Office Obstetrics, An Issue of Obstetrics and Gynecology Clinics (The Clinics: Internal Medicine)

Contents......Page 1
Foreword......Page 4
Preface......Page 6
History and public health implications of prenatal care......Page 8
Initial history and examination......Page 9
Subsequent prenatal visits......Page 14
Patient education......Page 19
References......Page 20
Communication......Page 23
Medical liability......Page 24
Choosing a record......Page 26
Electronic medical records......Page 30
References......Page 36
Prenatal weight gain issues......Page 37
Specific nutrients of concern......Page 41
Folic acid......Page 42
Calcium......Page 43
Iron......Page 44
Unique populations regarding nutritional counseling......Page 46
References......Page 48
Exercise......Page 52
Work-related issues......Page 53
Relationships and sexuality......Page 55
Education......Page 56
Travel......Page 57
Substance abuse......Page 58
Smoking......Page 59
Alcohol and illicit drugs......Page 62
References......Page 65
Etiology......Page 68
Psychologic factors......Page 70
Nausea and vomiting of pregnancy as a syndrome......Page 71
Clinical presentation......Page 72
Maternal complications......Page 73
Fetal consequences of hyperemesis......Page 74
Clinical clues suggesting alternative diagnosis......Page 75
Diet and support......Page 77
Pharmacologic and alternative therapy......Page 78
Nutritional support......Page 81
References......Page 82
Prevalence and impact of perinatal depression......Page 85
Anxiety and perinatal depression......Page 86
Screening......Page 87
Completing the assessment......Page 89
Treatment approaches......Page 90
Psychosocial approaches to perinatal depression......Page 91
Psychotropic medication and the perinatal patient......Page 92
Breast-feeding and psychiatric illness and treatment......Page 95
Summary......Page 96
References......Page 97
Prenatal Diagnosis and Genetic Screening-Integration into Prenatal Care......Page 101
Causes of congenital anomalies......Page 102
Family history......Page 103
Prenatal screening for specific genetic disorders......Page 105
Cystic fibrosis......Page 107
Tay-Sachs disease......Page 109
Other genetic disorders in individuals of Eastern European Jewish descent......Page 110
Hereditary disorders of hemoglobin synthesis......Page 111
Fragile X syndrome......Page 112
The role for preconception genetic screening......Page 114
Chromosome aneuploidy screening......Page 115
Screening algorithms......Page 116
First-trimester only screening......Page 117
Algorithms combining first- and second-trimester screening......Page 118
Sequential screening......Page 119
American College of Obstetricians and Gynecologists guidelines for chromosome screening......Page 120
Diagnostic testing......Page 121
References......Page 122
Risk factors......Page 125
Interventions......Page 126
Risk factors......Page 127
Progesterone and preterm delivery......Page 128
Stillbirth......Page 129
Prediction of stillbirth......Page 130
Risk factors for recurrent preeclampsia......Page 132
Prevention......Page 133
Recommendations......Page 134
References......Page 135
Prenatal Counseling Regarding Cesarean Delivery......Page 138
Maternal request cesarean......Page 139
Trial of labor versus repeat cesarean delivery......Page 145
History of prior anal sphincter laceration......Page 150
Malpresentations......Page 153
Summary......Page 154
References......Page 155
Childbirth education recommendations, participation, and challenges......Page 161
Clinic-based childbirth education......Page 163
Bench clinics......Page 164
Centering pregnancy and parenting (group prenatal care)......Page 165
Birth plans......Page 166
Birth plan perspectives in the literature......Page 168
Medicolegal aspects of the birth plan and their similarities with living wills......Page 169
Shared or participatory decision-making......Page 170
A birth plan scenario......Page 171
References......Page 172
Index......Page 174