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1

Rodger, Ewy, ed. Teen pregnancy: The challenges we faced, the choices we made. New American Library, 1985.

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2

Assisted reproduction techniques: Challenges and management options. Wiley-Blackwell, 2012.

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3

Lindsay, Jeanne Warren. Teen pregnancy challenge. Morning Glory Press, 1989.

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4

1949-, Rodine Sharon, and National Organization on Adolescent Pregnancy and Parenting (U.S.), eds. Teen pregnancy challenge. Morning Glory Press, 1989.

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5

Organization for Social Science Research in Eastern and Southern Africa, ed. Adolescent pregnancy challenges in the era of HIV and AIDS: A case study of a selected rural area in Zimbabwe. Organisation for Social Science Research in Eastern and Southern Africa, 2010.

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6

M, Klein Susan, and Guskin Samuel Louis 1932-, eds. Fighting for Darla: Challenges for family care and professional responsibility : the case study of a pregnant adolescent with autism. Teachers College Press, 1994.

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7

Lindsay, Jeanne Warren. Teen pregnancy challenge: Book two : programs for kids. Morning Glory Press, 1989.

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8

Lindsay, Jeanne Warren. Teen pregnancy challenge: Book two : programs for kids. Morning Glory Press, 1989.

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9

A, Riccio James, Project Redirection, and Manpower Demonstration Research Corporation, eds. The challenge of serving pregnant and parenting teens: Lessons from Project Redirection. Manpower Demonstration Research Corp., 1985.

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10

Brindis, Claire D. Communities responding to the challenge of adolescent pregnancy prevention. Edited by Davis Laura 1956- and Advocates for Youth (U.S.). Advocates for Youth, 1998.

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11

Massachusetts. Teenage Pregnancy Prevention Challenge Fund. Overview of teen pregnancy prevention services through the Office for Children Challenge Fund. Office for Children, 1991.

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12

Campion, Mukti Jain. The baby challenge: A handbook on pregnancy for women with a physical disability. Routledge, 1990.

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13

Chelala, César A. Maternal health: The perennial challenge. Pan American Health Organization, 1991.

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14

Dialogue on Adolescent Reproductive Health in Bangladesh: a Challenge (2000 Dhaka, Bangladesh). A report on Dialogue on Adolescent Reproductive Health in Bangladesh: a Challenge, held on May 09, 2000. South-South Centre, Bangladesh, 2000.

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15

Polit, Denise F. The challenge of serving teenage mothers: Lessons from Project Redirection. Manpower Demonstration Research Corp., 1988.

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16

Reuwer, Paul. Proactive support of labor: The challenge of normal childbirth. Cambridge University Press, 2009.

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17

Expectant mothers and substance abuse: Intervention and treatment challenges for state government : hearing before the Subcommittee on National Security, International Affairs, and Criminal Justice of the Committee on Government Reform and Oversight, House of Representatives, One Hundred Fifth Congress, second session, July 23, 1998. U.S. G.P.O., 1999.

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18

Elito Jr., Julio, ed. Multiple Pregnancy - New Challenges. IntechOpen, 2019. http://dx.doi.org/10.5772/intechopen.73973.

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19

The new pregnancy and childbirth : choices and challenges - 4. ed. Adorling Kindersley Book, 2003.

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20

Toledano, Roulhac D. Physiological changes associated with pregnancy. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0002.

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Pregnant patients pose several challenges to anaesthetists and other healthcare providers. Significant systemic and organ-specific changes accompany each stage of pregnancy, culminating during labour and delivery and in the early postpartum period. While healthy parturients tolerate these physiological adaptations to pregnancy well, patients with coexisting disease or pregnancy-related medical conditions may experience acute decompensation, with potential long-term sequelae. Alternatively, symptoms of a disease state may be obscured by pregnancy or mistaken for physiological changes of pregnan
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21

Woloch, Nancy. Last Lap: Work and Pregnancy. Princeton University Press, 2017. http://dx.doi.org/10.23943/princeton/9780691002590.003.0009.

