de Swiet's Medical Disorders in Obstetric Practice / Edition 5

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"Pregnancy induces physiologic changes in women as their bodies adapt to the growing life within. How does this influence the management of general or pre-existing medical conditions?" "This new edition of de Swiet's groundbreaking Medical Disorders in Obstetric Practice provides expert guidance on the care of pregnant women with medical illness. Written and edited by expert teams of high-risk obstetricians, medical specialists, and obstetric anesthesiologists - each chapter offers a unique interdisciplinary and practical perspective on how to best care for medical illness before, during and following a pregnancy." With new material covering cancer, critical care, obesity and advanced maternal age, as well as practical advice on the most common conditions that present to those caring for pregnant women, this book will assist you in navigating the many challenges medical illness during pregnancy presents for both the patient and physician.

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Editorial Reviews

From The Critics
Reviewer: Anthony Shanks, MD (Washington University School of Medicine)
Description: The fifth edition of this international obstetrics book focuses on the clinical management and anesthesia concerns of pregnant patients with medical conditions.
Purpose: It is intended as a comprehensive reference on medical problems in pregnant patients and the impact of pregnancy on those problems.
Audience: The target audience is residents, physicians, and other medical staff involved in caring for pregnant women. It is easy to extrapolate its use to physicians in other fields as well. For instance, a hematologist may want to understand the affects of a patient's hematologic problems on pregnancy and conversely how pregnancy affects this medical condition. The goal of patient-centered medical care is certainly worthwhile and the book does a good job of achieving it.
Features: The order of the chapters is a little confusing. The first third of the book is devoted to specific medical problems, such as pulmonary disease and heart disease. The book then shifts gears a bit, covering more focused topics such as diagnostic imaging in pregnancy. The last chapters focus on approaches to problems. Reference books that have multiple points of views may lose their audience and force readers to search for alternative sources of information. Conversely, if the intent is to create a literal "one stop shop," then readers are left to debate this book's merits versus other definitive obstetrics textbooks (i.e., Obstetrics: Normal and Problem Pregnancies, 5th edition, Gabbe et al. (Elsevier, 2007) and Williams Obstetrics, 23rd edition, Cunningham et al. (McGraw-Hill, 2010)). Specifically, this book does a very good job of delivering clinically useful information. The pulmonary disease chapter clearly presents physiology with helpful figures (including lung capacity) and pearls such as proper inhaler use. The chapter continues on to critical care and much less common diseases such as Wegener's granulomatosis and pulmonary lymphangioleiomyomatosis. While interesting, this information may be less relevant for the target audience. Chapter 24 appears to be just a table/figure with no background, and I thought some pages were missing. On the other hand, the chapter on obstetric anesthesia is fantastic and serves to highlight the book's strengths. Overall, the chapters that were kept to a manageable length succeeded the best, giving the book more focus and allowing the material to stand out. The discussion of prescribing during pregnancy and lactation also stands out if for no other reason that this is a unique topic that highlights an important issue. Again, it is easy to envision physicians in other fields turning to this book for assistance with their pregnant patients.
Assessment: This is a solid book for those interested in the care of obstetrical patients with medical problems. It has a grand vision and attempts to satisfy many parties. This newest edition adds some new wrinkles, justifying its publication.
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Product Details

  • ISBN-13: 9781405148474
  • Publisher: Wiley, John & Sons, Incorporated
  • Publication date: 7/13/2010
  • Edition description: New Edition
  • Edition number: 5
  • Pages: 806
  • Sales rank: 463,224
  • Product dimensions: 8.80 (w) x 11.00 (h) x 1.70 (d)

Meet the Author

Raymond Powrie MD FRCP FACP, Professor of Medicine, Obstetrics, and Gynecology, The Warren Alpert School of Medicine of Brown University, and Women & Infants Hospital of RI, USA

Michael F Greene MD, Professor of Obstetrics & Gynecology, Harvard Medical School and Massachusetts General Hospital, MA, USA

William Camann MD, Chief of Obstetric Anesthesia, Brigham and Women's Hospital and Harvard Medical School. He is also the present President of the Society of Obstetric Anesthesiologists and Perinatologists

