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Early: An Intimate History of Premature Birth and What It Teaches Us about Being Human [Mīkstie vāki]

4.52/5 (860 ratings by Goodreads)
  • Formāts: Paperback / softback, 368 pages, height x width x depth: 203x132x25 mm, weight: 249 g
  • Izdošanas datums: 15-Feb-2022
  • Izdevniecība: Collins
  • ISBN-10: 0062820311
  • ISBN-13: 9780062820310
  • Mīkstie vāki
  • Cena: 15,11 €*
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  • Formāts: Paperback / softback, 368 pages, height x width x depth: 203x132x25 mm, weight: 249 g
  • Izdošanas datums: 15-Feb-2022
  • Izdevniecība: Collins
  • ISBN-10: 0062820311
  • ISBN-13: 9780062820310

“Sarah DiGregorio delves deeply into the fraught world of premature birth. With bracing honesty, she recounts her own story and the stories of other women who draw on the power of love and meld it with cutting-edge science, as they struggle to save the lives of their newborns. This book opens our minds and hearts to a world that is rarely seen with such clarity.”—Jerome Groopman, MD, Recanati Professor at Harvard Medical School and author of The Anatomy of Hope

The Neonatal Intensive Care Unit (NICU) is a place made of stories—where humanity, ethics, and science collide in dramatic and deeply personal ways, as parents, physicians, and nurses grapple with sometimes unanswerable questions raised by premature birth. When does life begin? When and how should life end? And what does it mean to be human? For the first time, journalist Sarah DiGregorio explores the fascinating evolution of neonatology and its significant breakthroughs—modern medicine can now save infants at five and a half months gestation who weigh less than a pound, when only fifty years ago there were few effective treatments for premature babies. 

Weaving her own story and those of other parents and NICU clinicians with in-depth reporting, DiGregorio examines the history and future of one of the most boundary-pushing medical disciplines: how the first American NICU was set up as a sideshow on the Coney Island boardwalk; how modern advancements have allowed viability to be pushed to a mere twenty-two weeks; the political, cultural, and ethical issues that continue to arise in the face of dramatic scientific developments; and the clinicians at the front lines who are moving to new frontiers. Eye-opening and vital, Early uses premature birth as a window into our own humanity.

Author's Note ix
Prologue: One Birth 1(30)
Part I The Unexpected: Millions of Births
1 What Happened?
31(8)
2 Treatments and Outcomes
39(6)
3 Viability and the Zone of Parental Discretion
45(6)
Part II The Body: Incubation
4 The History of Incubation: Coney Island, Chicken Eggs, and Changelings
51(23)
5 The Modern Incubator, or How to Build a Giraffe
74(9)
6 The Incubators of the Future: Babies in Bags
83(16)
Part III The Breath: Treating Respiratory Distress
7 Dr. Mildred Stahlman and the Miniature Iron Lung
99(13)
8 Dr. Maria Delivoria-Papadopoulos and the Rugged Machine
112(9)
9 JFK's Lost Baby and the Advent of Surfactant
121(12)
Part IV The Self: Protecting the Premature Brain
10 The Revolutionary Practice of Listening to Preemies
133(20)
11 Follow-up Care: Preemie Development Beyond the NICU
153(24)
Part V The Threshold: End-of-Life Issues at Birth
12 What Should We Do for 22-Week Babies?
177(26)
13 Knowing When to Stop
203(24)
14 Choice, Decisions, and the Messiness of Real Life
227(16)
Part VI The Crisis: The Body Under Stress
15 Racism Causes Preterm Birth
243(17)
16 What Prematurity Means in Mississippi
260(11)
17 Group Prenatal Care and the Power of Community
271(18)
Part VII The Invisibles: Breaking the Silence
18 The Hidden Trauma of Prematurity
289(8)
19 Grown Preemies Speak for Themselves
297(9)
Epilogue 306(3)
Acknowledgments 309(4)
Notes 313(24)
Index 337