Philip J. Steer – författare
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2 produkter
2 produkter
Häftad, Engelska, 2025
237 kr
Skickas inom 7-10 vardagar
Sixty years ago, the purpose of introducing electronic fetal heart rate monitoring (EFM) was to reduce the incidence of intrapartum stillbirth. However, by the early 1980s, with falling stillbirth rates, fetal blood sampling had been widely abandoned, as many considered that EFM was sufficient on its own. Unfortunately, while the sensitivity of EFM for the detection of potential fetal compromise is high, specificity is low, and there is a high false positive rate which has been associated with a rising cesarean section rate. The authors suggest that EFM is considered and analyzed as a classic screening test and not a diagnostic test. Furthermore, it requires contextualization with other risk factors to achieve improved performance. A new proposed metric, the Fetal Reserve Index, takes into account additional risk factors and has demonstrated significantly improved performance metrics. It is going through the phases of further development, evaluation, and wider clinical implementation.
Inbunden, Engelska, 2016
1 757 kr
Skickas inom 7-10 vardagar
This comprehensive and authoritative text on heart disease in pregnancy - one of the leading causes of maternal death - will be of value to a wide audience of obstetricians, cardiologists, anaesthetists, midwives, and cardiac nurses. It provides consensus guidelines of great practical value in a compact and convenient format. Written by a multidisciplinary team, it covers both maternity and cardiac care. Contents range from pre-conception counselling and contraception, through practical templates for antenatal and intrapartum care, to long-term outcome for both mother and baby. It covers all causes of heart disease, both congenital and acquired. Thoroughly updated, this new edition has reorganised the consensus statements about priorities in management. In addition, each chapter now starts with a summary of 'Practical Practice Points' to aid quick revision when seeing a patient with a specific problem. A new section on heart and lung transplantation has been added since the first edition.