Update On Medical Disorders In Pregnancy

This issue Obstetrics and Gynecology Clinics examines Medical Complications in Pregnancy. Guest Editor Dr. Judith Hibbard has assembled a panel of experts who offer reviews on topics including Preeclampsia, Chronic hypertension, Peripartum cardiomyopathy, Valvular heart disease in pregnancy, Pregestational diabetes, Asthma management, Management of renal disease, Renal transplant recipients and pregnancy, Sickle disease and pregnancy, Thyroid disease, Update on gestational diabetes, Pregnancy after gastric bypass, Thromboprophylaxis in obstetrics, Cholestasis of pregnancy, and Hepatitis: screening and management.

Provides a quick reference guide to the specialty, covering diagnoses, investigation and management in a user-friendly, accessible format. Contributors provide evidence-based guidelines which highlight the core knowledge for diagnosing and managing common problems and emergencies.

Praise for the 1st edition: "This book is a must have for any midwife, particularly those working in the community, clinics and in high-risk areas.... This book is an extremely useful reference tool." (MIDIRS Midwifery Digest) "The important facts are laid out concisely, primarily focusing on management, using evidence based guidelines for best midwifery practice." (RCGP Journal) Medical Disorders in Pregnancy: A Guide for Midwives, 2nd edition clearly outlines existing and pre-existing conditions which women can experience during pregnancy. This comprehensive and practical handbook identifies issues for pre-conception care, defines the condition, explores possible complications, outlines recommended treatment and emphasizes specific midwifery care. This fully revised and updated edition of Medical Disorders in Pregnancy: A Guide for Midwives builds on the success of the first edition by covering more subjects. It includes physiology, more illustrations and algorithms and its accessible reference-style text enables information to be quickly and easily found. Special Features A practical guide on medical disorders written specifically for midwives Jointly written by medical and midwifery experts in the field Accessible reference style format makes information easy and quick to find Emphasis on inter-professional working

This comprehensive, case-based title takes a practical approach to treating the pregnant patient by illustrating common and less common issues that arise during pregnancy. Outlining how difficult it often is to discern normal changes from pathological changes in the pregnant patient, Medical Problems During Pregnancy addresses not only this core dilemma but also a full array of specific, challenging issues to consider when pregnant patients present with conditions like epilepsy, hypertension, cardiac arrhythmias and renal disease – disorders requiring medication despite some risks. Although standard best practices generally determine medication use, the practicality of medication at various stages of pregnancy is highly variable. Medical Problems During Pregnancy outlines key points to consider when prescribing medication and additionally offers a range of practical suggestions that can greatly improve the physician-patient interaction. A unique and invaluable addition to the literature, Medical Problems During Pregnancy will be of great interest to practicing obstetricians, primary care clinicians, family practice physicians, nurse practitioners, and other allied health professionals.

Pregnancy affects the physiology of women as their bodies adapt to the growing life within them; but how does this affect how you manage general, or pre-existing medical complaints? How do you differentiate the effects of pregnancy from genuine medical conditions? What are the effects of the ‘standard’ treatments on the growing fetus? What about breastfeeding? In this brand-new edition of de Swiet’s Medical Disorders in Clinical Practice, expert physicians present the best evidence and practical wisdom to guide you and your patients through their pregnancy and illness, to a successful birth and early motherhood. Using a combination of algorithms, years of experience and an evidence-based approach, this book will help you to: Diagnose difficult to identify conditions during pregnancy Effectively prescribe for pregnant and lactating women Overcome the challenges of imaging, anesthesia and critical care for pregnant women de Swiet’s assists you in navigating the many challenges pregnancy presents for both the patient and physician.

Examining Medical Complications in Pregnancy, this title offers reviews on topics including Preeclampsia, Chronic hypertension, Peripartum cardiomyopathy, Valvular heart disease in pregnancy, Pregestational diabetes, Asthma management, Management of renal disease, Renal transplant recipients and pregnancy, and Sickle disease and pregnancy.

This is a major new textbook on medical disorders and medical complications in pregnancy, which provides an authoritative and practical guide to the management of these potentially life-threatening conditions. Written in a consistent, accessible style, the book discusses each medical problem at all stages - from pre-pregnancy through the post-partum period - and provides a stage-by-stage management plan for each condition. Organized by systems, each chapter begins with a review of important background information on the physiology and pathology of the system as it relates to pregnancy and then moves on to consider individual medical problems, such as hypertension, cariomyopathies, etc. The book's scope also includes the management of the acutely ill patient, pre-pregnancy counselling, anaesthesia, effects on the neonate, and the long-term implications of medical complications. Written by a team of expert contributors from the UK, Australia, New Zealand and Europe, under the editorship of 2 leading experts from the UK and AustraliaTakes a modern, problem-based approach to the subjectEmphasis is on 'what to do', using a consistent, stage-by-stage approach to management for each conditionProvides a comprehensive overview of the underlying physiology and pathology of medical problems for each systemic group of conditionsRelated topics are also covered, including pre-pregnancy counselling, fetal assessment, anaesthesia, and problems of the neonate

The management of medical disorders in pregnancy has undergone significant changes in the recent years. The pattern of disease has changed with improvements in socio-economic conditions. For example, the incidence of antenatal anemia has decreased progressively in the past few decades, and pulmonary tuberculosis (which used to be prevalent) is now seen only rarely. Chronic rheumatic heart disease has also become less common. On the other hand, gestational diabetes has become more common. This may be due partly to the setting up of screening services for gestational diabetes in many hospitals. The four most common medical disorders complicating pregnancy are anemia, diabetes mellitus, cardiac disease, and thyroid disorders. In addition, because of the improvements in the medical, obstetric, and anesthetic management of pregnancy, many women with medical disorders can go through a pregnancy without major problems. There has also been a progressive decrease in the perinatal mortality associated with some medical disorders, such as diabetes. It is important for all healthcare professionals involved in the management of pregnant women with medical disorders to be conversant with the latest developments in order to provide the best care to these women. The chapters in this issue are certainly helpful in this respect. The eminent authors for the various chapters have discussed the various options available describing in detail their experiences regarding the various aspects of the condition.

The Guest Editors have assembled expert authors to provide current clinical views and recommendations for patients with medical disorders in pregnancy. Clinical reviews are devoted to the following topics: Obstructive sleep apnea in pregnancy; Pregestational Diabetes; Gestational Diabetes; Maternal mortality in the 21 century; Infections in pregnancy and the role of vaccines; Peripartum cardiomyopathy; Update on HIV in pregnancy: Thromboprophylaxis; Opiate abuse in pregnancy.