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This chapter explores the legal challenges that workplace pregnancy posed in the 1970s and 1980s. Debates about workplace pregnancy revived clashes about difference and equality that had vexed the women's movement for decades. Paradoxically, pregnancy, a badge of difference, served as a springboard to advances in equal rights. As that happened, the new direction in pregnancy policy underscored the doom of single-sex protective laws. The most enduring steps in shaping pregnancy policy were the Pregnancy Discrimination Act of 1978 (PDA), which barred discrimination against pregnant workers; the
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22

R, Bale Judith, Stoll Barbara J, Lucas Adetokunbo O, and Institute of Medicine (U.S.). Committee on Improving Birth Outcomes., eds. Improving birth outcomes: Meeting the challenges in the developing world. National Academies Press, 2003.

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23

Renfrow, Jaclyn J., Aqib H. Zehri, Kyle M. Fargen, Jasmeet Singh, John A. Wilson, and Stacey Q. Wolfe. Management of Intracranial Vascular Lesions During Pregnancy. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0016.

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Management of cerebral vascular lesions in pregnancy requires special consideration to an altered natural history in the pregnant patient, such as a higher rupture rate of arteriovenous malformations. Additionally, treatment challenges exist including radiation exposure, medication selection, optimal treatment timing, and modalities. If identified prior to a pregnancy most vascular lesions warrant a definitive treatment discussion to circumvent the risks associated with an intracranial hemorrhage during pregnancy. The treatment team consists of a multidisciplinary approach involving neurosurge
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24

Benchmarks and challenges: Third report of the Governor's Task Force on Adolescent Pregnancy. New York State Council on Children and Families, 1987.

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25

Docalavich, Heather, and Phyllis Livingston. Youth Coping with Teen Pregnancy: Growing Up Fast (Helping Youth With Mental, Physical, & Social Challenges). Mason Crest Publishers, 2007.

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26

Coomarasamy, Arri, and Khaldoun Sharif. Assisted Reproduction Techniques: Challenges and Management Options. Wiley & Sons, Limited, John, 2012.

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27

Coomarasamy, Arri, and Khaldoun Sharif. Assisted Reproduction Techniques: Challenges and Management Options. Wiley & Sons, Incorporated, John, 2012.

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28

Coomarasamy, Arri, and Khaldoun Sharif. Assisted Reproduction Techniques: Challenges and Management Options. Wiley & Sons, Incorporated, John, 2012.

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29

Coomarasamy, Arri, and Khaldoun Sharif. Assisted Reproduction Techniques: Challenges and Management Options. Wiley & Sons, Incorporated, John, 2012.

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30

Maternal and Infant Nutrition and Nurture: Controversies and Challenges. Quay Books, 2006.

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31

Careers And Motherhood Challenges And Choices How To Successfully Manage Your Career Through Pregnancy Birth And Motherhood. McGraw-Hill Education - Europe, 2004.

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32

R, Bale Judith, Stoll Barbara J, Lucas Adetokunbo O, and Institute of Medicine (U.S.). Committee on Improving Birth Outcomes., eds. Reducing birth defects: Meeting the challenges in the developing world. National Academies Press, 2003.

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33

Gluckman, Sir Peter, Mark Hanson, Chong Yap Seng, and Anne Bardsley. Cultural and traditional food practices in pregnancy and breastfeeding. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780198722700.003.0031.

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Cultural beliefs and practices can markedly influence a woman’s pregnancy and childbirth experiences, and may shape her mothering behaviour. In addition, dietary intake before and during pregnancy and through lactation is often influenced by cultural beliefs and practices. As some traditional health care beliefs and food practices favoured in different cultures appear to result from efforts to address specific environmental challenges, it is important to recognize and respect these beliefs while guiding women towards optimum nutrition and away from harmful practices or prohibitions. This chapt
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34

Hsu, Nathaniel N., and Richard C. Month. Obstetric Life Support. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0041.

