Medical Disorders in Pregnancy (eBook)

A Manual for Midwives

S. Elizabeth Robson, Jason Waugh (Herausgeber)

eBook Download: PDF

2012 | 2. Auflage
John Wiley & Sons (Verlag)
978-1-118-41104-9 (ISBN)

Infos

Praise for the 1st edition:

'This book is a must have for any midwife, particularly those working in the community, clinics and in high-risk areas.... This book is an extremely useful reference tool.' (MIDIRS Midwifery Digest)

'The important facts are laid out concisely, primarily focusing on management, using evidence based guidelines for best midwifery practice.' (RCGP Journal)

Medical Disorders in Pregnancy: A Guide for Midwives, 2nd edition clearly outlines existing and pre-existing conditions which women can experience during pregnancy. This comprehensive and practical handbook identifies issues for pre-conception care, defines the condition, explores possible complications, outlines recommended treatment and emphasizes specific midwifery care.

This fully revised and updated edition of Medical Disorders in Pregnancy: A Guide for Midwives builds on the success of the first edition by covering more subjects.  It includes physiology, more illustrations and algorithms and its accessible reference-style text enables information to be quickly and easily found.

Special Features

• A practical guide on medical disorders written specifically for midwives
• Jointly written by medical and midwifery experts in the field
• Accessible reference style format makes information easy and quick to find
• Emphasis on inter-professional working

S. Elizabeth Robson is Principal Lecturer in Midwifery at De Montfort University, Leicester, UK. With 25 years of experience as a midwifery lecturer, she leads a module on medical disorders for student midwives with a particular interest in immunology. Her link lecturer areas comprise a high-risk maternity ward and community team. She has presented nationally, and has a number of publications.

Jason Waugh is Consultant in Obstetrics and Maternal Medicine at the Royal Victoria Infirmary, Newcastle Upon Tyne, UK. He has published extensively in the fields of hypertension and renal and cardiovascular disease in pregnancy as well as producing national guidelines for the management of pre-eclampsia and renal disease. He is President of the UK's Macdonald Obstetric Medicine Society.

---

Praise for the 1st edition: "e;This book is a must have for any midwife, particularly those working in the community, clinics and in high-risk areas.... This book is an extremely useful reference tool."e; (MIDIRS Midwifery Digest) "e;The important facts are laid out concisely, primarily focusing on management, using evidence based guidelines for best midwifery practice."e; (RCGP Journal) Medical Disorders in Pregnancy: A Guide for Midwives, 2nd edition clearly outlines existing and pre-existing conditions which women can experience during pregnancy. This comprehensive and practical handbook identifies issues for pre-conception care, defines the condition, explores possible complications, outlines recommended treatment and emphasizes specific midwifery care. This fully revised and updated edition of Medical Disorders in Pregnancy: A Guide for Midwives builds on the success of the first edition by covering more subjects. It includes physiology, more illustrations and algorithms and its accessible reference-style text enables information to be quickly and easily found. Special Features A practical guide on medical disorders written specifically for midwives Jointly written by medical and midwifery experts in the field Accessible reference style format makes information easy and quick to find Emphasis on inter-professional working

