Obstetric Evidence-Based Guidelines

Overview

This book reviews the evidence for best practice in obstetrics and maternal-fetal medicine. It presents readers with the right information, in the right format, by summarizing evidence in easy-to-use tables and algorithms. Recommendations have linkage to supporting evidence, and quality of evidence and strength of recommendation is stressed. Areas of uncertainty are recognized, and 'individualized' care suggested. Recommendations based on randomized trials and meta-analyses are highlighted so that clinical ...

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Overview

This book reviews the evidence for best practice in obstetrics and maternal-fetal medicine. It presents readers with the right information, in the right format, by summarizing evidence in easy-to-use tables and algorithms. Recommendations have linkage to supporting evidence, and quality of evidence and strength of recommendation is stressed. Areas of uncertainty are recognized, and 'individualized' care suggested. Recommendations based on randomized trials and meta-analyses are highlighted so that clinical outcomes can be improved. The proper use of each guideline is aimed at "make it easy to do it right", so there is appropriate use of proven interventions and no use of harmful interventions. Plenty of evidence is available so that well-informed clinicians can reduce errors (primum non nocere), so the first aim is ultimately to improve the health of mother and fetus by providing quality care.

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Editorial Reviews

Doody's Review Service
Reviewer: Gilad A. Gross, MD (Washington University School of Medicine)
Description: This book uses an evidence-based approach to describe and make recommendations for care of the obstetric patient. The manner in which the information is conveyed is somewhat akin to a set of guidelines, although this is not a consistent format throughout. Readers will appreciate the similarity to ACOG practice bulletins and committee opinions.
Purpose: The purpose is to conduct and summarize an evidence-based review of common obstetric conditions that can assist in decision making in the care of a gravid patient. The book uses the highest forms of evidence to come to conclusions. There is heavy reliance on intense scrutiny of available valid data to come to conclusions. These are most worthy objectives for practitioners who rely on an evidence-based approach to solving problems and choosing therapies.
Audience: For practitioners looking to make choices from an evidence-based review, this can be a very serviceable book. In essence, the book can serve as a "quick fix" as the authors have done a thorough job screening the literature and coming to evidence-based conclusions. It is a nice book for generalists and obstetricians/gynecologists in training. The lack of background and baseline information would force a student to seek out other books for additional information. For physicians who have the task of protocol and guideline creation, this can be a valuable resource.
Features: The major benefit of this book is the evidence-based approach it takes. Several chapters open with quick bullets describing recommendations for care. These are expounded upon within the chapter. Initially, the bullets are random and not all that helpful. The chapters have the most helpful and organized information. An unfortunate curiosity is the omission of several basic obstetrical conditions. These include such dominant problems as preeclampsia, gestational diabetes, and Rh isoimmunization. Many maladies of obstetrics are tackled, but there are glaring gaps.
Assessment: The book does a great job at coming to evidence-based conclusions on various aspects of obstetrical care. The major drawback is the omission of important topics. For the included topics, however, it is a worthy purchase for anyone caring for the general obstetric patient. Physicians in positions to create protocols and guidelines also can gain valuable insight from this book.
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Product Details

Table of Contents

1. Prenatal Care 2. Physiologic Changes in Pregnancy 3. Ultrasound in Pregnancy 4. Screening for Aneuploidy and Prenatal Diagnosis 5. Genetic Screening 6. Before Labor and First Stage of Labor 7. Second Stage of Labor 8. Third Stage of Labor 9. Intrapartum Fetal Monitoring 10. Analgesia and Anesthesia in Pregnancy 11. Operative Vaginal Delivery 12. Cesarean Delivery 13. Vaginal Birth after Cesarean 14. Recurrent Pregnancy Loss 15. Preterm Birth Prevention in Asymptomatic and Symptomatic Women 16. Preterm Premature Rupture of Membranes 17. Induction of Labor 18. Premature Rupture of Membranes at or near Term 19. Meconium 20. Malpresentation and Malposition 21. Shoulder Dystocia 22. Abnormal Third Stage of Labor 23. Post-Term Pregnancy 24. Placenta Previa, Accreta, and Vasa Previa 25. Abruptio Placentae 26. Postpartum Infections 27. The Neonate 28. Medical Management of First Trimester Pregnancy Loss 29. The Adnexal Mass 30. Cervical Cancer Screening

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