Medical Conditions Affecting Pregnancy and Childbirth

Medical Conditions Affecting Pregnancy and Childbirth 2nd Edition :

Midwives are encountering more and more women whose pregnancies are complicated by medical conditions, including cardiac disease, obesity and diabetes. This new edition is completely up-to-date and offers highly practical solutions for everyday midwifery practice, acknowledging the importance of promoting normality where possible.

This text includes physiology, explanations of conditions and principles of care for preconception, pregnancy, labour, birth and the postnatal period. Each chapter brings together the basic knowledge of a condition and how it changes during pregnancy in an integrated and accessible way, including a new chapter dedicated to obesity. Explanations of laboratory tests, diagnostic tests, common drugs and illustrative colour pictures are included in relevant chapters.

Medical Conditions Affecting Pregnancy and Childbirth is a vital guide for student midwives, as well as a useful reference for practising midwives.

Additional ISBNs:

∗ Print ISBN: 0367027380, 978-0367027384, 9780367027384

∗ eText ISBN: 0367027380, 978-0367027384, 9780367027384

Contents

Cover
Half Title
Title Page
Copyright Page
Contents
List of figures
List of tables
Preface
1 Diabetes
Introduction
Physiology and pathophysiology
Commonly used drugs
Blood tests
Complications associated with diabetes in pregnancy
Type 1 diabetes: care issues
Type 2 diabetes: care issues
Gestational diabetes: care issues
Role of the midwife
Psychosocial issues
2 Cardiac Conditions
Introduction
Physiology and changes to the cardiac system in pregnancy
General care principles in cardiac conditions
Methods of assessing, monitoring and diagnosing cardiac conditions
Common cardiac conditions
— Heart failure
— Arrhythmias
— Congenital heart disease (CHD)
— Mitral and aortic stenosis (including prosthetic valves)
— Aortopathies/aortic dissection
— Acute Coronary Syndrome (ACS)/coronary artery disease (CAD)
— Cardiomyopathy (ventricular dysfunction)
— Carditis
— Pulmonary hypertension (PH)
— SADS
— Cardiac transplant
3 Hypertension and Pre-Eclampsia (PET)
Introduction
Physiology of blood pressure
Chronic (pre-existing) hypertension
Gestational hypertension
Pre-eclampsia
Management of hypertension (chronic & gestational) and PET
Eclampsia
HELLP syndrome
Acute Fatty Liver of Pregnancy (AFLP)
4 Disorders of the Renal System
Introduction
Physiology of the renal system and pregnancy changes
Urinary tract infection (UTI)
Renal stones (Urolithiasis)
Acute kidney injury
Chronic kidney disease
Principles of care for women with renal disease in pregnancy
Solid tissue (organ) transplant
Renal transplant
Psychosocial impact of pregnancy in those with chronic kidney disease
5 Disorders of the Respiratory System
Introduction
The respiratory system and changes in pregnancy
Routine assessment of respiratory function
Asthma
Pulmonary oedema
Cystic fibrosis
Lung transplant
Sarcoidosis
6 Haematological Disorders
Summary of normal haematological changes in pregnancy
Red blood cells (erythrocytes)
Anaemia
Haemoglobinopathies: sickle cell disorders and thalassaemia
Venous thromboembolism (VTE)
7 Thyroid Disease
Introduction
The thyroid gland
Thyroid function in pregnancy
Hyperthyroidism (thyrotoxicosis)
Hypothyroidism
Post-partum thyroiditis (PPT)
8 Disorders of the Nervous System
Epilepsy
Multiple sclerosis (MS)
Headache
9 Disorders of the Digestive Tract
Overview of the digestive system and changes in pregnancy
Nausea and vomiting (NVP)
Hyperemesis gravidarum
The small intestine
— Coeliac disease
The large intestine
— Inflammatory bowel disease (Ulcerative colitis [UC] and Crohn’s disease [CD])
— Irritable bowel syndrome (IBS)
— Appendicitis
The pancreas
— Pancreatitis
— Pancreatic transplant
The liver
— Liver transplant
The Gall bladder
— Cholelithiasis (gallstones)
— Acute cholecystitis
— Intrahepatic cholestasis of pregnancy (ICP) (previously known as obstetric cholestasis)
10 Obesity
Introduction
Physiology of weight gain
Causes of obesity
Strategies for a healthy lifestyle and weight management options before, during and after pregnancy
Weight gain in pregnancy
Complications of obesity in pregnancy
Management of care for a woman with raised BMI
Talking to women about weight
11 Restricted Eating Disorders
Epidemiology
Features of women with a restricted eating disorder
Complications of restricted eating disorders in pregnancy
Management of care of women with a restricted eating disorder
12 Autoimmune Disorders
Immunity, changes in pregnancy and autoimmunity
Systemic lupus erythematosus (SLE)
Antiphospholipid syndrome (APS)
Index

About the Authors

Judy Bothamley is Senior Lecturer in Midwifery at the University of West London, UK.
Maureen Boyle is Senior Lecturer in Midwifery at the University of West London, UK.

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