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Protocols for High-Risk Pregnancies
An Evidence–Based Approach
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Main description:

High–risk pregnancies present life–threatening challenges to two of your patients: the mother and her fetus. The direct, exemplary guidance in Protocols for High–Risk Pregnancy enables you to



  • better understand your patients′ conditions

  • devise optimum management strategies

  • maximize the outcome and minimize the complications for both the mother and her fetus


To enhance clinical relevance, each protocol is written as if the patient were present. Evidence to support an intervention is given where it exists. The authors′ experience provides additional wise counsel. Key references provide the springboard for a deeper understanding of a topic. In this more compact and fully updated sixth edition, new protocols include



  • Amniotic fluid disorders

  • Depression

  • Fetal growth restriction

  • HIV

  • Indicated late preterm and early term birth

  • Malaria

  • Noninvasive prenatal diagnosis


Designed for clinical practice by the leaders of two generations of maternal–fetal medicine, no obstetrician or obstetric health care provider can afford to miss Protocols for High–Risk Pregnancy.


Back cover:

High–risk pregnancies present life–threatening challenges to two of your patients: the mother and her fetus. The direct, exemplary guidance in Protocols for High–Risk Pregnancy enables you to



  • better understand your patients′ conditions

  • devise optimum management strategies

  • maximize the outcome and minimize the complications for both the mother and her fetus


To enhance clinical relevance, each protocol is written as if the patient were present. Evidence to support an intervention is given where it exists. The authors′ experience provides additional wise counsel. Key references provide the springboard for a deeper understanding of a topic. In this more compact and fully updated sixth edition, new protocols include



  • Amniotic fluid disorders

  • Depression

  • Fetal growth restriction

  • HIV

  • Indicated late preterm and early term birth

  • Malaria

  • Noninvasive prenatal diagnosis


Designed for clinical practice by the leaders of two generations of maternal–fetal medicine, no obstetrician or obstetric health care provider can afford to miss Protocols for High–Risk Pregnancy.


Contents:

List of Contributors ix


Preface xiii


Part I Concerns in Pregnancy


1 Tobacco, Alcohol, and the Environment 3
Jorge E. Tolosa and George Saade


2 Ionizing Radiation 14
Robert L. Brent


3 Depression 27
Kimberly Yonkers


Part II Antenatal Testing


4 Prenatal Detection of Fetal Chromosome Abnormality 35
Fergal D. Malone


5 Fetal Echocardiography 48
Joshua A. Copel


6 Clinical Use of Doppler 54
Henry L. Galan


7 Antepartum Testing 65
Michael P. Nageotte


8 Fetal Blood Sampling and Transfusion 71
Alessandro Ghidini


Part III Maternal Disease


9 Maternal Anemia 81
Alessandro Ghidini


10 Sickle Cell Disease 88
Marc R. Parrish, John Morrison


11 Isoimmune Thrombocytopenia 97
Richard L. Berkowitz, Sreedhar Ghaddipati


12 Autoimmune Disease 104
Charles J. Lockwood


13 Antiphospholipid Antibody Syndrome 115
Charles J. Lockwood


14 Inherited Thrombophilias 119
Andra H. James


15 Cardiac Disease 128
Katharine D. Wenstrom


16 Peripartum Cardiomyopathy 139
F. Garry Cunningham


17 Thromboembolism 143
Alan Peaceman


18 Renal Disease 150
Susan Ramin


19 Obesity 157
Raul Artal


20 Diabetes Mellitus 163
Mark B. Landon, Steven G. Gabbe


21 Thyroid Disorders 172
Stephen F. Thung


22 Acute and Chronic Hepatitis 180
Patrick Duff


23 Asthma 188
Michael Schatz


24 Epilepsy 196
Men–Jean Lee


25 Chronic Hypertension 203
Baha M. Sibai


26 Cytomegalovirus, Genital Herpes, Rubella, Syphilis, and Toxoplasmosis 213
Brenna L. Hughes


27 Influenza, West Nile Virus, Varicella–Zoster, and Tuberculosis, 222
Jeanne S. Sheffield


28 Malaria 232
Richard M.K. Adanu


29 Human Immunodeficiency Virus Infection 238
Jane Hitti


30 Parvovirus B19 Infection 245
Maureen P. Malee


31 Group B Streptococcus 251
Mara J. Dinsmoor


32 Acute Abdominal Pain Due to Nonobstetric Causes 260
Fred M. Howard


33 Gallbladder, Fatty Liver, and Pancreatic Disease 270
Jeffrey R. Johnson


Part IV Obstetric Problems


34 First Trimester Vaginal Bleeding 281
John T. Queenan Jr.


35 Cervical Insufficiency 288
John Owen


36 Nausea and Vomiting 298
Gayle Olson


37 Fetal Death and Stillbirth 306
Robert M. Silver


38 Abnormal Amniotic Fluid Volume 315
Thomas R. Moore


39 Preeclampsia 329
Baha M. Sibai


40 Fetal Growth Restriction 340
Henry L. Galan


41 Rh and Other Blood Group Alloimmunizations 353
Kenneth J. Moise Jr


42 Preterm Labor 363
Vincenzo Berghella


43 Premature Rupture of the Membranes 369
Brian Mercer


44 Indicated Late–Preterm and Early–Term Deliveries 383
Catherine Y. Spong


45 Prevention of Cerebral Palsy 388
Dwight J. Rouse


46 Amnionitis 392
George A. Macones


47 Third Trimester Bleeding 398
Yinka Oyelese


48 Amniotic Fluid Embolus 406
Robert Resnik


Part V Labor and Delivery


49 Induction of Labor 411
Deborah A. Wing


50 Intrapartum Fetal Heart Rate Monitoring 418
Roger K. Freeman


51 Breech Delivery 423
G. Justus Hofmeyr


52 Vaginal Birth After Cesarean 428
James R. Scott


53 Placenta Accreta 435
Robert M. Silver


54 Shoulder Dystocia 445
Robert Gherman


55 Twins, Triplets and Beyond 451
Mary E. D Alton


56 Postpartum Hemorrhage 462
David S. McKenna


Appendix A: Evaluation of Fetal Health and Defects 470


Lynn L. Simpson


Index 483


PRODUCT DETAILS

ISBN-13: 9781119001249
Publisher: John Wiley & Sons Ltd (Wiley–Blackwell)
Publication date: May, 2015
Pages: 512
Dimensions: 170.00 x 248.00 x 28.21

Subcategories: Midwifery, Obstetrics and Gynaecology