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Management of High-Risk Pregnancy - A Practical Approach

Management of High-Risk Pregnancy - A Practical Approach

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About the Book

Management of High-Risk Pregnancy: A Practical Approach, Second Edition is the new edition of this comprehensive guide to a broad range of risks in pregnancy. Topics in Management of High-Risk Pregnancy: A Practical Approach, Second Edition, are illustrated by high quality clinical photographs. The most up-to-date information in the field, including various clinical guidelines and Cochrane database meta-analysis, is incorporated into each chapter, making this an essential resource for residents and practising obstetricians and gynaecologists.



Table of Contents:
1. Prenatal Diagnosis 1 Ratna Biswas, Mandakini Pradhan ? Screening Methods 1 – First Trimester Screening 3 – Second Trimester Screening 5 ? Screening for Fetal Chromosomal Abnormalities 9 ? Invasive Prenatal Diagnostic Procedures 9 2. Screening and Management of Congenital Anomalies 17 Manisha Kumar ? Prenatal Screening 17 ? Individual Congenital Malformations 21 ? Head, Neck and Spine 23 ? Genitourinary System 26 ? Role of Fetal Surgeries and Exit Procedure 32 ? Need for Examining Fetus, Stillbirth or Neonate 32 ? Experience at Our Center 34 3. Antepartum Fetal Surveillance 36 Seema Singhal ? Objectives of Fetal Surveillance 36 ? Indications of Fetal Surveillance 36 ? When to Start? 37 ? Antepartum Fetal Surveillance Techniques 37 ? Management of Abnormal Test Results 43 ? Condition Specific Antepartum Fetal Testing 44 4. Preterm Labor 47 Monika Bhatia ? Etiopathogenesis 47 ? Prediction 48 ? Prevention of Preterm Labor 50 ? Diagnosis of Preterm Labor 51 ? Treatment 52 ? Neonatal Outcome 60 5. Premature Rupture of Membranes 63 Sharda Patra ? Definition and Incidence 63 ? Etiopathogenesis 63 Contents xviii Management of High-Risk Pregnancy—A Practical Approach ? Factors Predisposing to PROM 63 ? Clinical Presentation and Diagnosis 64 ? Clinical Course in PROM 67 ? Maternal and Perinatal Complications 67 ? Management of PROM 68 ? Components of Expectant Management 69 6. Prolonged Pregnancy 75 Amita Suneja, Sandhya Jain ? Definition 75 ? Incidence 75 ? Diagnosis 75 ? Predisposing Factors 76 ? Pathophysiology 76 ? Fetomaternal Outcome 76 ? Management of Pregnancy Beyond 40 Weeks Gestation 77 ? Prevention of Post-term Pregnancy 78 7. Polyhydramnios Oligohydramnios 80 Prabha Lal ? Disorders of Amniotic Fluid 80 ? Polyhydramnios 80 ? Oligohydramnios 84 8. Antepartum Hemorrhage 89 Shubha Sagar Trivedi, Madhu Goel, Monika Bhatia ? Causes of Antepartum Hemorrhage 89 ? Placenta Previa 89 ? Abruptio Placentae 96 ? Prognosis 100 ? Other Causes of Antepartum Hemorrhage 100 9. Multifetal Pregnancy 102 Reena Yadav ? Prevalence 102 ? Physiological Changes 104 ? Maternal and Fetal Risks 104 ? Clinical Presentation and Diagnosis 109 ? Management 110 ? Special Situations 112 ? Selective Reduction and Termination 113 10. Intrauterine Growth Restriction 118 Abha Singh, Swati Agrawal, Raina Chawla ? Definition 118 ? Classification 118 ? Etiology 119 ? Pathophysiology of Placental Insufficiency 119 ? Fetal and Neonatal Complications 119 Contents xix ? Diagnosis 121 ? Management 125 ? Prevention of Intrauterine Growth Restriction 128 11. Malpresentations 133 Usha Gupta ? Prevalence 133 ? Etiology 133 ? Breech Presentation 134 ? Transverse Lie 147 ? Face Presentation 148 ? Brow Presentation 151 ? Compound Presentation 151 12. Pregnancy in Previous Cesarean Section 154 Ritu Rana ? Effect on Future Fertility 154 ? Antenatal Complications 154 ? Mode of Delivery after