Inhalt

Title page 5
Copyright page 6
Contents 7
Contributors 11
Acknowledgements 13
Acronyms, Abbreviations and Cardiac Terms 15
Foreword 19
Foreword to the First Edition 21
Preface 23
1: Midwifery Care and Medical Disorders 25
1 Midwifery Care and Medical Disorders 26
Introduction 26
Pre-Conception Care 26
Antenatal Care 26
Booking 27
Subsequent Antenatal Appointments 29
Intrapartum Care 29
Postnatal Care 30
General Considerations 31
Local Protocols 31
Complementary Therapies 31
Over-the-Counter Medication 31
Prescribed Medication 31
Nicotine, Alcohol and Illegal Drugs 32
Termination of Pregnancy 32
Pre-term Birth 32
Care of the Mother of a Baby on the Neonatal Unit 32
Breast-feeding 32
Women Who Decline Blood Products or Blood Transfusion 32
Conflict of Interest 33
Emergency Management 33
Preventing Maternal Mortality 33
1 Midwifery Care and Medical Disorders 37
Patient Organisations 37
Essential Reading 37
References 38
Appendix 1.1 UK Maternal Deaths – Causes and Risk Factors 39
Number of Deaths from Consecutive UK Confidential Enquiries into Maternal Mortality 39
Appendix 1.2 Daily Vitamin and Mineral Dietary Intake for Pregnancy and Lactation 40
2: Skin Disorders 41
2.1 Physiological Skin Changes in Pregnancy 42
2.2 Dermatoses Specific to Pregnancy 43
2.3 Eczema 44
Explanation of Condition 44
Complications 44
Non-Pregnancy Treatment and Care 44
General advice 44
Topical treatment (1st line therapy) 44
2nd line therapy 44
Pre-Conception Issues and Care 44
2.4 Psoriasis 46
Introduction 46
Complications 46
Non-Pregnancy Treatment and Care 46
General Advice 46
Topical Treatments 46
Pre-Conception Issues and Care 46
2 Skin Disorders 48
Patient Organisations 48
Essential Reading 48
References 49
Appendix 2.2.1 Emollients and Steroid Creams 50
3: Hypertensive Disorders 51
3.1 Chronic Hypertension 52
Introduction 52
Chronic Hypertension versus Pregnancy Induced Hypertension (PIH) 52
Complications 52
Fetal Growth Restriction 52
Placental Abruption 52
Severe Hypertension 52
Superimposed Pre-Eclampsia 52
Non-Pregnancy Treatment and Care 52
Pre-Conception Issues and Care 53
3.2 Pre-eclampsia 58
Explanation of Condition 58
Complications 58
Non-Pregnancy Treatment and Care 58
Pre-Conception Issues and Care 58
3.3 Severe Pre-eclampsia and Eclampsia 60
Introduction 60
Strategy 60
Complications 60
Non-Pregnancy Treatment and Care 60
Pre-Conception Issues and Care 60
3.4 HELLP Syndrome 62
Introduction 62
Complications 62
Non-Pregnancy Treatment and Care 62
Pre-Conception Issues and Care 62
3 Hypertensive Disorders 64
Patient Organisations 64
Essential Reading 64
References 65
4: Heart Disease 67
4.1 Mild Structural Heart Disease 68
Explanation of Conditions 68
Shunts 68
Atrial Septal Defect (ASD) 68
Ventricular Septal Defect (VSD) 68
Patent Ductus Arteriosus (PDA) 68
Tetralogy of Fallot 68
Complications 68
Atrial Septal Defect 68
Ventricular Septal Defect 69
Patent Ductus Arteriosus 69
Tetralogy of Fallot 69
Non-Pregnancy Treatment and Care 69
Pre-Conception Issues and Care 69
4.2 Moderate Structural Heart Disease 72
Explanation of Conditions 72
Coarctation of the Aorta 72
Transposition of the Great Vessels 72
Complications 72
Coarctation of the Aorta 72
Transposition of the Great Vessels 72
Non-Pregnancy Treatment and Care 72
Coarctation of the Aorta 72
Transposition of the Great Vessels 72
Pre-Conception Issues and Care 72
Coarctation of the Aorta 72
Transposition of the Great Vessels 72
4.3 Severe Structural Heart Disease 75
Explanation of Conditions 75
Unoperated Cyanotic Heart Disease 75
Palliated Complex Heart Disease 75
Complications 76
Non-Pregnancy Treatment and Care 76
Pre-Conception Issues and Care 76
4.4 Rheumatic and Valvular Heart Disease 78
Explanation of Conditions 78
Complications 78
Non-Pregnancy Treatment and Care 78
Pre-Conception Issues and Care 78
4.5 Marfan’s Syndrome 80
Explanation of Condition 80
Complications 80
General Complications 80
Cardiac Complications 80
Non-Pregnancy Treatment and Care 80
General Treatment 80
Cardiac Treatment 80
Pre-Conception Issues and Care 80
4.6 Functional Heart Disease: Cardiomyopathy 82
Explanation of Conditions 82
Dilated Cardiomyopathy (DCM) 82
Hypertrophic Cardiomyopathy (HCM) 82
