Obstetric medicine has never been more important. Every minute somewhere in the world a woman dies of complications arising from pregnancy or childbirth. More than six million newborns and 600,000 women die needlessly each year. In the developed world indirect deaths and other “medical” causes such as thromboembolism are the major causes of women dying in pregnancy. This is not so in the developing world where sepsis and obstructed labour are still major worries, but medical problems such as eclampsia are still very important. Therefore, it is essential that all who care for pregnant women have insight into medical disorders and they way that these are influenced by pregnancy.
Traditional teaching in obstetrics and midwifery in the past concentrated on obstetric matters. Internists have been so unfamiliar with obstetrics that they have ignored the influence of pregnancy on their diseases in most of their teaching and writing. These issues have emphasized the need for a comprehensive textbook on medical disorders in pregnancy and have underwritten the success of previous editions of Medical Disorders in Obstetric Practice.
Medical Disorders in Obstetric Practice.
In this 5th edition, the new editors, Dr. Powrie, Dr. Greene and Dr. Camann, have made radical and welcome changes. Every chapter has been rewritten by new authors who are world leaders in their subjects. Most chapters are now a collaborative effort of clinicians from different specialties:
maternal-fetal medicine, medical subspecialists, obstetric anesthetists and obstetric internists. This approach emphasizes the importance of multidisciplinary care for women with medical illness in pregnancy in order to achieve the best possible outcomes throughout their reproductive years.
Professor Michael de Swiet’s ground breaking first edition of Medical Disorders in Obstetric Practice was published more than 35 years ago and was one of the first international textbooks to focus exclusively on providing expert guidance to obstetricians, medical specialists and anesthesiologists for the care of medical illness during pregnancy. It has remained one of the foremost books in the field with each subsequent edition.
Each chapter is now co-written and co-edited by an expert team of practicing clinicians including a high-risk obstetrician, a medical subspecialist and, where appropriate, an obstetric anesthesiologist. This team approach provides a uniquely broad interdisciplinary, practical perspective to the care of medical illness in pregnancy that expertly addresses the entire period from preconception through to postpartum follow up.
An entirely new section has been added that provides brief, practical, evidence-based advice from highly experienced clinicians about how to properly investigate and safely manage many of the most common medical problems that present to obstetricians. Topics covered include syncope, palpitations, headaches and abnormal liver function tests.
Additional chapters have been added on a wide range of topics including cancer, critical care, obesity, advanced maternal age and prescribing in pregnancy and lactation.
The text makes much greater use of tables, algorithms, text boxes and figures to summarize and illustrate key points for busy clinicians.
A special section of each major chapter now addresses issues related to the provision of anesthesia care to obstetric patients with medical illness to help obstetricians and medical specialists understand the concerns of their obstetric anesthesiology colleagues.
Traditional teaching in obstetrics and midwifery in the past concentrated on obstetric matters. Internists have been so unfamiliar with obstetrics that they have ignored the influence of pregnancy on their diseases in most of their teaching and writing. These issues have emphasized the need for a comprehensive textbook on medical disorders in pregnancy and have underwritten the success of previous editions of Medical Disorders in Obstetric Practice.
Medical Disorders in Obstetric Practice.
In this 5th edition, the new editors, Dr. Powrie, Dr. Greene and Dr. Camann, have made radical and welcome changes. Every chapter has been rewritten by new authors who are world leaders in their subjects. Most chapters are now a collaborative effort of clinicians from different specialties:
maternal-fetal medicine, medical subspecialists, obstetric anesthetists and obstetric internists. This approach emphasizes the importance of multidisciplinary care for women with medical illness in pregnancy in order to achieve the best possible outcomes throughout their reproductive years.
Professor Michael de Swiet’s ground breaking first edition of Medical Disorders in Obstetric Practice was published more than 35 years ago and was one of the first international textbooks to focus exclusively on providing expert guidance to obstetricians, medical specialists and anesthesiologists for the care of medical illness during pregnancy. It has remained one of the foremost books in the field with each subsequent edition.
Each chapter is now co-written and co-edited by an expert team of practicing clinicians including a high-risk obstetrician, a medical subspecialist and, where appropriate, an obstetric anesthesiologist. This team approach provides a uniquely broad interdisciplinary, practical perspective to the care of medical illness in pregnancy that expertly addresses the entire period from preconception through to postpartum follow up.
An entirely new section has been added that provides brief, practical, evidence-based advice from highly experienced clinicians about how to properly investigate and safely manage many of the most common medical problems that present to obstetricians. Topics covered include syncope, palpitations, headaches and abnormal liver function tests.
Additional chapters have been added on a wide range of topics including cancer, critical care, obesity, advanced maternal age and prescribing in pregnancy and lactation.
The text makes much greater use of tables, algorithms, text boxes and figures to summarize and illustrate key points for busy clinicians.
A special section of each major chapter now addresses issues related to the provision of anesthesia care to obstetric patients with medical illness to help obstetricians and medical specialists understand the concerns of their obstetric anesthesiology colleagues.
