Obstetric Clinical Algorithms : Management and Evidence

by Norwitz, Errol R.; Belfort, Michael A.; Saade, George R.; Miller, Hugh

• ISBN13: 9781405181112
• ISBN10: 1405181117
• Edition: 1st
• Format: Paperback
• Copyright: 2010-05-10
• Publisher: Wiley-Blackwell

Summary

The evidence relating to the advances in obstetric practice and research over the past several decades have resulted in significant improvements in maternal and perinatal outcome. The obstetric care provider has the responsibility to be aware of these improvements and implement evidence-based practice when the situation requires. Clinical decisions should, as much as possible, be evidence based. This requires expertise in retrieving, interpreting, and applying the results of scientific studies and in communicating effectively the risks and benefits of different courses of action to patients.The highly-regarded authors have used easy-to-follow management algorithms presented in a highly visual format to assist rapid decision making; with sections covering: bull; Preventative Health bull; Maternal Disorders bull; Infectious Complications bull; Antenatal Complications bull; Intrapartum / Postpartum ComplicationsFeaturing best obstetric management guidance, based on graded published evidence and recommendations, this book will enable practicing and trainee obstetrician-gynecologists and nurse midwives to ensure that the primary goals of the delivery of a healthy mother and a healthy baby are met.

Author Biography

Errol R. Norwitz, MD, PHD Yale University School of Medicine and Yale-New Haven Hospital, CT, USA
Michael A. Belfort, MD, PHD University of Utah School of Medicine, Salt Lake City, UT, USA and HCA Healthcare, Nashville, TN, USA
George R. Saade, MD University of Texas Medical Branch, TX, USA
Hugh Miller, MD University of Arizona, AZ, USA

Table of Contents

Preface	p. vii
List of abbreviations	p. ix
Preventive Health	p. 1
Abnormal Pap Smear	p. 2
Immunization	p. 4
Preconception Care	p. 6
Prenatal Care	p. 8
Maternal Disorders	p. 11
Antiphospholipid Antibody Syndrome	p. 12
Asthma	p. 14
Cholestasis of Pregnancy	p. 16
Chronic Hypertension	p. 18
Deep Vein Thrombosis	p. 20
Gestational Diabetes Mellitus	p. 22
Gestational Hypertension	p. 24
Pre-eclampsia	p. 26
Pregestational Diabetes Mellitus	p. 28
Pulmonary Edema	p. 30
Pulmonary Embolism	p. 32
Renal Disease	p. 34
Seizure Disorder	p. 36
Systemic Lupus Erythematosus	p. 38
Thrombocytopenia	p. 40
Thyroid Dysfunction	p. 42
Infectious Complications	p. 45
Asymptomatic Bacteriuria	p. 46
Urinary Tract Infection/Pyelonephritis	p. 48
Lower Genital Tract Infections	p. 50
Group B Streptococcus	p. 52
Hepatitis B	p. 54
Herpes Simplex Virus	p. 56
Human Immunodeficiency Virus	p. 58
Parvovirus B19	p. 60
Syphilis	p. 62
Tuberculosis	p. 64
Chorioamnionitis (Intra-amniotic Infection)	p. 66
Antenatal Complications	p. 69
Advanced Maternal Age	p. 70
Antepartum Fetal Testing	p. 72
Breast Lesions	p. 74
Cervical Insufficiency	p. 76
First-trimester Vaginal Bleeding	p. 78
Higher-order Multiple Pregnancy	p. 80
Hyperemesis Gravidarum	p. 82
Intrauterine Fetal Demise	p. 84
Intrauterine Growth Restriction	p. 86
Isoimmunization	p. 88
Macrosomia	p. 90
Oligohydramnios	p. 92
Recurrent Pregnancy Loss	p. 94
Placenta Accreta	p. 96
Placenta Previa	p. 98
Placental Abruption	p. 100
Polyhydramnios	p. 102
Post-term Pregnancy	p. 104
Prenatal Diagnosis	p. 106
Preterm Labor	p. 108
Screening for Preterm Birth	p. 110
Preterm Premature Rupture of the Membranes	p. 112
Vaginal Birth after Cesarean	p. 114
Teratology	p. 116
Term Premature Rupture of the Membranes	p. 118
Twin Pregnancy	p. 120
Intrapartum/Postpartum Complications	p. 123
Breech Presentation	p. 124
Intrapartum Fetal Testing	p. 126
Cesarean Delivery	p. 128
Operative Vaginal Delivery	p. 130
Intrapartum Management of Twin Pregnancy	p. 132
Postpartum Hemorrhage	p. 134
Retained Placenta	p. 136
Postpartum Endomyometritis	p. 138
Mastitis	p. 140
Vasa Previa	p. 142
Postpartum Psychiatric Disorders	p. 144
Sterilization	p. 146
Obstetric Emergencies	p. 149
Acute Abdomen in Pregnancy	p. 150
Acute Asthma Exacerbation	p. 152
Acute Shortness of Breath	p. 154
Cord Prolapse	p. 156
Cardiopulmonary Resuscitation	p. 158
Diabetic Ketoacidosis	p. 160
Eclampsia	p. 162
Shoulder Dystocia	p. 164
Thyroid Storm	p. 166
Index	p. 168
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