
Physiology in Childbearing
With Anatomy and Related Biosciences
- 5th Edition - March 26, 2024
- Imprint: Elsevier
- Editor: Jean Rankin
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 3 0 5 3 - 6
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 3 2 1 8 - 9
With its straightforward writing style and extraordinary breadth of content, Physiology in Childbearing: With Anatomy and Related Biosciences, Fifth Edition is an ideal textbook… Read more

Purchase options

Institutional subscription on ScienceDirect
Request a sales quoteWith its straightforward writing style and extraordinary breadth of content, Physiology in Childbearing: With Anatomy and Related Biosciences, Fifth Edition is an ideal textbook for students of midwifery wanting to master the physiology of pregnancy, childbirth, the neonate and breastfeeding.
This popular book has been fully updated to incorporate new knowledge and guidelines, and has a stronger focus on diversity. It covers basic biochemistry, cellular biology, genetics and fertility, as well as embryology and fetal growth, the physiology of pregnancy, and complications of labour. It then goes on to examine the neonate, infant feeding and bio-behavioural aspects of parenting.
The complexities of this fundamental topic area are explained with boxes of key points, full colour diagrams and images, and tips on applying content to practice, making this book a must-have for students and practising midwives alike.
- Covers everything midwives need to know about physiology – comprehensive content suitable for both training and practising midwives
- Easy to read with straightforward language - ideal for students to master difficult concepts
- Clear, full-colour diagrams and images bring theory to life
- Demystifies basic biochemistry, cellular biology and genetics for those who have no prior knowledge of these subject areas
- Evidence-based approach to improve safety and quality of care for mothers and babies, both in the developed world and those countries where the provision of adequate care remains limited
- Helps the reader apply theory to practice, including how to recognise pathology and help prevent morbidity and mortality
- ‘Main Points’ boxes and online question bank with downloadable image collection to support learning
- Cover image
- Title page
- Table of Contents
- Copyright
- Preface
- Contributors
- Acknowledgements
- Illustration Acknowledgements
- Dedication
- Section 1. Preconception
- Introduction
- 1. Basic Biochemistry
- Introduction
- Energy
- The Chemistry of Living Organisms
- Chemical Equilibrium
- Composition of the Human Body
- 2. The Cell – Its Structures and Function
- Physical Characteristics of Human Cells
- Cell Size and Shape
- Cytoskeleton and Cell Motility
- Epithelial Cells
- Cellular Organization
- Cell Division
- 3. Structure, Organization and Regulation of Genes
- Introduction
- Composition of DNA
- The Role of the Environment
- From DNA to RNA to Protein
- Patterns of Inheritance
- Some Inherited Conditions
- Chromosomal Defects
- Conclusion
- 4. The Female Reproductive System
- Introduction
- Anatomy of the Female Reproductive Tract
- Cyclical Control of Reproduction
- 5. The Male Reproductive System
- Introduction
- Anatomy of the Male Reproductive System
- Hormonal Control of Male Reproductive Function
- The Physiology of Sexual Intercourse
- 6. Fertility Control
- Introduction
- The Effectiveness of Contraception
- Physiological Application of Contraception
- Infections Affecting Reproductive Health
- Future Focus
- 7. Infertility
- Introduction
- Defining Infertility
- The Causes of Male and Female Infertility
- Male Infertility
- Female Infertility
- Reproductive Technologies
- 8. Preconception Matters
- Introduction
- Prepregnancy Care Provision
- The Healthy Gamete
- General Health Care
- Chronic Health Conditions
- Environmental Issues
- Section 2A. Pregnancy—The Fetus
- Introduction
- 9. General Embryology
- Introduction
- Embryology
- Gametogenesis
- Fertilization
- The Embryo
- Programming the Embryo
- Development of the Embryo
- Development of the Germ Layers
- 10. Embryological Systems 1—Trunk, Head and Limbs
- Introduction
- The Trunk
- The Skull
- The Brain
- The Spinal Cord
- Structures of the Head and Neck
- The Face
- The Ears
- The Eyes
- The Limbs
- 11. Embryological Systems 2—Internal Organs
- Introduction
- The Cardiovascular System
- The Lower Respiratory Tract
- The Alimentary Tract
- The Urinary and Genital Tracts
- The Reproductive System
- Ovaries and the Female Genital Tract
