussen; 7. Impact of prenatal care on intrauterine growth restriction Linda J. Heffner; 8. Short- and long-term outcomes of intrauterine growth restriction Kathleen G. Nelson; Part IV. Preventing and Treathing Birth Defects:: 9. Prevalence and etiology of birth defects Joan M. Stoler; 10. Developing fetal diagnostic technologies Richard B. Parad; 11. Options following the diagnosis of a fetal anomaly Mark I. Evans, Yuval Yaron, Ralph L. Kramer and Mark P. Johnson; Part V. Prentatal Care as an Integral Component of Womens Health Care:: 12. Opportunities for improving maternal and infant health through prenatal oral health care James J. Crall; 13. Family planning:: need and opportunities Lorraine V. Klerman; 14. Maternal-fetal conflict is not a useful construct Wendy Chavkin and Peter Bernstein; 15. Linking prenatal care with womens health care Paul H. Wise and Marisa Brett; 16. A European perspective on prenatal care:: an integrated system Jacques Milliez; Epilogue:: a commentary on the cost-effectiveness of prenatal care Joanna E. Siegel and Marie C. McCormick; Index.
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