Practical Approaches to Controversies in Obstetrical Care, An Issue of Obstetrics and Gynecology Clinics


Book Description

Practical Approaches to Controversies in Obstetrical Care are offered in this issue of Obstetrics and Gynecology Clinics. Guest Editors Drs. George Saade and Sean Blackwell have recruited authorities in the field to review issues including recurrent spontaneous pregnancy loss, treatment of thromboembolic events prior to or during pregnancy, multiple gestations, complications surrounding severe preeclampsia, and care for the pregnant patient with an underlying seizure disorder.




Improving Diagnosis in Health Care


Book Description

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.




Management of Preterm Birth: Best Practices in Prediction, Prevention, and Treatment, An Issue of Obstetrics and Gynecology Clinics


Book Description

More than half a million babies in the US are born prematurely every year - preterm birth is the leading cause of infant mortality and those who survive may face lifelong problems. This issue of the Obstetrics and Gynecology Clinics discusses the epidemiology, outcomes and clinical prediction of preterm birth, and offers information on various therapies.




Stigma Syndemics


Book Description

Central to this volume, and critical to its unique creative significance and contribution, is the conceptual unification of syndemics and stigma. Syndemics theory is increasingly recognized in social science and medicine as a crucial framework for examining and addressing pathways of interaction between biological and social aspects of chronic and acute suffering in populations. While much research to date addresses known syndemics such as those involving HIV, diabetes, and mental illness, this book explores new directions just beginning to emerge in syndemics research – revealing what syndemics theory can illuminate about, for example the health consequences of socially pathologized pregnancy or infertility, when stigmatization of reproductive options or experiences affect women’s health. In other chapters, newly identified syndemics affecting incarcerated or detained individuals are highlighted, demonstrating the physical, psychological, structural, and political-economic effects of stigmatizing legal frameworks on human health, through a syndemic lens. Elsewhere in the volume, scholars examine the stigma of poverty and how it affects both nutritional and oral health. The common thread across all chapters is linkages of social stigmatization, structural conditions, and how these societal forces drive biological and disease interactions affecting human health, in areas not previously explored through these lenses.




Challenging Concepts in Obstetrics and Gynaecology


Book Description

This is a case-based guide to difficult scenarios faced in the fields of obstetrics and gynaecology. Each case is set off by an 'Expert Commentary' written by an expert, giving the reader both a solid base of knowledge and a nuanced view of current challenges.




Perimenopause, An Issue of Obstetrics and Gynecology Clinics


Book Description

Perimenopause has not been covered in the Obstetrics and Gynecology Clinics for over 10 years. This timely issue includes articles on BMI and its influence, Androgens, Cognition and Menopause, and Sexual Activity/Quality of Life.




Emergency Department Management of Obstetric Complications


Book Description

Obstetrical emergencies can be among the most stressful events an emergency physician will face in their entire career. The purpose of this book is to provide an evidence-based, practical approach to the wide spectrum of obstetric complications an emergency physician must be prepared to manage throughout all trimesters pregnancy as well as postpartum, including complications of assisted reproductive technology, bleeding, precipitous delivery and preterm labor. Clinical pearls and pitfalls are highlighted throughout. The approach to the pregnant patient with trauma, non-pregnancy-related abdominal pain, or in cardiac arrest is discussed. Updates in the classification and management of the hypertensive disorders of pregnancy are presented. Recent controversies surrounding the use of anti-emetics for first trimester nausea and vomiting and the use of a beta-hCG discriminatory zone for the evaluation of pregnancy of unknown location are also addressed. Obstetrical support services vary widely between different facilities, and Emergency Department Management of Obstetric Complications is written for emergency clinicians in all practice settings. This book provides useful information for daily practice as well as preparation for rarely encountered and potentially life-threatening events.




A Practical Approach to Obstetric Anesthesia


Book Description

Successfully combining the comprehensive depth of a textbook and the user-friendly features of a practical handbook, A Practical Approach to Obstetric Anesthesia, 2nd Edition, is a portable resource for both experienced and novice clinicians. Focusing on clinical issues in obstetric anesthesia, it uses an easy-to-follow outline format for quick reference, enhanced with numerous tables, figures, and photographs. The use of color in this edition highlights key information and improves readability for daily practice and study.




Update on Medical Disorders in Pregnancy, An Issue of Obstetrics and Gynecology Clinics


Book Description

This issue Obstetrics and Gynecology Clinics examines Medical Complications in Pregnancy. Guest Editor Dr. Judith Hibbard has assembled a panel of experts who offer reviews on topics including Preeclampsia, Chronic hypertension, Peripartum cardiomyopathy, Valvular heart disease in pregnancy, Pregestational diabetes, Asthma management, Management of renal disease, Renal transplant recipients and pregnancy, Sickle disease and pregnancy, Thyroid disease, Update on gestational diabetes, Pregnancy after gastric bypass, Thromboprophylaxis in obstetrics, Cholestasis of pregnancy, and Hepatitis: screening and management.




A Practical Approach to Anesthesia for Emergency Surgery


Book Description

There is a large influx of trauma, general surgical, pediatric, neurosurgical and obstetric emergencies as the hospital is one of the major public hospitals located in a densely populated region sitting amidst major routes in the city. It also provides services for emergency cardiovascular, cerebrovascular interventions and cadaver transplants. Daily lessons from this tremendous emergency work inspired us to bring out this book. There is plethora of reference material available in basic sciences related to anesthesiology, namely physiology, pharmacology, physics and anatomy. Similarly, a large number of textbooks are on techniques such as general, regional, monitored anesthesia care as well as super specialties like cardiac, neurosurgical and pediatric anesthesia, etc. But there is a limited availability of books and references for emergency anesthesia. One has to scan and integrate parts from various sources. This book is an attempt to assimilate the scattered information and add clinical expertise. Contents of this book have been divided into nine sections to cover majority of the emergencies. General considerations for adults, obstetric and pediatric sections have been written separately to avoid duplication. An additional challenge is cases with various medical disorders for emergency surgeries. Efforts have been taken to accommodate them in first section and obstetric section. The contributors of this book work together at LTMMC and LTMGH and have a well-balanced team with fresh talent bringing the latest technological knowledge and tenured practitioners supplementing it with applied experience. Part of the team worked on collection of the matter from different sources for an ideal scenario, while the senior faculty members used their vast clinical experience for a more practical and realistic application. These combined efforts have been truly beneficial to achieve our goal to rationally mix latest technology with clinical experience and identify potential ways to conduct anesthesia with best results, at least costs and minimum risk.