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Summary

Pregnancies compromized by medical conditions and other problems are widespread and demand special attention from the obstetrician, obstetric nurse, certified nurse midwife, primary care physician, and others, to ensure optimal outcome to pregnancy. Through three successful editions, John Queenan and John Hobbins have provided readers with a complete, easily referenced, at-point-of-care guide to managing the pregnant patient and fetus at risk. In this, the fourth edition, Catherine Spong has joined them to make this valuable book evidence based.

Author Biography

Dr John Queenan

Dr John Hobbins

Dr Catherine Spong

Table of Contents

List of contributors, xi
Preface, xix
PART 1: HAZARDS TO PREGNANCY, 1(54)
1 Alcohol,
3(6)
Robert J. Sokol and Beth Nordstrom Bailey
2 Developmental toxicology and teratology,
9(9)
James W. Hanson and Jan M. Friedman
3 Occupational hazards,
18(8)
George R. Saade
4 Smoking,
26(5)
Jorge E. Tolosa and Surasith Chaithongwongwatthana
5 Ionizing radiation,
31(8)
Robert L. Brent
6 Microwaves and ultrasound,
39(6)
Robert L. Brent
7 Exercise—risks and benefits,
45(10)
James Clapp
PART 2: ANTENATAL TESTING, 55(62)
8 Routine antenatal laboratory tests and specific screening tests,
57(7)
Calvin J. Hobel
9 Assessment of gestational age,
64(5)
Lawrence D. Platt
10 Second trimester biochemical screening for neural tube defects and aneuploidy,
69(6)
John C. Hobbins
11 Sonographic and first trimester detection of aneuploidy,
75(14)
Fergal D. Malone
12 Indices of maturity,
89(7)
Alessandro Ghidini and Anna Locatelli
13 Clinical use of Doppler,
96(10)
Henry L. Galan
14 Fetal echocardiography,
106(6)
Joshua A. Copel and Charles S. Kleinman
15 Fetal biophysical profile,
112(5)
Michael P. Nageotte
PART 3: SPECIAL PROCEDURES, 117(52)
16 Chorionic villus sampling,
119(6)
Ronald J. Wapner
17 Genetic amniocentesis,
125(4)
Katharine D. Wenstrom
18 Third trimester amniocentesis,
129(5)
Nancy Chescheir
19 Fetal blood sampling,
134(7)
Alessandro Ghidini and Anna Locatelli
20 Fetal reduction,
141(4)
Mark I. Evans
21 Intrauterine transfusion,
145(7)
Frederick U. Eruo and Ray O. Bahado-Singh
22 External cephalic version,
152(5)
Monica Longo and Gary D.V. Hankins
23 Induction of labor,
157(7)
Anna M. McKeown and Michael P. Nageotte
24 Amnioinfusion: indications and techniques,
164(5)
Catherine Y. Spong
PART 4: MATERNAL DISEASE, 169(212)
25 Sickle cell disease.
171(5)
Chad K. Klauser and John C. Morrison
26 Isoimmune thrombocytopenia,
176(6)
Jane Cleary-Goldman and Mary E. D'Alton
27 Autoimmune disease,
182(14)
Charles J. Lockwood and Edmund F. Funai
28 Cardiac disease,
196(9)
Katharine D. Wenstrom
29 Peripartum cardiomyopathy,
205(3)
F. Gary Cunningham
30 Thromboembolism,
208(6)
Alan Peaceman
31 Renal disease,
214(7)
Linda Fonseca, Larry C. Gilstrap III and Susan Ramin
32 Obesity,
221(3)
Frank J. Zlatnik
33 Gestational diabetes,
224(3)
Donald R. Coustan
34 Diabetes mellitus,
227(8)
Steven G. Gabbe
35 Hypothyroidism,
235(4)
Brian Casey
36 Hyperthyroidism,
239(5)
George D. Wendel, Jr
37 Acute and chronic hepatitis,
244(7)
Marshall W. Carpenter
38 Asthma,
251(8)
Michael Schatz
39 Epilepsy,
259(5)
Neil K. Kochenour
40 Chronic hypertension,
264(9)
Raba M. Sibai
41 Immunizations,
273(11)
Stanley A. Gall
42 Cylomegalovirus,
284(4)