- Estimation of Embryonic Age
- 12. The Placenta, Membranes and Amniotic Fluid
- Introduction
- Implantation and Early Placental Development
- Development of the Chorionic Villi and Vascular Network
- The Mature Placenta
- The Placental Circulation
- Anatomical Variations of the Placenta
- Functions of the Placenta
- Amniotic Fluid
- 13. Fetal Growth and Development
- Introduction
- The Fetal Period
- Estimation of Fetal Age and Assessment of Fetal Growth
- Multiple Pregnancies
- 14. Common Fetal Problems
- Introduction
- Intrauterine or Fetal Growth Restriction
- Rhesus Isoimmunization and ABO Incompatibility
- Maternal Infection in Pregnancy
- 15. Congenital Anomalies
- Introduction
- General Causes of Congenital Anomalies
- Genetic Causes
- Multifactorial Inheritance
- Environmental Factors
- Prenatal Screening for Congenital Anomalies
- Conclusion
- Section 2B. Pregnancy—The Mother
- Introduction
- 16. The Haematological System—Physiology of the Blood
- Blood as a Tissue
- Functions of Blood
- Constituents of Blood
- Plasma
- The Cellular Components of Blood
- Red Blood Cells
- Iron Metabolism
- Folate Metabolism
- Blood Groups
- White Cells
- Platelets
- Haemostasis
- Maternal Haematological Adaptations to Pregnancy
- 17. The Cardiovascular System
- Introduction
- Circulatory Pathways
- Anatomy of the Heart
- Physiology of the Heart
- Control of the Heart Rate
- The Vascular System
- The Physiology of Circulation
- Blood Pressure
- The Formation of Tissue Fluid
- Maternal Adaptations to Pregnancy
- 18. Respiration
- Introduction
- Anatomy of the Respiratory System
- Physiology of the Respiratory Tract
- The Physiology of Pulmonary Ventilation (Breathing)
- Transport of Gases Around the Body
- Control of Ventilation
- 19. The Renal Tract
- Introduction
- Kidney Functions
- Anatomy of the Kidney
- Renal Function
- The Lower Urinary Tract
- Maternal Adaptations to Pregnancy
- 20. Fluid, Electrolyte and Acid–Base Balance
- Introduction
- Fluid and Electrolytes
- Acid–Base Balance
- Maternal Adaptations in Childbearing
- 21. The Gastrointestinal Tract
- Introduction
- Anatomy of the Gastrointestinal Tract
- Control of the Gastrointestinal Tract
- Functions of the Gastrointestinal Tract
- The Mouth
- The Stomach
- The Small Intestine
- Absorption
- The Large Intestine
- Maternal Adaptations to Pregnancy
- 22. The Accessory Digestive Organs
- Introduction
- The Salivary Glands
- The Pancreas
- The Liver and Gall Bladder
- The Role of the Liver in Metabolism
- Maternal Adaptations to Pregnancy
- Pharmacokinetics and Pregnancy
- 23. Nutrition and Metabolism During Pregnancy
- Introduction
- Nutrition
- Regulation of Food Intake and Energy Balance
- Nutritional States
- Maternal Adaptation to Pregnancy
- 24. The Nature of Bone—The Female Pelvis and Fetal Skull
- Introduction
- The Nature of Bone: Function and Structure
- The Pelvic Girdle
- Maternal Physiological Adaptations in Pregnancy
- The Fetal Skull
- 25. Muscle–The Pelvic Floor and the Uterus
- Introduction
- Skeletal Muscle
- The Pelvic Floor
- Smooth Muscle
- Uterine Muscle During Pregnancy
- 26. The Central Nervous System
- Introduction
- Organization of the Nervous System
- Neuroanatomy
- Neurophysiology
- The Brain
- The Spinal Cord
- Adaptation to Pregnancy
- 27. The Peripheral and Autonomic Nervous Systems
- The Peripheral Nervous System
- Reflex Activity
- The Autonomic Nervous System
- 28. The Endocrine System
- Introduction
- The Hypothalamus
- Endocrine Glands and Hormones
- The Pituitary Gland
- The Thyroid Gland
- The Adrenal Glands
- The Pineal Gland
- 29. The Immune System
- Introduction
- Divisions of the Immune System
- Cells of the Immune System
- The Immune Response
- Physiological Changes in Pregnancy
- Immunology of the Fetoplacental Unit
- Section 2C. Pregnancy—The Problems
- Introduction
- 30. Minor Disorders of Pregnancy and Risk Factors
- Introduction
- Maintenance of Pregnancy
- Minor Disorders of Pregnancy
- The Genitourinary System
- Conclusion
- 31. Bleeding in Pregnancy
- Bleeding in Early Pregnancy
- Bleeding from Associated Conditions
- Antepartum Haemorrhage
- 32. Cardiac and Hypertensive Disorders
- Introduction
- Cardiac Disorders in Pregnancy
- Hypertension in Pregnancy
- 33. Anaemia and Clotting Disorders
- Introduction
- Anaemia
- Haemoglobinopathies
- Glucose-6-Phosphate Dehydrogenase Deficiency
- Thromboembolism and Pregnancy
- Consumptive Coagulopathies During Pregnancy
- 34. Respiratory, Renal, Gastrointestinal and Neurological Problems
- Respiratory Tract Problems
