Preterm Babies, Fetal Patients, And Childbearing Choices by John D. LantosPreterm Babies, Fetal Patients, And Childbearing Choices by John D. Lantos

Preterm Babies, Fetal Patients, And Childbearing Choices

byJohn D. Lantos, Diane S. Lauderdale

Hardcover | August 7, 2015

Pricing and Purchase Info

$41.89 online 
$41.95 list price
Earn 209 plum® points

Prices and offers may vary in store

Out of stock online

Not available in stores

about

Why preterm birth rates in the United States remain high even as access to prenatal care has improved and infant mortality has steadily dropped.

The United States has one of the highest rates of premature birth of any industrialized nation: 11.5%, nearly twice the rate of many European countries. In this book, John Lantos and Diane Lauderdale examine why the rate of preterm birth in the United States remains high-even though more women have access to prenatal care now than three decades ago. They also analyze a puzzling paradox: why, even as the rate of preterm birth rose through the 1990s and early 2000s, the rate of infant mortality steadily decreased.

Lantos and Lauderdale explore both the medical practices that might give rise to these trends as well as some of the demographic changes that have occurred over these years. American women now delay childbearing, for example, and have fewer babies. Doctors are better able to monitor fetal health and well-being. Prenatal care has changed, no longer focusing solely on the health of the pregnant woman. Today, the fetus has become a patient, and many preterm births are medically induced because of concern for the well-being of the fetus. Preterm birth is no longer synonymous with a bad outcome. Sometimes, it is necessary for a good one.

John D. Lantos is Professor of Pediatrics at the University of Missouri at Kansas City and Director of the Children's Mercy Hospital Bioethics Center. Diane S. Lauderdale is Professor of Epidemiology and Chair of the Department of Public Health Sciences at the University of Chicago.
Loading
Title:Preterm Babies, Fetal Patients, And Childbearing ChoicesFormat:HardcoverDimensions:232 pages, 8 × 5.38 × 0.81 inPublished:August 7, 2015Publisher:The MIT PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0262029596

ISBN - 13:9780262029599

Reviews

Editorial Reviews

Why preterm birth rates in the United States remain high even as access to prenatal care has improved and infant mortality has steadily dropped.The United States has one of the highest rates of premature birth of any industrialized nation: 11.5%, nearly twice the rate of many European countries. In this book, John Lantos and Diane Lauderdale examine why the rate of preterm birth in the United States remains high-even though more women have access to prenatal care now than three decades ago. They also analyze a puzzling paradox: why, even as the rate of preterm birth rose through the 1990s and early 2000s, the rate of infant mortality steadily decreased.Lantos and Lauderdale explore both the medical practices that might give rise to these trends as well as some of the demographic changes that have occurred over these years. American women now delay childbearing, for example, and have fewer babies. Doctors are better able to monitor fetal health and well-being. Prenatal care has changed, no longer focusing solely on the health of the pregnant woman. Today, the fetus has become a patient, and many preterm births are medically induced because of concern for the well-being of the fetus. Preterm birth is no longer synonymous with a bad outcome. Sometimes, it is necessary for a good one.Lantos and Lauderdale provide a thoughtful, comprehensive, and data-driven analysis of modern obstetric care. They conclude, paradoxically, that better access to high-quality perinatal care has increased preterm birth while decreasing infant mortality. They argue that the challenge for clinicians and patients alike is to embrace the more technological and medicalized obstetric interventions while eliminating those early inductions and caesarian sections that are not medically indicated.-Alan R. Fleischman, MD, Professor of Clinical Pediatrics and Professor of Clinical Epidemiology and Population Health, Albert Einstein College of Medicine; former Medical Director, March of Dimes Foundation