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Although rare, cardiac arrest during pregnancy poses unique challenges to the code response team, including both physiologic changes as well as the concern for two patients: the mother and fetus. Enhanced healthcare provider knowledge of important changes for resuscitation of the pregnant patient may be needed. Thus, this chapter serves to educate providers on most common etiologies for cardiac arrest in pregnancy as well as the key modifications to current advanced cardiac life support (ACLS) protocol according to the recent 2010 AHA guidelines on resuscitation of the pregnant patient in card
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35

Onoye, Jane M., Deborah Goebert, and Leslie Morland. Cross-Cultural Differences in Adjustment to Pregnancy and the Postpartum Period. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.31.

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Cultural context is important to understanding cross-cultural difference in adjustment to pregnancy and the postpartum period. Culture is complex, with interrelated variables posing challenges for research. Highlighted with examples of research with women from Western, Eastern, Native, and Other cultures, the chapter discusses variables such as acculturation and acculturative stress, social support, religious and spiritual beliefs and practices, and help-seeking and utilization of services in perinatal mental health and adjustment. Although rates of psychiatric symptoms and disorders vary acro
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36

Brandon, Anna R., Geetha Shivakumar, Elizabeth H. Anderson, and Anne Drapkin Lyerly. Specific Populations. Edited by John Z. Sadler, K. W. M. Fulford, and Cornelius Werendly van Staden. Oxford University Press, 2015. http://dx.doi.org/10.1093/oxfordhb/9780198732365.013.16.

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It is estimated that more than 500,000 women annually experience a mental illness during pregnancy. Although approximately a third of these women will be prescribed medication, the majority receives no treatment, partly because ethical challenges to including pregnant women in research protocols have impeded studies necessary to establish maternal and fetal effects of medication, appropriate dosing, and the relative risks of undertreated mental illness. Because mental illness is a frequent complication of pregnancy (particularly anxiety and depression), clinicians will be called upon to ethica
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37

Ladani, Sapna, Beverley J. Hunt, and Sue Pavord. Obstetric haematology. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0048.

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This chapter aims to cover aspects of haematology of pregnancy, delivery, and postpartum that are not addressed in other chapters. Obstetric haematology is a vast and complex area, the importance of which has promoted the development of this as a unique subspecialty. Thrombosis and bleeding, anaemia, haemoglobinopathies, and microangiopathies still account for significant morbidity and mortality in pregnancy, despite improvements in recognition, prevention, and management. Anaemia, due to iron deficiency, is highly prevalent in the pregnant population, but with early recognition and treatment,
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38

Gatson, Na Tosha N. Routine Long-Term Epilepsy Follow-up. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0009.

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The chapter on teratogenic medication examines key clinical considerations for evaluating and treating reproductive-aged women on therapies with high reproductive risk factors. Physicians should frequently reexamine the appropriateness of using potentially harmful therapies in their patient population. The U.S. Food and Drug Administration (FDA) recently revised the “Pregnancy and Lactation Labeling Rule” to assist providers in evaluating drug risks to pregnant or nursing mothers. Reproductive-aged women on anti-epileptic drugs (AEDs) might experience challenges related to medication noncompli
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39

Fountaine, Elizabeth, Patricia Rogers, and Lynn Liu. Postpartum Care for Women with Epilepsy. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0022.

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A majority of women with epilepsy (WWE) will have a normal pregnancy and labor course. The postpartum period is a high risk time for WWE, which is less commonly addressed and arguable more important to discuss and plan for. The best way to have an uneventful labor and postpartum course is to make a care map before a WWE becomes pregnant. Providers should plan comprehensive epilepsy treatment not only during a pregnancy but also for the postpartum period including anticipated changes in AED dosing, breastfeeding discussions, and anticipation of the importance of social support. This includes pr
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40

Teen pregnancy challenge: Book one : strategies for change. Morning Glory Press, 1989.

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41

Teen Pregnancy Challenge, Book One: Strategies for Change. Morning Glory Pr, 1989.

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42

Lal, Mira, and Roch Cantwell. Preconceptual to postpartum mental health: mental illness and psychosomatic disease. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198749547.003.0004.