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Table of Contents

List of contributors



1 Pulmonary disease in pregnancy Warwick D. Ngan Kee Kee, Warwick D. Ngan 1

2 Hematologic disease in pregnancy Brenda Bucklin Bucklin, Brenda 48

3 Thromboembolic disease in pregnancy Ian Greer Greer, Ian 82

4 Thrombophilias and pregnancy Joanne Douglas Douglas, Joanne 101

5 Heart disease in pregnancy Elizabeth McGrady McGrady, Elizabeth 118

6 Hypertension in pregnancy Robin Russell Russell, Robin 153

7 Renal disease in pregnancy Felicity Plaat Plaat, Felicity 182

8 Rheumatologic disorders in pregnancy Andra H. James James, Andra H. 209

9 Disorders of the liver, biliary system and exocrine pancreas in pregnancy Deborah M. Money Money, Deborah M. 223

10 Disorders of the gastrointestinal tract in pregnancy Scott Segal Segal, Scott 256

11 Diabetes mellitus in pregnancy Robert A. Peterfreund Peterfreund, Robert A. 293

12 Thyroid disease in pregnancy Brian M. Casey Casey, Brian M. 322

13 Pituitary and adrenal disease in pregnancy Alan Peaceman Peaceman, Alan 335

14 Calcium metabolism and diseases of the parathyroid glands during pregnancy T. Murphy Goodwin Goodwin, T. Murphy 352

15 Neurologic disorders in obstetric practice Chris Elton Elton, Chris 371

16 Nonviral infectious diseases in pregnancy Daniel I. Sessler Sessler, Daniel I. 404

17 Viral infections in pregnancy other than human immunodeficiency virus Deborah M. Money Money, Deborah M. 431

18 Human immunodeficiency virus infection in pregnancy Roshan Fernando Fernando, Roshan 464

19 Substance misuse in pregnancy David Birnbach Birnbach, David 477

20 Skin diseases in pregnancy Nollag O'Rourke O'Rourke, Nollag 505

21 Psychiatric disorders in pregnancy Jami Star Star, Jami 524

22 Cancer in pregnancy Kimberly K. Leslie Leslie, Kimberly K. 553

23 Critical care in pregnancy Kalpalatha K. Guntupalli Guntupalli, Kalpalatha K. 583

24 Embryologic and fetal development 598

25 Global issues in maternal health Medge D. Owen Owen, Medge D. 599

26 Future health concerns for women who have had a complicated pregnancy David J. Williams Williams, David J. 606

27 Special concerns for the obese patient Richard N. Wissler Wissler, Richard N. 615

28 Special concerns for patients with advanced maternal age Linda Heffner Heffner, Linda 621

29 Principles of obstetric anesthesia William Camann Camann, William 625

30 Prescribing in pregnancy: a practical approach Raymond O. Powrie Powrie, Raymond O. 633

31 Prescribing during lactation Teresa Baker Baker, Teresa 641

32 Diagnostic imaging in pregnancy Sandra A. Lowe Lowe, Sandra A. 646

33 Contraception for women with medical disorders Raymond O. Powrie Powrie, Raymond O. 653

34 Effect of pregnancy on common laboratory tests Elvis R. Pagan Pagan, Elvis R. 661

35 Approach to headaches in pregnancy Men-Jean Lee Lee, Men-Jean 671

36 Approach to anemia in pregnancy Jami Star Star, Jami 681

37 Approach to moderately elevated liver function tests in pregnancy not attributable to pre-eclampsia/HELLP syndrome Margaret A. Miller Miller, Margaret A. 684

38 Approach to shortness of breath in pregnancy Michael J. Paglia Paglia, Michael J. 689

39 Approach to hypertensive emergencies in pregnancy David Wlody Wlody, David 695

40 Approach to palpitations in pregnancy Rshmi Khurana Khurana, Rshmi 700

41 Approach to proteinuria identified remote from term Margaret A. Miller Miller, Margaret A. 704

42 Approach to new-onset hypertension remote from term Margaret A. Miller Miller, Margaret A. 710

43 Approach to presyncope and syncope in pregnancy Winnie W. Sia Sia, Winnie W. 715

44 Approach to chest pain in pregnancy Paul S. Gibson Gibson, Paul S. 719

45 New-onset seizures in pregnancy Peter von Dadelszen von Dadelszen, Peter 724

46 Approach to prosthetic heart valves in pregnancy Marc A. Rodger Rodger, Marc A. 730

47 Approach to the use of glucocorticoids in pregnancy for nonobstetric indications Raymond O. Powrie Powrie, Raymond O. 736

48 Approach to hyperemesis gravidarum Silvia Degli Esposti Esposti, Silvia Degli 742

49 Approach to fetal assessment, optimization of neonatal outcome, mode of delivery and timing for nonobstetric readers Mark A. Brown Brown, Mark A. 749

50 Promoting safe care for women with medical problems during pregnancy Kue Chung Choi Choi, Kue Chung 754

Appendix: Medications and their relative risk to breastfeeding infants 759

Index 771

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