Restrictive Cardiomyopathy (RCM) 82
Arrhythmogenic Right Ventricular Cardiomyopathy (ARVC) 82
Peripartum Cardiomyopathy (PPCM) 82
Complications 82
Non-Pregnancy Treatment and Care 82
Pre-Conception Issues and Care 82
4.7 Functional Heart Disease: Arrhythmias 84
Explanation of Conditions 84
Tachycardia 84
Supraventricular Tachycardia (SVT) 84
Atrial Ectopy 84
Atrio-Ventricular Re-Entrant Tachycardias: Wolff-Parkinson-White Syndrome (WPW) and Atrioventricular Nodal Re-entrant Tachycardia (AVNRT) 84
Atrial Flutter 84
Atrial Fibrillation 84
Ventricular Tachycardia (VT) 84
Bradycardia 84
Pre-Conception Issues and Care 84
4.8 Ischaemic Heart Disease: Angina and Myocardial Infarction 86
Explanation of Condition 86
Risk Factors for Ischaemic Heart Disease in Women 86
Presentation in Pregnancy 86
Complications 86
Non-Pregnancy Treatment and Care 86
Pre-Conception Issues and Care 86
4.9 Pulmonary Hypertension and Eisenmenger’s Syndrome 88
Explanation of Condition 88
Classification 88
Pulmonary Arterial Hypertension 88
Signs and Symptoms 88
Eisenmenger’s Syndrome 88
Complications 88
Non-Pregnancy Treatment and Care 88
Drug Treatment 88
Interventions 88
Pre-Conception Issues and Care 88
If Pregnancy Occurs 88
4.10 Heart Transplant 90
Explanation of Condition 90
Complications 90
Non-Pregnancy Treatment and Care 90
Pre-Conception Issues and Care 90
If Pregnancy Occurs 90
4 Heart Disease 92
Patient Organisations 92
Essential Reading 92
References 93
Appendix 4.3.1 Drugs for Cardiac Disease – An Overview for Midwives 98
5: Respiratory Disorders 99
5.1 The Breathless Pregnant Woman 100
Explanation of Condition 100
Pathological Causes of Breathlessness 100
Complications 100
Non-Pregnancy Treatment and Care 100
Pre-Conception Issues and Care 100
5.2 Asthma 102
Explanation of Condition 102
Triggers for Asthma 102
Complications 102
Non-Pregnancy Treatment and Care 102
Aims of Asthma Management 102
Good Asthma Care 102
Pre-Conception Issues and Care 102
5.3 Pneumonia and Chest Infections 104
Explanation of Condition 104
Complications 104
Non-Pregnancy Treatment and Care 104
Assessment 104
Treatment 104
Pre-Conception Issues and Care 104
5.4 Tuberculosis 106
Explanation of Condition 106
Complications 106
Non-Pregnancy Treatment and Care 106
Serious Side Effects 106
Pre-Conception Issues and Care 106
5.5 Cystic Fibrosis 108
Explanation of Condition 108
Complications 108
Non-Pregnancy Treatment and Care 108
Pre-Conception Issues and Care 108
5.6 Sarcoidosis 110
Explanation of Condition 110
Complications 110
Non-Pregnancy Treatment and Care 110
Pre-Conception Issues and Care 110
5 Respiratory Disorders 112
Patient Organisations 112
Essential Reading 112
References 113
Appendix 5.2.1 Asthma in Pregnancy: An Information Leaflet for Pregnant Women 114
6: Renal Disorders 115
6.1 Urinary Tract Infections 116
Explanation of Condition 116
Complications 116
Non-Pregnancy Treatment and Care 116
Pre-Conception Issues and Care 116
6.2 Chronic Kidney Disease 118
Explanation of Condition 118
Complications 118
Non-Pregnancy Treatment and Care 118
Pre-Conception Issues and Care 118
6.3 Dialysis in Pregnancy 120
Explanation of Condition 120
Haemodialysis 120
Peritoneal Dialysis 120
Complications 120
Non-Pregnancy Treatment and Care 120
Treatment 120
Pre-Conception Issues and Care 120
6.4 Renal Transplantation 122
Explanation of Condition 122
Complications 122
Non-Pregnancy Treatment and Care 122
Pre-Conception Issues and Care 122
6.5 Nephrotic Syndrome 124
Explanation of Condition 124
Complications 124
Non-Pregnancy Treatment and Care 124
Pre-Conception Issues and Care 124
6 Renal Disorders 126
Patient Organisations 126
Essential Reading 126
References 127
Appendix 6.3.1 Replacement of Renal Function by Dialysis 128
Haemodialysis (HD) 128
Peritoneal Dialysis (PD) 128
7: Endocrine Disorders 129
7.1 Hypothyroidism 130
Explanation of Condition 130
Causes 130
Symptoms 130
Signs 130
Investigations 130
Complications 130
Non-Pregnancy Treatment and Care 130
Pre-Conception Issues and Care 130
7.2 Thyrotoxicosis 132
Explanation of Condition 132
Causes 132
Complications 132
Non-Pregnancy Treatment and Care 132
Antithyroid Drugs 132
Radioiodine (131I) 132
