About the editors xix Contributors xxi Reviewers xxiii Foreword xxv Preface xxvii Part I Physiological foundations of prenatal and postnatal care 3 1 Reproductive tract structure and function 5 Patricia W. Caudle 2 Conception, implantation, and embryonic and fetal development 19 Patricia W. Caudle 3 Maternal physiological alterations during pregnancy 34 Patricia W. Caudle Part II Preconception and prenatal care 49 4 Preconception care 51 Victoria L. Baker 5 Prenatal care: Goals, structure, and components 73 Carrie S. Klima 6 Nutrition during pregnancy 99 Robin G. Jordan and Julie A. Paul 7 Pregnancy diagnosis and gestational age assessment 125 Janet L. Engstrom and Joyce D. Cappiello 8 Risk assessment and risk management in prenatal care 149 Robin G. Jordan 9 Prenatal genetic counseling, screening, and diagnosis 160 Robin G. Jordan and Janet L. Engstrom 10 Assessment of fetal well-being 176 Jenifer Fahey 11 Common discomforts of pregnancy 193 Robin G. Jordan 12 Medication use during pregnancy 223 Mary C. Brucker and Tekoa L. King 13 Substance use during pregnancy 238 Daisy J. Goodman, Alane B. O'Connor, and Kelley A. Bowden 14 Social issues in pregnancy 261 Nena R. Harris 15 Exercise, recreational and occupational issues, and intimate relationships in pregnancy 274 Meghan Garland 16 Psychosocial adaptations in pregnancy 291 Cindy L. Farley 17 Health education during pregnancy 312 Lisa Hanson, Leona VandeVusse, and Kathryn Shisler Harrod 18 Assessment and care at the onset of labor 325 Amy Marowitz Part III Common complications of pregnancy 333 19 Bleeding during pregnancy 335 Robin G. Jordan 20 Amniotic fluid and fetal growth disorders 352 Victoria H. Burslem and Cindy L. Farley 21 Preterm labor and birth 365 Robin G. Jordan 22 Hypertensive disorders in pregnancy 375 Robin G. Jordan 23 Gestational diabetes 387 Kimberly K. Trout 24 Other complications in pregnancy: Multiple gestation, post-term pregnancy, hyperemesis, and abdominal pain 397 Tonya B. Nicholson 25 Perinatal loss and grief 409 Robin G. Jordan Part IV Postnatal care 417 26 Physiological alterations during the postnatal period 419 Kimberly A. Couch and Karen DeCocker-Geist 27 Components of postnatal care 423 Tia P. Andrighetti and Deborah Brandt Karsnitz 28 Common complications during the postnatal period 441 Deborah Brandt Karsnitz 29 Contraception 462 Patricia Aikins Murphy and Leah N. Torres 30 Lactation and breastfeeding 478 Marsha Walker 31 Common breastfeeding problems 499 Marsha Walker Part V Management of common health problems during the prenatal and postnatal periods 515 32 Respiratory disorders 517 Janyce Cagan Agruss 33 Hematological and thromboembolic disorders 525 Julie A. Marfell 34 Urinary tract disorders 536 Rhonda Arthur and Nancy Pesta Walsh 35 Gastrointestinal disorders 544 Audra C. Malone and Karen DeCocker-Geist 36 Obesity 549 Cecelia M. Jevitt 37 Endocrine disorders 560 Elizabeth Gabzdyl 38 Neurological disorders 570 Tonya B. Nicholson 39 Dermatological disorders 580 Gwendolyn Short and Elizabeth Powell Holcomb 40 Infectious diseases 589 Jacquelyne Brooks and Elizabeth A. Parr 41 Sexually transmitted infections and common vaginitis 608 Meghan Garland and Barbara P. Brennan 42 Psychological disorders 621 Heather Shlosser Index 631
Robin G. Jordan is a certified nurse-midwife and formerlya long time faculty member of Frontier Nursing University, teachingmidwives and nurse practitioners. She is currently Professor inNursing at North Central Michigan College, Michigan,USA. Janet L. Engstrom is a certified nurse-midwife andwomen's health nurse practitioner, teaching midwives and nursepractitioners. She is the Associate Dean for Research at FrontierNursing University, Kentucky, USA. Julie A. Marfell is a family nurse practitioner and nursepractitioner educator. She is the Associate Dean for Family Nursingat Frontier Nursing University, Kentucky, USA. Cindy L. Farley is a certified nurse-midwife andmidwifery educator. She is currently Adjunct Associate Professor atGeorgetown University, Washington D.C., USA, and Adjunct Professorat the Midwifery Institute of Philadelphia University,Pennsylvania, USA.