With the objective of limiting the individual family size to just one or two children, most women spend the larger part of their reproductive years attempting to avoid an unwanted or unplanned pregnancy. Effective fertility control is important in a woman’s life to give her the choices of planning her family and to empower her to accomplish her goals in life besides, those of mere childbearing and childrearing. As with many other preventative medical interventions, the efficacy of contraceptive measures cannot be directly assessed; only failures can be quantified. The Pearl index is a statistical tool in this context, for measuring the effectiveness of the fertility control method and estimation of the number of unintended pregnancies per 100 woman-years of exposure. It is also used to compare the birth control methods with a lower Pearl index denoting a lower chance of getting unintentionally pregnant. Fertility Control has come up with comparative study of different controlling techniques, along with the clinical experiences of its eminent authors.
The high-risk pregnant patient can present to the labor and delivery setup with significant complications that can result in morbidity and mortality. The goal of the obstetricians is always to have a safe outcome for both the mother and the baby, irrespective of the severity of the illness. Therefore, a thorough understanding of the underlying problems and expert management by the obstetrician are extremely important. Further, these parturient can be critically ill, requiring intensive care management. So, good communication among the various teams and the latest information on the management of such patients are critical in order to provide the highest possible level of care. The information in this text will hopefully give the reader the best and most up-to-date knowledge with regard to management of problems and challenges in dealing with a high-risk parturient. This book brings together an outstanding group of authors from the discipline of Obstetrics and Gynaecology in an attempt to present a comprehensive and current summary of high-risk labor and delivery and will be useful to both the practitioner in academic medicine and in private practice.
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