Pain Management In The Postpartum Period An Issue Of Clinics In Perinatology

This issue of Clinics in Perinatology will carry the reader through the perinatal period and examine pain management throughout that continuum. Beginning with the genetics of obstetrical pain and opioid use in pregnancy, the discussion moves to the provision of anesthesia to the mother and fetus during fetal surgery – an area of intense concern and interest in many centers. There is an extensive discussion of both pharmacologic and non-pharmacologic management of pain during delivery. A discussion of regional anesthetic techniques is increasingly relevant in light of increasing evidence of adverse neurodevelopmental consequences of fetal exposure to general anesthetics and sedatives. Pain, its implications and management, are extensively covered including discussions of how to assess neonatal pain and how best to provide sedation and non-pharmacologic pain management, systemic pharmacologic, or regional techniques. Of particular interest are the reviews of the potential neurodevelopmental impact of both the treatment and the failure to adequately treat pain in the newborn. This topic is receiving an enormous amount of attention from all those who care for children as well as government and the media.

This issue of Clinics in Perinatology will carry the reader through the perinatal period and examine pain management throughout that continuum. Beginning with the genetics of obstetrical pain and opioid use in pregnancy, the discussion moves to the provision of anesthesia to the mother and fetus during fetal surgery - an area of intense concern and interest in many centers. There is an extensive discussion of both pharmacologic and non-pharmacologic management of pain during delivery. A discussion of regional anesthetic techniques is increasingly relevant in light of increasing evidence of adverse neurodevelopmental consequences of fetal exposure to general anesthetics and sedatives. Pain, its implications and management, are extensively covered including discussions of how to assess neonatal pain and how best to provide sedation and non-pharmacologic pain management, systemic pharmacologic, or regional techniques. Of particular interest are the reviews of the potential neurodevelopmental impact of both the treatment and the failure to adequately treat pain in the newborn. This topic is receiving an enormous amount of attention from all those who care for children as well as government and the media.

In consultation with Consulting Editor, Dr. Lucky Jain, Drs. Jonathan M. Davis and Errol R. Norwitz have put together a state-of the-art issue of the Clinics in Perinatology devoted to Perinatal Pharmacology. Clinical review articles are specifically devoted to the following: Drugs for the prevention and treatment of preterm labor; Drugs for the prevention and treatment of hypertensive disorders of pregnancy; Drugs to promote neuroprotection; Medications that cause fetal anomalies and possible prevention strategies; Safety and efficacy of psychotropic medications during pregnancy; Treatment of viral infections during pregnancy (HIV, herpes, CMV, hepatitis C); Drugs to control diabetes during pregnancy; Cardiotonic drugs; Drugs to treat coagulation disorders in the newborn; Drugs for the prevention and treatment of bronchopulmonary dysplasia; Drugs for the prevention and treatment of neonatal brain injury; Drugs for the prevention and treatment of sepsis in the newborn; Analgesia, opioids and other drug use during pregnancy and Neonatal Abstinence Syndrome; Medications and breast feeding; Principles of pharmacokinetics in the pregnant woman and fetus; and Challenges in designing clinical trials to test new drugs in the pregnant woman and fetus. Readers will come away with the latest information on therapeutics as they seek to utilize evidence-based recommendations to improve patient outcomes.

Written specifically for nurses, this clinical handbook provides unmatched comprehensive information on pain management for the vulnerable neonatal population. Given the possibility of significant short- and long-term consequences of neonatal pain if left unmanaged, all nurses in neonatal settings should be familiar with the origins of neonatal pain, pain assessment, and the pharmacologic and nonpharmacologic pain management techniques outlined and explained in this clinical guide. Each chapter contains critical information on safe and proven therapies for common painful procedures, including lists of dosages and side effects. Nurses can use this clinical handbook to adopt strategies to routinely assess pain, minimize the number of painful procedures, employ drug-based and non-drug-based therapies that prevent pain in routine procedures, and eliminate pain associated with surgery. As a well-rounded guide and resource for use in neonatal settings, this portable reference also features chapters on how nurses can engage others to assist with neonatal pain, and expands upon the role of the family to ensure the best neonatal care. KEY FEATURES: The first clinical handbook specifically for nurses treating neonates A holistic, state-of-the-art resource describing pain management techniques Addresses assessment, medications, and the application of both pharmacologic and nonpharmacologic pain management techniques Lists dosages and side effects Discusses how to manage withdrawal pain from neonatal abstinence syndrome

Maternal Child Nursing Care - E-Book

In collaboration with Consulting Editor, Dr. Lucky Jain, Drs. Hamrick and Ing have put together a comprehensive issue that provides current information of anesthesia, sedation, and pain control in the NICU and for mothers. Clinical review articles are devoted to the following topics: Anesthesia neurotoxicity in the developing brain: Basic studies; Anesthesia neurotoxicity: Update on clinical studies; Neurologic Injury after neonatal cardiac surgery; Effect of repetitive pain on developing brain and physiology of nociception; Sedation/pain control in the NICU; Assessment of Pain in the Newborn; Non-pharmacologic Approaches to Pain Management; Epidurals/spinals for newborn surgery; Neonatal airway management; Effects of maternal anesthesia on perinatal hemodynamics and neonatal acidemia; Maternal anesthesia for urgent c-section; Fetal anesthesia; Neonatal abstinence syndrome (Neonatal Opioid Withdrawal Syndrome); and Opioid crisis in the US: Maternal management. Readers will come away with the information they need to provide better care to the neonate and mothers and improve outcomes.

Fundamentals of Pharmacology for Midwives provides the reader with a thorough understanding of the essentials of pharmacology associated with childbearing women, and improving safety and care outcomes whilst ensuring the comfort of the mother. It is essential that midwifery students have a knowledge and an understanding of pharmacology, along with an ability to recognise the positive and opposing effects of medicines from conception to birth—including allergies and drug sensitivities, side effects and adverse reactions, contraindications and errors in prescribing, and more. Written with the latest NMC Standards of Proficiency for Registered Midwives (NMC 2019) in mind Each chapter includes ‘test your prior knowledge’ questions, learning outcomes, and skills in practice boxes that encourage the reader to apply the theory to everyday practice Includes companion website for the book at www.wiley.com/go/pharmacologyformidwives that contains multiple-choice questions, powerpoint slides, glossaries, chapter references and other self-test material designed to enhance learning Fundamentals of Pharmacology for Midwives provides a useful reference for those studying to be midwives and support clinicians in the field, helping them become safe and accountable practitioners offering competent and confident women-centred care. All content reviewed by students for students. If you would like to be one of our student reviewers, go to www.reviewnursingbooks.com to find out more. To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email