Thyroidectomy 132
Pre-Conception Issues and Care 132
7.3 Type 1 Diabetes Mellitus 134
Explanation of Condition 134
Complications 134
Microvascular Complications 134
Retinopathy 134
Nephropathy 134
Neuropathy 134
Cataract Formation 134
Non-Pregnancy Treatment and Care 134
Pre-Conception Issues and Care 134
7.4 Type 2 Diabetes Mellitus 137
Explanation of Condition 137
Complications 137
Microvascular Complications 137
Macrovascular Disease 137
Pregnancy Complications 137
Non-Pregnancy Treatment and Care 137
Pre-Conception Issues and Care 137
7.5 Gestational Diabetes Mellitus 139
Explanation of Condition 139
Pathophysiology 139
Definition 139
Screening 139
Complications 139
Treatment and Care 139
7.6 Addison’s Disease (Adrenal Insufficiency) 142
Explanation of Condition 142
Symptoms 142
Diagnosis 142
Complications 142
Acute Adrenal Crisis (Addisonian Crisis) 142
Pregnancy Complications 142
Non-Pregnancy Treatment and Care 142
Pre-Conception Issues and Care 142
7.7 Prolactinoma 144
Explanation of Condition 144
Complications 144
Non-Pregnancy Treatment and Care 144
Microprolactinoma 144
Macroprolactinoma 144
Pre-Conception Issues and Care 144
Safety of DA Agonists 144
Risk of tumour expansion 144
7 Endocrine Disorders 146
Patient Organisations 146
Essential Reading 146
References 147
Appendix 7.3.1 Diabetes Mellitus 148
Criteria for The Diagnosis of Diabetes Mellitus 148
Suggested Regimen for Management of Diabetes During Labour 148
Features of The Metabolic Syndrome 148
8: Neurological Disorders 149
8.1 Migraine and Headaches 150
Explanation of Condition 150
Headache 150
Cluster Headaches 150
Migraine 150
Complications 150
Non-Pregnancy Treatment and Care 150
Headache 150
Migraine 150
Pre-Conception Issues and Care 150
8.2 Epilepsy 152
Explanation of Condition 152
Complications 152
Non-Pregnancy Treatment and Care 153
Pre-Conception Issues and Care 153
8.3 Cerebrovascular Disease and Stroke 156
Explanation of Condition 156
Risk Factors 156
Complications 156
Non-Pregnancy Treatment and Care 156
Pre-Conception Issues and Care 157
8.4 Bell’s Palsy 161
Explanation of Condition 161
Complications 161
Non-Pregnancy Treatment and Care 161
Pre-Conception Issues and Care 161
Bell’s Palsy 161
8.5 Carpal Tunnel Syndrome 164
Explanation of Condition 164
Complications 164
Non-Pregnancy Treatment and Care 164
Pre-Conception Issues and Care 164
8.6 Myasthenia Gravis 166
Explanation of Condition 166
Complications 166
Non-Pregnancy Treatment and Care 166
Pre-Conception Issues and Care 166
8.7 Multiple Sclerosis 168
Explanation of Condition 168
Complications 168
Non-Pregnancy Treatment and Care 168
Diagnosis 168
Treatment 168
Pre-Conception Issues and Care 168
8 Neurological Disorders 171
Patient Organisations 171
Essential Reading 171
References 172
Appendix 8.2.1 Drugs Used for Neurological Conditions 176
9: Musculoskeletal Disorders 177
9.1 Back and Pelvic Pain 178
Explanation of Condition 178
Complications 178
Non-Pregnancy Treatment and Care 178
Low Back Pain 178
Sacroiliac Dysfunction 178
Sciatica 178
Pre-Conception Issues and Care 178
9.2 Diastasis Recti Abdominis 180
Explanation of Condition 180
Women Most at Risk 180
Complications 180
Non-Pregnancy Treatment and Care 180
Pre-Conception Issues and Care 180
9.3 Pregnancy Related Pelvic Girdle Pain 182
Explanation of Condition 182
Symphysis Pubis Dysfunction (SPD) 182
Symphysiolysis 182
Diastasis of the Symphysis Pubis (DSP) 182
Complications 182
Non-Pregnancy Treatment and Care 182
Pre-Conception Issues and Care 182
9.4 Hypovitaminosis D 184
Explanation of Condition 184
Vitamin D 184
Hypovitaminosis D 184
Risk Factors for Hypovitaminosis D 184
Complications 184
Osteomalacia 184
Rickets 184
Pregnancy and Neonatal Complications 184
Non-Pregnancy Treatment and Care 184
Areas for Future Research 184
Pre-Conception Issues and Care 184
9.5 Osteoporosis 187
Explanation of Condition 187
Osteoporosis 187
Osteoporosis Associated with Pregnancy 187
Pregnancy-related Osteoporosis of the Hip (transient) 187
Complications 187
Non-Pregnancy Treatment and Care 187
Pre-Conception Issues and Care 187
9 Musculoskeletal Disorders 189
Patient Organisations 189
Essential Reading 189
References 190
