Complicanze ostetriche

Preterm birth is an increasing challenge in the developed and developing world. As we begin to understand what contributes to the likelihood of preterm birth, obstetricians and gynecologists can advise mothers and aspiring mothers on how to minimize the risks. Doctors can also monitor those patients who are likely to be at risk to increase the chances of preventing or effectively managing preterm labor. This practical book provides a clinically focused approach to the prevention and management of premature births, using the best available evidence to provide clear guidance to obstetricians, gynecologists, nurse midwives and family practitioners. Written for an international audience, the author addresses the special issues affecting patients in the developing world, including infectious- and poverty-related preterm birth. Each of the 30 chapters follows a wealth of practical features: * Key points and chapter summaries * Algorithms, tables and graphs * Summary of the evidence-based literature * Easy-to-use clinical guidelines

Access to high quality abortion care is essential to women's health, as evidenced by the dramatic decrease in pregnancy-related morbidity and mortality since the legalization of abortion in the United States, and by high rates of maternal death and complications in those countries where abortion is still provided under unsafe conditions. The past two decades have brought important advances in abortion care as well as increasing cross-disciplinary use of abortion technologies in women's health care. Abortion is an important option for pregnant women who have serious medical conditions or fetal abnormalities, and fetal reduction techniques are now well-integrated into infertility treatment to reduce the risks of multiple pregnancies resulting from assisted reproductive technologies. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the textbook of the National Abortion Federation, and serves as the standard, evidence-based reference text in abortion care. This state-of-the-art textbook provides a comprehensive overview of the public health implications of unsafe abortion and reviews the best surgical and medical practices for pregnancy termination, as well as managing ectopic and other abnormal pregnancies. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the leading source for a comprehensive understanding of issues related to unintended and abnormal pregnancy. This textbook:* is authored by internationally-known leaders in women's health care;* addresses unintended pregnancy and abortion from historical, legal, public health, clinical, and quality care perspectives;* includes chapters on pregnancy loss, ectopic pregnancy, gestational trophoblastic disease, and multifetal pregnancy reduction;* covers treatment of pregnancies in the first and second trimester by both medical and surgical techniques; and* provides resources for clinical, scientific, and social support for the abortion provider and patient.

This volume in the "Requisites in Obstetrics and Gynecologic" series offers expert guidance in the assessment and management of high-risk pregnancies. Inside you'll find coverage of antepartum care, complications, medical complications of pregnancy, fetal disorders, fetal surveillance, intrapartum complications, and puerperal disorders. It delivers all of this essential information in the proven 'high-yield' "Requisites" format-equipping you to master the material quickly. Perfect for quick review and exam preparation, this is one resource you'll consult over and over again!

Now available with online access, this trusted and tested reference provides easy access to vital information on current diagnoses, therapy, and management of both the normal and high-risk patient, wherever and whenever you need it most. It also offers a firm foundation of knowledge in anatomy, embryology, physiology, pathology, genetics, and teratology all essential to successful practice in this fast-changing field. The online component allows you to search the complete contents of the printed text and is personally updated by the editors regularly for the life of the edition.

Exploring basic science and the clinical applications, Recurrent Pregnancy Loss: Causes, Controversies and Treatment provides an authoritative, comprehensive review of the management of recurrent pregnancy loss. Many subjects in this area are controversial, and occasionally clinical decisions are based on lack of knowledge rather than evidence. For this reason, chapters include debates by leading experts to aid the clinician in deciding on the appropriate clinical management. Chapters cover basic science, genetics, and the application of evidence based medicine as well as mid- trimester loss, late obstetric complications, and related psychological mechanisms. This book will be essential reading for specialists working in recurrent pregnancy loss clinics and associated disciplines, as well as anyone wishing to gain a comprehensive view of developments in the field.

