Office Obstetrics, An Issue of Obstetrics and Gynecology Clinics (Volume 35-3) (The Clinics: Internal Medicine, Volume 35-3)

The topic of Office Obstetrics is reviewed in this issue of Obstetrics and Gynecology Clinics of North America. Dr. Sharon Phelan has assembled a panel of experts to pen articles on topics including Prenatal Care, Prenatal Records, Prenatal Nutrition, NVP, Promoting Healthy Habits, Genetic Screening, Assessing and Monitoring Recurrent Obstetric Risks, Prenatal Counseling on Operative Obstetrics, and Patient Education and Birth Plans. Contents......Page 1 Foreword......Page 4 Preface......Page 6 History and public health implications of prenatal care......Page 8 Initial history and examination......Page 9 Subsequent prenatal visits......Page 14 Patient education......Page 19 References......Page 20 Communication......Page 23 Medical liability......Page 24 Choosing a record......Page 26 Electronic medical records......Page 30 References......Page 36 Prenatal weight gain issues......Page 37 Specific nutrients of concern......Page 41 Folic acid......Page 42 Calcium......Page 43 Iron......Page 44 Unique populations regarding nutritional counseling......Page 46 References......Page 48 Exercise......Page 52 Work-related issues......Page 53 Relationships and sexuality......Page 55 Education......Page 56 Travel......Page 57 Substance abuse......Page 58 Smoking......Page 59 Alcohol and illicit drugs......Page 62 References......Page 65 Etiology......Page 68 Psychologic factors......Page 70 Nausea and vomiting of pregnancy as a syndrome......Page 71 Clinical presentation......Page 72 Maternal complications......Page 73 Fetal consequences of hyperemesis......Page 74 Clinical clues suggesting alternative diagnosis......Page 75 Diet and support......Page 77 Pharmacologic and alternative therapy......Page 78 Nutritional support......Page 81 References......Page 82 Prevalence and impact of perinatal depression......Page 85 Anxiety and perinatal depression......Page 86 Screening......Page 87 Completing the assessment......Page 89 Treatment approaches......Page 90 Psychosocial approaches to perinatal depression......Page 91 Psychotropic medication and the perinatal patient......Page 92 Breast-feeding and psychiatric illness and treatment......Page 95 Summary......Page 96 References......Page 97 Prenatal Diagnosis and Genetic Screening-Integration into Prenatal Care......Page 101 Causes of congenital anomalies......Page 102 Family history......Page 103 Prenatal screening for specific genetic disorders......Page 105 Cystic fibrosis......Page 107 Tay-Sachs disease......Page 109 Other genetic disorders in individuals of Eastern European Jewish descent......Page 110 Hereditary disorders of hemoglobin synthesis......Page 111 Fragile X syndrome......Page 112 The role for preconception genetic screening......Page 114 Chromosome aneuploidy screening......Page 115 Screening algorithms......Page 116 First-trimester only screening......Page 117 Algorithms combining first- and second-trimester screening......Page 118 Sequential screening......Page 119 American College of Obstetricians and Gynecologists guidelines for chromosome screening......Page 120 Diagnostic testing......Page 121 References......Page 122 Risk factors......Page 125 Interventions......Page 126 Risk factors......Page 127 Progesterone and preterm delivery......Page 128 Stillbirth......Page 129 Prediction of stillbirth......Page 130 Risk factors for recurrent preeclampsia......Page 132 Prevention......Page 133 Recommendations......Page 134 References......Page 135 Prenatal Counseling Regarding Cesarean Delivery......Page 138 Maternal request cesarean......Page 139 Trial of labor versus repeat cesarean delivery......Page 145 History of prior anal sphincter laceration......Page 150 Malpresentations......Page 153 Summary......Page 154 References......Page 155 Childbirth education recommendations, participation, and challenges......Page 161 Clinic-based childbirth education......Page 163 Bench clinics......Page 164 Centering pregnancy and parenting (group prenatal care)......Page 165 Birth plans......Page 166 Birth plan perspectives in the literature......Page 168 Medicolegal aspects of the birth plan and their similarities with living wills......Page 169 Shared or participatory decision-making......Page 170 A birth plan scenario......Page 171 References......Page 172 Index......Page 174 Features articles on topics including prenatal care, prenatal records, prenatal nutrition, NVP, and promoting healthy habits. This book also covers genetic screening, assessing and monitoring recurrent obstetric risks, prenatal counseling on operative obstetrics, and patient education and birth plans.