
Arias' Practical Guide to High-Risk Pregnancy
- 6th Edition - November 13, 2024
- Imprint: Elsevier India
- Editors: Amarnath G Bhide, Arulkumaran S, Kaizad Damania, SN Daftary, Aundrea Arias Schubbe
- Language: English
- Paperback ISBN:9 7 8 - 8 1 - 3 1 2 - 6 9 3 7 - 4
- eBook ISBN:9 7 8 - 8 1 - 3 1 2 - 6 9 3 8 - 1

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• Latest guidelines, recommendations and evidence
• Support of illustrations, flowcharts and figures
• Reference lists for interested readers
• Foundations of basic concepts and their explanations
• Boxes for salient features
• Majority of chapters end with important points
• Identification of knowledge gaps and suggested
research agenda
• Special chapter devoted to audit and clinical
governance, maternal collapse
• A must-have book for students and practitioners
alike
- Title of Book
- Cover image
- Title page
- Table of Contents
- Any screen, Any time, Anywhere
- Copyright
- Dedication
- Preface
- Contributors
- Section 1: Fetal Medicine
- 1. Prenatal Diagnosis of Chromosomal Abnormalities
- Chapter Outline
- Introduction
- Types of Chromosomal Abnormalities
- Screening
- Diagnostic Testing
- Research Agenda
- References
- 2. Fetal Dysmorphology
- Chapter Outline
- Introduction
- Central nervous system abnormalities
- Abnormalities of the neck
- Cardiac Abnormalities
- Thoracic abnormalities
- Abdominal abnormalities
- Abnormalities of the urinary tract
- Skeletal abnormalities
- FETAL TUMOURS
- Miscellaneous
- Environmental fetal risks
- References
- 3. Impact of Advances in Genetics on Prenatal Diagnosis
- Chapter Outline
- Introduction
- Methods of prenatal diagnosis
- Confirmatory tests for prenatal diagnosis
- Chromosome analysis
- Techniques for identification of smaller chromosome abnormalities
- References
- Further Reading
- Databases and Useful Resources
- 4. Fetal Infections
- Chapter Outline
- Introduction
- Cytomegalovirus
- Toxoplasmosis
- Rubella (German measles)
- Parvovirus B19
- Varicella zoster (chickenpox)
- Syphilis
- Group B streptococcus
- Viral hepatitis
- Genital herpes (HSV)
- Human immunodeficiency virus infection
- Malaria
- References
- 5. Fetal Growth Restriction
- Chapter outline
- Concept
- Background and Definition
- Causes of smallness
- Risk factors
- Screening for SGA due to placental insufficiency
- Diagnosis
- Investigation for Differential Diagnosis
- Fetal Surveillance
- Interventions in pre-term SGA
- Prevention of SGA
- Timing of delivery
- Fetal problems associated with SGA
- Neonatal complications
- Long-term outcome
- References
- Section 2: Obstetric Complications
- 6. Early Pregnancy Complications
- CHAPTER OUTLINE
- Introduction
- Presentation-Based Approach to Complications in Early Pregnancy
- Bleeding in Early Pregnancy
- Miscarriage – Clinical Terminologies
- Management of Threatened Miscarriage (Viable Intrauterine Pregnancy With Bleeding)
- Management of Other Miscarriage Scenarios (Non-viable Intrauterine Pregnancy)
- Management of Tubal Ectopic Pregnancy
- Management of Ectopic Pregnancy (Nontubal Sites)
- Gestational Trophoblastic Disease
- Nausea, Vomiting and Hyperemesis in Early Pregnancy
- Lower Abdominal and Pelvic Pain in Early Pregnancy
- Physiological Changes and Symptoms Mimicking Complications
- Indian Perspective
- REFERENCES
- 7. Identification and Antepartum Surveillance of High-Risk Pregnancy
- CHAPTER OUTLINE
- Maternal Mortality and Perinatal Mortality
- Antenatal Evaluation
- References
- 8. Preterm Birth
- Chapter Outline
- Introduction
- Implications of Preterm Birth
- Aetiology of Preterm Birth
- Management of Asymptomatic Women at Risk of Preterm Birth
- Prevention of Preterm Labour
- Management of Preterm Labour
- Mode of Delivery
- References
- 9. Post-term and Prolonged Pregnancy
- CHAPTER OUTLINE
- Introduction
- Incidence
- Aetiology
- Diagnosis
- Pathophysiological Changes Seen in Prolonged Pregnancy
- Fetal, Neonatal and Maternal Complications
- Management
- Indian Perspective
- References
- 10. Antepartum Haemorrhage
- Chapter Outline
- ANTEPARTUM HAEMORRHAGE
- PLACENTA PRAEVIA AND LOW-LYING PLACENTA
- PLACENTA ACCRETA SPECTRUM
- PLACENTAL ABRUPTION
- BLEEDING OF INDETERMINATE ORIGIN
- VASA PRAEVIA
- References
- 11. Venous Thromboembolism in Pregnancy
- Chapter Outline
- Introduction
- Pathophysiology
- Pathogenesis
- Preventing Venous Thromboembolism (Thromboprophylaxis): When and How Long?