- Renal Disorders
- Gastrointestinal Problems
- Neurological Disorders
- 35. Diabetes Mellitus and Other Metabolic Disorders in Pregnancy
- Introduction
- Diabetes Mellitus
- Abnormalities of Thyroid Function
- Section 3A. Labour—Normal
- Introduction
- 36. The Onset of Labour
- Introduction
- Definitions of Labour
- Maternal Physiological Adaptation in Labour
- 37. The First Stage of Labour
- Physiology of the First Stage of Labour
- Assessing Progress in the First Stage of Labour
- Maternal Position in the First Stage of Labour
- Immersion in Water
- Nutrition and Hydration in Labour
- Monitoring the Fetal Condition
- 38. Pain Relief in Labour
- Introduction
- Pain Perception
- Pain Reception
- Pain Modulation
- Pain Pathways in Labour
- The Effect of Pain
- Management of Pain
- 39. The Second Stage of Labour
- Introduction
- Physiology of the Second Stage of Labour
- Mechanisms of Labour
- Management
- The Fetus in the Second Stage of Labour
- 40. The Third Stage of Labour
- Introduction
- Physiology of the Third Stage of Labour
- Management of the Third Stage of Labour
- Section 3B. Labour—Problems
- Introduction
- 41. Abnormalities of Uterine Action and Onset of Labour
- Introduction
- Abnormalities of Uterine Action
- Prolonged Second Stage of Labour
- Problems: Timing of the Onset of Labour
- 42. Breech Presentation
- Introduction
- Breech Presentation
- Management of Pregnancy
- Vaginal Delivery
- 43. Malposition and Cephalic Malpresentations
- Introduction
- Occipitoposterior Position of the Vertex
- Face Presentation
- Brow Presentation
- Shoulder Presentation
- Compound Presentation
- 44. Cephalopelvic Disproportion, Obstructed Labour and Other Obstetric Emergencies
- Introduction
- Cephalopelvic Disproportion
- Obstructed Labour
- Uterine Rupture
- Shoulder Dystocia
- Cord Presentation and Prolapse
- 45. Postpartum Haemorrhage and Other Third-stage Problems
- Introduction
- Postpartum Haemorrhage
- Prolonged Third Stage
- Acute Inversion of the Uterus
- Amniotic Fluid Embolism
- Shock in Obstetrics
- 46. Perinatal Fetal Asphyxia
- Introduction
- Fetal Gas Exchange and pH Regulation
- Intrauterine Hypoxia
- Monitoring the Fetus in Labour
- Neonatal Asphyxia and Resuscitation
- 47. Operative Delivery and the Acutely Unwell Woman
- Introduction
- Forceps Delivery
- Vacuum Extraction (Ventouse Delivery)
- Caesarean Section (CS)
- General Anaesthesia in Pregnancy and Childbirth
- Section 4A. Puerperium—The Baby as a Neonate
- Introduction
- 48. Adaptation to Extrauterine Life 1: Haematological, Cardiovascular, Respiratory and Genitourinary Considerations
- Introduction
- The Appearance of the Normal Neonate
- Major Systemic Characteristics of the Neonate
- 49. Adaptation to Extrauterine Life 2: Gastrointestinal, Metabolic, Neural and Immunological Considerations
- Introduction
- The Gastrointestinal Tract
- The Liver
- Metabolism
- The Neonatal Nervous System
- The Essence of Immunocompetence
- Thermoregulation
- 50. Health Challenges and Problems in Neonates of Low Birthweight
- Introduction
- Defining Low Birthweight (LBW)
- The Preterm Neonate
- Small for Gestational Age (SGA)
- 51. Developmental Anatomy: Related Cardiovascular and Respiratory Disorders
- Introduction
- Aspects of Cardiovascular Development
- Cardiovascular Problems
- Lower Respiratory Tract Problems in Neonates
- 52. Jaundice and Common Metabolic Problems in Neonates
- Introduction
- Neonatal Jaundice
- Common Metabolic Disorders
- 53. Risks of Infection and Trauma in Neonates
- Infections
- Birth Trauma
- Section 4B. Puerperium—The Mother
- Introduction
- 54. The Breasts and Lactation
- Introduction
- The Anatomy of the Breast
- Development of the Breast
- The Physiology of Lactation
- 55. Breastfeeding Practice and Problems
- Introduction
- Benefits of Breastfeeding
- Breastfeeding Practices
- Breastfeeding Challenges for Mother and Baby
- Suppression of Lactation
- The International Code of Marketing of Breast Milk Substitutes
- 56. The Puerperium
- Introduction
- Physiological Changes
- Postpartum (Puerperal) Infection
- Emotional States and Mental Disorders in the Puerperium
- 57. Biobehavioural Aspects of Parenting
- Introduction
- What is Biobehavioural Science?
- What does Biobehavioural Mean in Relation to Early Parenting?
- A Hormonal Orchestration
- A Window of Heightened Sensitivity
- The Key Hormonal Players
- Implications for Practice
- Index
- Edition: 5
- Published: March 26, 2024
- Imprint: Elsevier
- Language: English
- Paperback ISBN: 9780323930536
- eBook ISBN: 9780323932189
JR