A compassionate and insightful guide to understanding high-risk pregnancies.
In the United States, millions of people experience the life-changing event of pregnancy every year, but for nearly one-third of them, the journey comes with heightened risks. In this compassionate guide, obstetrician-gynecologist Alan M. Peaceman, MD, explores the complexities of high-risk pregnancies with the empathy and clarity that every expectant parent deserves.
With over thirty years of experience treating patients with high-risk pregnancies, Dr. Peacemen explains:
• What constitutes a high-risk pregnancy and how to identify key factors that make one more likely
• The potential negative and positive effects of medication use during pregnancy, with a focus on essential drugs for managing chronic conditions
• How to address anxiety, depression, and the increased likelihood of postpartum depression for women with preexisting mental health conditions
• The challenges associated with advanced maternal age, including genetic testing and increased monitoring
• How to deal with preexisting health issues such as hypertension, diabetes, thyroid disorders, and autoimmune diseases.
• How the baby can be evaluated for genetic and structural abnormalities
• How to identify and treat pregnancy complications, including preeclampsia, preterm birth, and placental problems
• Special considerations and strategies for handling complicated twin and triplet pregnancies
• The cause, evaluation, and clinical management of each high-risk condition
This companion for expectant parents and their families provides essential knowledge and guidance on how to make informed choices while working collaboratively with health care providers.
Introduction
Part I: Background on High-Risk Pregnancies
1. High-Risk Pregnancy Basics
2. Issues that Can Affect Pregnancy Outcomes
3. Increased Risks in Black Women
Part II: Early Pregnancy Issues
4. Preparing for Pregnancy and the First Trimester
5. Miscarriage
Part III: Maternal Conditions
6. Hypertension
7. Diabetes
8. Thyroid Disease
9. Autoimmune Disorders: Lupus, Antiphospholipid Antibodies
10. Heart Disease
11. Kidney Disease
12. Blood Clots (Pulmonary Embolism, Deep Venous Thrombosis)
13. Uterine Anomalies and Fibroids
14. Cancer and Pregnancy
Part IV: Fetal Conditions
15. Birth Defects
16. Genetic Abnormalities
17. Fetal Cardiac Arrhythmias
18. Fetal Growth Restriction
19. Congenital Infections
20. Hydrops Fetalis
Part V: Pregnancy conditions
21. Preterm Birth
22. Preeclampsia
23. Placental Abruption/Placenta Previa/Placenta Accreta
24. Stillbirth
25. Blood Group Isoimmunization
26. Cervical Insufficiency
27. Multiple Gestation
Part VI: Conclusions
Part VII: Resources
Part VIII: Glossary
Part IX: Index
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