85:T4fa,Denna rikt illustrerade lärobok berör samtliga aspekter på ämnet obstetrik, från konception och fysiologisk omställning under graviditet till handläggning av allt från det normala till det mest komplicerade. Livsstilsfaktorer, drogmissbruk och betydelsen av fostermiljön för individens framtida hälsa berörs. Det finns utförliga kapitel om ultraljudsdiagnostik, fosterövervakning under graviditet och förlossning inklusive obstetriska ingrepp. Även ämnen som etik, psykologiska faktorer, föräldrar–barninteraktion, omvårdnadsperspektiv, juridiska aspekter och ett internationellt perspektiv ingår.

Denna tredje upplaga av läroboken i obstetrik är omarbetad av tre nya redaktörer och är skriven av ett nittiotal författare, samtliga specialister inom sina respektive områden. Boken är en produkt av ett unikt samarbete mellan ett stort antal specialkunniga läkare och barnmorskor inom svensk obstetrik samt sjukgymnaster, epidemiologer och jurister. Samtliga kapitel är uppdaterade och 36 kapitel är helt nyskrivna med nya författarkonstellationer.

Boken vänder sig till läkarstuderande på grundutbildningen, till läkare under specialistutbildning samt till läkare och barnmorskor som är verksamma inom obstetrik.86:Ta59,

Bok om fosterövervakning – ett värdefullt stöd i den kliniska vardagen.

Den här boken går igenom när och i vilken omfattning fostret bör övervakas under förlossningen. Författarna utgår från olika omständigheter och redogör för åtgärder att vid påverkan på förlossningsförloppet och på fostret till följd av komplikationer som till exempel värksvaghet, feber hos den födande, blödning och mekonium i fostervattnet. Med tydliga exempel, figurer och konkreta råd blir boken ett värdefullt stöd i den kliniska vardagen.

Syftet med fosterövervakning under förlossning är att tidigt upptäcka tecken på syrebrist hos fostret. Därmed är det möjligt att förebygga syrebrist av så allvarligt slag att den leder till risk för att barnet får kvarstående neurologiska skador eller i värsta fall inte överlever.

Kardiotokografi (CTG) är tillsammans med intermittent auskulation den vanligaste fosterövervakningsmetoden under förlossning. För att förstå det hjärtfrekvensmönster ett foster uppvisar och göra rätt bedömning i varje enskilt fall behövs kunskap om fostrets fysiologi, de fyra parametrarna av fosterhjärtfrekvensen och livmoderkontraktioners effekt på syretillgången till fostret.

Boken vänder sig till barnmorskestudenter och ST-läkare i obstetrik och gynekologi men kan också läsas med behållning av barnmorskor och obstetriker som vill färska upp sin kunskap inom CTG-området.

Författare är Malin Holzmann, docent och överläkare i obstetrik och disputerad inom området CTG och laktatkoncentration hos foster, och Maria Jonsson, professor och överläkare i obstetrik och disputerad inom området värkstimulering och fosterasfyxi under förlossning. Båda har deltagit i det nationella arbetet med 2016/2019 års reviderade CTG-klassificering.

Rättelse s. 99:
I sista stycket i avsnittet Abnormt kontraktionsmönster står följande att läsa: "Om däremot oxytocinstimulering leder till fler än tio värkar per tio minuter ska infusionstakten sänkas eller pausas." Det korrekta är fem värkar per tio minuter vilket också framgår tidigare i avsnittet.

87:T639,På neonatalavdelningarna i Sverige vårdas såväl fullgångna nyfödda som för tidigt födda barn. Anpassningen till livet efter födelsen är en omfattande fysiologisk omställning, som leder till att var tionde nyfött barn har behov av neonatalvård. I denna tredje reviderade upplaga av Neonatologi har boken indelats i fem delar för att beskriva de olika aspekterna av neonatalvård beroende på barnets sjukdomstillstånd.

Del 1 fokuserar på den prenatala utvecklingen och omställningen vid födelsen. I del 2 och 3 beskrivs det för tidigt födda barnets och det fullgångna barnets specifika tillstånd. Fördjupat fokus på hur olika organsystem som hjärnan, hjärtat, lungan, njurar, urinvägar, tarmar m.fl. påverkas vid för tidig födelse, vid missbildningar eller vid komplikationer under graviditet och förlossning hos fullgångna beskrivs i del 4. Den sista delen, del 5, innehåller kapitel om praktisk neonatalvård till exempel patientnära diagnostik, transporter, organisation av vårdkedjan inom neonatalvården och uppföljning av barn som erhållit neonatalvård. Slutligen finns det ett kapitel om rättsliga och etiska ramar i neonatalvården.

Neonatologi vänder sig i första hand till studenter på läkarprogrammet samt läkare under specialistutbildning. Även sjuksköterskor under specialistutbildning rekommenderas denna bok. Yrkesverksamma i hälso- och sjukvården som kommer i kontakt med nyfödda barn, exempelvis dietister, fysioterapeuter, farmaceuter och psykologer kan också ha nytta av att läsa denna uppdaterade 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