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The subspecialty of Obstetric Medicine sits in a unique
intersection of the disciplines of Internal Medicine and
Obstetrics. Its focus is in the skilled management of medical
problems in pregnancy: from pre-pregnancy optimization to the
management of acute and chronic conditions in pregnancy, and in the
postpartum period to ensure resolution and safe transition back to
the primary care provider. This book will provide novel insights
into the management of pregnant women. Clinical pearls will be
emphasized, such as illustrating atypical aspects of a presenting
symptom/finding, and when a subspecialty referral (or transfer to a
high risk centre) must occur for patient safety. This book will
combine basic science principles, build on existing guidelines, and
provide crucial tips on how to safely manage acute and chronic
medical conditions in pregnancy. It is THE book for sub-specialists
in Obstetric Medicine.
Different technologies have been introduced to improve management
of labor. To date there is no single text that aims at covering all
these technologies that address different problems and issues in
labor management. The book reviews new technologies and devices
aimed to improve labor management and outcomes. These diverge
between looking at a better way to use fetal heart rate monitors
(that are used in 90% of labours); using new monitors to detect the
<1% of babies that are damaged in labor and account for 99% of
the medico-legal costs in labor; and early detection of
non-progressive labors that complicate 30-50% of labors. This is
the only book about all these technologies from the perspectives of
new devices and technologies in labor.
Obesity epidemic is a global problem of the 21th century for women
in reproductive age and also the obstetricians and pediatricians.
There are influences of mother's prepragnancy and antepartal
obesity, at delivery, for fetal programming and for maternal and
fetal lifelong metabolism. The epidemiological results are
important, but for the health care providers the skills for
prevention of mother's obesity with all consequences are essential.
Evaluated programms in nutrition and physical activity will be
discussed.
Pregnant women and their partners often ask healthcare
professionals whether sex is safe during pregnancy, and what
consequences may result from sexual activity. Many clinicians can
also be unsure of the answers to these type of questions, leading
to both patient and clinician resorting to the internet for advice,
which can be inaccurate and anxiety-inducing. Here, the authors
provide clinicians with an insight into the information offered by
'Dr Google' so that they can reassure and advise their patients as
necessary. Aimed at obstetricians and other physicians caring for
pregnant women, this book reviews the implications of sex during
pregnancy such as those complicated by medical conditions, those at
risk of preterm birth and multiple pregnancies. Other chapters
cover physiological changes during pregnancy that may affect sexual
function and intimacy, as well as the differing guidelines provided
by various global obstetric societies.
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