Clinical management algorithms for common and unusual obstetric problems have been developed to help guide practitioners to the best treatment options for patients. In this quick-reference guide, clear diagrams and concise notes show treatment options and evidence for over 80 high-risk obstetric complications, presented in two-page full color spreads to promote quick decision making in time-pressed situations.
This new edition includes sections on obesity, late-preterm and early term delivery, and pregnancy termination. As a clinical manual, the book provides guidance to many common and less common obstetric situations in which either the mother or her fetus is at risk. An algorithm for each situation provides obstetric care providers with a step-by-step guide of necessary actions for any given clinical case.
Written by internationally renowned experts, Clinical Obstetric Algorithms enables all obstetrics care providers to ensure delivery of a healthy mother and a healthy baby.
Table of Contents
Preface vii
List of abbreviations ix
Section 1 Preventative Health 1
1 Abnormal Pap Smear in Pregnancy 2
2 Immunization 5
3 Preconception Care 8
4 Prenatal Care 11
Section 2 Maternal Disorders 13
5 Antiphospholipid Antibody Syndrome 14
6 Asthma 17
7 Cholestasis of Pregnancy 20
8 Chronic Hypertension 22
9 Deep Vein Thrombosis 25
10 Gestational Diabetes Mellitus 28
11 Gestational Hypertension 31
12 Preeclampsia 33
13 Pregestational Diabetes Mellitus 36
14 Pulmonary Edema 38
15 Pulmonary Embolism 41
16 Renal Disease 44
17 Seizure Disorder 46
18 Systemic Lupus Erythematosus 49
19 Thrombocytopenia 52
20 Thyroid Dysfunction 55
Section 3 Infectious Complications 59
21 Asymptomatic Bacteriuria 60
22 Urinary Tract Infection/Pyelonephritis 62
23 Lower Genital Tract Infection 64
24 Group B βÂ]Hemolytic Streptococcus 66
25 Hepatitis B 69
26 Herpes Simplex Virus 71
27 Human Immunodeficiency Virus 73
28 Parvovirus B19 76
29 Syphilis 78
30 Tuberculosis 81
31 Chorioamnionitis (Intraamniotic Infection) 84
Section 4 Antenatal Complications 87
32 Advanced Maternal Age 88
33 Antepartum Fetal Testing 90
34 Breast Lesions 93
35 Cervical Insufficiency 96
36 FirstÂ]trimester Vaginal Bleeding 99
37 HigherÂ]Order Multifetal Pregnancy 102
38 Hyperemesis Gravidarum 104
39 Intrauterine Fetal Demise 107
40 Fetal Growth Restriction 109
41 Isoimmunization 113
42 Macrosomia 116
43 MedicallyÂ]Indicated Late Preterm and Early Term Delivery 119
44 Obesity 121
45 Oligohydramnios 124
46 Recurrent Pregnancy Loss 127
47 Placenta Accreta 130
48 Placenta Previa 133
49 Placental Abruption 135
50 Polyhydramnios 138
51 PostÂ]term Pregnancy 141
52 Pregnancy Termination 144
53 Prenatal Diagnosis 147
54 Preterm Labor 150
55 Screening for Preterm Birth 153
56 Preterm Premature Rupture of the Membranes 156
57 Vaginal Birth after Cesarean (VBAC) 159
58 Teratology 161
59 Term Premature Rupture of the Membranes 164
60 Twin Pregnancy 166
Section 5 Intrapartum/Postpartum Complications 169
61 Breech Presentation 170
62 Intrapartum Fetal Testing 173
63 Cesarean Delivery 176
64 Operative Vaginal Delivery 179
65 Severe Perineal Lacerations 182
66 Intrapartum Management of Twin Pregnancy 185
67 Postpartum Hemorrhage 187
68 Retained Placenta 191
69 Postpartum Endomyometritis 194
70 Mastitis 196
71 Vasa Previa 198
72 Postpartum Psychiatric Disorders 200
73 Sterilization 202
Section 6 Obstetric Emergencies 205
74 Acute Abdomen in Pregnancy 206
75 Acute Asthma Exacerbation 209
76 Acute Shortness of Breath 211
77 Cord Prolapse 213
78 Cardiopulmonary Resuscitation 215
79 Diabetic Ketoacidosis 218
80 Eclampsia 220
81 Shoulder Dystocia 223
82 Thyroid Storm 226
Recommended Reading 229
Index 243
