Compendium for the antenatal care of high-risk pregnancies:
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| Main Author: | |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
New York, NY
Oxford Univ. Press
2015
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| Subjects: | |
| Online Access: | Klappentext Inhaltsverzeichnis |
| Physical Description: | XVIII, 571 S. graph. Darst. |
| ISBN: | 9780199673643 |
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Record in the Search Index
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| adam_text | High-risk pregnancies form a significant and increasing proportion of the obstetric
patient population and require careful management. Compendium for the Antenatal Care of
High-Risk Pregnancies takes a unique approach to over 140 high-risk conditions, combining ‘Fact Files’,
‘Care Pathways , and Information for Patients . The book is designed to provide a practical and
accessible individualized framework of information for obstetricians of all grades in busy clinical
environments, and to integrate the specialist care offered to women with high-risk
pregnancies in hospitals with community-based antenatal care.
For each condition, the book covers vital points on prepregnancy, risk reduction,
clinical governance, discussions with patients, and required documentation. Incorporating
current RCOG and NICE guidance, as well as Cochrane, CEMACH. and MBRPACE
reviews, the book is robustly referenced and evidence based.
The model care pathways are designed as clear, practical templates, ensuring the best
care for the patient, while assuring that visits, staff time, and resources are used efficiently.
The information for patients section is a valuable resource for busy staff, who need to
ensure that patients are informed participants in their care.
A reliable resource for trainees to consultant obstetricians, the book will be particularly
valuable for those preparing for higher exams such as the MRCOG or those in the RCOG s ATSM
programmes for Advanced antenatal practice and Maternal medicine. The care pathways for each
condition include every step of the process, representing the integration of all members of the
multi disciplinary team. Due to this integrated approach, the book is also beneficial to midwives, both
hospital and community based, involved in the care of patients with high-risk pregnancies.
CONTENTS
Foreword V
List of Abbreviations xi
List of Contributors xiv
Ac/cnow/edgements xiv
Disclaimer xiv
introduction XV
1 Maternal Haematological and Vascular
Conditions 1
1.1 Refractor/ Anaemia 1
1.2 Inherited Thrombophilias 5
1.3 Thrombocythaemia or Thrombocytosis 10
1.4 Thrombocytopenia (including ITP) 14
1.5 inherited Bleeding Disorders: Haemophilia 20
1.6 Inherited Bleeding Disorders: Von Willebrand
Disease 24
1.7 Haemoglobinopathies: Sickle Cell Disease 27
1.8 Haemoglobinopathies: Thalassaemia 30
1.9 Red cell Antibodies (ABO and Other Blood Group
Incompatibilities) 34
1.10 Venous Thromboembolism 40
1.11 Hereditary Haemorrhagic Telangiectasia
(Osler-Weber-Rendu Syndrome) 44
1.12 Henoch-Schönlein Purpura 47
1.13 Hermansky-Pudlak Syndrome 50
1.14 Hereditary Spherocytosis 52
1.15 Thrombotic Thrombocytopenic Purpura—
Haemolytic-Uraemic Syndrome 55
2 Maternal Infections 59
2.1 Bacterial Vaginosis 59
2.2 Chickenpox (Varicella Zoster) 62
2.3 Cytomegalovirus 67
2.4 Genital Herpes 70
2.5 Group B Streptococcal Infection 75
2.6 Hepatitis B 77
2.7 Hepatitis C 80
