Practical Obstetrics and Gynaecology Handbook for O&G by Thiam Chye Tan
By Thiam Chye Tan
This guide offers an evidence-based method of universal obstetrics & gynaecological difficulties confronted by means of O & G clinicians and basic practitioners of their day-by-day perform. it's the simply publication on hand with present evidence-based innovations and protocols in O & G.
Compiled via skilled specialists, this new version includes 24 new chapters. the present chapters were up to date utilizing the newest facts. The authors have integrated a number of move charts and unique functional methods to varied gynaecology and obstetric matters. The ebook can be a important and speedy sensible consultant to each person — not just to normal practitioners and O & G clinicians, but additionally to clinical scholars and resident medical professionals. issues like "Approach to Ectopic being pregnant" and "Pelvic Inflammatory affliction" will offer precious suggestions to even emergency drugs medical professionals.
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Additional info for Practical Obstetrics and Gynaecology Handbook for O&G Clinicians and General Practitioners: 2nd Edition
Identify risk factors and consider appropriate interventions. 3. Provide advice, reassurance, education and support for the patient and her family. 4. Offer Down Syndrome screening for all women at any maternal age. • First trimester screening at 11–13+6 weeks of gestation • Maternal serum screening at 15–20 weeks of gestation • Diagnostic tests (chorionic villous sampling, amniocentesis) if screening test indicates high risk (1 : 300) 5. Review all the investigation results promptly to ensure normality or act appropriately if the results are abnormal.
Take antihypertensives as required • Stop ACE inhibitors, angiotensin II receptor antagonists, Thiazide diuretics. g. Methyldopa, Labetalol, Nifedipine) c. Cardiac Disease in pregnancy • Optimise maternal status • Co-manage with cardiologist. Include a complete evaluation including an echocardiogram. indd 4 5/7/2014 6:16:24 AM b1594 Practical Obstetrics and Gynaecology Handbook for O&G Clinicians and GPs, 2nd ed. Pre-Conception Preparation 5 • Discussion of foetal risks – increased perinatal morbidity and mortality (intrauterine growth restriction, preterm labour, foetal acidosis and foetal death) • Awareness of risk of transmission of cardiac defect to offspring — risk of recurrence varies with specific parental defect.
Chapter 3 VACCINATION IN PREGNANCY GENERAL PRINCIPLES • No evidence of risk to foetus from vaccinating pregnant women with inactivated virus, bacterial vaccine or toxoid • The benefits of vaccinating pregnant women outweigh potential risks when the likelihood of disease exposure is high or when infection would pose a risk to the mother or foetus. Ensure all vaccines administered are fully documented in the patient’s medical record • Live-virus vaccines are contraindicated for pregnant women because of the theoretical risk of transmission of the vaccine virus to the foetus • If a live-virus vaccine is inadvertently given to a pregnant woman, or if a woman becomes pregnant within 4 weeks after vaccination, she should be counselled about the potential effects on the foetus.