Recurrent Pregnancy Loss: Causes, Controversies and Treatment (Series In Maternal Fetal Medicine)

This book provides an authoritative and comprehensive update on advances in the understanding and management of recurrent pregnancy loss, both with regard to the basic science and the clinical applications. As many subjects are controversial, and occasionally clinical decisions are based on lack of knowledge rather than evidence, chapters include debates by leading experts, to aid the clinician in deciding on the appropriate clinical management. Chapters cover basic scientific topics, genetics and the application of evidence based medicine as well as the problems of mid trimester loss, late obstetric complications and related psychological mechanisms. This book will be essential reading for specialists working in recurrent pregnancy loss clinics, and associated disciplines, and also of interest to anyone wishing to gain a comprehensive view of developments in the field. ISBN-13: 9780415701884 0415701880 1 Contents 6 Contributors 8 Acknowledgments 10 Dedication 12 Abbreviations 14 Introduction 18 How to 'read' this book 20 Part I: Normal pregnancy 22 Chapter 1. Prenatal care 24 Chapter 2. Physiological changes in pregnancy 38 Chapter 3. Ultrasound in pregnancy: if, when, what 44 Chapter 4. Screening for aneuploidy and prenatal diagnosis 51 Chapter 5. Genetic screening 61 Chapter 6. Before labor and first stage of labor 72 Chapter 7. Second stage of labor 79 Chapter 8. Third stage of labor 82 Chapter 9. Intrapartum fetal monitoring 88 Chapter 10. Analgesia and anesthesia in pregnancy 96 Chapter 11. Operative vaginal delivery 108 Chapter 12. Cesarean delivery 112 Chapter 13. Vaginal birth after cesarean 120 Part II: Pregnancy complications 128 Chapter 14. Recurrent pregnancy loss 130 Chapter 15. Prevention of preterm birth 137 Chapter 16. Preterm premature rupture of membranes (PPROM) 159 Chapter 17. Induction of labor 171 Chapter 18. Premature ruptue of membranes at or near term 183 Chapter 19. Meconium 186 Chapter 20. Malpresentation and malposition 189 Chapter 21. Shoulder dystocia 196 Chapter 22. Abnormal third stage of labor* 201 Chapter 23. Post-term pregnancy 204 Chapter 24. Placenta previa, placenta accreta, and vasa pevia* 208 Chapter 25. Abruptio placentae 216 Chapter 26. Postpartum infections 222 Chapter 27. The neonate 227 Part III: Gynecologic issues related to pregnancy 234 Chapter 28. Medical mamangement of first trimester pregnancy loss 236 Chapter 29. The adnexal mass 240 Chapter 30. Cervical cancer screening 245 Index 250 This Book Reviews The Evidence For Best Practice In Obstetrics And Maternal-fetal Medicine. It Presents Readers With The Right Information, In The Right Format, By Summarizing Evidence In Easy-to-use Tables And Algorithms. Recommendations Have Linkage To Supporting Evidence, And Quality Of Evidence And Strength Of Recommendation Is Stressed. Areas Of Uncertainty Are Recognized, And 'individualized' Care Suggested. Recommendations Based On Randomized Trials And Meta-analyses Are Highlighted So That Clinical Outcomes Can Be Improved. Plenty Of Evidence Is Available So That Well-informed Clinicians Can Reduce Errors (primum Non Nocere), So The First Aim Is Ultimately To Improve The Health Of Mother And Fetus By Providing Quality Care. 1. Normal Pregnancy -- 2. Pregnancy Complications -- 3. Gynecologist Issues Related To Pregnancy. Edited By Vincenzo Berghella. Includes Bibliographical References And Index. This book reviews the evidence for best practice in obstetrics and maternal-fetal medicine. It presents readers with the right information, in the right format, by summarizing evidence in easy-to-use tables and algorithms. Recommendations have linkage to supporting evidence, and quality of evidence and strength of recommendation is stressed. Areas of uncertainty are recognized, and 'individualized' care suggested. Recommendations based on randomized trials and meta-analyses are highlighted so that clinical outcomes can be improved. The proper use of each guideline is aimed at "make it easy to do it right", so there is appropriate use of proven interventions and no use of harmful interventions. Plenty of evidence is available so that well-informed clinicians can reduce errors (primum non nocere), so the first aim is ultimately to improve the health of mother and fetus by providing quality care. Exploring basic science and the clinical applications, Recurrent Pregnancy Causes, Controversies and Treatment provides an authoritative, comprehensive review of the management of recurrent pregnancy loss. Many subjects in this area are controversial, and occasionally clinical decisions are based on lack of knowledge rather than evidence. For this reason, chapters include debates by leading experts to aid the clinician in deciding on the appropriate clinical management. Chapters cover basic science, genetics, and the application of evidence based medicine as well as mid- trimester loss, late obstetric complications, and related psychological mechanisms. This book will be essential reading for specialists working in recurrent pregnancy loss clinics and associated disciplines, as well as anyone wishing to gain a comprehensive view of developments in the field. This book will provide an authoritative and comprehensive update on advances in the understanding and management of recurrent pregnancy loss, both with regard to the basic science and clinical applications. As many subjects are controversial, and occasionally clinical decisions are based on lack of knowledge rather than evidence, some chapters would include debates by leading experts, on the appropriate clinical management Exploring basic science and the clinical applications, Recurrent Pregnancy Loss: Causes, Controversies and Treatment provides an authoritative, comprehensive review of the management of recurrent pregnancy loss. Many subjects in this area are controversial, and occasionally clinical decisions are based on lack of knowledge rather than evidence. For This title provides an update on advances in the understanding and management of recurrent pregnancy loss, both with regard to the basic science and the clinical applications Edited By Howard J.a. Carp. Includes Bibliographical References And Index.