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"This book sets out how the concept of ambulatory gynaecology can be applied to the main areas of gynaecological practice. It describes how national guidelines can be integrated into modern gynaecological practice in the context of the Government's National Health Service (NHS) plan and provides an essential guide to all practising clinicians." "A change from traditional care pathways to more cost effective, patient-centred approaches to medical practice lies at the heart of modern health service management. A 'see and treat' management philosophy is growing. 'One stop' clinics and 'day surgery' operations are replacing traditional outpatient consultations and inpatient surgery and the term 'ambulatory gynaecology' is being adopted to describe this philosophy."--BOOK JACKET.
Provides clinicians with current information on obstetric conditions that can be treated in outpatient visits rather than by prolonged hospitalization. The 17 chapters discuss why ambulatory management is needed, which patients are eligible, and how to administer care to these patients. The outpatient management of pregnant women experiencing preterm labor, pyelonephritis, hypertension, asthma, multiple gestation, diabetes, and hyperemesis gravidarum is described. Other topics include early postpartum discharge, the psychosocial impact of high risk pregnancy, and strategies to reduce telephone liability. Annotation copyrighted by Book News Inc., Portland, OR.
ìThe authors have crafted a very user-friendly set of guidelines, identifying the steps in assessment of patients for risks, outlining the objectives for care from preconception through postpartum, and addressing care for pregnant HIV positive womenÖ[the book] includes avenues to electronic resources to assist them in accessing the newest information in ever-evolving and changing practice environments.î óJoellen W. Hawkins, RNC, PhD, FAAN Professor Emeritus, Boston College Connell School of Nursing Writer in Residence, Simmons College, School of Nursing and Health Sciences "This is a concise, yet comprehensive book. I would recommend that any advanced practice nurse working in obstetrics have it on the bookshelf. It could also be used as protocol manual for small practices." Score: 100, 5 Stars.--Doody's Medical Reviews This is the only comprehensive source of current, evidence-based guidelines for advanced practice nursing management of the obstetric patient in an ambulatory setting. Encompassing preconception, prenatal, and postpartum nursing care, it stresses the importance of recognizing pre-existing complications of pregnancy and identifying obstetric complications. The book provides best practices for care of uncomplicated pregnancies throughout the gestation period and covers preconception care, basic genetic counseling, and outpatient postpartum care, as well as assessment and management of common postpartum problems, health promotion, and lactation issues. It addresses medications that can be safely used during pregnancy and antenatal surveillance recommendations. The book is written by nurse practitioners with combined experience of more than 50 years of practice in womenís health and obstetrics. Written for NPs, CNMs, and PAs, it provides a consistent, easy-to-access outline format that includes definition, etiology, history, physical exam, lab exam, differential diagnosis, treatment, complications, consultation/referral, and follow-up. Tables and diagrams further illustrate and reinforce the content, and numerous websites and bibliographies offer sources for additional study. Key Features: Presents the first comprehensive, up-to-date source of guidelines for preconception, prenatal, and postpartum nursing care in ambulatory settings Formats guidelines clearly and consistently for easy access to clinical information Provides key assessments including laboratory and ultrasound diagnostics Includes the latest trends in preterm labor prevention, disaster planning, and HIV in pregnancy. Covers early parenting issues and breastfeeding for success Provides guidelines for identifying complications and when to refer for specialist care
Praise for the First Edition: "This is a concise, yet comprehensive book. I would recommend that any advanced practice nurse working in obstetrics have it on the bookshelf. It could also be used as a protocol manual for small practices." Score: 100, 5 Stars —Doody's Medical Reviews Now in its third edition, this remains the only comprehensive source of current, evidence-based information for busy nurse practitioners and related professionals who provide preconception, prenatal, and postpartum care in outpatient settings. This resource encompasses essential clinical topics and practice standards in an easy-to-read, outline format with a convenient spiral binding. The third edition presents important new information on Thyroid Disorders in Pregnancy, COVID-19 during Pregnancy and Lactation, Rural Maternity Services, Utilization of Telehealth Services in Pregnancy, Adverse Child Experiences, LGBTQ Considerations, Genetic Counseling, and more. Additionally, unique topics of emerging clinical relevance address the complex and evolving nature of prenatal care in the 21st century, such as the latest trends in preterm labor prevention, disaster planning, managing exposure to the Zika virus, obesity, dermatoses, and HIV in pregnancy. New to the Third Edition: New chapters on Thyroid Disorders in Pregnancy and COVID-19 during Pregnancy and Postpartum Updated sections on rural maternity services, telehealth services, adverse childhood experiences, nutrition, and LGBTQ considerations Clinical updates on genetic screening and testing, nausea and vomiting, use of low-dose aspirin to prevent complications, HIV prevention, using PrEP, breastfeeding, avoidance of non-medically indicated early-term delivery, use of marijuana and heroin Greatly expanded section on options for noninvasive prenatal testing for aneuploidy New information from the FDA on drug labeling New recommendations on anemia screening in pregnancy Updated imaging recommendations New and updated guidelines from Association of Women's Health, Obstetric and Neonatal Nurses; American Congress of Obstetricians and Gynecologists; American Academy of Pediatricians; American College of Nurse Midwives; National Certification Corporation; National Association of Nurse Practitioners in Women's Health; the Centers for Disease Control and Prevention, and the US Preventive Services Task Force Two new appendices covering Telehealth Resources, Best Practice Guides, and LGBTQIA+ resources Key Features: Ensures speedy access to clinical information through clear organization, outline format, and spiral-bound text Presents complete guidelines for each topic in consistent format Provides guidelines on identifying complications and when to refer for specialist care Offers detailed information on genetic counseling, health promotion and assessment, lactation issues, and medications during pregnancy Includes downloadable patient teaching guides
This telephone triage book is designed for use by professional nurses assessing and advising patients over the telephone on topics related to obstetrics and gynecology. It is designed to crystalize the professionals existing knowledge base and to provide clear guidance on handling a wide-variety of patient situations about which the triage nurse might need to work through. the protocols are organized alphabetically by major topic areas and outline the salient medical, legal and practical considerations involved important educational points are highlighted to reinforce important points to stres
The perfect ambulatory care primer for undergraduate nursing students or practicing nurses transitioning from acute care settings, Perspectives in Ambulatory Care delivers expert insight into this evolving specialty and familiarizes readers with the top issues and trends they’ll encounter in ambulatory nursing practice. This authoritative resource clarifies the distinctions between ambulatory care and acute care, details the wide variety of ambulatory care roles and settings and demonstrates the growing impact and importance of nurses outside the hospital setting to help readers confidently meet the challenges of a changing healthcare landscape and succeed in this critical area of care.
The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.
First multi-year cumulation covers six years: 1965-70.