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Clinical research has produced a continuous stream of evidence-based guidelines to guide practice in obstetrics. The guidelines are often widely scattered: this book brings together the essential guidelines in one comprehensive resource. The primary focus is on Royal College of Obstetricians & Gynaecologists and other UK national guidelines; however, many chapters contain a 'Guideline Comparator' box carrying information from important international guidelines. Where there are no UK guidelines, information based on international guidelines is provided; where any guidelines do not exist, available evidence and accepted norms of practice based on expert opinion are detailed. Several chapters also contain a 'what not to do' box, which should act as a source of rich debate!
To assist those studying for postgraduate examinations such as MRCOG — the information is presented in schematic flowcharts, representing a step-by-step method of approaching clinical problems and providing an easy-to-use learning resource.
Contents
List of abbreviations | Part I. Fetal Conditions: | 1. Prenatal screening for aneuploidy and neural tube defects | 2. Routine fetal ultrasound screening | 3. Amniocenteses and chorionic villus sampling | 4. Non immune fetal hydrops | 5. Late intrauterine fetal death and stillbirth | 6. Fetal haemolytic disease | 7. Anti-D immunoglobulin for rhesus D prophylaxis | 8. Small for gestational age babies (SGA) | 9. Reduced fetal movements (RFM) | 10. Multiple pregnancy – twin pregnancy | 11. Amniotic fluid abnormalities | Part II. Infections in Pregnancy: 12. Human immunodeficiency virus | 13. Hepatitis | 14. Group B streptococcal disease in pregnancy | 15. Viral rash in pregnancy | 16. Genital herpes in pregnancy | 17. Rubella infection in pregnancy | 18. CMV infection in pregnancy | 19. Toxoplasmosis in pregnancy | 20. Parvo-virus infection in pregnancy | 21. Chicken pox in pregnancy | 22. Measles in pregnancy | 23. Malaria in pregnancy | 24. Bacterial sepsis in pregnancy | Part III. Antenatal Care: | 25. Antenatal care | 26. Pregnancy induced hypertension (PIH) or gestational HT | 27. Pre-eclampsia (PET) and eclampsia | 28. Obstetric cholestasis (OC) | 29. Gestational diabetes mellitus (GDM) | 30. Antepartum haemorrhage (APH) | 31. Preterm prelabour rupture of membranes (PPROM) | 32. Preterm labour (PTL) | 33. Preterm labour – tocolysis and antenatal corticosteroids | Part IV. Maternal Medicine: | 34. Chronic hypertension | 35. Pregnancy in pre-existing type 1 or type 2 diabetes mellitus | 36. Cardiac disease and pregnancy | 37. Thyroid disorders in pregnancy | 38. Renal condition in pregnancy | 39. Iron deficiency anaemia in pregnancy | 40. Epilepsy in pregnancy | 41. Haemoglobinopathies – sickle cell disease in pregnancy | 42. Haemoglobinopathies – beta thalassemia in pregnancy | 43. Prevention and treatment of thrombosis and embolism during pregnancy and the puerperium | 44. Pruritis in pregnancy | 45. Antenatal and postnatal mental health | Part V. Labour and Delivery: | 46. Breech presentation | 47. Caesarean section (CS) | 48. Induction of labour (IOL) | 49. Intra partum care | 50. Operative vaginal delivery (OVD) | 51. Vaginal birth after previous caesarean section (VBAC) | 52. Management of third, and fourth-degree, perineal tears | Part VI. Obstetric Emergencies: | 53. Shoulder dystocia | 54. Prevention and management of postpartum haemorrhage (PPH) | 55. Blood transfusion (BT) in obstetrics | 56. Maternal collapse in pregnancy and the puerperium | 57. Umbilical cord prolapse | 58. Neonatal resuscitation | Part VII. Postnatal Care: | 59. Postnatal care | 60. Bacterial sepsis following pregnancy | Part VIII. Miscellaneous: | 61. Obesity in pregnancy | 62. Alcohol consumption in pregnancy | 63. Smoking in pregnancy | 64. Teenage pregnancy | 65. Reproductive ageing | 66. Air travel in pregnancy | 67. Women with breast cancer in pregnancy | 68. Complex social issues and pregnancy
