George A. Macones – författare

The process of labor and delivery has been one of the most perilous activities in human life. The awkward evolutionary compromises giving rise to humans makes birthing potentially life threatening for both mother and child. Despite the development of modern care, labor and delivery continues to be a dangerous process even though the levels of fatality have decreased over the past several decades.

This clinically focused guide to modern labor and delivery care covers low and high-risk situations, the approach of the team in achieving a successful outcome and what to consider when quick decisions have to be made. Aimed at both trainee and practicing obstetrician-gynecologists, this new edition includes practical guidance such as algorithms, protocols, and quick-reference summaries. It is squarely focused on the process of birth and concentrates on modern clinical concerns, blending science with clinical applications.

The process of labor and delivery has been one of the most perilous activities in human life. The awkward evolutionary compromises giving rise to humans makes birthing potentially life threatening for both mother and child. Despite the development of modern care, labor and delivery continues to be a dangerous process even though the levels of fatality have decreased over the past several decades.

This clinically focused guide to modern labor and delivery care covers low and high-risk situations, the approach of the team in achieving a successful outcome and what to consider when quick decisions have to be made. Aimed at both trainee and practicing obstetrician-gynecologists, this new edition includes practical guidance such as algorithms, protocols, and quick-reference summaries. It is squarely focused on the process of birth and concentrates on modern clinical concerns, blending science with clinical applications.

This issue of Clinics in Perinatology, guest edited by Drs. George Macones and Anthony Odibo, addresses Fetal Monitoring and Assessment. Drs. Macones and Odibo have assembled a panel of experts to pen reviews on topics including indications for fetal growth monitoring and controversies with diagnosis of fetal growth restriction, the role of serum markers and uterine artery Doppler in identifying at-risk pregnancies, the role of amniotic fluid assessment in evaluating fetal well-being, the uses and limitations of the biophysical profile, the umbilical artery Doppler in assessment of fetal growth restriction, the MCA Doppler and its role in evaluation of fetal anemia and fetal growth restriction, Venous Doppler evaluation of the growth restricted fetus, aortic isthmus and cardiac monitoring of the growth restricted fetus, intrapartum fetal monitoring, computerized assessment of fetal heart rate monitoring, STAN as an adjunct to EFM, and signal ambiguity and intrapartum fetal monitoring.