2.8 HIN1 Influenza (Swine Flu) 83
2.9 Human Immunodeficiency Virus (HIV) 86
2.10 Listeriosis 90
2.11 Malaria 92
2.12 Sexually Transmitted Infections (Excluding Syphilis) 96
2.13 Parvovirus 99
2.14 Syphilis 102
2.15 Tuberculosis 104
2.16 Toxoplasmosis 108
2.17 Urinary Tract Infections 112
2.18 Pneumonia 115
2.19 Bacterial Sepsis 119
3 Maternal Respiratory Conditions 125
3.1 Severe Asthma 125
3.2 Cystic Fibrosis 128
3.3 Sarcoidosis 131
4 Maternal Cardiac Disease 135
4.1 Maternal Cardiac Disease: General Points 135
4.2 Congenital Cardiac Disease (Maternal and Fetal) 140
4.3 Hypertrophic Cardiomyopathy 143
4.4 Peripartum Cardiomyopathy 145
5 Maternal Hypertension 147
5.1 Hypertension in Pregnancy 147
6 Maternal Renal Disease 159
6.1 Chronic Renal Disease 159
6.2 Renal Calculi 163
6.3 IgA Nephropathy 165
6.4 Autosomal Dominant (Adult) Polycystic Kidney
Disease 167
7 Maternal Adrenal Disease 171
7.1 Congenital Adrenal Hyperplasia 171
7.2 Phaeochromocytoma 175
8 Maternal Hepatobiliary Conditions 179
8.1 Obstetric Cholestasis 179
8.2 Gilbert’s Syndrome 182
8.3 Gallstones and Pancreatitis 184
8.4 Autoimmune Hepatitis 187
8.5 Acute Intermittent Porphyria 189
8.6 Wilson’s Disease 192
8.7 Haemochromatosis 194
9 Maternal Endocrine Disorders 197
9.1 Diabetes 197
9.2 Hypothyroidism 203
9.3 Hyperthyroidism 206
9.4 Hashimoto’s Thyroiditis, Postpartum/Subclinical
Thyroiditis, Thyroid Nodules 210
9.5 Prolactinomas, Pituitary Tumours 212
9.6 Hyperparathyroidism 214
10 Maternal Neurological Conditions 217
10.1 Epilepsy 217
10.2 idiopathic Intracranial Hypertension 221
10.3 Multiple Sclerosis 223
10.4 Stroke 226
10.5 Bell’s Palsy 230
10.6 Myasthenia Gravis 232
10.7 Charcot-Marie-Tooth Disease 235
10.8 Muscular and Myotonic Dystrophy 237
VII
Contents
Contents
11
12
13
14
15
16
17
18
19
20
21
Materna! Uterine, Cervical, and
Vulvovaginal Conditions 239
11.1 Previous Excisional Biopsy of Cervix 239
11.2 Previous Radical Tracheiectomy 242
11.3 Uterine Malformations 245
11.4 Female Genital Mutilation 249
11.5 Uterine Fibroids 252
Maternal Dermatological Conditions 255
12.1 Pruritic Urticarial Papules and Plaques of
Pregnancy (PUPPP) 255
12.2 Pemphigoid Gestationis 257
12.3 Scleroderma and Systemic Sclerosis 259
12.4 Neurofibromatosis 262
12.5 Epidermolysis Bullosa 264
Maternal Autoimmune Disorders 267
13.1 Lupus, Antiphospholipid Syndrome, and
Anti-Ro Antibodies 267
13.2 Rheumatoid Arthritis 274
13.3 Sjogren’s Syndrome 277
13.4 Dermatomyositis and Polymyositis 279
Maternal Connective Tissue Disorders 281
14.1 Ehlers-Danlos Syndrome 281
14.2 Marfan’s Syndrome 284
Maternal Bowel Disease 287
15.1 Inflammatory Bowel Disease 287
Maternal Musculoiigamenta! Conditions 291
16.1 Symphysis Pubis Dysfunction, Pelvic Girdle Pain 291
16.2 Fibromyalgia, Chronic Fatigue Syndrome 294
Maternal Skeletal Disorders 297
17.1 Achondroplasia 297
17.2 Osteogenesis Imperfecta 300
17.3 Kyphoscoliosis 303
Maternal Obesity 307
18.1 Obesity and Pregnancy 307
18.2 Pregnancy After Bariatric Surgery 311
Maternal Malignancy 315
19.1 Malignancy and Pregnancy 315
19.2 Breast Cancer 320
22 Previous Pregnancy Problems 347
22.1 Previous Caesarean Section 347
22.2 Previous Obstetric Anal Sphincter Injuries 351
22.3 Previous Postpartum Haemorrhage 352
22.4 Previous Pre-Eclampsia 355
22.5 Previous Shoulder Dystocia 358
22.6 Previous Second-Trimester Pregnancy Loss or
Very Pre-term Birth 26 Weeks Gestation 360
22.7 Previous Perinatal Loss 363
23 Fertility-Related Issues 367
