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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Preconceptional Counseling

Feb 6, 2017 by in OBSTETRICS Comments Off on Preconceptional Counseling

Few randomized trials evaluate preconceptional counseling efficacy, in part because withholding such counseling would be unethical. Also, because pregnancy outcomes are dependent on the interaction of various maternal, fetal, and…

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Postterm Pregnancy

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

FIGURE 43-1 Rates of induction by gestational age among non-Hispanic white singleton livebirths ≥ 37 weeks from 1992 through 2003. (Redrawn from Zhang, 2010, with permission.) There are contradictory findings…

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Fetal Disorders

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

Red Cell Alloimmunization There are currently 30 different blood group systems and 328 red cell antigens recognized by the International Society of Blood Transfusion (Storry, 2011). Although some of these…

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Placental Abnormalities

Feb 6, 2017 by in OBSTETRICS Comments Off on Placental Abnormalities

NORMAL PLACENTA Placental abnormalities are better understood with knowledge of placental implantation, development, and anatomy presented in Chapter 5 (p. 88). At term, the “typical” placenta weighs 470 g, is…

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