Protocols for High-Risk Pregnancies

Description

this protocol book helps one remember very quickly a good management strategy for more common as well as rare complications of pregnancies; especially in the community & non medical center setting. Protocols for High-Risk Pregnancies......Page 5 Contents......Page 7 Contributors......Page 13 Preface......Page 19 Part 1 Hazards to Pregnancy......Page 21 1 Developmental Toxicology and Teratology......Page 23 2 Tobacco, Alcohol and the Environment......Page 30 3 Ionizing Radiation......Page 41 4 Exercise during Pregnancy: Risks and Benefits......Page 53 Part 2 Antenatal Testing......Page 61 5 Routine and Prenatal Screening......Page 63 6 Sonographic Screening for Fetal Anomalies......Page 73 7 Sonographic Detection of Aneuploidy......Page 80 8 Fetal Echocardiography......Page 94 9 Clinical Use of Doppler......Page 100 10 Antepartum Testing......Page 112 11 Indices of Maturity......Page 119 Part 3 Special Procedures......Page 127 12 Invasive Fetal Testing: Chorionic Villus Sampling and Amniocentesis......Page 129 13 Third Trimester Amniocentesis......Page 137 14 Fetal Blood Sampling and Transfusion......Page 142 15 Fetal Reduction......Page 149 16 External Cephalic Version: Singleton Fetus......Page 154 17 Induction of Labor......Page 160 Part 4 Maternal Disease......Page 169 18 Maternal Anemia......Page 171 19 Sickle Cell Disease and other Hemoglobinopathies......Page 178 20 Isoimmune Thrombocytopenia......Page 185 21 Autoimmune Disease......Page 191 22 Acquired and Inherited Thrombophilias......Page 205 23 Cardiac Disease......Page 215 24 Peripartum Cardiomyopathy......Page 226 25 Thromboembolism......Page 230 26 Renal Disease......Page 236 27 Obesity......Page 243 28 Diabetes Mellitus......Page 248 29 Hyperthyroidism and Hypothyroidism in Pregnancy......Page 257 30 Acute and Chronic Hepatitis......Page 263 31 Asthma......Page 270 32 Epilepsy......Page 278 33 Chronic Hypertension......Page 284 34 Immunizations......Page 293 35 Cytomegalovirus, Genital Herpes, Rubella, Syphilis and Toxoplasmosis......Page 306 36 Influenza, West Nile Virus, Varicella-Zoster and Tuberculosis......Page 316 37 Malaria in Pregnancy......Page 327 38 Human Immunodeficiency Virus Infection in Pregnancy......Page 333 39 Parvovirus B19 Infection......Page 348 40 Group B Streptococcus......Page 354 41 Urinary Tract Infections......Page 360 42 Acute Abdominal Pain Due to Non-obstetric Causes......Page 364 43 Gallbladder, Fatty Liver and Pancreatic Disease......Page 373 44 Mastitis......Page 381 Part 5 Obstetric Problems......Page 387 45 First Trimester Vaginal Bleeding......Page 389 46 Cervical Insufficiency......Page 393 47 Nausea and Vomiting......Page 403 48 Missed Abortion and Antepartum Fetal Death......Page 411 49 Abnormal Amniotic Fluid Volume......Page 419 50 Preeclampsia......Page 434 51 Fetal Growth Restriction......Page 444 52 Rh and Other Blood Group Alloimmunizations......Page 452 53 Preterm Labor......Page 462 54 Premature Rupture of the Membranes......Page 468 55 Prevention of Cerebral Palsy......Page 481 56 Cooling for Hypoxic Ischemic Encephalopathy......Page 486 57 Amnionitis......Page 492 58 Third Trimester Bleeding......Page 498 59 Amniotic Fluid Embolus......Page 505 Part 6 Labor and Delivery......Page 509 60 Maternal Transport......Page 511 61 Intrapartum Fetal Heart Rate Monitoring......Page 520 62 Abnormal Labor......Page 525 63 Breech Delivery......Page 529 64 Vaginal Birth After Cesarean......Page 533 65 Placenta Accreta......Page 540 66 Shoulder Dystocia......Page 549 67 Twins, Triplets and Beyond......Page 555 68 Postpartum Hemorrhage......Page 565 69 Vaginal and Vulvar Hematoma......Page 578 Part 7 Clinical Reference Tables......Page 581 Appendix A. Commonly Used Ultrasound Measurements......Page 583 Appendix B. Laboratory Values in Normal Pregnancy......Page 607 Appendix C. Evaluation of Fetal Defects and Maternal Disease......Page 616 Appendix D. The Newborn: Reference charts and tables......Page 627 Appendix E. Medications......Page 639 A......Page 661 C......Page 663 D......Page 665 E......Page 666 F......Page 667 G......Page 668 H......Page 669 I......Page 670 L......Page 671 M......Page 672 N......Page 673 P......Page 674 R......Page 676 S......Page 677 T......Page 678 V......Page 680 Z......Page 681