Perinatology


Book Description

This book presents the latest evidence-based guidelines for perinatal management and is designed to help obstetricians and neonatologists minimize complications and offer patients the best possible care. Since 1960, there has been a significant increase in basic and clinical investigations on normal and pathological pregnancy in the developed world. This has provided insights into the physiopathology of pregnant women, fetuses and newborns and led to the development of new technologies, bringing about a new medical subspecialty: perinatal medicine. The book is divided into eight main sections: The first examines basic periconceptional care and discusses the ethical aspects of perinatology. The next section focuses on prenatal considerations, such as the nutritional aspects of gestation and puerperium, physical exercise during pregnancy, routine laboratory tests, prenatal care of multiple gestations and the role of the neonatologist in prenatal care. The third and fourth sections then explore fetal evaluation, and clinical intercurrences in pregnancy, respectively. The next section addresses pregnancy complications: prevention, diagnosis and management. The sixth section covers the basic aspects of congenital infections and the seventh examines labor and delivery aspects. Lastly, the final section includes chapters on neonatal assistance. Written by leading experts in obstetrics, neonatology, and perinatology, this thoroughly updated, comprehensive resource reflects the latest information in all areas, including genetics and imaging.




The Beginnings of Perinatal Medicine


Book Description

Die Perinatale Medizin ist ein wissenschaftshistorisch gesehen noch junges Fachgebiet der Medizin, das sich seit Mitte des 20. Jahrhunderts herausgebildet hat. Wesentliche Anstöße und Innovationen verdankt sie dem wissenschaftlich-ärztlichen Wirken eines der Herausgeber des Bandes, Prof. Dr. Erich Saling, der auch "Vater der Perinatalen Medizin" genannt wird. Er hat mit der Einführung der Fetalblutanalyse erstmals einen Zugang zum Ungeborenen eröffnet, was heute als Meilenstein am Beginn der Perinatalen Medizin gilt. Mit Ausnahme der 1985 erschienenen Aufsatzsammlung von Rooth und Saugstadt existieren zur Geschichte der Perinatalen Medizin nur Einzeldarstellungen unterschiedlicher Teilgebiete (z.B. fetale Überwachung sub partu, Ultraschall), entweder als Paper in Zeitschriften oder Kapitel in entsprechenden Lehrbüchern erschienen. Bislang gibt es jedoch kein Werk, das in einem integrativen Zusammenhang die Geschichte des noch jungen Fachs mit Schwerpunkt auf dem Beginn in den 1960er und frühen 1970er Jahren aber auch unter Würdigung wesentlicher Vorläufer und kurzer Darstellung der späteren Entwicklungen aus der Sicht einiger Beteiligter darstellt. Die Autoren des Bandes sind ausgewiesene Fachleute mit teilweise jahrzehntelanger Expertise auf den von ihnen beschriebenen Feldern.




Textbook of Perinatal Medicine, Second Edition


Book Description

Pregnancy, childbirth and being a newborn are not diseases - they are special periods in human life when the risk of death or disability can be very high. Recognizing this, the last decade has brought enormous progress in science and technology into improving maternal and newborn health, such as the treatment of genetic diseases, intra-uterine surgery, and improved knowledge about the human genome. Despite this, perinatal disease and disability worldwide still remains very high. The most authoritative work on perinatal medicine currently available, Textbook of Perinatal Medicine, Second Edition builds on the huge success of its predecessor to provide a comprehensive two-volume text without parallel in terms of size and authority.




Fetal Medicine


Book Description

Fetal medicine has emerged as a separate subspecialty over the last 30 years as a result of major advances in a number of areas, in particular ultrasound imaging, cytogenetics, molecular biology and biochemistry. The widespread use of antenatal screening and diagnostic tests has led to an increased need for obstetricians to have knowledge and skills in fetal medicine. This book provides the information that underpins training programmes in fetal medicine and integrates science and clinical disciplines in a practical and useful way. Clinical sections include: the latest advances in prenatal screening; a systems-based presentation of the diagnosis and management of fetal malformations; complete coverage of common and rare fetal conditions including growth restriction, endocrine and platelet disorders, early pregnancy loss, and twins/multiple pregnancy. More focus on important basic-science concepts, such as maternofetal cell trafficking, and the relevance to clinical management.




Obstetric Medicine


Book Description

The subspecialty of Obstetric Medicine sits in a unique intersection of the disciplines of Internal Medicine and Obstetrics. Its focus is in the skilled management of medical problems in pregnancy: from pre-pregnancy optimization to the management of acute and chronic conditions in pregnancy, and in the postpartum period to ensure resolution and safe transition back to the primary care provider. This book will provide novel insights into the management of pregnant women. Clinical pearls will be emphasized, such as illustrating atypical aspects of a presenting symptom/finding, and when a subspecialty referral (or transfer to a high risk centre) must occur for patient safety. This book will combine basic science principles, build on existing guidelines, and provide crucial tips on how to safely manage acute and chronic medical conditions in pregnancy. It is THE book for sub-specialists in Obstetric Medicine.




