With the development of regionalization of perinatal health care, the problem of how to get a sick infant or mother who needs the expertise of personnel and resources of a tertiary care center to such a facility has been serious. This manual provides essential information for establishing and improving the neonatal transport system. For the administrator it is an organizational guide including staffing, communications, equipment, personnel, and ambulance modules. There are practical and informative chapters on maternal transport, transport by air, and evaluation of a transportation system. For the clinical practitioner, this manual is not only a practical guide for equipment and organization but a valuable handbook of neonatal inteJlsive care. Identification, signs, symfitoms, and management of specific neonatal emergencies are concisely outlined. Such emergencies include asphyxia and resuscitation, choanal atresia, tracheoesophogeal fistula, hydrocephalus, necrotiing enterocolitis, omphalocele, abnormal bleeding, congenital heart disease, gestational age problems, sepsis, infants of diabetic mothers, and seizures. The rationale for the recommended management is also presented clearly. The many tables and charts are quite handy for quick reference, thus, this manual is of particular value to the practitioner who must stabilize an infant before it can be moved to the tertiary center. The manual is written specifically for practitioners who are not neonatologists but who must diagnose and safely manage neonatal problems in the first few days of life and who must make the decision when transport to more skied care is necessary. For the nurse-midwife in a nontertiary care setting, this is an excellent reference that provides two books in one-safe neonatal transport and highrisk newborn care. Emergency Transfer of the High Risk Neonate is a timely needed text that is practical, organized, and highly informative. It is sure to become a classic resource for the care of neonates before and during transport. Feelings and Your Child. Mental Health Materials Center, 30 East 29th Street, New York, New York, 10016. $1.50 for sample set, plus 506 for shipping and handling.
Journal of Nurse-Midwifery
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Reviewed by: Tina Quirk, R.N., M.S., Clinical Specialist in Psychiatric/Mental Health Nursing, Downstate Medical Center, Brooklyn, New York “Feelings and Your Child” is a series of 10 leaflets designed to educate and advise parents who are experiencing some of the normal developmental and situational problems of childrearing. Topics range from common but critical developmental issues of understanding children’s worries and fears, understanding the importance of play, using effective discipline, building self-confidence, and handling eating preferences, to more specialized problems such as enuresis, divorce, hospitalization, and destructive behavior. Titles such as, “Why Won’t She Listen To Me,” and “Jenny, Get That Thumb Out Of Your Mouth,” are eye-catching and inviting to the parent who recognizes his or her own words. Although somewhat sophisticated in its use of words, the material is clearly presented. Especially helpful are examples of how to talk to the child. For instance, one pamphlet on discipline advises, “when you must correct or criticize” talk about what he did. Say “That was a bad thing to do,” not “you’re a bad boy”. These pamphlets will be useful for any health or school professional working with parents in anticipatory guidance situations and would make an interesting and attractive display in a clinic or office. Fathers, Husbands and Lovers: Legal Rights and Responsibilities. By San-
ford N. Katz and Monroe L. Inker. Chicago: American Bar Association, 1979. $15.00 paperback. Reviewed
by: Barbara Ascher, C.N.M., M.S. and Richard Ascher, Esq.
“Once a man has become a member of the wedding . even if not formally articulated; once he has become a father . . he is responsible in law to his partner and to his offspring.” Fathers, Husbands and Louers: Legal Rights and Responsibilities seeks to clarify the limits of those responsibiiities. As health professionals frequently involved with families, nurse-midwives must inevitably come in contact with families in distress. Divorce, out of wedlock pregnancy, and infertility are increasingly common; and wife beating is finally “coming out of the closet” as a
Vol. 25, No. 6, November/December
1980
major cause of family disturbances. A book which health professionals could use as a resource in dealing with families in distress would be valuable. However, as a collection of articles from Family Law Quarterly and apparently written primarily by attorneys for attorneys, Fathers, Husbands and Louers has rather limited clinical applicability. The book may be useful and/or interesting to nurse-midwives as background reading. It contains a good explanation of serologic testing in problems of disputed paternity, as well as chapters on the legal rights of unwed fathers, paternal support, fathers’ right to custody, legal responses to wife beating, and alimony and property rights. Legal problems connected with artificial insemination and in vitro fertilization are also discussed. The book is not concerned with the emotional problems and family relationships which may be involved in these situations. Nor does it provide information regarding social service agencies that will help families with problems. Many of the issues raised are interesting, but they are legal issues and not particularly useful in most clinical situations. Although Fathers, Husbands and Lovers is written for professionals regularly involved in Family Law, other professionals will comprehend it. It is an update and review of the changing legal trends in Family Law and it shows how the law has responded to society’s changing mores, and particularly the effect equal rights for women has had on the law. One example of this is in child custody cases, in which the courts are slowly moving away from the “tender years” doctrine which presumed that a young child had to be cared for by the mother due to his/her tender years. Other innovations in Family Law which are discussed are the new serologic testing used in determining paternity; and the doctrine of “next cause” as it relates to a man’s liability for child support when the mother consciously decides to carry the child to term rather than have an abortion. While these issues are of importance to attorneys who regularly litigate them, the book may not have the widest appeal to a lay person. It is, though, a good background for someone, such as a nurse-midwife, who regularly provides family counselling. The usefulness of Fathers, Husbands and Lovers will depend on how often one
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