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Chesley's Hypertensive Disorders in Pregnancy continues its tradition as one of the beacons to guide the field of preeclampsia research, recognized for its uniqueness and utility. Hypertensive disorders remain one the major causes of maternal and fetal morbidity and death. It is also a leading cause of preterm birth now known to be a risk factor in remote cardiovascular disease. Despite this the hypertensive disorders remain marginally studied and management is often controversial. The fourth edition of Chesley's Hypertensive Disorders in Pregnancy focuses on prediction, prevention, and management for clinicians, and is an essential reference text for clinical and basic investigators alike. Differing from other texts devoted to preeclampsia, it covers the whole gamut of high blood pressure, and not just preeclampsia. - Features new chapters focusing on recent discoveries in areas such as fetal programming, genomics/proteomics, and angiogenesis - Includes extensive updates to chapters on epidemiology, etiological considerations, pathophysiology, prediction, prevention, and management - Discusses the emerging roles of metabolic syndrome and obesity and the increasing incidence of preeclampsia - Each section overseen by one of the editors; each chapter co-authored by one of the editors, ensuring coherence throughout book
Hypertensive disorders are among the most common medical complications of pregnancy, with an incidence of approximately 6-10%. This spectrum of conditions includes essential hypertension, pre-eclampsia and HELLP syndrome. For patients with pre-existing hypertension, management ideally commences prior to conception, and continues through pregnancy to the postnatal period. This book provides information on the evidence-based management of women with hypertension throughout pregnancy, supported by important background information on the etiology, risk-factors and pathophysiology of these disorders. Illustrated with accompanying algorithms, tables and lists for quick reference on diagnostic criteria, drugs and side-effects, this book will help clinicians rapidly gain access to the information they need to care for these patients. This will to be of interest to all grades of obstetric trainees as well as specialists, obstetric anesthetists and anesthetic trainees, midwives and maternal-fetal physicians.
The fourth edition of Critical Care Obstetrics has been extensively revised to reflect the advances that have been made in maternal-fetal medicine. This edition contains 14 brand new chapters written by the field's leading physicians. Critical Care Obstetrics, 4/e, offers expanded coverage in areas vital to intensive care management, including Neonatal Resuscitation, The Organ Transplant Obstetrical Patient, and Ethical Considerations This practical guide and reference will be of invaluable assistance to obstetricians, and primary care physicians, in both the treatment and referral of high-risk patients.
Master the effective evaluation, analysis and management of placental-fetal growth restriction (PFGR), reducing the risk of perinatal mortality and morbidity in patients worldwide. Extensively researched by international experts, this manual provides practitioners with a detailed, hands-on approach to the practical 'pearls' for direct patient management. This authoritative volume advises on matters such as the correct evaluation and management of high-risk patients in danger of PFGR through to delivery. Extensive and wide-ranging, this book is an invaluable companion to the developing research interest and clinical applications in PFGR, including developmental outcomes in early childhood. Featuring a critical evaluation of a variety of abnormal conditions, such as fetal hypoxia, which are clearly displayed through extensive illustrations. This essential toolkit ensures that practitioners of all levels can effectively limit the risk of mortality and morbidity, and reach the correct diagnosis, first-time.
The female patient with chronic kidney disease often requires care that differs from the male patient. Particularly in the pregnant patient, a specialized body of knowledge is required to provide optimal care. This book focuses on such issues encountered during pregnancy including physiology and pathophysiology of pregnancy, hypertension, preeclampsia, various electrolyte disorders, nephrolithiasis, pharmacological management in the pregnant patient with kidney disease and during breastfeeding, acute kidney and chronic kidney disease, dialysis of the pregnant patient, lupus nephritis, thrombotic microangiopathy, glomerular disease management, use of renal biopsy during pregnancy, care of the female transplant patient, contraceptive counseling and postpartum care, various endocrine disorders, and bone disease in the female patient with chronic kidney disease. This book features the latest evidence and clinical approaches for the beginner or for the experienced practitioners who care for pregnant woman or even for those who require expertise in women’s health. Written by experts in the field, Obstetric and Gynecologic Nephrology: Women’s Health Issues in the Patient with Kidney Disease is a valuable resource for clinicians and practitioners involved in the care and treatment of obstetric and gynecologic patients afflicted with kidney disease.
