Midwives are encountering more and more women whose pregnancies are complicated by medical conditions, including cardiac disease, obesity and diabetes. This new edition is completely up-to-date and offers highly practical solutions for everyday midwifery practice, acknowledging the importance of promoting normality where possible.
This text includes physiology, explanations of conditions and principles of care for preconception, pregnancy, labour, birth and the postnatal period. Each chapter brings together the basic knowledge of a condition and how it changes during pregnancy in an integrated and accessible way, including a new chapter dedicated to obesity. Explanations of laboratory tests, diagnostic tests, common drugs and illustrative colour pictures are included in relevant chapters.
Medical Conditions Affecting Pregnancy and Childbirth is a vital guide for student midwives, as well as a useful reference for practising midwives.Contents: فهرست فصول
CoverHalf TitleTitle PageCopyright PageContentsList of figuresList of tablesPreface1 DiabetesIntroductionPhysiology and pathophysiologyCommonly used drugsBlood testsComplications associated with diabetes in pregnancyType 1 diabetes: care issuesType 2 diabetes: care issuesGestational diabetes: care issuesRole of the midwifePsychosocial issues2 Cardiac ConditionsIntroductionPhysiology and changes to the cardiac system in pregnancyGeneral care principles in cardiac conditionsMethods of assessing, monitoring and diagnosing cardiac conditionsCommon cardiac conditions— Heart failure— Arrhythmias— Congenital heart disease (CHD)— Mitral and aortic stenosis (including prosthetic valves)— Aortopathies/aortic dissection— Acute Coronary Syndrome (ACS)/coronary artery disease (CAD)— Cardiomyopathy (ventricular dysfunction)— Carditis— Pulmonary hypertension (PH)— SADS— Cardiac transplant3 Hypertension and Pre-Eclampsia (PET)IntroductionPhysiology of blood pressureChronic (pre-existing) hypertensionGestational hypertensionPre-eclampsiaManagement of hypertension (chronic & gestational) and PETEclampsiaHELLP syndromeAcute Fatty Liver of Pregnancy (AFLP)4 Disorders of the Renal SystemIntroductionPhysiology of the renal system and pregnancy changesUrinary tract infection (UTI)Renal stones (Urolithiasis)Acute kidney injuryChronic kidney diseasePrinciples of care for women with renal disease in pregnancySolid tissue (organ) transplantRenal transplantPsychosocial impact of pregnancy in those with chronic kidney disease5 Disorders of the Respiratory SystemIntroductionThe respiratory system and changes in pregnancyRoutine assessment of respiratory functionAsthmaPulmonary oedemaCystic fibrosisLung transplantSarcoidosis6 Haematological DisordersSummary of normal haematological changes in pregnancyRed blood cells (erythrocytes)AnaemiaHaemoglobinopathies: sickle cell disorders and thalassaemiaVenous thromboembolism (VTE)7 Thyroid DiseaseIntroductionThe thyroid glandThyroid function in pregnancyHyperthyroidism (thyrotoxicosis)HypothyroidismPost-partum thyroiditis (PPT)8 Disorders of the Nervous SystemEpilepsyMultiple sclerosis (MS)Headache9 Disorders of the Digestive TractOverview of the digestive system and changes in pregnancyNausea and vomiting (NVP)Hyperemesis gravidarumThe small intestine— Coeliac diseaseThe large intestine— Inflammatory bowel disease (Ulcerative colitis [UC] and Crohn’s disease [CD])— Irritable bowel syndrome (IBS)— AppendicitisThe pancreas— Pancreatitis— Pancreatic transplantThe liver— Liver transplantThe Gall bladder— Cholelithiasis (gallstones)— Acute cholecystitis— Intrahepatic cholestasis of pregnancy (ICP) (previously known as obstetric cholestasis)10 ObesityIntroductionPhysiology of weight gainCauses of obesityStrategies for a healthy lifestyle and weight management options before, during and after pregnancyWeight gain in pregnancyComplications of obesity in pregnancyManagement of care for a woman with raised BMITalking to women about weight11 Restricted Eating DisordersEpidemiologyFeatures of women with a restricted eating disorderComplications of restricted eating disorders in pregnancyManagement of care of women with a restricted eating disorder12 Autoimmune DisordersImmunity, changes in pregnancy and autoimmunitySystemic lupus erythematosus (SLE)Antiphospholipid syndrome (APS)Index