Appendix 9.1.1 Pain Therapy Ladder for Pregnancy 193
10: Gastrointestinal Disorders 195
10.1 Gastro-oesophageal Reflux and Hiatus Hernia 196
Explanation of Condition 196
Heartburn 196
Gastro-Oesophageal Reflux 196
Gastro-oesophageal Reflux Disease (GORD GERD in USA)
Hiatus Hernia 196
Complications 196
Non-Pregnancy Treatment and Care 196
First-line Management (Lifestyle and Diet) 196
Second-line Management 196
Third-line Management and Surgery 196
Pre-Conception Issues and Care 196
10.2 Coeliac Disease 200
Explanation of Condition 200
Complications 200
Non-Pregnancy Care 200
Pre-Conception Issues and Care 200
10.3 Ulcerative Colitis 202
Explanation of Condition 202
Complications 202
Non-Pregnancy Treatment and Care 202
Pre-Conception Issues and Care 202
10.4 Crohn’s Disease 204
Explanation of Condition 204
Complications 204
Non-Pregnancy Treatment and Care 204
Medical Management 204
Surgical Management 204
Pre-Conception Issues and Care 204
10.5 Irritable Bowel Syndrome 206
Explanation of Condition 206
Symptoms 206
Complications 206
Non-Pregnancy Treatment and Care 206
Dietary Management 206
Psychological Treatment 206
Pharmacological Treatment 206
Pre-Conception Issues and Care 206
10.6 Haemorrhoids 208
Explanation of Condition 208
Classification of Haemorrhoids (see Figure ) 208
Predisposing Factors 208
Symptoms 208
Complications 208
Non-Pregnancy Treatment and Care 208
Conservative Treatment 208
Medical Treatment 208
Surgical Treatment 208
Pre-Conception Issues and Care 208
10.7 Anal Sphincter Disorders 210
Explanation of Condition 210
Anal Sphincter Damage 210
Obstetric Anal Sphincter Injury (OASI) 210
Complications 210
Non-Pregnancy Treatment and Care 210
Medical Treatment 210
Surgical Treatment 210
Other Treatments 210
Pre-Conception Issues and Care 210
10.8 Obstetric Cholestasis 212
Explanation of Condition 212
Complications 212
Pre-Conception Issues and Care 212
10.9 Gall Bladder and Pancreatic Disease 214
Explanation of Condition 214
Gall Bladder and Gallstones 214
Pancreatic Disease 214
Complications 214
Non-Pregnancy Treatment and Care 214
Pre-Conception Issues and Care 214
10 Gastrointestinal Disorders 216
Patient Organisations 216
Essential Reading 216
References 217
Appendix 10.3.1 Care of a Stoma 221
Appendix 10.5.1 Management Algorithm of Irritable Bowel Syndrome 222
11: Autoimmune Disorders 223
11.1 Rheumatoid Arthritis 224
Explanation of Condition 224
Complications 224
Non-Pregnancy Treatment and Care 224
Pre-Conception Issues and Care 224
11.2 Raynaud’s Phenomenon 226
Explanation of Condition 226
Primary Raynaud’s Phenomenon (PRP) (90% of cases) 226
Secondary Raynaud’s Phenomenon (SRP) (10% of Cases) 226
Complications 226
Non-Pregnancy Treatment and Care 226
Advice 226
Drug Therapy (more likely with (SRP) 226
Pre-Conception Issues and Care 226
Primary Raynaud’s 226
Secondary Raynaud’s (as Above, Plus) 226
11.3 Systemic Lupus Erythematosus 228
Explanation of Condition 228
Complications 228
Non-Pregnancy Treatment and Care 228
Advice for the Woman 228
Monitor 228
Medical Treatment 228
Pre-Conception Issues and Care 228
11.4 Antiphospholipid (Hughes) Syndrome 230
Explanation of Condition 230
Revised Sapporo Classification Criteria For APS 230
Other Clinical Manifestations of APS 230
Primary Antiphospholipid Syndrome (PAPS) 230
Secondary Antiphospholipid Syndrome (SAPS) 230
Catastrophic Antiphospholipid Syndrome (CAPS) 230
Non-Pregnancy Treatment and Care 231
Medical Treatment 231
Pre-Conception Issues and Care 231
11 Autoimmune Disorders 233
Patient Organisations 233
Essential Reading 233
References 234
Appendix 11.1.1 Drugs for Autoimmune Disease – An Overview for Midwives 237
12: Infectious Conditions 239
12.1 Viral Hepatitis 240
Explanation Of Condition 240
Complications 240
Non-Pregnancy Treatment And Care 240
Pre-Conception Issues And Care 240
12.2 Human Immunodeficiency Virus 242
Explanation Of Condition 242
Complications 242
Non-Pregnancy Treatment And Care 242
Pre-Conception Issues And Care 242
12.3 Malaria 244
Explanation Of Condition 244
Complications 244
Non-Pregnancy Treatment And Care 244
Pre-Conception Issues And Care 244
12.4 Chickenpox 247
Explanation Of Condition 247
Complications 247
