- ObstetricsThe applications of diagnostic ultrasound in obstetrics are numerous and provide reliable information whereby the health and well-being of the mother and unborn baby can be readily assessed. Included within these applications are the evaluation of early pregnancy; estimation and confirmation of gestational age; monitoring fetal growth, development and viability; in addition to its use as an adjunct to various interventional procedures such as amniocentesis, chorionic villus sampling, fetal blood sampling, and fetal surgeries. More recently, it has become possible to evaluate functional changes in blood flow in the uteroplacental and fetoplacental circulations in addition to the fetal heart and peripheral vasculature.
- PregnancyThe Women’s Health and Education Center (WHEC), NGO in Special Consultative Status with Economic and Social Council of the United Nations, with its partners agree that a core principle underlying maternal, newborn and child health efforts is life-long access to health care: a continuum of care for the mother starting from long before pregnancy (during childhood and adolescence) through pregnancy and childbirth. The continuum begins again with adequate newborn care for the new life. The appropriate care can be delivered in the home and community, as well as at health clinics and hospitals.
- Labor and DeliveryWorldwide about 500,000 women die as a result of pregnancy each year. Every minute of every day a woman dies. We have, for several decades, had the knowledge and means to remove much of the risk and uncertainty associated with childbirth. This tragic picture has only gradually become clearer.
- Mental HealthThis section gives an overview of dynamics and magnitude of Domestic Violence. It addresses the clinical dimensions and scope of women battering, drug abuse, suicide, child abuse and mental health issues. Pathways to change deals with responding to violence against women and integrating policy and developing a hospital / clinic program to address domestic violence. Scientific investigation of the problem of domestic violence is a relatively recent endeavor. It is only within the past 30 years that violence against women has been acknowledged nationally and internationally as a threat to health and rights of women as well as to national development. This section illuminates the different faces of violence, from the "invisible" suffering of society's most vulnerable individuals to the all-too-visible tragedy of societies. Incorporating screening related to elder abuse and neglect into the clinical encounters will increase identification of abuse. Healthcare providers should assess patients for elder abuse and respond to patients who are victims of elder abuse as they would to domestic violence in general.
- UltrasoundIt has been almost five decades since the first ultrasonic devices for imaging the conceptus were developed. There continues to be a general belief in the medical community that ultrasound is "safe" and poses no risk to mother or fetus. The concept of two-tier ultrasound examination system was established on the principle one is more detailed than the other. Level I study is directed toward assessment of the following areas: pregnancy dates, fetal growth, number of fetuses, placental location, amniotic fluid, and major anomalies including anencephalus and obvious masses in fetal trunk, chest, and abdomen. Level II examination is directed toward detailed imaging of fetal anatomic structures; specifically it includes more detailed views of the heart and central nervous system.