Previous Cesarean Section—VBAC vs ERCS 155 ? Management 162 13. Rh Negative Pregnancy 169 Aruna Nigam ? Prevalence 169 ? Diagnosis 171 ? Principles of Treatment 171 14. Anemia in Pregnancy 180 Manju Puri, Nidhi Malhotra ? Prevalence of Anemia 180 ? Definition 180 ? Etiopathogenesis of Anemia in Pregnancy 181 ? Clinical Features of Anemia in Pregnancy 181 ? Workup of Pregnant Women with Anemia 182 ? Maternal and Fetal Complications 183 ? Iron Deficiency Anemia 185 ? Megaloblastic Anemia 188 ? Thalassemia 189 ? Sickle Cell Anemia 192 ? Management of Labor in Anemia 193 15. Hypertensive Disorders of Pregnancy 196 Monika Bhatia, Shubha Sagar Trivedi ? Definition 196 ? Classification 197 ? Etiopathogenesis 197 ? Prediction 198 ? Prevention 200 ? Management 200 xx Management of High-Risk Pregnancy—A Practical Approach ? Treatment of Acute Severe Hypertension 203 ? Care Following Delivery 206 ? Long-term Complications 206 ? Summary of Management Protocols 206 ? Eclampsia 206 ? HELLP Syndrome 208 ? Chronic Hypertension 209 16. Diabetes Mellitus in Pregnancy 213 Manju Puri, Kazila Bhutia ? Prevalence of Diabetes Mellitus 213 ? Classification of Diabetes Mellitus in Pregnancy 213 ? Pathophysiology 214 ? Effect of Diabetes Mellitus on Pregnancy 215 ? Screening and Diagnosis 218 ? Management of Pregnancy with Gestational Diabetes Mellitus 220 17. Jaundice in Pregnancy 232 Chitra Raghunandan, Swati Agrawal ? Introduction—Magnitude of Problem 232 ? Physiological Changes and Liver Functions in Pregnancy 232 ? Causes of Jaundice in Pregnancy 233 ? Work up of a Pregnant Woman with Jaundice 233 ? An Approach to Clinical Diagnosis 233 ? Specific Conditions 234 ? Intrahepatic Cholestasis of Pregnancy 236 ? Preeclamptic Liver Disease: HELLP Syndrome 238 ? Hyperemesis Gravidarum 239 ? Acute Viral Hepatitis (AVH) in Pregnancy 240 ? Management of Life-threatening Hepatic Failure 241 ? Hemolytic Jaundice 241 ? Extrahepatic Biliary Obstruction 242 ? Congenital Hyperbilirubinemia 242 ? Liver Involvement in Drug Reactions 242 18. Heart Disease in Pregnancy 246 Reva Tripathi, Monika Bhatia, Shalini Malhotra, Divya Verma ? Hemodynamic Changes During Pregnancy 246 ? Preconception Counseling 247 ? Diagnosis and Work up 248 ? Management 249 ? Specific Lesions Rheumatic Heart Disease 251 ? Mitral Valve Prolapse 252 ? Prosthetic Heart Valves 252 ? Congenital Heart Disease 253 ? Peripartum Cardiomyopathy 255 ? Hypertrophic Cardiomyopathy 256 ? Myocardial Infarction 256 Contents xxi ? Cardiac Arrhythmias 256 ? Heart Block in Pregnancy 257 ? Contraception 257 19. Thromboembolism in Pregnancy 259 Swaraj Batra, Sarita Singh, Reena Jain ? Pathophysiology 259 ? Clinical Presentation and Diagnosis 260 ? Prophylactic Measures 263 ? Management 264 20. Thyroid Disorders with Pregnancy 270 Kiran Aggarwal ? Maternal Physiology 270 ? Changes in Thyroid Physiology during Pregnancy 270 ? Assessment of Thyroid Function in Pregnancy 271 ? Fetal Thyroid Physiology 271 ? Iodine Nutrition in Pregnancy 272 ? Gestational Transient Hyperthyroidism 272 ? Hyperthyroidism 273 ? Management 274 ? Hypothyroidism 276 ? Subclinical Hypothyroidism (SCH) 278 ? Autoimmune Thyroid Disorders and Miscarriages 278 ? Thyroid Nodules and Thyroid Carcinoma 278 ? Postpartum Thyroiditis 279 ? Screening for Thyroid Dysfunction during Pregnancy 279 21. Renal Disease in Pregnancy 283 Pakhee Aggarwal, Suneeta Mittal ? General Principles of Antepartum Management 284 ? Acute Renal Dysfunction in Pregnancy 285 ? Specific Renal Pathology in Pregnancy 285 22. Tuberculosis in Pregnancy 293 Lakhbir Dhaliwal, Swati Agrawal ? Magnitude of Disease 293 ? Effect of Pregnancy on Tuberculosis 293 ? Effect of Tuberculosis on Pregnancy 