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. Peaceman explains:
• What constitutes a high-risk pregnancy and how to identify factors that make one more likely
• The potential effects of medication use during pregnancy
• How to address anxiety, depression, and postpartum depression for women with preexisting mental health conditions
• The challenges associated with advanced maternal age
• How to manage preexisting health issues such as hypertension, diabetes, thyroid disorders, and autoimmune diseases.
• How to evaluate the baby 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 multiples
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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