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<meta name="description" content="妊娠と出産に関するあらゆる疑問に絵解きで応える一冊．看護師や助産師を目指す学生さんが産科の教科書として使えるよう，「胎児・新生児」，「母体」，「分娩」の3部構成で産科領域の必要事項を網羅し，わかりやすいイラストと臨床で使えるデータをふんだんに盛り込んだ．また，詳細にルビを施すことで，一般の方にも産科や新生児のことが容易に理解できる構成とした．同時に，産科臨床現場で働く産婦人科医，初期研修医，助産師">

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		<h1 class="catchCopy">胎児・新生児，母体，分娩に関するさまざまな疑問に絵解きで応える！</h1>
		

		<h1 class="title titleWidth">目でみる妊娠と出産<span class="version"></span></h1>
		

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					編集：馬場一憲（埼玉医科大学総合医療センター教授）
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				<ul class="property"><li class="disc">AB判・264頁・4色刷</li><li class="disc">ISBN&nbsp;978-4-8306-3122-1</li><li class="disc">2013年9月20日発行</li></ul>

				
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		<div class="headers"><h3 class="current content">内容</h3><h3 class="preface">序文</h3><h3 class="indexes">主要目次</h3></div><section class="current content">妊娠と出産に関するあらゆる疑問に絵解きで応える一冊．看護師や助産師を目指す学生さんが産科の教科書として使えるよう，「胎児・新生児」，「母体」，「分娩」の3部構成で産科領域の必要事項を網羅し，わかりやすいイラストと臨床で使えるデータをふんだんに盛り込んだ．また，詳細にルビを施すことで，一般の方にも産科や新生児のことが容易に理解できる構成とした．同時に，産科臨床現場で働く産婦人科医，初期研修医，助産師，看護師にとっても役に立つ内容となっている．<br>☆表組45点，図版235点，カラー写真106点，モノクロ写真42点</section><section class="preface">序　文<br><br>　本書は，当初，東京大学産婦人科医局の大先輩である穂垣正暢帝京大学名誉教授と文光堂との間で企画されました．ある程度の方向性が決まった時点で穂垣先生からお声がかかり，文光堂から正式に編集の依頼を受けたのが2003年ですので， 出版まで実に10年もの時間が経過してしまったことになります． この間，まさに産みの苦しみの連続で大変な難産であった分，本書が上梓に至ったことへの喜びは一入です．<br>　これほどまでに時間がかかってしまった最大の理由は，本書の特徴である「目でみる」にこだわったためです．文字で書いてしまえば一言で済むようなことも，イラストのように目で見える形で分かりやすく，かつ，できるだけ正確に表現することの難しさがありました．全くゼロから書き始めたイラストが多く，また，参考にしようとした図の中には，長年教科書的に使われてきた著名な本に掲載されているにも関わらず近年の超音波診断装置で観察される像と一致しないものもあるなど，より正確なイラストにするために膨大な時間を費やしました．<br>　この間，最新知見を取り入れるために原稿の再提出をお願いせざるを得ないこともありましたが，快く応じていただいた著者の方には心よりお礼申し上げます．ただ，出版が遅れたために，2013年5月の胎児心拍数陣痛図に関する改訂も取り入れるなど，最新の情報を盛り込むことができました．上梓予定直前に，すべての画像，写真，イラストを再チェックし，古かったり不鮮明だったりする画像や写真を明瞭な最新のものに差し替え，少し分かりにくかったり不正確であったりするイラストを分かりやすくできるだけ正確なものに書き替えることにしました．幸いなことに，私が勤務する埼玉医科大学総合医療センター（埼玉県川越市）は人口720万を超える埼玉県で唯一の総合周産期母子医療センターとして，県内外から数多くの母体や胎児のハイリスク症例が紹介されてくるため，短期間で必要な画像や写真を集めることができました．これらの差し替えのために上梓が数カ月遅れてしましたが，その分，当面は，本書が陳腐なものになることはないと確信しています．<br>　本書は，看護師や助産師を目指す学生さんが産科の教科書的に使えるようにと，「胎児・新生児」，「母体」，「分娩」の3部構成で産科領域の必要な事項を網羅し，統一されたフォーマットの中で過不足なくまとめるよう企画されました．