Neoplastic Disorders
FIGURE 63-1 Proportion of malignancies during pregnancy and within 12 months of delivery in 4.85 million women from the California Cancer Registry. GI = gastrointestinal. (Data from Smith, 2003.) PRINCIPLES…
Thromboembolic Disorders
The likelihood of developing a thrombosis during pregnancy is especially increased in women with certain genetic risk factors. Indeed—and likely related—after personal history of thrombosis, the next most important individual…
Abnormal Labor
Inadequate cervical dilation or fetal descent: Protracted labor—slow progress Arrested labor—no progress Inadequate expulsive effort—ineffective pushing Fetopelvic disproportion: Excessive fetal size Inadequate pelvic capacity Malpresentation or position of the fetus…
Endocrine Disorders
Thyroid Physiology and Pregnancy Maternal thyroid changes are substantial, and normally altered gland structure and function are sometimes confused with thyroid abnormalities. These alterations are discussed in detail in Chapter…
Physiology of Labor
FIGURE 21-1 The phases of parturition. FIGURE 21-2 Composite of the average dilatation curve for labor in nulliparous women. The curve is based on analysis of data derived from a…
Hematological Disorders
FIGURE 56-1 Mean hemoglobin concentrations (black line) and 5th and 95th percentiles (blue lines) for healthy pregnant women taking iron supplements. (Data from the Centers for Disease Control and Prevention,…
Diabetes Mellitus
Type 1: β-Cell destruction, usually absolute insulin deficiency Immune-mediated Idiopathic Type 2: Ranges from predominantly insulin resistance to predominantly an insulin secretory defect with insulin resistance Other types Genetic mutations…
The Newborn
Immediate Care Before and during delivery, careful consideration must be given to several determinants of neonatal well-being including: (1) maternal health status; (2) prenatal complications, including any suspected fetal malformations;…
Breech Delivery
FIGURE 28-1 Prevalence of breech presentation by gestational age at delivery in 58,842 singleton pregnancies at the University of Alabama at Birmingham Hospitals 1991 to 2006. (Data courtesy of Dr….
Fetal-Growth Disorders
FIGURE 44-1 Increments in fetal weight gain in grams per day from 24 to 42 weeks’ gestation. The black line represents the mean and the outer blue lines depict ±2…