23.1 Singleton IVF Pregnancy 367
23.2 Surrogacy 370
23.3 Contraception with Medical Conditions 372
24 Other Maternal Conditions 375
24.1 Unbooked Pregnancies or Poor Attenders 375
24.2 Teenage Pregnancies 376
24.3 Women Declining Blood or Blood Products,
Jehovah’s Witnesses 378
24.4 Antidepressants, Anxiolytics, and Antipsychotics
During Pregnancy and Lactation 381
24.5 Smoking in Pregnancy 384
24.6 Alcohol in Pregnancy 386
24.7 Substance Abuse in Pregnancy 390
24.8 Hyperemesis Gravidarum 395
24.9 Domestic Violence 399
24.10 Periodontal Disease and Pregnancy Outcomes 401
24.11 Ophthalmologic Considerations in Pregnancy
and Puerperium 402
25 Multiple Pregnancies 405
25.1 Multiple Pregnancies: General Points 405
25.2 Dichorionic Twins 410
25.3 Monochorionic Twins 411
26 Fetal Growth Issues 415
26.1 Intrauterine Growth Restriction (Previous or
Current Pregnancy) 415
26.2 Large for Gestational Age in Non-Diabetic Mothers 422
27 Fetal Abnormalities 427
27.1 Fetal Hydronephrosis 427
27.2 Cervical Teratoma, Fetal Sacrococcygeal Teratoma,
Cystic Hygroma 430
27.3 Fetal Exomphalos, Gastroschisis 434
27.4 Fetal Congenital Diaphragmatic Hernia 438
27.5 Fetal Congenital Cystic Adenomatoid
Malformation or Congenital Pulmonary
Airway Malformation 441
Pregnancy in the Mother Post Organ
Transplant 327
20.1 Kidney Transplant 327
20.2 Other Organ Transplants 331
27.6 Fetal Autosomal Recessive (Infantile) Polycystic
Kidney Disease 444
27.7 Fetal Cardiac Rhabdomyoma, Tuberous Sclerosis 447
27.8 Fetal Arthrogryposis Multiplex Congenita 450
27.9 Fetal Dandy-Walker Syndrome 453
27.10 Feta! Choroid Plexus Cysts 455
Maternal Enzymatic Abnormalities 335
21.1 Ct Inhibitor Deficiency 335
21.2 Mastocytosis 338
21.3 Phenylketonuria 341
21.4 Alpha-1 Antitrypsin Deficiency 344
28 Other Fetal Conditions 459
28.1 Non-lmmune Hydrops Fetalis 459
28.2 Irregular Fetal Heart Rhythm 463
28.3 Fetal and Neonatal Alioimmune Thrombocytopenia 466
viii
28.4 Abnormal Biochemistry Markers From First/
Second-Trimester Screening 469
28.5 Reduced Fetal Movements 473
28.6 Prolonged Pregnancy 478
29 Placental Conditions 483
29.1 Placenta Praevia, Morbidly Adherent Placenta 483
29.2 Abruptio Placenta—Previous Pregnancy, Small
Antepartum Haemorrhage in Present Pregnancy 487
29.3 Vasa Praevia 490
Appendix 1 Information for Patients 493
1 Maternal Haematological and Vascular
Conditions 493
Anaemia and pregnancy 493
Inherited thrombophilia 494
High platelet counts also called thrombocytosis
orthrombocythaemia 495
Low platelet counts or thrombocytopenia 495
Haemophilia and pregnancy 495
von Willebrand disease and other bleeding
disorders 495
Sickle cell and thalassaemia 496
Red cell antibodies and pregnancy 496
Thrombosis or embolism and pregnancy 496
Hereditary haemorrhagic telangiectasia 496
Henoch-Schonlein purpura 497
Hermansky-Pudlak syndrome 497
Hereditary spherocytosis 497
Thrombotic-thrombocytopenic purpura and
haemolytic-uraemic syndrome 498
2 Maternal Infections 498
Bacterial vaginosis and pregnancy 498
Chickenpox and pregnancy 499
Cytomegalovirus infection and pregnancy 499
Genital herpes and pregnancy 499
Group B streptococcus infection and pregnancy 499
Hepatitis B and pregnancy 499
Hepatitis C and pregnancy 500
Swine flu (H1 N1 ) and pregnancy 500
HIV and pregnancy 501
Listeriosis and pregnancy 501
Maiaria and pregnancy 501
Sexually transmitted infections and pregnancy:
gonorrhoea, chlamydia, anogenital warts, and
trichomonas 501
Parvovirus {’slapped cheek’) infection.
