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Prenatal Care,  An Issue of Primary Care Clinics in Office Practice - E-Book

Prenatal Care, An Issue of Primary Care Clinics in Office Practice - E-Book

David Harnisch

(2012)

Additional Information

Book Details

Abstract

This issue guides the primary care physician through the prental care of their patient with topics that include:  Preconception Care, Antepartum Care, Nutrition, Genetic Screening, First Trimester Complications, Management of Gestational Diabetes, Third Trimester Complications, Electronic Fetal Monitoring, Complications of Labor and Delivery, Operative Delivery, Postpartum Hemorrhage, and Alternative Approaches to Maternal Care.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Prenatal Care i
Copyright Page ii
Table of Contents vii
Contributors iii
Foreword: The Art of Prenatal Care xiii
Preface xv
Chapter 1. Preconception Counseling 1
MEDICAL HISTORY 1
REPRODUCTIVE HISTORY 5
SOCIAL HISTORY 7
FAMILY HISTORY 10
MEDICATION USE 11
VACCINATION HISTORY 12
REFERENCES 13
Chapgter 2. Prenatal Care: Touching the Future 17
PRENATAL CARE: A BRIEF HISTORY 17
PRECONCEPTION 19
TIMING VISITS 20
FIRST VISIT 20
FIRST-TRIMESTER COUNSELING 22
ROUTINE VISITS 23
VISITS 4 TO 12 24
WEEKS 12 TO 28 25
SECOND-TRIMESTER COUNSELING AND EDUCATION 26
WEEKS 28 TO 40 28
THIRD-TRIMESTER COUNSELING AND EDUCATION 28
FFM 28
GROUP PRENATAL VISITS 30
SUMMARY 30
REFERENCES 30
Chapter 3. Family Medicine Obstetrics: Pregnancy and Nutrition 39
THE PREPREGNANCY TIME FRAME: PRECONCEPTION NUTRITION 39
BMI 39
THE PREGNANCY TIME FRAME: ANTEPARTUM 41
THE PREGNANCY TIMEFRAME: POSTPARTUM NUTRITION 48
SUMMARY 50
REFERENCES 50
Chapter 4. Genetic Screening and Counseling: Family Medicine Obstetrics 55
GENETIC CATEGORIES 56
GENETIC SCREENING 59
GENETIC COUNSELING 65
DISCUSSION 69
REFERENCES 69
Chapter 5. First Trimester Complications 71
BLEEDING IN EARLY PREGNANCY 71
GESTATIONAL TROPHOBLASTIC DISEASE 76
NAUSEA AND VOMITING IN PREGNANCY 78
SUMMARY 80
REFERENCES 80
Chapter 6. Update on Gestational Diabetes Mellitus 83
DEFINITION 83
PATHOPHYSIOLOGY 83
PREVALENCE 83
SCREENING 84
MATERNAL, FETAL, AND NEONATAL RISKS OF GDM 85
ANTEPARTUM MANAGEMENT OF GDM 87
TREATMENT WITH INSULIN 88
TREATMENT WITH ORAL HYPOGLYCEMIC AGENTS 88
WHEN TO TEST 89
HOW OFTEN TO TEST? 89
DECISION TO DELIVER 90
INTRAPARTUM MANAGEMENT OF GDM 91
POSTPARTUM MANAGEMENT OF GDM AND INTERCONCEPTION CARE 91
TREATMENT OF THE NEWBORN 91
REFERENCES 92
Chapter 7. Third-Trimester Pregnancy Complications 95
PRETERM BIRTH 95
HYPERTENSIVE DISORDERS 101
THIRD-TRIMESTER VAGINAL BLEEDING 109
REFERENCES 112
Chapter 8. Electronic Fetal Monitoring: Family Medicine Obstetrics 115
HISTORICAL DEVELOPMENT OF STANDARDIZED TERMS AND TECHNIQUES 116
TECHNIQUES AND INSTRUMENTS RECOMMENDED FOR MONITORING FETAL HEART RATES 116
DEFINITIONS OF 6 CRITICAL TERMS 118
PROFESSIONAL MANAGEMENT GUIDELINES 123
SUMMARY 131
REFERENCES 131
FURTHER READINGS 132
Chapter 9. Complications of Labor and Delivery: Shoulder Dystocia 135
SHOULDER DYSTOCIA 135
MANAGEMENT 139
SIMULATION AND SKILLS TRAINING 141
DOCUMENTATION 141
SUMMARY POINTS 142
REFERENCES 142
Chapter 10. Cesarean Delivery 145
HISTORY 145
INDICATIONS 146
INFORMED CONSENT 151
TIMING 151
TECHNIQUE 152
TREATMENT OF COMPLICATIONS 155
PERIMORTEM CESAREAN 158
POSTCESAREAN CARE 158
TEAMWORK 159
SUMMARY 159
Chapter 11. Postpartum Hemorrhage 167
DEFINITION 167
INCIDENCE 168
ETIOLOGY AND RISK FACTORS 168
PREVENTION OF PPH 170
MANAGEMENT OF PPH 170
PRIMARY INTERVENTIONS FOR PPH 171
SECONDARY INTERVENTIONS FOR PPH 174
SPECIAL SITUATIONS 179
SIMULATION-BASED TRAINING FOR PPH 183
SUMMARY 183
REFERENCES 183
Chapter 12. Intrapartum Care the Midwifery Way: A Review 189
MIDWIFERY FOR THE TWENTY-FIRST CENTURY 189
MIDWIFERY VERSUS MEDICINE 190
CHOOSING OUR WORDS 191
1:1 SUPPORT AND THE ROLE OF THE DOULA 191
ORAL INTAKE DURING LABOR 192
MONITORING OF THE FETAL HEART RATE 193
HYDROTHERAPY 195
CARE OF THE PERINEUM 197
DELAYED CORD CLAMPING 199
APPROACHES TO LABOR PAIN 200
CHALLENGES TO PRACTICE CHANGE 203
ACKNOWLEDGMENTS 203
REFERENCES 203
Index 207