Family Medicine Obstetrics

by Ratcliffe, Stephen D.

• ISBN13: 9780323043069
• ISBN10: 0323043062
• Edition: 3rd
• Format: Paperback
• Copyright: 2008-01-15
• Publisher: Elsevier Science Health Science div

Summary

Whether you offer comprehensive pregnancy care in your primary care facility, or provide prenatal and postpartum care, this book delivers the guidance you need to optimize health for both mothers and their babies. It covers all aspects of birth care, from preconception counseling and prenatal care, through labor and delivery (both low-risk and complicated), to postpartum care and the first month of life. The completely revised third edition includes the most up-to- date, evidence-based standards of care. It offers information that is patient centered, prevention oriented, educational, and sensitive to the care of the whole woman and her family. Features a reader-friendly outline/narrative format for ease of use in daily clinical practice. Describes how to care for patients with a wide range of medical conditions during pregnancy as well as pregnancy-related conditions. Takes a whole-family approach to maternity care, with discussions of maternal and paternal adjustment, marital adjustment, sibling adjustment, single-parent families, and return-to-work issues. Provides patient and family education materials on a full range of topics, from nutrition in pregnancy to breastfeeding. Features a section on alternative medicine in maternity care. Provides detailed instruction for a wide array of procedures, including cesarean delivery, perineal repair of simple and complex lacerations, circumcision, assisted deliveries, and amnioinfusion. A continued strong emphasis on evidence-based medicine includes an ongoing summary of Level A recommendations throughout the text. A new chapter summarizes practical applications of how to incorporate continuous quality improvement and enhanced medical safety into the maternity care setting. A new section details which immunizations can be used safely during pregnancy. A section on "Centering Pregnancy" discusses this new model of care and how it incorporates longitudinal group.

Table of Contents

Improving Safety and Quality in Maternity Care

Preconception Care: Improving Birth Outcomes through Care before Pregnancy

Content of Prenatal Care

History of Prenatal Care

Diagnosis and Dating of Pregnancy

Prenatal Visits

Initial Assessment

Monitoring the Progress of Pregnancy

Screening in Pregnancy and Predictive Value

Medications in Pregnancy

Immunizations in Pregnancy

Complementary and Alternative Medicine in Maternity Care

Diagnostic Ultrasound in Pregnancy

Patient and Family Education

Nutrition in Pregnancy and Lactation

Childbirth Education 65

Preparation for Parenting and Family Issues

Breastfeeding Promotion

Physiologic Changes and Common Discomforts of Pregnancy

Exercise and Pregnancy

Pregnancy Interventions

Psychosocial Interventions

Adolescent Pregnancy Interventions

Substance Abuse in Pregnancy

Smoking in Pregnancy

Group Prenatal Care: Centering Pregnancy“

Diagnosis and Management of First-Trimester Complications

Diagnosis

Management of Ectopic Pregnancy

Management of Miscarriage

Complications of Pregnancy

Gestational Diabetes Mellitus

Multiple Gestation

Vaginal Bleeding in the Second and Third Trimester

Vaginal Birth after Cesarean E. Small-for-Dates Pregnancy

Large-for-Dates Pregnancy including Macrosomia

Disorders of Amniotic Fluid including Oligohydramnios and Polyhydramnios

Possible Indicators of Fetal Abnormalities

Chronic Medical Conditions in Pregnancy

Pulmonary Problems in Pregnancy

Cardiovascular Conditions

Chronic Hypertension

Thromboembolic Disease and Chronic Anticoagulation

Hematologic Conditions in Pregnancy

Gastrointestinal Conditions

Neurologic Conditions

Renal Disease

Endocrine Conditions

Autoimmune Conditions

Commonly Encountered Medical Problems in Pregnancy

Infections in Pregnancy

Abdominal Pain and Gastrointestinal Illness

Trauma in Pregnancy

Dermatoses of Pregnancy

Acute Neurologic Conditions

Cervical Dysplasia in Pregnancy

Treatment of Psychiatric Disorders in Pregnancy

Affective Disorders

Anxiety Disorders

Schizophrenia

Antenatal Fetal Surveillance and Management of the Postterm Pregnancy

Overview of Antenatal Testing

Types of Antenatal Testing

Management of the Postterm Pregnancy

Preterm Labor

Risk Factors for Preterm Labor

Antenatal Interventions for Prevention of Preterm Delivery

Diagnosis of Preterm Labor

Pharmacologic Management of Preterm Labor

Incompetent Cervix

Management of Preterm Delivery

Programs Aimed at Identifying Patients at Risk for Preterm Labor and Subsequent Patient Care

Preterm Premature Rupture of the Membranes

Conclusion

Birth Crisis: Caring for the Family Experiencing Perinatal Death or the Birth of a Child with Medical Complications

Management of Labor 359

Normal Labor

Ambulation and Positions in Labor

Intrapartum Pain Management

Support in Labor

Intrapartum Fetal Heart Rate Monitoring

Normal Delivery and Birthing Positions

Management of the Second Stage

Management of the Perineum

Management of Third-Stage Birth

Management of Labor Abnormalities

Dystocia in the Nulliparous Patient

Term Premature Rupture of the Membranes

Induction of Labor

Intrapartum Complications

Fetal Intolerance of Labor

Shoulder Dystocia

Chorioamnionitis

Intrapartum Bleeding E. Postpartum Hemorrhage

Retained Placenta G. Preeclampsia and Eclampsia

Medical Emergencies in Pregnancy

Malpresentations and Malpositions

Diagnosis

Face Presentat

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