Teratology, Teratogens, and Fetotoxic Agents

Feb 6, 2017 by in OBSTETRICS Comments Off on Teratology, Teratogens, and Fetotoxic Agents

Acitretin Alcohol Ambrisentan Angiotensin-converting enzyme inhibitors Angiotensin-receptor blockers Androgens Bexarotene Bosentan Carbamazepine Chloramphenicol Cocaine Corticosteroids Cyclophosphamide Danazol Diethylstilbestrol (DES) Efavirenz Fluconazole Isotretinoin Lamotrigine Lead Leflunomide Lenalidomide Lithium Methimazole Mercury Methotrexate…

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Operative Vaginal Delivery

Feb 6, 2017 by in OBSTETRICS Comments Off on Operative Vaginal Delivery

FIGURE 29-1 Decline in operative vaginal delivery rates, 1990–2010. (From Martin, 2012.) INDICATIONS If it is technically feasible and can be safely accomplished, termination of second-stage labor by operative vaginal…

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Ectopic Pregnancy

Feb 6, 2017 by in OBSTETRICS Comments Off on Ectopic Pregnancy

Classification Nearly 95 percent of ectopic pregnancies are implanted in the various segments of the fallopian tube and give rise to fimbrial, ampullary, isthmic, or interstitial tubal pregnancies (Fig. 19-1)….

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Diseases and Injuries of the Term Newborn

Feb 6, 2017 by in OBSTETRICS Comments Off on Diseases and Injuries of the Term Newborn

Surfactant Deficiency Inadequate surfactant secretion that leads to respiratory distress syndrome becomes less frequent with increasing gestational age. That said, even with a low incidence in term infants, RDS from…

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Fetal Assessment

Feb 6, 2017 by in OBSTETRICS Comments Off on Fetal Assessment

FIGURE 17-1 Fetal bladder volume measurements together with fetal heart rate (FHR) variation recorded in relation to 1F or 2F behavior states. State 1F fetal heart rate has a narrow…

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Obesity

Feb 6, 2017 by in OBSTETRICS Comments Off on Obesity

Definitions A number of systems have been used to define and classify obesity. The body mass index (BMI), also known as the Quetelet index, is currently most often used. The…

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Pulmonary Disorders

Feb 6, 2017 by in OBSTETRICS Comments Off on Pulmonary Disorders

Pathophysiology Asthma is a chronic inflammatory airway syndrome with a major hereditary component. Increased airway responsiveness and persistent subacute inflammation have been associated with genes on chromosomes 5q that include…

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Neurological Disorders

Feb 6, 2017 by in OBSTETRICS Comments Off on Neurological Disorders

Primary Tension-type (69%) Migraine (16%) Cluster and other trigeminal autonomic cephalgias (< 1%) Other Secondary Systemic infection (63%) Head or neck trauma (4%) Cranial or cervical vascular disorders Intracranial nonvascular…

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Gastrointestinal Disorders

Feb 6, 2017 by in OBSTETRICS Comments Off on Gastrointestinal Disorders

Diagnostic Techniques Endoscopy Various methods can evaluate the gastrointestinal tract during pregnancy without reliance on x-ray techniques. Fiberoptic endoscopic instruments have revolutionized diagnosis and management of most gastrointestinal conditions, and…

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Chronic Hypertension

Feb 6, 2017 by in OBSTETRICS Comments Off on Chronic Hypertension

Definition and Classification For the foregoing reasons, it seems logical that chronic hypertension would be defined as some level of sustained blood pressure that is associated with an increase in…

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