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The use of nitrous oxide should be limited to cases where topical and local anesthetics are inadequate. In such situations, consultation with the prenatal care provider would be prudent. Adequate precautions must be taken to prevent hypoxia, hypotension and aspiration (13). Alterations in anatomy and physiology induced by pregnancy have anesthetic implications and present potential hazards for the mother and the fetus. Therefore, most anesthesiologists prefer to use local and regional anesthetics for pregnant women | Family and community practices that promote child survival growth and development A REVIEW OF THE EVIDENCE WORLD HEALTH ORGANIZATION GENEVA Family and community practices that promote child survival growth and development A REVIEW OF THE EVIDENCE Zelee Hill Betty Kirkwood and Karen Edmond Public Health Intervention Research Unit Department of Epidemiology and Population Health London School of Hygiene and Tropical Medicine WORLD HEALTH ORGANIZATION GENEVA WHO Library Cataloguing-in-Publication Data Hill Zelee. Family and community practices that promote child survival growth and development a review of the evidence Zelee HIll Betty Kirkwood and Karen Edmond. 1.Child welfare 2.Child health services 3.Home care services 4.Community networks 5.Family 6.Survival analysis 7.Evidence-based medicine 8.Review literature I.Kirkwood Betty. II.Edmond Karen. III.Title. ISBN 92 4 159150 1 NLM classification WA 320 World Health Organization 2004 All rights reserved. Publications of the World Health Organization can be obtained from Marketing and Dissemination World Health Organization 20 Avenue Appia 1211 Geneva 27 Switzerland tel 41 22 791 2476 fax 41 22 791 4857 email bookorders@who.int . Requests for permission to reproduce or translate WHO publications - whether for sale or for noncommercial distribution - should be addressed to Publications at the above address fax 41 22 791 4806 email permissions@who.int . The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country territory city or area or of its authorities or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers products does not imply that they are endorsed or recommended by the World .