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Prevention in Obstetrics.


 This special issue deals with prevention in the field of obstetrics. This prevention is conceptualized as having 3 aspects: education and preparation for childbirth, prevention of the risks known to be associated with pregnancy, and detection of high risk pregnancies. It is noted, however, that advances in this area are dependent upon improvements in basic living conditions in developing countries and in general public health. Thus, the health team must be fully trained in fields such as epidemiology, hygiene, and nutrition as well as obstetrics. The chapters in this volume provide detailed information on the components of prenatal care in the 3 stages of pregnancy, the surveillance of labor, and issues relevant to the postpartum period, including breastfeeding. Signs and symptoms of specific complications of pregnancy and delivery are detailed. An emphasis is placed on parameters that can be used for surveillance and subsequent evaluation and program development. The volume concludes with a discussion of family planning. Planned parenthood is stressed as a vital component of prevention in obstetrics, since pregnancies at short intervals threaten the health status of both mother and infant. Appendices to the volume present information on nutrition during pregnancy, medications used during pregnancy and delivery, and equipment considered necessary for use in obstetrical care.