Non-Pregnancy Treatment And Care 247
Pre-Conception Issues And Care 247
12.5 Toxoplasmosis 250
Explanation Of Condition 250
Complications 250
Non-Pregnancy Treatment And Care 250
Pre-Conception Issues And Care 250
12.6 Listeriosis 252
Explanation Of Condition 252
Complications 252
Non-Pregnancy Treatment And Care 252
Pre-Conception Issues And Care 252
12.7 Herpes Simplex Virus 254
Explanation Of Condition 254
Complications 254
Non-Pregnancy Treatment And Care 254
Pre-Conception Issues And Care 254
12.8 Streptococcal Sepsis 256
Explanation Of Condition 256
Complications 256
Non-Pregnancy Treatment And Care 256
Pre-Conception Issues And Care 256
12 Infectious Disease 258
Patient Organisations 258
Essential Reading 258
References 259
Appendix 12.1.1 The ABC of Hepatitis1 262
Appendix 12.2.1 Other Infectious Viral Diseases 263
Appendix 12.2.2 Other Infectious Bacterial Diseases 264
13: Metabolic Disorders 265
13.1 Obesity 266
Explanation of Condition 266
Complications 266
Non-Pregnancy Treatment and Care 266
Pre-Conception Issues and Care 266
13.2 Phenylketonuria 268
Explanation of Condition 268
Complications 268
Non-Pregnancy Treatment and Care 268
Pre-Conception Issues and Care 268
13.3 Hyperemesis Gravidarum 270
Explanation of Condition 270
Complications 270
Non-Pregnancy Treatment and Care 270
Pre-Conception Issues and Care 270
13.4 Acute Fatty Liver of Pregnancy 272
Explanation of Condition 272
Complications 272
Non-Pregnancy Treatment and Care 272
Pre-Conception Issues and Care 272
13 Metabolic Disorders 274
Patient Organisations 274
Useful Websites 274
Essential Reading 274
References 275
Appendix 13.1.1 Body Mass Index 277
World Health Organization – Body Mass Index 277
14: Haematological Disorders 279
14.1 Iron Deficiency Anaemia 280
Explanation of Condition 280
Haemoglobin Concentration and Haematocrit 281
Serum Ferritin Concentration 281
Complications 281
Non-Pregnancy Treatment and Care 281
Pre-Conception Issues and Care 281
14.2 Megaloblastic Anaemia 284
Explanation of Condition 284
Complications 284
Non-Pregnancy Treatment and Care 284
Pre-Conception Issues and Care 284
14.3 Disseminated Intravascular Coagulation 286
Explanation of Condition 286
Complications 286
Non-Pregnancy Treatment and Care 286
Pre-Conception Issues and Care 286
14.4 Von Willebrand’s Disease and Other Bleeding Disorders 288
Explanation of Condition 288
Other Bleeding Disorders 288
Complications 288
Non-Pregnancy Treatment and Care 288
Common Treatments 288
Advice 288
Pre-Conception Issues and Care 288
Von Willebrand’s Disease 288
Haemophilia 288
Factor XI Deficiency 288
14.5 Thrombocytopenia in Pregnancy 290
Explanation of Condition 290
Gestational Thrombocytopenia 290
Immune Thrombocytopenic Purpura 290
Complications 290
Non-Pregnancy Treatment and Care 290
Pre-Conception Issues and Care 290
14.6 Thalassaemia 292
Explanation of Condition 292
?-Thalassaemias 292
?-Thalassaemias 292
Diagnosis 292
Complications 292
Non-Pregnancy Treatment and Care 292
Treatment 292
Pre-Conception Issues and Care 292
14.7 Sickle Cell Disorders 294
Explanation of Condition 294
Complications 294
Non-Pregnancy Treatment and Care 294
Pre-Conception Issues and Care 294
14 Haematological Disorders 297
Patient Organisations 297
Essential Reading 297
References 298
Appendix 14.1.1 Blood and Blood Products Overview 301
Blood Products 301
Red Blood Cells 301
Platelets 301
Plasma Products 301
15: Thrombo-embolic Disorders 303
15.1 Thrombophilia and Inherited Clotting Disorders 304
Explanation of Condition 304
Inherited 304
Acquired 304
Complex 304
Complications 304
Non-Pregnancy Treatment and Care 304
Pre-Conception Issues and Care 304
15.2 Deep Vein Thrombosis 306
Explanation of Condition 306
Symptoms of DVT 306
Complications 306
Pulmonary Embolus (PE) 306
Post-Thrombotic (or Post-Phlebitic) Syndrome 306
Non-Pregnancy Treatment and Care 306
Pre-Conception Issues and Care 306
Patient Information Leaflet to Avoid Travel Related DVT 310
Introduction 310
What is travel-related deep vein thrombosis? 310
Before the trip 310
After the trip 310
15.3 Pulmonary Embolism 311
Explanation of Condition 311
Complications 311
Non-Pregnancy Treatment and Care 311