Fetal Medicine E-Book


Book Description

Covering pertinent basic science and offering today's most authoritative guidance on clinical management, Fetal Medicine, 3rd Edition, is a must-have resource for obstetricians and other healthcare professionals involved in care of the fetus. An international team of expert contributors delivers the knowledge and background you need to effectively diagnose and treat fetal disorders – everything from prenatal screening and diagnostic tests to common and rare prenatal conditions, early pregnancy loss, ethical issues, and much more. - Focuses on fetal medicine throughout, bringing you today's most reliable information in both basic science and clinical topics. - Offers updated information from cover to cover, including new coverage of genetics, embryology, and clinical management. - Features new self-assessment questions and new images throughout – for a total of nearly 1,000 photographs and line drawings, as well as more than 150 quick-reference tables. - Details fast-changing developments in fetal medicine, including advances in ultrasound imaging, cytogenetics, molecular biology, and biochemistry. - Helps you learn and retrieve complex information quickly thanks to succinct, highly structured text; key points at the beginning of each chapter; and concise chapter summaries. New editor team – 3 new editors with an international approach – they will select qualified authors who can discuss the basic science as well as the clinical aspects of perinatal problems Updated knowledge content – major areas of change are non-invasive prenatal testing (NIPT) and genetic testing – Ron Wapner is one of the leaders in these fields Expert Consult access – individual electronic access for the first time 4-color design – current design is b&w so will update with new colors and colorize the drawings.




McGraw-Hill Specialty Board Review Neonatal-Perinatal Medicine


Book Description

The ONLY review book for the Neonatal-Perinatal Medicine board exam This comprehensive review for the Neonatal-Perinatel Medicine board exam includes everything test takers need for exam success: thorough concept reviews, full-color illustrations, highlighted key points, and case-based Q&A. The content is weighted to match that of the exam, so students know they are spending just the right amount of time on each topic. The authors of the book are uniquely qualified to create such as book as they currently run exam review workshops and have many years of experience preparing residents and physicians for the examination. This is a particularly valuable entry into the McGraw-Hill Medical test prep line as neonatology is the most popular pediatric subspecialty. Includes 4-color insert of neontatel dermatology and infectious disease illustrations Each chapter includes clinical vignettes with board-style Q&A




Perinatal Genetics


Book Description

Get a quick, expert overview of the fast-changing field of perinatal genetics with this concise, practical resource. Drs. Mary Norton, Jeffrey A. Kuller, Lorraine Dugoff, and George Saade fully cover the clinically relevant topics that are key to providers who care for pregnant women and couples contemplating pregnancy. It's an ideal resource for Ob/Gyn physicians, maternal-fetal medicine specialists, and clinical geneticists, as well as midwives, nurse practitioners, and other obstetric providers. - Provides a comprehensive review of basic principles of medical genetics and genetic counseling, molecular genetics, cytogenetics, prenatal screening options, chromosomal microarray analysis, whole exome sequencing, prenatal ultrasound, diagnostic testing, and more. - Contains a chapter on fetal treatment of genetic disorders. - Consolidates today's available information and experience in this important area into one convenient resource.




Placental Adhesive Disorders


Book Description

Abnormal placental adhesive disorders are associated to massive hemorrhage and high maternal morbidity and mortality. The main risk factor for abnormal invasive placentation is the repeated cesarean, although other factors were identified. There are specific techniques to provide a high confidence diagnosis. However, precise skills must be acquired to recognize detailed diagnostic signs, to avoid common technical mistakes, and also to know when, how and why it is necessary to use each of them. Presurgical study provides diagnosis, extension and compromise of neighboring structures such as the bladder or the parametrium. Knowledge of placental invasion extension is needed to plan any resective surgery such as hysterectomy or one-step conservative surgery. Due to the fact that topography of the invaded area has direct relation with the specific arterial pedicles, a map of the invasion is required to know which type of proximal vascular control can be more effective. Leaving the placenta in situ seems to be the best option when resources or a skilled team are not available, but it requires intensive postoperative controls to detect infection, bleeding or coagulation disorders. Hysterectomy can be an easy solution for non-experimented operators; however, it is usually a very complicated procedure with demonstrated morbidity and mortality due to hemodynamic and hemostatic problems. This book gathers the latest knowledge in relation with the etiology, diagnosis, treatment and also the authors personal experience in more than 500 cases. All aspects of this condition have been analyzed to provide an accurate management, which includes vascular control, urology, anesthesia and hemodynamic management among others.




Perinatal Epidemiology


Book Description

The only in-depth survey of perinatal epidemiology, this book reviews a number of currently active fields of research and areas of public health interest in the epidemiology of perinatal disorders and covers recent advances in research methodology. A thorough and timely look at a burgeoning field, this volume is an ideal textbook and a valuable reference for practitioners.