294 ? Factors Determining Effect of Disease on Fetomaternal Outcome 294 ? Clinical Presentation 294 ? Congenital Tuberculosis 295 ? Contraception 299 23. Pregnancy with Epilepsy 301 Monika Gaur ? Effect of Pregnancy on Epilepsy 301 ? Effect of Epilepsy on Pregnancy 301 ? Management 302 xxii Management of High-Risk Pregnancy—A Practical Approach ? Status Epilepticus 304 24. TORCH Infections in Pregnancy 307 Deepika Deka ? TORCH Infections in Pregnancy 307 ? Diagnosis of Maternal Infection 307 ? Pregnant Women at High Risk for TORCH Infections 310 ? Prenatal Diagnosis of Fetal Infection 310 ? Management 311 ? Screening Recommendations and Prevention 311 25. HIV Infection in Pregnancy 314 Sudha Salhan ? Factors Affecting MTCT of HIV 314 ? Preconceptional Counseling 316 ? Diagnosis 317 ? Interventions Aimed at Decreasing MTCT of HIV 317 ? Management 318 26. Obesity and Pregnancy 324 Sirisha Rao Gundabatulla ? Prevalence and Significance 324 ? Obesity and Fertility 325 ? Obesity-related Adverse Pregnancy Outcomes 325 ? Obesity and Anesthesia 328 ? Long-term Outcomes 328 ? Cost Implications 328 ? Pregnancy after Bariatric Surgery 328 ? Management Principles 329 27. Gynecological Diseases in Pregnancy 334 Smiti Nanda, Vani Malhotra ? Leiomyomas and Pregnancy 334 ? Cervical Cancer in Pregnancy 336 ? Preinvasive Lesions of the Cervix 338 ? Invasive Cervical Cancer 339 ? Retroversion of the Gravid Uterus 340 ? Adnexal Mass in Pregnancy 341 ? Genital Prolapse and Pregnancy 343 28. Critical Care Issues in High Risk Obstetric Patient 346 Satinder Gombar, Nidhi Bhatia, Kanti Gombar ? Obstetric Cases Requiring Critical Care 346 ? Overview of the Problem 346 ? Physiological Changes in Pregnancy 347 ? Transport of a Critically Ill Obstetric Patient 348 ? Findings in an Obstetric Patient Indicating Need for ICU Admission 348 ? General Considerations 349 Contents xxiii ? Diagnosis and Management of Some Common Critical Conditions in Obstetric Patients 355 ? What is the Obstetrician-Gynecologist’s Role in the Care of a Patient in a Critical Care Unit? 360 ? Cardiopulmonary Resuscitation in Parturients 360 29. Drugs in Pregnancy 363 Pikee Saxena ? Teratogenicity 363 ? Tocolytics 365 ? Corticosteroids 366 ? Antiemetics 367 ? Drugs for Bronchial Asthma 368 ? Antihistaminics 369 ? Expectorants and Mucolytics 369 ? Gastrointestinal Drugs 369 ? Antidopaminergic Drugs in Pregnancy 369 ? Antiepileptics in Pregnancy 370 ? Antihypertensives in Pregnancy 371 ? Anticonvulsants 372 ? Antithrombotic Therapy 373 ? Antitubercular Drugs in Pregnancy 374 ? Vaccines 374 ? Antidepressant Drugs 374 ? Analgesics During Pregnancy 374 ? Immunosuppressive Drugs 374 ? Antineoplastics 375 ? Anti-infective Agents 375 ? Drugs for Urinary Tract Infection in Pregnancy 376 ? Antiamoebics 376 ? Antihelmintics 376 ? Antifungals 376 ? Antivirals 376 ? Drugs for Vaginal Infections 376 ? Anesthetic Drugs 376 ? Oral Contraceptives 377 ? Establishing Pregnancy Exposure Registries 377 30. Autoimmune Disorders in Pregnancy 380 Kiran Guleria, Bindiya Gupta, Sneha Shree ? Systemic Lupus Erythematosus (SLE) 380 ? Rheumatoid Arthritis 382 ? Antiphospholipid Syndrome 383 ? Vasculitis 385 Index 389


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Product Details
  • ISBN-13: 9789352500468
  • Publisher: Jp Medical Ltd
  • Publisher Imprint: Jp Medical Ltd
  • Depth: 25
  • Height: 279 mm
  • No of Pages: 400
  • Spine Width: 21 mm
  • Weight: 700 gr
  • ISBN-10: 9352500466
  • Publisher Date: 30 Dec 2015
  • Binding: Paperback
  • Edition: 0002-
  • Language: English
  • Returnable: N
  • Sub Title: A Practical Approach
  • Width: 216 mm


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