Pre-Conception Issues and Care 311
15.4 Thromboprophylaxis 314
Explanation of Condition 314
Non-Pregnancy Treatment and Care 314
Pre-Conception Issues and Care 314
15 Thromboembolic Disorders 318
Patient Organisations 318
Essential Reading 318
References 319
Appendix 15.4.1 Thrombo-embolic Disease Stockings 321
16: Addictive Disorders 323
16.1 Substance Misuse 324
Explanation of Condition 324
Complications 324
Non-Pregnancy Treatment and Care 324
Pre-Conception Issues and Care 324
16.2 Alcohol Addiction 326
Explanation of Condition 326
Complications 326
Maternal Complications 326
Fetal Alcohol Spectrum Disorder 326
Non-Pregnancy Treatment and Care 326
Pre-Conception Issues and Care 326
16.3 Tobacco and Cannabis Use 328
Explanation of Condition 328
Complications 328
Non-Pregnancy Treatment and Care 328
Pre-Conception Issues and Care 328
16.4 Cocaine Addiction 330
Explanation of Condition 330
Complications 330
Chronic maternal complications 330
Non-Pregnancy Treatment and Care 330
Pre-Conception Issues and Care 330
16.5 Opiate Addiction 332
Explanation of Condition 332
Complications 332
Non-Pregnancy Treatment and Care 332
Pre-Conception Issues and Care 332
16.6 Stimulant Addiction 334
Explanation of Condition 334
Complications 334
Non-Pregnancy Treatment and Care 334
Pre-Conception Issues and Care 334
16 Addictive Disorders 336
Patient Organisations 336
Essential Reading 336
References 337
Appendix 16.1.1 Applying a Formal Assessment Framework 339
Appendix 16.3.1 Preventing SIDS: Advice to Parents 340
Cut smoking in pregnancy – fathers too! 340
Appendix 16.4.1 Care of the Baby Who Experiences Withdrawal 341
Symptoms 341
Neonatal Abstinence Syndrome 341
Parents 341
Breast-Feeding 341
Medication 341
17: Psychiatric Disorders 343
17.1 Antenatal Psychiatric Disorders 344
Explanation of Condition 344
Complications 344
Non-Pregnancy Treatment and Care 344
Pre-Conception Issues and Care 344
17.2 Postnatal Psychiatric Disorders 346
Explanation of Condition 346
Depression 346
Puerperal Psychosis 346
Complications 346
Non-Pregnancy Treatment and Care 346
Pre-Conception Issues and Care 346
17.3 Eating Disorders 348
Explanation of Condition 348
Anorexia Nervosa 348
Bulimia Nervosa 348
Non-Pregnancy Treatment and Care 348
Pre-Conception Issues and Care 348
17.4 Post-Traumatic Stress Disorder 350
Explanation of Condition 350
Risk Factors for PTSD in Childbirth 350
Complications 350
Non-Pregnancy Treatment and Care 350
Pre-Conception Issues and Care 350
17 Psychiatric Disorders 352
Patient Organisations 352
Essential Reading 352
Policy and Guidelines 352
Evidence and Best Practice 352
Books 352
References 353
Appendix 17.1 Treatment Guidance for Depression 355
Medical Management of Depression 355
18: Neoplasia 357
18.1 Gestational Trophoblastic Disease 358
Explanation of Condition 358
Complications 358
Treatment and Care 358
Pre-Conception Issues and Care 358
18.2 Cervical Cancer 360
Explanation of Condition 360
Types 360
Symptoms 360
Human papillomavirus (HPV) 360
Staging 361
Non-Pregnancy Treatment and Care 361
Treatment for Abnormal Cells 361
Treatment for Cervical Cancer 361
Pre-Conception Issues and Care 361
18.3 Cervical Screening 364
Explanation of Screening 364
The Process of Cervical Sampling 364
The Statistics 364
Non-Pregnancy and Pre-Conception Care 364
18.4 Breast Cancer 366
Explanation of Condition 366
Complications 366
Non-Pregnancy Treatment and Care 366
Pre-Conception Issues and Care 366
18.5 Non-Hodgkin’s Lymphoma 368
Explanation of Condition 368
Complications 368
Non-Pregnancy Treatment and Care 368
Pre-Conception Issues and Care 368
18.6 Hodgkin’s Lymphoma 370
Explanation of Condition 370
Complications 370
Non-Pregnancy Treatment and Care 370
Pre-Conception Issues and Care 370
18.7 Ovarian Neoplasia 372
Explanation of Condition 372
Staging of Ovarian Cancer 372
Symptoms 372
Non-Pregnancy Treatment and Care 374
Pre-Conception Issues and Care 374
18.8 Malignant Melanoma 375
Explanation of Condition 375
Types of Malignant Melanoma 375
Staging Of Malignant Melanoma 376
Non-Pregnancy Treatment and Care 376
Pre-Conception Issues and Care 376
18 Neoplasia 378
Patient Organisations 378
Essential Reading 378
References 379
Index 381