しかし，分かりやすいイラストと臨床で使えるデータをふんだんに盛り込んだことによって，一般の方にも産科や新生児のことを分かりやすく理解していただき，また，産科臨床現場で働く産婦人科医，初期研修医，助産師，看護師にとっても役に立つものになったのではないかと自負しております．<br>　本書が，より良い産科医療のため，また，一般の妊婦さんと医療関係者の共通認識，相互理解に役立ちますよう祈ります．<br><br>2013年9月吉日<br><br>馬場一憲<br>埼玉医科大学総合医療センター<br>総合周産期母子医療センター 教授</section><section class="indexes">第1部　胎児・新生児<br>第1章 正常<br>　1．受精・着床<br>　　受精<br>　　受精卵・胚の発達<br>　　着床と妊娠成立<br>　　Column：生殖補助医療（ART）<br>　2．胎児<br>　　胚葉分化<br>　　器官発生<br>　　胎児身体発育<br>　　中枢神経系の発達<br>　　循環器系の発達<br>　　呼吸器系の発達<br>　　消化器，泌尿生殖器系の発達<br>　　感覚器の発達<br>　　胎児の行動，生活パターン<br>　　胎盤と臍帯<br>　　羊水<br>　　超音波で見る正常胎児<br>　3．胎児から新生児へ<br>　　第1呼吸と循環系の変化<br>　　出生直後の児の評価とケア<br>　4．新生児<br>　　出生後の生理的変化と機能<br>　　新生児の観察<br>　　新生児のケア<br>　　生後の1ヵ月<br>　　Column：最新の研究から－中枢神経系の発達を捉える－<br>第2章 異常<br>　1．異常妊娠<br>　　多胎妊娠，異所性妊娠, 絨毛性疾患<br>　　初期流産<br>　2-1．胎児・胎児付属物の異常<br>　　妊娠初期超音波検査<br>　　妊娠中期・後期の超音波検査<br>　　胎児発育の評価法とその異常<br>　　胎盤・臍帯の異常<br>　　羊水量の評価法とその異常<br>　　胎児胎盤循環系の評価法とその異常<br>　　胎児健康状態の評価法とその異常<br>　　多胎妊娠<br>　　胎児治療<br>　　絨毛検査，羊水検査，臍帯穿刺，児頭採血，母体血による胎児診断<br>　2-2．胎児・胎児付属物の検査法<br>　　超音波検査<br>　　MRI<br>　　胎児心拍数陣痛図<br>　3．新生児<br>　　新生児仮死と蘇生法<br>　　分娩時の新生児の損傷<br>　　異常な症状<br>　　合併症妊婦から出生した児のケア<br>　　早産低出生体重児の特徴とケア<br>　　早産低出生体重児の合併症と予後<br>　　先天異常<br>　　新生児期の疾患<br>　　新生児搬送<br>第2部　母体<br>第1章 妊娠・産褥の正常経過<br>　1．妊娠中<br>　　妊娠経過に伴う母体の変化<br>　　妊婦健診<br>　　妊娠初期<br>　　妊娠中期・後期<br>　2．産褥<br>　　母体の変化<br>　　乳汁分泌と乳房ケア<br>　　家族計画<br>第2章 妊娠・産褥の異常<br>　1．妊娠中<br>　　妊娠初期の異常<br>　　切迫早産， pretermの前期破水<br>　　妊娠高血圧症候群<br>　　胎児・羊水の異常と母体<br>　　胎盤異常と母体<br>　2．産褥<br>　　産褥の異常<br>　　産後うつ病とエモーショナルサポート<br>　　Column：流産，死産，異常児分娩後のケア<br>第3章 偶発合併症<br>　　心・呼吸器疾患<br>　　腎・尿路疾患<br>　　消化器疾患<br>　　Column：腹部症状の鑑別診断<br>　　糖尿病・甲状腺機能異常<br>　　血液型不適合妊娠・血液疾患・自己免疫疾患<br>　　静脈血栓塞栓症（深部静脈血栓症，肺血栓塞栓症）<br>　　感染症<br>　　その他の偶発合併症<br>第3部　分娩<br>第1章　正常分娩<br>　1．分娩の準備状態<br>　　分娩準備状態の進行<br>　2．分娩の経過<br>　　分娩の3要素<br>　　分娩経過<br>　　分娩第1期，第2期<br>　　分娩第3期<br>　3．正常分娩のケア<br>　　入院から分娩前まで<br>　　内診とその記載<br>　　胎児心拍数モニタリング<br>　　分娩介助<br>第2章 分娩時の異常<br>　　破水の診断法，前期破水・早期破水と子宮内感染<br>　　X線による骨盤計測，産道の異常<br>　　回旋異常，肩甲難産<br>　　胎位異常と骨盤位分娩<br>　　多胎分娩<br>　　胎児心拍数異常<br>　　産科DIC<br>　　その他の児娩出前の異常<br>　　児娩出直後の異常①<br>　　児娩出直後の異常②<br>第3章 産科処置・手術<br>　　陣痛誘発・促進（頸管拡張，人工破膜）<br>　　産科麻酔<br>　　吸引分娩，鉗子分娩<br>　　帝王切開術<br>　　輸血・輸液<br>付録<br>　妊娠中・授乳中の薬物使用<br>　輸血・輸液製剤<br>　分娩施設の選択<br>　分娩様式の多様性<br>　産科におけるリスクマネージメント<br>　母体搬送，産褥搬送<br>　働く女性と妊娠<br>　各種届出と公的補助<br>　健やか親子21<br>　母子保健に関する統計<br>索引</section></article>
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