High-risk pregnancies present life-threatening challenges to two of your patients: the mother and her fetus. The direct, exemplary guidance in Protocols for High-Risk Pregnancy enables you to * better understand your patients' conditions * devise optimum management strategies * maximize the outcome and minimize the complications for both the mother and her fetus
To enhance clinical relevance, each protocol is written as if the patient were present. Evidence to support an intervention is given where it exists. The authors' experience provides additional wise counsel. Key references provide the springboard for a deeper understanding of a topic. In this more compact and fully updated sixth edition, new protocols include * Amniotic fluid disorders * Depression * Fetal growth restriction * HIV * Indicated late preterm and early term birth * Malaria * Noninvasive prenatal diagnosis
Designed for clinical practice by the leaders of two generations of maternal-fetal medicine, no obstetrician or obstetric health care provider can afford to miss Protocols for High-Risk Pregnancy.
List of Contributors ix Preface xiii Part I Concerns in Pregnancy 1 Tobacco, Alcohol, and the Environment 3 Jorge E. Tolosa and George Saade 2 Ionizing Radiation 14 Robert L. Brent 3 Depression 27 Kimberly Yonkers Part II Antenatal Testing 4 Prenatal Detection of Fetal Chromosome Abnormality 35 Fergal D. Malone 5 Fetal Echocardiography 48 Joshua A. Copel 6 Clinical Use of Doppler 54 Henry L. Galan 7 Antepartum Testing 65 Michael P. Nageotte 8 Fetal Blood Sampling and Transfusion 71 Alessandro Ghidini Part III Maternal Disease 9 Maternal Anemia 81 Alessandro Ghidini 10 Sickle Cell Disease 88 Marc R. Parrish, John Morrison 11 Isoimmune Thrombocytopenia 97 Richard L. Berkowitz, Sreedhar Ghaddipati 12 Autoimmune Disease 104 Charles J. Lockwood 13 Antiphospholipid Antibody Syndrome 115 Charles J. Lockwood 14 Inherited Thrombophilias 119 Andra H. James 15 Cardiac Disease 128 Katharine D. Wenstrom 16 Peripartum Cardiomyopathy 139 F. Garry Cunningham 17 Thromboembolism 143 Alan Peaceman 18 Renal Disease 150 Susan Ramin 19 Obesity 157 Raul Artal 20 Diabetes Mellitus 163 Mark B. Landon, Steven G. Gabbe 21 Thyroid Disorders 172 Stephen F. Thung 22 Acute and Chronic Hepatitis 180 Patrick Duff 23 Asthma 188 Michael Schatz 24 Epilepsy 196 Men-Jean Lee 25 Chronic Hypertension 203 Baha M. Sibai 26 Cytomegalovirus, Genital Herpes, Rubella, Syphilis, and Toxoplasmosis 213 Brenna L. Hughes 27 Influenza, West Nile Virus, Varicella-Zoster, and Tuberculosis, 222 Jeanne S. Sheffield 28 Malaria 232 Richard M.K. Adanu 29 Human Immunodeficiency Virus Infection 238 Jane Hitti 30 Parvovirus B19 Infection 245 Maureen P. Malee 31 Group B Streptococcus 251 Mara J. Dinsmoor 32 Acute Abdominal Pain Due to Nonobstetric Causes 260 Fred M. Howard 33 Gallbladder, Fatty Liver, and Pancreatic Disease 270 Jeffrey R. Johnson Part IV Obstetric Problems 34 First Trimester Vaginal Bleeding 281 John T. Queenan Jr. 35 Cervical Insufficiency 288 John Owen 36 Nausea and Vomiting 298 Gayle Olson 37 Fetal Death and Stillbirth 306 Robert M. Silver 38 Abnormal Amniotic Fluid Volume 315 Thomas R. Moore 39 Preeclampsia 329 Baha M. Sibai 40 Fetal Growth Restriction 340 Henry L. Galan 41 Rh and Other Blood Group Alloimmunizations 353 Kenneth J. Moise Jr 42 Preterm Labor 363 Vincenzo Berghella 43 Premature Rupture of the Membranes 369 Brian Mercer 44 Indicated Late-Preterm and Early-Term Deliveries 383 Catherine Y. Spong 45 Prevention of Cerebral Palsy 388 Dwight J. Rouse 46 Amnionitis 392 George A. Macones 47 Third Trimester Bleeding 398 Yinka Oyelese 48 Amniotic Fluid Embolus 406 Robert Resnik Part V Labor and Delivery 49 Induction of Labor 411 Deborah A. Wing 50 Intrapartum Fetal Heart Rate Monitoring 418 Roger K. Freeman 51 Breech Delivery 423 G. Justus Hofmeyr 52 Vaginal Birth After Cesarean 428 James R. Scott 53 Placenta Accreta 435 Robert M. Silver 54 Shoulder Dystocia 445 Robert Gherman 55 Twins, Triplets and Beyond 451 Mary E. D Alton 56 Postpartum Hemorrhage 462 David S. McKenna Appendix A: Evaluation of Fetal Health and Defects 470 Lynn L. Simpson Index 483