Hans M.L. Spiegel and John L. Sever
43 Herpes simplex,
288(5)
Jeanne S. Sheffield
44 Influenza,
293(4)
Jeanne S. Sheffield
45 West Nile virus,
297(4)
Ronald Gibbs and Joel K. Schwartz
46 Human immune deficiency virus infection,
301(14)
Howard Minkoff
47 Parvovirus B19 infection,
315(5)
Maureen P. Malee
48 Syphilis,
320(6)
Vanessa Laibl and George D. Wendel, Jr
49 Rubella,
326(3)
Hans M.L. Spiegel and John L. Sever
50 Group B streptococcus,
329(5)
Mara J. Dinsmoor
51 Toxoplasmosis,
334(7)
Shad Deering
52 Varicella,
341(7)
Hans M.L. Spiegel and John L. Sever
53 Tuberculosis,
348(8)
Kim A. Boggess
54 Urinary tract infections,
356(3)
F. Gary Cunningham
55 Acute abdominal pain resulting from non-obstetric causes,
359(9)
Sara Sukalich and Fred M. Howard
56 Acute pancreatitis,
368(5)
Sarah H. Poggi
57 Gallbladder,
373(3)
Monica Longo and Gary D.V. Hankins
58 Mastitis,
376(5)
Wendy F. Hansen, Deborah Hubbard, and Jennifer R. Niebyl
PART 5: OBSTETRIC PROBLEMS, 381(138)
59 First trimester vaginal bleeding,
383(5)
Marsha Wheeler
60 Cervical incompetence,
388(7)
Wendy F. Hansen
61 Nausea and vomiting,
395(7)
Gayle Olson
62 Syncope,
402(4)
Gary D. Helmbrecht
63 Fetal wastage: genetic evaluation,
406(6)
Joe Leigh Simpson
64 Recurrent pregnancy loss: non-genetic causes,
412(8)
Uma M. Reddy
65 Missed abortion and antepartum fetal death,
420(8)
Robert M. Silver
66 Oligohydramnios,
428(6)
Maryam Tarsa and Thomas R. Moore
67 Polyhydramn ios,
434(7)
Shad H. Deering and John T. Oueenan
68 Pre-eclampsia,
441(9)
Baha M. Sibai
69 Intrauterine growth restriction.
450(8)
Ursula F. Harkness and Ray O. Bahado-Singh
70 Rh and other blood group alloimmunizations,
458(9)
Kenneth J. Moise, Jr
71 Early detection of preterm labor,
467(8)
Jay D. Iams
72. Preterm labor — tocolysis,
475(8)
Sarah J. Kilpatrick and Jay D. Iams
73 Premature rupture of the membranes,
483(12)
Brian Mercer
74 Aninionitis,
495(5)
Sindhu K. Srinivas and George A. Macones
75 Third trimester bleeding,
500(6)
Alm1 Peaceman
76 Amniotic fluid embolus,
506(3)
Robert Resnik
77 Sepsis syndrome,
509(4)
F. Gary Cunningham
78 Counseling for fetal anomalies,
513(6)
Lorraine Dugoff
PART 6: LABOR AND DELIVERY, 519(80)
79 Maternal transport,
521(7)
Jerome Yankowitz
80 Medications in labor,
528(18)
Gary S. Eglinton and Isaac P. Lowenwirt
81 Intrapartum fetal heart rate monitoring,
546(5)
Roger K. Freeman
82 Abnormal labor,
551(4)
Alan Peaceman
83 Breech delivery,
555(4)
Marlin L. Gimovsky
84 Vaginal birth after cesarean section,
559(6)
James R. Scott
85 Shoulder dystocia,
565(5)
Thomas J. Benedetti
86 Twins, triplets, and beyond,
570(10)
Jacquelyn K. Chyu
87 Post-term pregnancy,
580(3)
Manuel Porto
88 Primary postpartum hemorrhage,
583(6)
Monical Longo and Gary D.V. Hankins
89 Postpartum endometritis,
589(7)
Jonathan Hodor
90 Vaginal and vulvar hematoma,
596(3)
Robert Resnik
PART 7: CLINICAL REFERENCE TABLES, 599(118)
Appendix A: Commonly used ultrasound measurements,
601(22)
Antonio Barbera
Appendix B: Changes in laboratory values during pregnancy,
623(4)
Shad H. Deering
Appendix C: Evaluation of fetal defects and maternal disease,
627(10)
Lynn L. Simpson
Appendix D: The newborn: reference charts and tables,
637(11)
Adam Rosenberg
Appendix E: Medications cited,
648(69)
Catalin S. Buhimschi and Carl P. Weiner
Index, 717

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