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Obstetric Clinical Algorithms: Management and Evidence

ISBN: 978-1-4051-8111-2
190 pages
May 2010, Wiley-Blackwell
Obstetric Clinical Algorithms: Management and Evidence (1405181117) cover image


The evidence relating to the advances in obstetric practice and research over the past several decades have resulted in significant improvements in maternal and perinatal outcome. The obstetric care provider has the responsibility to be aware of these improvements and implement evidence-based practice when the situation requires. Clinical decisions should, as much as possible, be evidence based. This requires expertise in retrieving, interpreting, and applying the results of scientific studies and in communicating effectively the risks and benefits of different courses of action to patients.

The highly-regarded authors have used easy-to-follow management algorithms presented in a highly visual format to assist rapid decision making; with sections covering:

  • Preventative Health
  • Maternal Disorders
  • Infectious Complications
  • Antenatal Complications
  • Intrapartum / Postpartum Complications

Featuring best obstetric management guidance, based on graded published evidence and recommendations, this book will enable practicing and trainee obstetrician-gynecologists and nurse midwives to ensure that the primary goals of the delivery of a healthy mother and a healthy baby are met.

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Table of Contents


List of abbreviations.

Section 1 Preventive Health.

1 Abnormal Pap Smear.

2 Immunization.

3 Preconception Care.

4 Prenatal Care.

Section 2 Maternal Disorders.

5 Antiphospholipid Antibody Syndrome.

6 Asthma.

7 Cholestasis of Pregnancy.

8 Chronic Hypertension.

9 Deep Vein Thrombosis.

10 Gestational Diabetes Mellitus.

11 Gestational Hypertension.

12 Pre-eclampsia.

13 Pregestational Diabetes Mellitus.

14 Pulmonary Edema.

15 Pulmonary Embolism.

16 Renal Disease.

17 Seizure Disorder.

18 Systemic Lupus Erythematosus.

19 Thrombocytopenia.

20 Thyroid Dysfunction.

Section 3 Infectious Complications.

21 Asymptomatic Bacteriuria.

22 Urinary Tract Infection/Pyelonephritis.

23 Lower Genital Tract Infections.

24 Group B Streptococcus.

25 Hepatitis B.

26 Herpes Simplex Virus.

27 Human Immunodefi ciency Virus.

28 Parvovirus B19.

29 Syphilis.

30 Tuberculosis.

31 Chorioamnionitis (Intra-amniotic Infection).

Section 4 Antenatal Complications.

32 Advanced Maternal Age.

33 Antepartum Fetal Testing.

34 Breast Lesions.

35 Cervical Insuffi ciency.

36 First-trimester Vaginal Bleeding.

37 Higher-order Multiple Pregnancy.

38 Hyperemesis Gravidarum.

39 Intrauterine Fetal Demise.

40 Intrauterine Growth Restriction.

41 Isoimmunization.

42 Macrosomia.

43 Oligohydramnios.

44 Recurrent Pregnancy Loss.

45 Placenta Accreta.

46 Placenta Previa.

47 Placental Abruption.

48 Polyhydramnios.

49 Post-term Pregnancy.

50 Prenatal Diagnosis.

51 Preterm Labor.

52 Screening for Preterm Birth.

53 Preterm Premature Rupture of the Membranes.

54 Vaginal Birth after Cesarean.

55 Teratology.

56 Term Premature Rupture of the Membranes.

57 Twin Pregnancy.

Section 5 Intrapartum/Postpartum Complications.

58 Breech Presentation.

59 Intrapartum Fetal Testing.

60 Cesarean Delivery.

61 Operative Vaginal Delivery.

62 Intrapartum Management of Twin Pregnancy.

63 Postpartum Hemorrhage.

64 Retained Placenta.

65 Postpartum Endomyometritis.

66 Mastitis.

67 Vasa Previa.

68 Postpartum Psychiatric Disorders.

69 Sterilization.

Section 6 Obstetric Emergencies.

70 Acute Abdomen in Pregnancy.

71 Acute Asthma Exacerbation.

72 Acute Shortness of Breath.

73 Cord Prolapse.

74 Cardiopulmonary Resuscitation.

75 Diabetic Ketoacidosis.

76 Eclampsia.

77 Shoulder Dystocia.

78 Thyroid Storm.


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Author Information

Errol Norwitz, Yale Medical School and Yale-New Haven Hospital

George Saade, University of Texas Medical Branch, Galveston

Michael Belfort, University of Utah Medical School

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"I would definitely recommend this book, particularly for interns. It might not be as useful for upper levels who are more versed in the literature and comfortable with the diagnostic and management algorithms of common triage and labor and delivery findings." (Doody's, 26 August 2011)


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