Contents
1. Pulmonary disease in pregnancy
2. Hematologic disease in pregnancy
3. Thromboembolic disease in pregnancy
4. Thrombophilias and pregnancy
5. Heart disease in pregnancy
6. Hypertension in pregnancy
7. Renal disease in pregnancy
8. Rheumatologic disorders in pregnancy
9. Disorders of the liver, biliary system and exocrine pancreas in pregnancy
10. Disorders of the gastrointestinal tract in pregnancy
11. Diabetes mellitus in pregnancy
12. Thyroid disease in pregnancy
13. Pituitary and adrenal disease in pregnancy
14. Calcium metabolism and diseases of the parathyroid glands during pregnancy
15. Neurologic disorders in obstetric practice
16. Nonviral infectious diseases in pregnancy
17. Viral infections in pregnancy other than human immunodeficiency virus
18. Human immunodeficiency virus infection in pregnancy
19. Substance misuse in pregnancy
20. Skin diseases in pregnancy
21. Psychiatric disorders in pregnancy
22. Cancer in pregnancy
23. Critical care in pregnancy
24. Embryologic and fetal development
25. Global issues in maternal health
26. Future health concerns for women who have had a complicated pregnancy
27. Special concerns for the obese patient
28. Special concerns for patients with advanced maternal age
29. Principles of obstetric anesthesia
30. Prescribing in pregnancy: a practical approach
31. Prescribing during lactation
32. Diagnostic imaging in pregnancy
33. Contraception for women with medical disorders
34. Effect of pregnancy on common laboratory tests
35. Approach to headaches in pregnancy
36. Approach to anemia in pregnancy
37. Approach to moderately elevated liver function tests in pregnancy not attributable to pre-eclampsia/HELLP syndrome
38. Approach to shortness of breath in pregnancy
39. Approach to hypertensive emergencies in pregnancy
40. Approach to palpitations in pregnancy
41. Approach to proteinuria identified remote from term
42. Approach to new-onset hypertension remote from term
43. Approach to presyncope and syncope in pregnancy
44. Approach to chest pain in pregnancy
45. New-onset seizures in pregnancy
46. Approach to prosthetic heart valves in pregnancy
47. Approach to the use of glucocorticoids in pregnancy for nonobstetric indications
48. Approach to hyperemesis gravidarum
49. Approach to fetal assessment, optimization of neonatal outcome, mode of delivery and timing for nonobstetric readers
50. Promoting safe care for women with medical problems during pregnancy
Appendix: Medications and their relative risk to breastfeeding infants
Index
1. Pulmonary disease in pregnancy
2. Hematologic disease in pregnancy
3. Thromboembolic disease in pregnancy
4. Thrombophilias and pregnancy
5. Heart disease in pregnancy
6. Hypertension in pregnancy
7. Renal disease in pregnancy
8. Rheumatologic disorders in pregnancy
9. Disorders of the liver, biliary system and exocrine pancreas in pregnancy
10. Disorders of the gastrointestinal tract in pregnancy
11. Diabetes mellitus in pregnancy
12. Thyroid disease in pregnancy
13. Pituitary and adrenal disease in pregnancy
14. Calcium metabolism and diseases of the parathyroid glands during pregnancy
15. Neurologic disorders in obstetric practice
16. Nonviral infectious diseases in pregnancy
17. Viral infections in pregnancy other than human immunodeficiency virus
18. Human immunodeficiency virus infection in pregnancy
19. Substance misuse in pregnancy
20. Skin diseases in pregnancy
21. Psychiatric disorders in pregnancy
22. Cancer in pregnancy
23. Critical care in pregnancy
24. Embryologic and fetal development
25. Global issues in maternal health
26. Future health concerns for women who have had a complicated pregnancy
27. Special concerns for the obese patient
28. Special concerns for patients with advanced maternal age
29. Principles of obstetric anesthesia
30. Prescribing in pregnancy: a practical approach
31. Prescribing during lactation
32. Diagnostic imaging in pregnancy
33. Contraception for women with medical disorders
34. Effect of pregnancy on common laboratory tests
35. Approach to headaches in pregnancy
36. Approach to anemia in pregnancy
37. Approach to moderately elevated liver function tests in pregnancy not attributable to pre-eclampsia/HELLP syndrome
38. Approach to shortness of breath in pregnancy
39. Approach to hypertensive emergencies in pregnancy
40. Approach to palpitations in pregnancy
41. Approach to proteinuria identified remote from term
42. Approach to new-onset hypertension remote from term
43. Approach to presyncope and syncope in pregnancy
44. Approach to chest pain in pregnancy
45. New-onset seizures in pregnancy
46. Approach to prosthetic heart valves in pregnancy
47. Approach to the use of glucocorticoids in pregnancy for nonobstetric indications
48. Approach to hyperemesis gravidarum
49. Approach to fetal assessment, optimization of neonatal outcome, mode of delivery and timing for nonobstetric readers
50. Promoting safe care for women with medical problems during pregnancy
Appendix: Medications and their relative risk to breastfeeding infants
Index