By David K. James MA MD FRCOG DCH, Philip J. Steer BS MD FRCOG FCOGSA (hon), Carl P. Weiner MD, Bernard Gonik MD FACOG
Excessive probability being pregnant examines the total diversity of demanding situations regularly obstetrics, scientific problems of being pregnant, prenatal analysis, fetal ailment, and administration of work and supply. Drs. David James, Philip J. Steer, Carl P. Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson current an evidence-based method of the to be had administration recommendations, equipping you with the main applicable technique for every sufferer. This finished reference good points the totally searchable textual content on-line at www.expertconsult.com, in addition to greater than a hundred video clips of imaging and tracking. providing you with quick access to the assets you must deal with excessive possibility pregnancies. arrange for scientific demanding situations and retailer time in addressing them because of specialist recommendation on treatments from foreign participants. locate and practice the knowledge you wish fast and simply via a constant association and at-a-glance precis packing containers that debate evidence-based administration suggestions. entry the absolutely searchable textual content on-line at www.expertconsult.com, in addition to hyperlinks to Medline. View over one hundred forty movies of designated fetal imaging and tracking that relief in diagnoses. faucet into contemporary advancements in remedy and administration in 4 new chapters-Global Maternal & Perinatal well-being matters; Recurrent being pregnant Loss; Surveillance of the Fetus and its symptoms; and coaching for Obstetric Emergencies. follow new evidence-based administration concepts to regard genetic and constitutional elements resulting in a high-risk being pregnant (such as diabetes, weight problems, high blood pressure, and cardiac sickness) via new and elevated assurance of those more and more universal displays. Reference pregnancy-relevant laboratory values with an up to date and finished appendix on "Normal Values in Pregnancy." successfully deal with sufferers newly clinically determined with hematologic and immunologic malignancies, and discover the to be had drug concepts. be certain your diagnoses with better self belief because of full-color pictures in the course of the textual content. excessive chance being pregnant offers an evidenced-based advisor for successfully dealing with the sufferer and acting strategies
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Additional resources for High Risk Pregnancy: Management Options (Expert Consult), 4th Edition
III/B 73 Ib/A 82 Management Options Prepregnancy Prenatal Labor and Delivery Postnatal Give a single dose (1 mg) of either intramuscular or oral vitamin K to the newborn to prevent classic hemorrhagic disease. Vitamin K prophylaxis improves biochemical indices of coagulation status at 1–7 days. 20 S ECTION O NE • Prepregnancy IODINE AND ZINC Maternal Weight and Weight Gain Trace minerals, such as iodine and zinc, are needed in greater quantities during pregnancy. 84 Body mass index (BMI), also known as Quetelet’s index (weight [kg]/height [m]2), is the most commonly used measure.
There is conflicting evidence about the effect of obesity on perinatal mortality. Obese women are more likely to give birth to large-for-gestational-age infants. 102,104,105 Overall, the increased need for abdominal delivery in obese women can be attributed mainly to the relatively high rates of prenatal complications and to factors such as advanced age and high parity. 102 Management of the airway in morbidly obese patients can be extremely difficult. 108 The anesthetic problems can be compounded by coexistent cardiovascular and respiratory problems.
Vitamin B6 (pyridoxine, pyridoxal, and pyridoxamine) is water-soluble and found in various plant and animal products. Vitamin B6 is involved in many enzymatic reactions. Deficiency is uncommon. Vitamin B12 (cyanocobalamin) is water-soluble and found in animal products only. Cyanocobalamin must be converted to a biologically active form (methylcobalamin or adenosylcobalamin). 79 When this reaction is impaired, hyperhomocysteinemia occurs and folate metabolism is deranged. The cobalamins are involved in fat and carbohydrate metabolism, protein synthesis, and hematopoiesis.
High Risk Pregnancy: Management Options (Expert Consult), 4th Edition by David K. James MA MD FRCOG DCH, Philip J. Steer BS MD FRCOG FCOGSA (hon), Carl P. Weiner MD, Bernard Gonik MD FACOG