Obstetric Clinical Algorithms

Errol R Norwitz, MD, PhD, MBA, Professor of Obstetrics and Gynecology, Tufts Medical Center, Boston, MA, USAGeorge A Saade, MD, Professor of Maternal-Fetal Medicine, University of Texas Medical Branch, Galveston, TX, USAHugh S Miller, MD, Department of Obstetrics and Gynecology, University of Arizona Medical Centre, Tucson, AZ, USAChristina M Davidson, MD, Assistant Professor of Maternal Fetal Medicine, Baylor College of Medicine, Houston, TX, USA

• Preface viiList of abbreviations ixSection 1 Preventative Health 11 Abnormal Pap Smear in Pregnancy 22 Immunization 53 Preconception Care 84 Prenatal Care 11Section 2 Maternal Disorders 135 Antiphospholipid Antibody Syndrome 146 Asthma 177 Cholestasis of Pregnancy 208 Chronic Hypertension 229 Deep Vein Thrombosis 2510 Gestational Diabetes Mellitus 2811 Gestational Hypertension 3112 Preeclampsia 3313 Pregestational Diabetes Mellitus 3614 Pulmonary Edema 3815 Pulmonary Embolism 4116 Renal Disease 4417 Seizure Disorder 4618 Systemic Lupus Erythematosus 4919 Thrombocytopenia 5220 Thyroid Dysfunction 55Section 3 Infectious Complications 5921 Asymptomatic Bacteriuria 6022 Urinary Tract Infection/Pyelonephritis 6223 Lower Genital Tract Infection 6424 Group B β]Hemolytic Streptococcus 6625 Hepatitis B 6926 Herpes Simplex Virus 7127 Human Immunodeficiency Virus 7328 Parvovirus B19 7629 Syphilis 7830 Tuberculosis 8131 Chorioamnionitis (Intraamniotic Infection) 84Section 4 Antenatal Complications 8732 Advanced Maternal Age 8833 Antepartum Fetal Testing 9034 Breast Lesions 9335 Cervical Insufficiency 9636 First]trimester Vaginal Bleeding 9937 Higher]Order Multifetal Pregnancy 10238 Hyperemesis Gravidarum 10439 Intrauterine Fetal Demise 10740 Fetal Growth Restriction 10941 Isoimmunization 11342 Macrosomia 11643 Medically]Indicated Late Preterm and Early Term Delivery 11944 Obesity 12145 Oligohydramnios 12446 Recurrent Pregnancy Loss 12747 Placenta Accreta 13048 Placenta Previa 13349 Placental Abruption 13550 Polyhydramnios 13851 Post]term Pregnancy 14152 Pregnancy Termination 14453 Prenatal Diagnosis 14754 Preterm Labor 15055 Screening for Preterm Birth 15356 Preterm Premature Rupture of the Membranes 15657 Vaginal Birth after Cesarean (VBAC) 15958 Teratology 16159 Term Premature Rupture of the Membranes 16460 Twin Pregnancy 166Section 5 Intrapartum/Postpartum Complications 16961 Breech Presentation 17062 Intrapartum Fetal Testing 17363 Cesarean Delivery 17664 Operative Vaginal Delivery 17965 Severe Perineal Lacerations 18266 Intrapartum Management of Twin Pregnancy 18567 Postpartum Hemorrhage 18768 Retained Placenta 19169 Postpartum Endomyometritis 19470 Mastitis 19671 Vasa Previa 19872 Postpartum Psychiatric Disorders 20073 Sterilization 202Section 6 Obstetric Emergencies 20574 Acute Abdomen in Pregnancy 20675 Acute Asthma Exacerbation 20976 Acute Shortness of Breath 21177 Cord Prolapse 21378 Cardiopulmonary Resuscitation 21579 Diabetic Ketoacidosis 21880 Eclampsia 22081 Shoulder Dystocia 22382 Thyroid Storm 226Recommended Reading 229Index 243