Essential Obstetric Practice

Advances in research, knowledge and clinical practice in all branches of medicine have been rapid over the past decades and the speed is accelerating. Thus, as we enter the 1980s the pressure on specialists is to concentrate on ever-narrowing fields of their science. For the research worker this is desirable, but the practising clinician Our patient is a whole can have no clearly defined dividing lines. individual and every aspect of her makeup, physical and psychological, must always be taken fully into account. This is of vital importance in obstetrics and gynaecology. These two closely inter woven disciplines are branches of medical science in which emergency situations are not uncommon. Thus every practitioner, doctor, mid wife and nurse needs understanding of these subjects. Although tech nology advances rapidly, many basic principles remain the same. The chapters that follow deal with these, and modern trends in clinical management are discussed. For some decades the author has been in clinical charge of a matern ity hospital some 12 miles south of Central London. The hospital is a training school for obstetricians and midwives, and the local popula tion is adequately supplied with a general practitioner service. These circumstances are of some relevance because many views expressed are based on personal experience while others are based on countless books, articles, congresses and discussion with colleagues. To every source of information I express my thanks.

Obstetrical emergencies can be among the most stressful events an emergency physician will face in their entire career. The purpose of this book is to provide an evidence-based, practical approach to the wide spectrum of obstetric complications an emergency physician must be prepared to manage throughout all trimesters pregnancy as well as postpartum, including complications of assisted reproductive technology, bleeding, precipitous delivery and preterm labor. Clinical pearls and pitfalls are highlighted throughout. The approach to the pregnant patient with trauma, non-pregnancy-related abdominal pain, or in cardiac arrest is discussed. Updates in the classification and management of the hypertensive disorders of pregnancy are presented. Recent controversies surrounding the use of anti-emetics for first trimester nausea and vomiting and the use of a beta-hCG discriminatory zone for the evaluation of pregnancy of unknown location are also addressed. Obstetrical support services vary widely between different facilities, and Emergency Department Management of Obstetric Complications is written for emergency clinicians in all practice settings. This book provides useful information for daily practice as well as preparation for rarely encountered and potentially life-threatening events.

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

Named a 2013 Doody's Core Title! 2012 Second Place AJN Book of the Year Award Winner in Maternal and Child Health! This up-to-date handbook of narrative practice guidelines for use in obstetric triage and emergency settings provides speedy access to critical information needed by healthcare providers in obstetrics, midwifery, emergency medicine, and family care medicine. It includes narrative practice protocols that offer point of service management guidelines, diagnostic parameters, ultrasound imaging and other diagnostic modalities, and easy to follow algorithms and tables in each chapter. This information will enable practitioners to easily recognize and understand symptomatology, lab results, diagnostic imaging and clinical workings. Chapters address over 30 clinical conditions and are consistently organized to include presenting symptomatology, history and data collection, physical exam findings, lab and imaging studies, differential diagnosis and clinical management and follow up. The book disseminates the contributions of expert midwives, nurse practitioners, obstetricians, gynecologists, and radiologists who evaluate more than 30,000 obstetric visits each year. Key Features: Pocket-sized and easy-to-use Includes current guidelines for more than 30 clinical situations requiring obstetric triage or emergency care Offers plentiful diagnostic and imaging guidelines with accompanying figures and images Presents algorithms, diagnostic images, and best evidence for each condition

Obstetricians must have a firm grounding in the diagnosis and management of diseases affecting pregnant women as in some cases these may threaten the life of mother or baby or both. This book still remains the standard reference work on medical disorders in obstetric practice in the UK and UK-influenced areas such as the former Commonwealth. Exhaustive in its coverage, it provides clear practical advice on the major medical disorders the obstetrician is likely to encounter. Each chapter reviews the pathophysiology of a complaint then applies the physiological and pathophysiological changes to the problem of diagnosis and management of the disorder as well as giving clear guidance on the welfare of the unborn One of the major strengths of the book is that each chapter teaches the principles of care and gives an appreciation of the natural history of the disease rather than just the facts. Although a scholarly and rigourous account it manages to point out the clinically relevant information that the practising obstetrician will actually need.

Clear, concise and immensely practical, this book is written for those who may be involved in obstetric emergencies at all levels of care -- obstetricians, trainees, family practitioners, midwives, and nurses. The book will be especially useful to those who infrequently encounter such problems and whose facilities and assistance may be limited but it is comprehensive enough to be valuable to those with abundant experience and resources. The advice drawn from the author's extensive experience is authoritative and unequivocal. The text is divided into twenty-eight brief, well-focused chapters. The book is illustrated and fully indexed with selected references to further reading.