in pregnancy 502
Syphilis and pregnancy 502
Tuberculosis (TB) and pregnancy 502
Toxoplasmosis and pregnancy 502
Urinary tract infection and pregnancy 503
Pneumonia and pregnancy 503
Sepsis and pregnancy 503
3 Maternal Respiratory Conditions 503
Moderate/severe asthma and pregnancy 503
Cystic fèrosls and pregnancy 504
Sarcoidosis and pregnancy 505
4 Maternal Cardiac Disease 505
Heart disease and pregnancy 505
Congenital heart disease and pregnancy 505
Cardiomyopathy and pregnancy 505
Péripartum cardiomyopathy 506
5 Maternal Hypertension 506
High blood pressure (hypertension) and pregnancy 506
6 Maternal Renal Disease 507
Chronic kidney disease and pregnancy 507
Kidney stones and pregnancy 507
IgA nephropathy and pregnancy 507
Autosomal dominant polycystic kidney disease
(adult polycystic kidney disease) and pregnancy 508
7 Maternal Adrenal Disease 509
Congenital adrenal hyperplasia (CAH) and
pregnancy 509
Phaeochromocytoma and pregnancy 509
8 Maternal Hepatobiliary Conditions 510
Obstetric cholestasis (itching liver disorder
of pregnancy) 510
Gilbert’s syndrome and pregnancy 510
Gallstones and pancreatitis in pregnancy 510
Autoimmune hepatitis and pregnancy 511
Acute porphyria and pregnancy 511
Wilson’s disease and pregnancy 512
Hereditary haemochromatosis and pregnancy 512
9 Maternal Endocrine Disorders 513
Diabetes and pregnancy 513
Hypothyroidism (undereractive thyroid) and
pregnancy 513
Hyperthyroidism (overactive thyroid) and
pregnancy 514
Hashimoto’s thyroiditis and pregnancy 515
Prolactinomas and pregnancy 515
Hyperparathyroidism and pregnancy 516
10 Maternal Neurological Conditions 516
Epilepsy and pregnancy 516
Idiopathic intracranial hypertension and pregnancy 517
Multiple sclerosis and pregnancy 517
Stroke and pregnancy 518
Bell’s palsy and pregnancy 519
Myasthenia gravis and pregnancy 520
Charcot-Marie-Tooth disease and pregnancy 521
Muscular dystrophy and pregnancy 521
11 Maternal Uterine, Cervical, and Vulvovaginal
Conditions 522
Pregnancy following any cervical surgical procedure
(excision biopsy, laser, cone, loop, etc.) 522
Radical trachelectomy and pregnancy 523
Abnormal shape of the uterus (womb) 524
Female genital mutilation 525
Fibroids and pregnancy 525
12 Maternal Dermatological Conditions 526
Pruritic urticaria! papules and plaques of pregnancy 526
Pemphigoid gestationis 526
Scleroderma, systemic sclerosis, and pregnancy 527
Neurofibromatosis and pregnancy 528
Epidermolysis bullosa and pregnancy 528
13 Maternal Autoimmune Disorders 529
Lupus, antiphospholipid syndrome, and pregnancy 529
Rheumatoid arthritis and pregnancy 529
Sjogren’s syndrome and pregnancy 530
Dermatomyositis or polymyositis and pregnancy 53Q
14 Maternal Connective Tissue Disorders 531
Ehlers-Danlos syndrome and pregnancy 531
Marfan’s syndrome and pregnancy 531
15 Maternal Bowel Disease 532
Inflammatory bowel disease (Crohn s, ulcerative
colitis) and pregnancy 532
ÎX
Contents
Contents
16 Maternal Musculoligamental Conditions 533 24 Other Maternal Conditions 546
Symphysis pubis dysfunction and pregnancy 533 Stopping smoking in pregnancy 546
Fibromyalgia, chronic fatigue syndrome. Alcohol and pregnancy 546
and pregnancy 534 Substance misuse and pregnancy 546
17 Maternal Skeletal Disorders 534 Hyperemesis gravidarum 546
Achondroplasia and pregnancy 534 Domestic violence during pregnancy 547
Osteogenesis imperfecta and pregnancy 535 25 Multiple Pregnancies 547
Kyphoscoliosis and pregnancy 536 Multiple pregnancies 547
