A practical textbook for clinicians seeking advice on either how to manage a patient or how to perform a procedure within maternal-foetal medicine. This third edition strengthens the evidence base of each chapter with a clear section on evidence supporting different management options.

More pregnancies are considered high-risk than ever before. As many as 30 percent fall into this category due to complicating factors that include:

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.

This book is a must-have for all health professionals involved in the care of women with high risk pregnancies. It is a concise and practical resource for all perinatal care and a reference for the diagnosis and management of high risk pregnancy. The fifth edition of this classic, focuses on factors affecting pregnancy, genetics, practical diagnostic techniques, maternal diseases in pregnancy and pregnancy complications, labor, anesthesia, and neonatal considerations. Dr Queenan is joined in the fifth edition by a new editor, Catherine Spong. The book will take an explicitly evidence-based approach this time around and will expand upon several important areas; genetics, doppler ultrasound, prevention, AIDS, group B streptococcus, preeclampsia, and prematurity.

A guide to the practical approach of managing high-risk pregnancies, this book combines care pathways, factfiles, and patient information leaflets into in one volume. A practical approach makes this a quick reference guide for obstetricians, and is designed to integrate the antenatal care offered for women with high-risk pregnancies.

One doctor’s testament to the importance of listening — truly listening — to women and their medical experiences of pregnancy and childbirth. Infertility, pregnancy, miscarriages, difficult births — as a doctor specialising in high-risk pregnancy, Chavi Eve Karkowsky has seen it all. And in the process, she’s seen how women are failed by health services again and again. In this timely and unflinching book, she tells the stories of the families she has worked with — of miracles and joy, but also of challenge and loss — and explores what’s at risk when women’s bodies are clouded in mystery and misinformation. Moving and compassionate, blending personal narrative with broader analysis, High Risk is a doctor’s testimonial to the strength and resilience of the women she treats, and — in an era when reproductive rights are under threat — a timely reminder that women’s health is of vital concern to us all.