Read e-book online Obstetric Evidence Based Guidelines, Third Edition PDF

By Vincenzo Berghella

ISBN-10: 1498747469

ISBN-13: 9781498747462

ISBN-10: 1498747477

ISBN-13: 9781498747479

This re-creation of an acclaimed textual content stories the facts for top perform in obstetric drugs, to provide the reader with the fitting details, with applicable use of confirmed interventions and avoidance of ineffectual or destructive ones, and by way of score the facts of the most important references. the data is gifted within the correct layout by way of summarizing proof succinctly and obviously in tables and algorithms. the purpose is to notify the clinician, to lessen error and "to make it effortless to do it right."

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Example text

Nonimmune pregnant women should be counseled to avoid exposure and seek immunization postpartum (see Chapter 38 in Maternal-Fetal Evidence Based Guidelines). Syphilis screening. All pregnant women should be screened with a serologic test for syphilis at the first prenatal visit. Women who are at high risk, live in areas of high syphilis morbidity, or are previously untested should be screened at 28 weeks and again at delivery (see Chapter 35 in Maternal-Fetal Evidence Based Guidelines). HBsAg. Screen at initial encounter, and rescreen highrisk populations in third trimester.

8). These four AEDs should therefore be avoided if possible, by using a different therapy beginning in the preconception period. Women who have been seizure-free for ≥2 years with a normal electroencephalogram (EEG) may be eligible to stop anticonvulsant therapy after consulting with a neurologist [75]. , Am J Obstet Gynecol, 195(3):764–770, 2006. Abbreviations: HMG-CoA, 3-hydroxy-3-methyl-glutaryl-CoA reductase; RDA, recommended daily allowance. 11 visit. The indication, safety, effectiveness, and necessity of each drug need to be reviewed.

This is particularly significant for low- and middle-income countries [4]. Also, studies demonstrate a reduction in poor outcomes in high-risk pregnancies with enhanced prenatal care at no added cost [4] (see Section “Number and Timing of Visits”). In addition, women are dissatisfied with a reduced schedule of prenatal visits indicating a perceived benefit by women [4]. Specific interventions for specific risks may reduce morbidity and mortality. Prenatal care is probably of most benefit to medically high-risk women [2].

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Obstetric Evidence Based Guidelines, Third Edition by Vincenzo Berghella

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