This book is a must-have for all health professionals involved in the care of women with high risk pregnancies. It is a concise and practical resource for all perinatal care and a reference for the diagnosis and management of high risk pregnancy. The fifth edition of this classic, focuses on factors affecting pregnancy, genetics, practical diagnostic techniques, maternal diseases in pregnancy and pregnancy complications, labor, anesthesia, and neonatal considerations. Dr Queenan is joined in the fifth edition by a new editor, Catherine Spong. The book will take an explicitly evidence-based approach this time around and will expand upon several important areas; genetics, doppler ultrasound, prevention, AIDS, group B streptococcus, preeclampsia, and prematurity.

Pre-eclampsia is one of the leading causes of death and disability in mothers and babies. Over four million women worldwide will develop the disorder every year. This book, written by an international team of experts, focuses on both the scientific basis of pre-eclampsia and its management. The basic science section contains reviews of the most exciting research developments in pre-eclampsia. The clinical chapters provide a comprehensive review of the pertinent literature, highlighting data and ideas or developments in management. There is a section in each chapter (where relevant) that deals with practical management, giving clinicians a formulated treatment plan that they can implement directly. The book was originally published in 2007, and will have continuing relevance for all professionals interested in the reproductive sciences, and to obstetricians and physicians with an interest in pre-eclampsia.

There is an apparent paradox at play in contemporary western societies with an increased sense of risk-consciousness set against a growing demand for choice. The aim of this book is to illustrate the changing reality of risk management in maternity care and to highlight some of the difficulties encountered in offering or exercising choice. "Risk and Choice in Maternity Care" considers whether risk and choice are always as oppositional as they are sometimes portrayed. Risk management within healthcare is a complex and evolving subject and has developed considerably in recent years. The chapters in this book are written from the perspectives of different countries, including the UK, Ireland, Australia and the USA, and offer contrasting views on the approach to best practice, providing evidence-based care and giving women the freedom to choose. The issues raised are assessed in a concluding chapter that challenges the reader to identify how risk and choice considerations may be applied in clinical practice.

This book was first published in 2005. This volume summarizes advances in the optimal clinical management of preterm labour, using the best available evidence of the time. The contributors (mostly practising clinicians) are all actively involved in research into the mechanisms, aetiology, treatment and associated outcomes of preterm labour. The chapters are based on common clinical scenarios and each provides a comprehensive literature review followed by evidence-based recommendations on appropriate management. A summary of the pathophysiology of parturition is provided, and the obstetric scenarios cover management of threatened preterm labour, management of preterm premature ruptured membranes and management of preterm labour with specific complications (such as intrauterine growth restriction). Other chapters include the epidemiology, prediction and prevention of preterm labour. Anaesthetic and paediatric issues are explored in depth, and there are chapters on the legal and organizational issues surrounding preterm labour.

In this special issue, authoritative clinicians provide risk reduction strategies in the clinical fields of obstetrics and newborn medicine, including such issues as birth trauma, birth asphyxia, kernicterus and medication errors. Doctors, lawyers, and nurses then discuss various aspects of the current medical malpractice crisis including tort reform options and expert witness testimony. Leading defense and plaintiff attorneys offer insight into their unique views of the medical malpractice system. This book should be read by obstetricians, perinatologists, midwives, pediatricians, neonatologists, nurses and nurse practictioners, those in risk management or the malpractice insurance industry, health care planners, health care administrators, plaintiff and defense malpractice attorneys and anyone else with an interest in risk management in neonatal-perinatal medicine.

Originally published in 2005, this volume examines the role of steroids and peptides in the regulation of pregnancy and pregnancy outcome, and their long-term effects including possible influences on adult-onset diseases. During pregnancy the placenta acts as a central regulator and coordinator of maternal and fetal physiology, and the onset of labor, through its production and regulation of steroids and peptides. Perturbations to this regulatory system can result in poor pregnancy outcome, such as preterm birth and low birth weight. These in turn are linked to diseases in later life. Intriguingly, many of these regulatory actions of steroids and peptides also occur in the brain. The induction and suppression of peptides by steroids appears to be key to regulatory function in both brain and placenta. These interweaving strands, linking basic science with obstetrics, are all reviewed in depth here producing a fascinating account of an important area of materno-fetal medicine.