18 Maternal Obesity 536 26 Fetal Growth Issues 549
Obesity and pregnancy 536 The small baby 549
Pregnancy after gastric band or gastric bypass The large baby 550
procedure 538 27 Fetal Abnormalities 551
19 Maternal Malignancy 538 Antenatal fetal hydronephrosis 551
Cancer and pregnancy 538 Sacrococcygeal teratoma 552
Breast cancer and pregnancy 539 Cystic hygroma 552
20 Pregnancy in the Mother Post Organ Transplant 540 Exomphalos and gastroschisis 553
Pregnancy after kidney transplant 540 Congenital diaphragmatic hernia 553
Pregnancy after a transplant operation 540 Congenital cystic adenomatoid malformation 554
21 Maternal Enzymatic Abnormalities 540 Autosomal recessive polycystic kidney disease 555
Q inhibitor deficiency and pregnancy 540 Tuberous sclerosis 555
Mastocytosis and pregnancy 541 Arthrogryposis 556
Phenylketonuria and pregnancy 542 Dandy-Walker syndrome 557
Alpha-1 antitrypsin (AAT) deficiency and Choroid plexus cysts 557
pregnancy 542 28 Other Fetal Conditions 557
22 Previous Pregnancy Problems 543 Non-immune hydrops fetalis 557
Pregnancy after previous Caesarean section 543 irregular fetal heart rate 558
Previous third֊ and fourth-degree tears 543 Neonatal alloimmune thrombocytopenia 559
Previous postpartum haemorrhage and/or Reduced movements of the baby 559
retained placenta 543 Prolonged pregnancy 560
Previous pre-eclampsia 544 29 Placental Conditions 561
Previous birth complicated by shoulder dystocia 544 Low-lying placenta, placenta accreta 561
Previous premature birth or late miscarriage 544 Placental abruption (premature separation of
Stillbirth 545 the placenta) 561
23 Fertility-Related Issues 545 Vasa praevia 562
Pregnancy conceived by IVF or related
techniques 545 index 565
X
|
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| spelling | Narayan, Harini Verfasser aut Compendium for the antenatal care of high-risk pregnancies Harini Naryan New York, NY Oxford Univ. Press 2015 XVIII, 571 S. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Risikoschwangerschaft (DE-588)4212698-8 gnd rswk-swf Risikoschwangerschaft (DE-588)4212698-8 s DE-604 Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028130669&sequence=000003&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Klappentext Digitalisierung UB Regensburg - ADAM Catalogue Enrichment application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=028130669&sequence=000004&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Narayan, Harini Compendium for the antenatal care of high-risk pregnancies Risikoschwangerschaft (DE-588)4212698-8 gnd |
| subject_GND | (DE-588)4212698-8 |
| title | Compendium for the antenatal care of high-risk pregnancies |
| title_auth | Compendium for the antenatal care of high-risk pregnancies |
| title_exact_search | Compendium for the antenatal care of high-risk pregnancies |
| title_full | Compendium for the antenatal care of high-risk pregnancies Harini Naryan |
| title_fullStr | Compendium for the antenatal care of high-risk pregnancies Harini Naryan |
| title_full_unstemmed | Compendium for the antenatal care of high-risk pregnancies Harini Naryan |
| title_short | Compendium for the antenatal care of high-risk pregnancies |
| title_sort | compendium for the antenatal care of high risk pregnancies |
| topic | Risikoschwangerschaft (DE-588)4212698-8 gnd |
| topic_facet | Risikoschwangerschaft |
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