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Chapter 4 examines the advancing field of mental health and psychosomatic disease from preconception to the postpartum period. The reader is reminded of the normal adaptation of different organ systems to pregnancy. This adaptation affects both physical and emotional functioning, and is further modified by the pregnant woman's social circumstances. The transition to the pathological or diseased condition may follow an exaggeration of the physiological alterations or could occur due to health conditions specific to pregnancy. This may result in manifestations due to mind-body interactions that
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43

Maine. Governor's Task Force on the Prevention of Adolescent Pregnancy and Parenting., ed. Adolescent pregnancy: The challenge : a framework for prevention and parenting. Maine Dept. of Human Services, 1986.

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44

Adolescent Pregnancy: The Challenge : A Framework for Prevention and Parenting. Diane Pub Co, 1993.

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45

Dob, Daryl P., Elspeth E. Pickering, and Michael A. Gatzoulis. Moderate to complex congenital heart disease. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0040.

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Children born with congenital heart disease no longer face the prospect of early death and a poor quality of life. In fact, most neonates with moderate to complex congenital heart disease have a survival rate to adulthood of over 80%. The ratio of adults to children with congenital heart disease is increasing, due to better surgical repairs, and longer survival with a better quality of life. In the Western world, there are more adults than children alive with congenital heart disease. This remarkable medical effort has allowed young women with congenital heart disease to mature to an age where
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46

Rantanen, Kirsi, and Karoliina Aarnio. Stroke in women. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198722366.003.0012.

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Young women who suffer from stroke face multiple challenges regarding child rearing, future pregnancies, and ability to return to work or education. Women in general have a higher lifetime risk of stroke than men (1 in 5 vs 1 in 6), which is partly explained by longer life expectancy in the female population. The incidence of ischaemic stroke in non-pregnant women aged 15–44 years has been around 5 per 100,000 women-years. Women have lower stroke mortality than men except in the older age groups. Women have unique stroke risk factors such as oral contraception, pregnancy, puerperium, and menop
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47

Onigu-Otite, Edore C. Fetal Exposure to Tobacco and Cannabis. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0180.

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Tobacco and cannabis are the most commonly used legal and illegal substances among pregnant women in the United States, respectively. About 12% to 25% of women smoke tobacco during pregnancy. Smoking tobacco during pregnancy and maternal exposure to environmental tobacco smoke during pregnancy is associated with a variety of adverse fetal outcomes. About 11% of women of childbearing age reported using cannabis in the preceding month. Fetal exposure to tobacco or cannabis is associated with dysregulation in development and may indicate a higher risk for neurodevelopmental and other psychiatric
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48

Kendrisic, Mirjana, and Borislava Pujic. Endocrine and autoimmune disorders. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0047.

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Advanced maternal age and increasing numbers of women of childbearing age with endocrine and autoimmune disorders have become the challenge for both anaesthetists and obstetricians. Genetic studies have provided new insight into underlying causes of endocrine disorders and prenatal prediction of inheritance. The expression of endocrine disease may influence the interpretation of diagnostic laboratory testing during pregnancy. Better understanding of the pathophysiological mechanisms enables new therapeutic approaches which can compromise pregnancy outcome. Although only a small number of drugs
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49

Oakley, Ann. From Here to Maternity. Policy Press, 2018. http://dx.doi.org/10.1332/policypress/9781447349341.001.0001.

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The author of this book is a pioneer in the field of sociological research. In this classic re-issue, the author interviewed 60 women to find out what it is really like to have a baby. Covering pregnancy, birth and child care, the book relies on the stories mothers tell to discuss whether and why women want to become pregnant, how they imagine motherhood to be, the experience of birth, post-natal depression, feeding and caring routines, and the challenges for the domestic division of labour and to fathers. It shows that most women are unprepared for the birth or the work of caring for a baby,
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50

Cantwell, Roch. Peripartum psychiatric disorders. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0049.

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Women are at greatest risk of suffering from mental illness during their reproductive years, and at very particular risk in relation to childbirth. Psychological adjustment, social challenges, and neurohormonal changes in pregnancy and parturition may all contribute to this risk. The consequences of maternal mental illness may be severe. Suicide is among the leading causes of maternal death in the United Kingdom and psychiatric factors are implicated in a further significant number of deaths in pregnancy and the first postnatal year. Increasing evidence points to the detrimental effect of untr
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