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.

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.

The placenta is fascinating and complex. Basically foreign to the maternal body, it can be thought of as an organ transplanted onto the mother's host tissue. As such it embodies all the principles of tissue acceptance and rejection. Many of the risks of pregnancy and labor have now been eliminated and the placenta is likely to be at the root of many of the dangers to the unborn child that remain. A breakdown of the relationship between the placenta and the maternal tissue may turn out to be the cause of the majority of early lost pregnancies.

Follow the amazing journey of the earliest stages of human life, with month-by-month development shown in unprecedented detail. The complex concepts and processes of emerging life are demystified with clear, jargon-free text, while exclusive 3-D images, extraordinary photographs, and detailed illustrations illuminate every aspect of human pregnancy. The largest section of the book examines the development of the baby in the womb and the parallel changes in the mother's body. Special 3-D art, illustrations, scans, and photographs show exactly how a baby changes and grows during pregnancy and how the female body adapts to carry it. A section on labor and birth explains these processes with step-by-step illustrations and easy-to-grasp text. The Science of Pregnancy also looks at the nature of human pregnancy, including how it evolved, and explores the anatomy and physiology of both the male and female reproductive systems. The mysteries of DNA and genetics are unraveled and explained in clear, illustrated detail, including patterns of inheritance and the interplay of genes and environment. Also provides straightforward, illustrated information on possible problems before, during, and after birth.

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.

Color photographs and computer imaging provide a portrait of the growth of a baby from conception to birth, tracing the development of individual body parts and systems and celebrating each milestone along the way.

This book is written for the New Zealand context. The simplest questions are answered, from deciding to have a baby through to the first months of a child's life. Medical knowledge is clearly presented and a full range of issues is addressed - from what kind of nappies, advantages of breastfeeding or bottle-feeding, to choosing between homebirth or hospital birth. How you feel in this book is as important as what you do. Topics include: development of the foetus, your changing body, services before and after birth, ante-natal and post-natal visits, options for care and delivery, cloths, baby clothes and equipment, feeding and hygiene, coping with other commitments at work or within the family, and useful New Zealand organisations.