Pregnancy affects the physiology of women as their bodies adapt to the growing life within them; but how does this affect how you manage general, or pre-existing medical complaints? How do you differentiate the effects of pregnancy from genuine medical conditions? What are the effects of the ‘standard’ treatments on the growing fetus? What about breastfeeding?
In this brand-new edition of de Swiet’s Medical Disorders in Clinical Practice, expert physicians present the best evidence and practical wisdom to guide you and your patients through their pregnancy and illness, to a successful birth and early motherhood. Using a combination of algorithms, years of experience and an evidence-based approach, this book will help you to:
Diagnose difficult to identify conditions during pregnancy
Effectively prescribe for pregnant and lactating women
Overcome the challenges of imaging, anesthesia and critical care for pregnant women
de Swiet’s assists you in navigating the many challenges pregnancy presents for both the patient and physician.
List of Contributors vii
Preface xi
Foreword xii
1. Pulmonary disease in pregnancy 1
Lucia Larson, Niharika Mehta, Michael J. Paglia, Ghada Bourjeily with Warwick D. Ngan Kee
2. Hematologic disease in pregnancy 48
Claire McLintock, John T. Repke with Brenda Bucklin
3. Thromboembolic disease in pregnancy 82
Catherine Nelson-Piercy and Ian Greer
4. Thrombophilias and pregnancy 101
Marc A. Rodger, Michael Paidas with Lawrence Tsen and Joanne Douglas
5. Heart disease in pregnancy 118
Cynthia Maxwell, Athena Poppas, Mathew Sermer with Elizabeth McGrady
6. Hypertension in pregnancy 153
Christopher W. G. Redman, Sig-Linda Jacobson with Robin Russell
7. Renal disease in pregnancy 182
Mark A. Brown, George J. Mangos, Michael Peek with Felicity Plaat
8. Rheumatologic disorders in pregnancy 209
Megan E. B. Clowse, Michelle Petri and Andra H. James
9. Disorders of the liver, biliary system and exocrine pancreas in pregnancy 223
Sailesh Kumar, Mrinalini Balki and Catherine Williamson (with Eliana Castillo and
Deborah M. Money)
10. Disorders of the gastrointestinal tract in pregnancy 256
Niharika Mehta, Sumona Saha, Edward K.S. Chien with Silvia Degli Esposti and Scott Segal
11. Diabetes mellitus in pregnancy 293
Michael F. Greene, Caren G. Solomon, Stephanie L. Lee with Robert A. Peterfreund
12. Thyroid disease in pregnancy 322
Erin Keely and Brian M. Casey
13. Pituitary and adrenal disease in pregnancy 335
Mark E. Molitch and Alan Peaceman
14. Calcium metabolism and diseases of the parathyroid glands during pregnancy 352
Martin N. Montoro and T. Murphy Goodwin
15. Neurologic disorders in obstetric practice 371
Dominic C. Heaney, David J. Williams, Patrick O’Brien with Chris Elton
16. Nonviral infectious diseases in pregnancy 404
Brenna Anderson, Melissa Gaitanis with Daniel I. Sessler
17. Viral infections in pregnancy other than human immunodeficiency virus 431
Eliana Castillo and Deborah M. Money
18. Human immunodeficiency virus infection in pregnancy 464
Ruth E. Tuomala, Judith S. Currier, Susan Cu-Uvin with Roshan Fernando
19. Substance misuse in pregnancy 477
Ilana B. Crome, Khaled M. K. Ismail with David Birnbach
20. Skin diseases in pregnancy 505
Mark Davis, Brian Brost with Nollag O’Rourke
21. Psychiatric disorders in pregnancy 524
Teri Pearlstein and Jami Star
22. Cancer in pregnancy 553
Sunanda Sadanandan, Timothy Hurley, Carolyn Muller, Claire Verschraegen, Marianne Berwick, Charles L. Wiggins and Kimberly K. Leslie
23. Critical care in pregnancy 583
Uma Munnur, Dilip R. Karnad, Edward R. Yeomans and Kalpalatha K. Guntupalli
24. Embryologic and fetal development 598
Contents
25. Global issues in maternal health 599
Rudiger Pittrof, Moke Magoma, Vêronique Filippi with Medge D. Owen
26. Future health concerns for women who have had a complicated pregnancy 606
David J. Williams
41. Approach to proteinuria identified remote from term 704
Margaret A. Miller
42. Approach to new-onset hypertension remote from term 710
Margaret A. Miller
27. Special concerns for the obese patient 615
Hugh M. Ehrenberg with Richard N. Wissler
28. Special concerns for patients with advanced maternal age 621
Linda Heffner
29. Principles of obstetric anesthesia 625
Stephen Gatt and William Camann
30. Prescribing in pregnancy: a practical approach 633
Sandra L. Kweder and Raymond O. Powrie
31. Prescribing during lactation 641
Thomas W. Hale and Teresa Baker
32. Diagnostic imaging in pregnancy 646
Sandra A. Lowe
33. Contraception for women with medical disorders 653
Iris Tong and Raymond O. Powrie
34. Effect of pregnancy on common laboratory tests 661
Michael Carson and Elvis R. Pagan
35. Approach to headaches in pregnancy 671
Jessica Illuzzi, Emma Barber and Men-Jean Lee
36. Approach to anemia in pregnancy 681
Dorothy Graham and Jami Star
37. Approach to moderately elevated liver function tests in pregnancy not attributable to pre-eclampsia/HELLP syndrome 684
Margaret A. Miller
38. Approach to shortness of breath in pregnancy 689
Ghada Bourjeily, Hanan Khalil and Michael J. Paglia
43. Approach to presyncope and syncope in pregnancy 715
Paul S. Gibson, Rshmi Khurana and Winnie W. Sia
44. Approach to chest pain in pregnancy 719
Rshmi Khurana, Winnie W. Sia and Paul S. Gibson
45. New-onset seizures in pregnancy 724
Laura A. Magee, Anne-Marie Côté and Peter von Dadelszen
46. Approach to prosthetic heart valves in pregnancy 730
Wee Shian Chan, Mark C. Walker and Marc A. Rodger
47. Approach to the use of glucocorticoids in pregnancy for nonobstetric indications 736
Kenneth K. Chen and Raymond O. Powrie
48. Approach to hyperemesis gravidarum 742
Sumona Saha, Catherine Williamson, Niharika Mehta, Edward K.S. Chien and Silvia Degli Esposti
49. Approach to fetal assessment, optimization of neonatal outcome, mode of delivery and timing for nonobstetric readers 749
Michael Peek, George J. Mangos and Mark A. Brown
50. Promoting safe care for women with medical problems during pregnancy 754
Raymond O. Powrie, James A. O’Brien with Kue Chung Choi
39. Approach to hypertensive emergencies in pregnancy 695
Laura A. Magee and Peter von Dadelszen with David Wlody
40. Approach to palpitations in pregnancy, 700
Winnie W. Sia, Paul S. Gibson and Rshmi Khurana
Appendix: Medications and their relative risk to breastfeeding infants 759
Index 771
Height:285
Width:226
Spine:37
Weight:2209.00