- Indications for thrombophilia testing
- Methods of Thromboprophylaxis
- Clinical Features of Venous Thromboembolism in Pregnancy
- Diagnostic Testing for Venous Thromboembolism
- Diagnosis of Deep Venous Thrombosis
- Diagnosis of Pulmonary Embolism
- Symptoms of Pulmonary Embolism
- The Pregnancy-Adapted Geneva Score
- Treatment of Acute Venous Thromboembolism
- Fetal Surveillance in Patients With Venous Thromboembolism
- REFERENCES
- 12. Multiple Pregnancy
- Chapter outline
- Introduction
- Incidence and epidemiology
- Mechanism of twinning
- Complications of Multifetal Pregnancy
- Antepartum management
- Management of labour and delivery
- Management of higher order multiple pregnancy
- References
- 13. Hypertensive Disorders in Pregnancy
- Chapter Outline
- INTRODUCTION
- Definitions
- RISK FACTORS FOR HYPERTENSIVE DISORDERS OF PREGNANCY
- CLASSIFICATION OF HYPERTENSIVE DISORDERS IN PREGNANCY
- GESTATIONAL HYPERTENSION
- Chronic Hypertension and Pregnancy
- Pre-eclampsia
- Intrapartum Management of Pre-Eclampsia with Severe Features
- ECLAMPSIA
- HELLP SYNDROME
- OTHER SEVERE COMPLICATIONS OF pre-eclampsia/ECLAMPSIA
- LONG-TERM PROGNOSIS OF PRE-ECLAMPSIA/ECLAMPSIA
- PREDICTION OF PRE-ECLAMPSIA
- PREVENTION OF PRE-ECLAMPSIA
- INDIAN CONTEXT OF HYPERTENSIVE DISORDERS OF PREGNANCY
- REFERENCES
- 14. Haematological Disorders and Red Cell Alloimmunization in Pregnancy
- Chapter Outline
- Introduction
- Physiological Changes in Pregnancy
- Anaemia in Pregnancy
- Haemoglobinopathies
- Platelet Disorders
- Bleeding Disorders
- Red Cell Alloimmunization
- Alloimmunization to Non-rhesus-D Antigens
- Fetal and Neonatal Allo-immune Thrombocytopaenia
- REFERENCES
- 15. Diabetes in Pregnancy
- CHAPTER OUTLINE
- Introduction
- Classification of Diabetes
- Carbohydrate Metabolism in Pregnancy
- Complications of Diabetes Mellitus
- Gestational Diabetes Mellitus
- Screening and Diagnosis of Diabetes in Pregnancy
- Effects of Diabetes on Pregnancy
- Management Options
- Contraceptive Advice
- Diabetes in Pregnancy: Indian Perspective
- REFERENCES
- 16. Cardiac Disease and Pregnancy
- CHAPTER OUTLINE
- Pre-conceptional Counselling
- Haemodynamic Changes During Pregnancy
- Effects of Maternal Cardiac Disease on Pregnancy
- Effects of Maternal Cardiac Disease on the Fetus
- General Measures for the Care of Pregnant Patients With Heart Disease
- Treatment of Acute CHF During Pregnancy
- Acute Pulmonary Oedema During Pregnancy
- Specific Cardiac Conditions and Pregnancy
- Other Cardiac Conditions of Importance During Pregnancy
- Indian Perspective
- Pregnancy Heart Team Approach
- REFERENCES
- 17. Other Medical Disorders in Pregnancy
- CHAPTER OUTLINE
- Dermatological Disorders in Pregnancy
- Autoimmune Diseases in Pregnancy
- Neurological Complications in Pregnancy
- Respiratory Disorders in Pregnancy
- Renal Disorders in Pregnancy
- REFERENCES
- 18. Tropical Diseases in Pregnancy
- Chapter outline
- Malaria in Pregnancy
- Dengue Fever in Pregnancy
- Intestinal Parasitic Infestations in Pregnancy
- Hepatitis in Pregnancy
- Tuberculosis Complicating Pregnancy
- REFERENCES
- Section 3: Intrapartum Complications
- 19. Respectful Care in Labour and Delivery
- chapter Outline
- Introduction
- Background
- Recommendation on care during the first stage of labour
- Recommendations for Care in the Second Stage of Labour
- Recommendations on Care in the Third Stage of Labour
- Recommendation on the New-Born
- Recommendation on Care of the Woman After Delivery
- Summary
- References
- 20. Fetal Surveillance in Labour
- CHAPTER OUTLINE
- Introduction
- Methods of Fetal Monitoring in Labour to Avoid Birth Asphyxia
- Intermittent Auscultation
- Continuous Cardiotocography/Electronic Fetal Heart Rate Monitoring (EFM)
