{"product_id":"silent-risk-issues-about-the-human-umbilical-cord-clinical","title":"Silent Risk: Issues about the Human Umbilical Cord - Clinical","description":"\u003cp\u003eIn this review of Silent Risk: Issues about the Human Umbilical Cord, the reviewer finds a focused, clinically minded account intended for obstetricians, maternal-fetal medicine specialists, and concerned researchers. The book's central value is its concentrated discussion of unexplained umbilical cord accidents (UCA) and a proposed framework for recognition and prevention, making it a useful reference for clinicians who want evidence-linked ideas rather than general childbirth advice. Readers seeking patient-facing birthing guides or general parenting tips should look elsewhere.\u003c\/p\u003e\n\u003ch2\u003eKey Features\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003e\n\u003cstrong\u003eClinical focus:\u003c\/strong\u003e The text concentrates on umbilical cord accidents as a distinct clinical problem, helping practitioners recognize the issue in practice.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eMortality context:\u003c\/strong\u003e Presents a striking estimate of roughly 8,000 UCA-related deaths per year in the United States, which frames the urgency of improved recognition.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003eCircadian analysis:\u003c\/strong\u003e Reviews recent research into circadian rhythms to explain why many UCA stillbirths occur between 2:00 a.m. and 4:00 a.m., giving a temporal perspective clinicians can use.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePhysiologic mechanism:\u003c\/strong\u003e Explores melatonin's potential role via M2 receptor stimulation and how nocturnal uterine activity may overwhelm a compromised fetus.\u003c\/li\u003e\n\u003cli\u003e\n\u003cstrong\u003ePrevention goal:\u003c\/strong\u003e Argues for an achievable initial target of a 50% reduction in loss through heightened recognition by the obstetrical community, offering a concrete public health aim.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eWho It's For\u003c\/h2\u003e\n\u003cp\u003eThis book is best suited to obstetricians, perinatologists, midwives with a research interest, and clinicians involved in stillbirth investigation who need a compact, hypothesis-driven discussion of UCA and related physiology. Medical librarians and academic clinicians looking for a focused resource on circadian factors in fetal compromise will also find it useful.\u003c\/p\u003e\n\u003cp\u003eIt is less appropriate for expectant parents seeking practical labor-and-delivery tips, lay readers wanting broad childbirth narratives, or clinicians seeking large randomized trial data, as the emphasis is on physiologic explanation and clinical recognition rather than extensive epidemiologic trial evidence.\u003c\/p\u003e\n\u003ch2\u003ePros \u0026amp; Cons\u003c\/h2\u003e\n\u003cp\u003e\u003cstrong\u003ePros\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eProvides a clear, clinically oriented discussion of umbilical cord accident mechanisms that can inform practice.\u003c\/li\u003e\n\u003cli\u003eHighlights a specific and actionable public health target: a proposed 50% reduction in UCA loss through recognition.\u003c\/li\u003e\n\u003cli\u003eIntegrates circadian rhythm research and melatonin physiology to explain nocturnal timing of many UCA events.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003cp\u003e\u003cstrong\u003eCons\u003c\/strong\u003e\u003c\/p\u003e\n\u003cul\u003e\n\u003cli\u003eThe book is narrowly focused and not intended as a comprehensive obstetrics textbook or patient guide, which limits its audience.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eSpecifications\u003c\/h2\u003e\n\u003ctable\u003e\n\u003ctr\u003e\n\u003ctd\u003eTitle\u003c\/td\u003e\n\u003ctd\u003eSilent Risk: Issues about the Human Umbilical Cord\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eAuthor\u003c\/td\u003e\n\u003ctd\u003eJason H. Collins MD MSCR\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePrimary topic\u003c\/td\u003e\n\u003ctd\u003eUmbilical cord accident (UCA) and related physiology\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eKey statistic\u003c\/td\u003e\n\u003ctd\u003eEstimated 8,000 UCA-related deaths per year in the US\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003ePhysiologic focus\u003c\/td\u003e\n\u003ctd\u003eCircadian rhythms and melatonin influence on uterine activity\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003ctr\u003e\n\u003ctd\u003eClinical aim\u003c\/td\u003e\n\u003ctd\u003eRecognition by obstetrical community and 50% reduction goal\u003c\/td\u003e\n\u003c\/tr\u003e\n\u003c\/table\u003e\n\u003ch2\u003eOur Verdict\u003c\/h2\u003e\n\u003cp\u003eSilent Risk is a valuable, concise clinical review for health professionals concerned with stillbirths and fetal compromise; its focused discussion of UCA mechanisms and nocturnal physiology makes it good value for clinicians seeking a targeted, actionable perspective rather than a general textbook.\u003c\/p\u003e\n\u003ch2\u003eFrequently Asked Questions\u003c\/h2\u003e\n\u003cp\u003e\u003cstrong\u003eDoes the book explain why UCA deaths cluster at night?\u003c\/strong\u003e\u003cbr\u003eYes. It examines circadian rhythm research and describes how melatonin secretion overnight may stimulate uterine contractions, potentially explaining a 2:00 a.m. to 4:00 a.m. clustering.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eIs this written for patients or clinicians?\u003c\/strong\u003e\u003cbr\u003eThe book is written for clinicians and researchers; it is a technical, clinically oriented review rather than a patient-facing guide.\u003c\/p\u003e\n\u003cp\u003e\u003cstrong\u003eDoes the author propose concrete prevention goals?\u003c\/strong\u003e\u003cbr\u003eYes. The author suggests an initial goal of a 50% reduction in UCA-related losses through improved recognition by the obstetrical community.\u003c\/p\u003e","brand":"Jason H. Collins MD MSCR","offers":[{"title":"Default Title","offer_id":48679247904987,"sku":"1493114646","price":38.11,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0724\/1043\/1707\/files\/61JyNtuaceL._SL1360.jpg?v=1778623867","url":"https:\/\/gearmusthave.com\/products\/silent-risk-issues-about-the-human-umbilical-cord-clinical","provider":"GearMustHave","version":"1.0","type":"link"}