Obstetric Clinical Algorithms: Management and Evidence / Edition 1

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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:

Preventative Health

Maternal Disorders

Infectious Complications

Antenatal Complications

Intrapartum / Postpartum Complications

Featuring 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.

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Editorial Reviews

Doody's Review Service
Reviewer: Anthony Shanks, MD (Washington University School of Medicine)
Description: This book standardizes the approach to patients with commonly encountered obstetrical problems.
Purpose: The purpose is to provide clinical algorithms for commonly observed obstetrical problems. This is certainly a worthwhile objective and the authors achieve it.
Audience: The audience is residents in training or others where speed is essential in obtaining information, such as triage.
Features: The book is divided into five sections addressing preventive health, antenatal, prenatal, and postnatal maternal and fetal complications. Two-page summaries on each issue succinctly define the problem, present current evidence and treatment options, as well as potential complications and outcomes. The two pages also include a fairly thorough algorithm for diagnosis and treatment which will be particularly helpful for interns in triage. The book is a very easy to read but thorough synopsis of work-up and management options, which reinforces management decisions. It lacks the depth to be an ultimate obstetrical resource. Ideally, this would be a pocket manual that residents could keep with them, and it would be a good book to keep in a triage setting.
Assessment: I would definitely recommend this book, particularly for interns. It might not be as useful for upper levels who are more versed in the literature and comfortable with the diagnostic and management algorithms of common triage and labor and delivery findings.
From the Publisher
"I would definitely recommend this book, particularly for interns. It might not be as useful for upper levels who are more versed in the literature and comfortable with the diagnostic and management algorithms of common triage and labor and delivery findings." (Doody's, 26 August 2011)
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Product Details

  • ISBN-13: 9781405181112
  • Publisher: Wiley
  • Publication date: 5/24/2010
  • Edition number: 1
  • Pages: 190
  • Product dimensions: 7.30 (w) x 9.60 (h) x 0.40 (d)

Meet the Author

Errol Norwitz, Yale Medical School and Yale-New Haven Hospital

George Saade, University of Texas Medical Branch, Galveston

Michael Belfort, University of Utah Medical School

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Table of Contents


List of abbreviations

Section 1 Preventive Health 1

1 Abnormal Pap Smear 2

2 Immunization 4

3 Preconception Care 6

4 Prenatal Care 8

Section 2 Maternal Disorders 11

5 Antiphospholipid Antibody Syndrome 12

6 Asthma 14

7 Cholestasis of Pregnancy 16

8 Chronic Hypertension 18

9 Deep Vein Thrombosis 20

10 Gestational Diabetes Mellitus 22

11 Gestational Hypertension 24

12 Pre-eclampsia 26

13 Pregestational Diabetes Mellitus 28

14 Pulmonary Edema 30

15 Pulmonary Embolism 32

16 Renal Disease 34

17 Seizure Disorder 36

18 Systemic Lupus Erythematosus 38

19 Thrombocytopenia 40

20 Thyroid Dysfunction 42

Section 3 Infectious Complications 45

21 Asymptomatic Bacteriuria 46

22 Urinary Tract Infection/Pyelonephritis 48

23 Lower Genital Tract Infections 50

24 Group B Streptococcus 52

25 Hepatitis B 54

26 Herpes Simplex Virus 56

27 Human Immunodeficiency Virus 58

28 Parvovirus B19 60

29 Syphilis 62

30 Tuberculosis 64

31 Chorioamnionitis (Intra-amniotic Infection) 66

Section 4 Antenatal Complications 69

32 Advanced Maternal Age 70

33 Antepartum Fetal Testing 72

34 Breast Lesions 74

35 Cervical Insufficiency 76

36 First-trimester Vaginal Bleeding 78

37 Higher-order Multiple Pregnancy 80

38 Hyperemesis Gravidarum 82

39 Intrauterine Fetal Demise 84

40 Intrauterine Growth Restriction 86

41 Isoimmunization 88

42 Macrosomia 90

43 Oligohydramnios 92

44 Recurrent Pregnancy Loss 94

45 Placenta Accreta 96

46 Placenta Previa 98

47 Placental Abruption 100

48 Polyhydramnios 102

49 Post-term Pregnancy 104

50 Prenatal Diagnosis 106

51 Preterm Labor 108

52 Screening for Preterm Birth 110

53 Preterm Premature Rupture of the Membranes 112

54 Vaginal Birth after Cesarean 114

55 Teratology 116

56 Term Premature Rupture of the Membranes 118

57 Twin Pregnancy 120

Section 5 Intrapartum/Postpartum Complications 123

58 Breech Presentation 124

59 Intrapartum Fetal Testing 126

60 Cesarean Delivery 128

61 Operative Vaginal Delivery 130

62 Intrapartum Management of Twin Pregnancy 132

63 Postpartum Hemorrhage 134

64 Retained Placenta 136

65 Postpartum Endomyometritis 138

66 Mastitis 140

67 Vasa Previa 142

68 Postpartum Psychiatric Disorders 144

69 Sterilization 146

Section 6 Obstetric Emergencies 149

70 Acute Abdomen in Pregnancy 150

71 Acute Asthma Exacerbation 152

72 Acute Shortness of Breath 154

73 Cord Prolapse 156

74 Cardiopulmonary Resuscitation 158

75 Diabetic Ketoacidosis 160

76 Eclampsia 162

77 Shoulder Dystocia 164

78 Thyroid Storm 166

Index 168

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