- Admission Cardiotocography
- Fetal Scalp Blood Sampling
- Fetal Scalp Lactate
- Fetal ECG Waveform – ST Segment Analysis (STAN)
- Fetal Stimulation Tests
- REFERENCES
- 21. Birth Asphyxia
- CHAPTER OUTLINE
- Introduction
- Magnitude of the Problem
- Definition of Birth Asphyxia
- Hypoxic Ischaemic Encephalopathy – Grading, Imaging and Clinical Course
- Pathophysiology of Brain Damage in Hypoxic Ischaemic Encephalopathy
- Management
- Long-Term Sequelae and Prognosis
- Medicolegal Issues Surrounding Birth Asphyxia
- Birth Asphyxia and the Challenge of Intrapartum Fetal Monitoring
- Best Practice Clinical Recommendations for Intrapartum Fetal Surveillance
- Conclusion
- REFERENCES
- 22. Operative Delivery
- CHAPTER OUTLINE
- Introduction
- Definitions
- Malpresentation (Breech, Face, Brow, Shoulder) in Labour
- Cephalopelvic Disproportion
- Instrumental Vaginal Deliveries
- The Odon Device
- Shoulder Dystocia
- Caesarean Section
- Episiotomy and Perineal Lacerations
- Conclusion
- REFERENCES
- Section 4: Postpartum Complications
- 23. Post-partum Haemorrhage
- Chapter Outline
- Introduction
- Incidence and Burden of Disease
- Aetiology
- Causes
- Management
- References
- 24. Maternal Collapse
- CHAPTER OUTLINE
- Introduction
- Maternal Morbidity and Mortality
- Causes of Maternal Collapse and Cardiac Arrest
- Treatment in Maternal Collapse
- Cardiac Arrest in Pregnancy
- Workforce Strategy and Maternal Collapse
- Conclusion
- REFERENCES
- 25. Obesity and Pregnancy
- CHAPTER OUTLINE
- Introduction
- Epidemiology
- Obesity in Pregnancy
- Miscarriage
- Gestational Diabetes
- Pathophysiology of Hyperglycaemia in Pregnancy
- Pre-eclampsia and Pregnancy-Induced Hypertension (PIH)
- Maternal Venous Thromboembolism
- Pathophysiology of Venous Thrombosis and Thromboembolism
- Congenital Abnormalities and Obesity
- Obesity and Imaging Difficulties With Ultrasound
- Macrosomia and Obesity
- Obesity and Risk of Preterm Prelabour Rupture of Membranes
- Stillbirth and Obesity
- Obesity and Induction of Labour
- Obesity and Intrapartum Monitoring
- Obesity and Caesarean Section
- Obesity and Obstetric Anaesthesia
- Post-partum Complications
- Management of Pregnancy Following Bariatric Surgery
- Conclusion
- REFERENCES
- 26. Clinical Governance and Audit
- CHAPTER OUTLINE
- Definitions
- Clinical Effectiveness
- The Pillars of Clinical Governance
- General Data Protection Regulations
- Risk Management
- Clinical Governance/Risk Management Team
- The Audit Cycle
- Types of Clinical Audit
- Criteria for a Good Audit
- REFERENCES
- Index
- Confidence is ClinicalKey
- Edition: 6
- Published: November 13, 2024
- Imprint: Elsevier India
- No. of pages: 552
- Language: English
- Paperback ISBN: 9788131269374
- eBook ISBN: 9788131269381
AB
Amarnath G Bhide
AS
Arulkumaran S
Previously the Secretary General and Treasurer to the International Federation of Obstetrics and Gynaecology for nine years, he is now President-Elect for the federation.
Sir S Arulkumaran is the past President of the Royal College of Obstetricians and Gynaecologists of the UK from 2007 and 2010. He is Editor-in-Chief of Best Practice and Research in Clinical Obstetrics and Gynaecology and author of 245 indexed publications, 24 books and 164 book chapters.
He is the Honorary Fellow of the America, Sri Lankan, South African, Pakistan, Indian, Australian and New Zealand Colleges of Obstetrics and Gynaecology and the Honorary Member of the Canadian, Malaysian, German, Italian and South African Societies.
Sir S Arulkumaran was knighted as Knight Bachelor in the Queen’s Birthday Honours List in June 2009 in recognition of Services to Medicine.
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