Rezensionen

Reviews of 1st edition:
"The important facts are laid out concisely, primarily focusing on
management and using evidence-based guidelines for best midwifery
practice." (The Obstetrician & Gynaecologist, 2010)

"A strength of this book is that it has an unashamedly simple
at-a-glance format, easy to get used to. The chapters are based on
the traditional systems approach with sections dealing with
disorders and diseases...the important facts are laid out
concisely, primarily focusing on management, using evidence based
guidelines for best midwifery practice." (RCGP Journal,
April 2010)

"This is an excellent book for use in the clinical arena
by nurse midwives, nurses, and other healthcare practitioners
caring for women with preexisting medical problems."
(Doody's Reviews, June 2009)

"The editors highlight recognition of deviation from the normal
as an essential component of midwifery and have provided a manual
that will be appreciated by midwives in all areas of practice and
will be of great value to students studying high-risk modules."
(Midwives, April/May 2009)

"This book is a must have for any midwife, particularly those
working in the community, clinics and in high-risk areas.... This
book is an extremely useful reference tool. For students midwives
it is an essential read when undertaking the 'complications' module
of their course." (MIDIRS Midwifery Digest, January
2009)

I am currently a final year student midwife and can confidently
say that this book has a simple with easy to read definitions of
each disorder. It has clear details on the management in pregnancy,
labour and following birth from a midwifery perspective - a must
for any student midwife and a fantastic reference for all qualified
midwives. (5* Amazon Review )

"This book is a long awaited text providing a comprehensive look
at many of the medical conditions encountered by women during
childbirth. Other texts with similar content have been recently
produced but this text has the advantage of the information being
presented in tabular format, thus making it easy to follow and an
ideal reference tool. The care for each condition is broken down
into pregnancy, labour and postnatal aspects and then presents
expected care from the medical and midwifery perspective, although
the reader will naturally have to apply any local policy for more
specific care. The conditions are divided under logical headings
and have been written by experienced professionals who have
specialist knowledge in the field they are covering. There is also
a welcome addition of a chapter covering addictive disorders and
psychiatric disorders, both currently high on the agenda."

-Alison Edwards, Senior Midwifery Lecturer, Birmingham
City University.

"Comprehensive coverage - systematic layout - extremely
informative - simple and easy to understand language."

-Aine Kothari, Senior Lecturer, Anglia Ruskin
University

"Easy to use and informative. Content relevant and up to date.
Covers more topics than standard textbooks for midwives. Highly
recommended."

-Lesley Daniels, Midwifery Lecturer, Leeds
University

"A long-awaited text, providing succinct outlines of core
required for wide range of commonly occurring conditions."

-Alison Edwards, Midwifery Lecturer, Birmingham City
University

"Excellent book - contemporary, well organized and informative
chapters well supported by tables. An excellent resource for
midwives and students."

-Alison James, Midwifery Lecturer, Plymouth
University

Produkt-Details

• Erscheint lt. Verlag: 26.11.2012
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Gesundheitsfachberufe ► Hebamme / Entbindungspfleger
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Gynäkologie / Geburtshilfe
• Themenwelt: Medizin / Pharmazie ► Pflege
• Schlagworte: acclaim • Best • Book • Community • concisely • evidencebased • extremely useful • FACTS • Guidelines • Gynäkologie u. Geburtshilfe • Gynäkologie u. Geburtshilfe • Hebammenpraxis • highrisk • important • Krankenpflege • Manual • Medical disorders • Medical Science • Medizin • midirs • midwife • Midwifery • midwives • nursing • Obstetrics & Gynecology • particularly • Practice • Pregnancy • Reference
• ISBN-10: 1-118-41104-8 / 1118411048
• ISBN-13: 978-1-118-41104-9 / 9781118411049