The main objectives of this report are: to describe the current provincial and territorial activities to investigate and report on maternal deaths; to review and summarize available indiviual case-level reports of maternal deaths occurring in Canada between 1997 and 2000; to describe the occurrence and trends of severe maternal morbidity in Canada; to make recommendations to enhance the surveillance of maternal mortality and severe maternal morbidity in Canada.
This time honoured classic has been re-built completely: after sixeditions the editor has decided that a radical revision isnecessary. The new edition has been developed as a result ofintensive consultation with trainees in OB/GYN as to what theywant, what they need and how they learn. The book is organised into two halves covering obstetrics andgynaecology. Within each, the chapters are structured into sectionscontaining pedagogic features such as boxes, highlights and keypoints for the first time. It contains everything the clinicianneeds to practice the art of obstetrics and gynaecology andsufficient information to help sub-specialists develop theirspecific interests. This text is recommended reading for the RoyalCollege of Obstetrics and Gynaecology membership examination. This seventh edition contains 21 new chapters: Anatomy of the Pelvis and Reproductive Tract Placenta and Fetal Membranes Antenatal Care Anaesthesia and Analgesia Recurrent Miscarriage Ectopic Pregnancy Trophoblastic Disease Genetics and Prenatal Diagnosis Drugs and Pregnancy Obstetric Emergencies Prolonged Pregnancy Renal Disease Termination of Pregnancy Imaging in Gynaecology PMS Assisted Reproduction Hysteroscopy and Laparoscopy Sexual Dysfunction Psychological Aspects of Pregnancy Domestic Violence and Sexual Assault - now on MRCOG curriculum Ethical Dilemmas This seventh edition has been significantly updated with a widerange of internationally renowned contributors who are all expertsin their field, bringing this book to the cutting edge of knowledgein obstetrics and gynaecology. "It was my favourite textbook when I was working for myexaminations and I am still using it. I can recommend this editionto current trainees wholeheartedly. It is certainly worth buying."Journal of Obstetrics and Gynaecology
This volume is an excellent guide that comprehensively illustrates hypertensive disorders of pregnancy, especially preeclampsia, in both the basic and clinical aspects. Preeclampsia is a pregnancy-specific multi-organ disorder and a leading cause of maternal and neonatal mortality. The pathophysiology of pregnancy-specific disorders was long unknown, but recently many new findings have been reported from the point of view of pathophysiology. Furthermore, this complication of pregnancy, especially preeclampsia, is a potent risk factor for chronic conditions such as cardiovascular disease, diabetes mellitus, kidney disease, and hypertension. The book is composed of seven parts including genetic background, pathology, pathophysiology, and the latest prediction and treatment of preeclampsia. Specific basic topics such as immunological maladaptation, placental adenosine signaling, and new prediction markers are also expounded by experts. Thus it benefits not only obstetricians, pediatricians, nephrologists, diabetologists, and cardiologists, but also immunologists, endocrinologists, geneticists, pathologists, biologists, and molecular biologists who are interested in the treatment of hypertension in pregnancy.
The premier reference on obstetrics practice for nearly a century, the new Twenty-Second Edition is the ideal text for anyone who provides maternal and fetal health care. Now offering state-of-the-art diagnostic ultrasound images throughout, Williams Obstetrics maintains its strong, evidence-based approach. Rigorously referenced and clearly written, Williams' hallmarks are thoroughness, scientific basis, and practical applicability for the obstetrician at the bedside. The world-renowned management guidelines and recommendations have been thoroughly updated through analysis of the scientific literature. This is the only book providing coverage sufficient for the needs of all practicing physicians and residents in board preparation and training. New features include: • NEW STATE-OF-THE-ART ULTRASOUND IMAGES integrated throughout for easier diagnostic confirmation • COMPLETELY REVISED BASIC SCIENCE SECTIONS for greater usefulness in daily practice • NEW CHAPTERS on hot topics: prior cesarean delivery; gestational trophoblastic disease; obesity; thromboembolism; and liver disease • THOROUGHLY UPDATED CHAPTERS on evolving areas: fetal development; placental disorders; and infectious diseases • UPDATED GUIDELINES and STANDARDS of CARE reflecting the current scope of practice