Manual of High-Risk Pregnancy

This book is a comprehensive guide to the assessment and management of high risk pregnancy.

Divided into eleven sections, the text begins with discussion on antenatal care, nutrition, genetic screening and ultrasonography-guided interventions in pregnancy.

The following sections cover different factors that cause a pregnancy to be high risk including haematological disorders, early pregnancy complications, medical disorders such as gestational diabetes and cardiac disease, obstetric complications such as eclampsia and preterm labour, infections, foetal growth problems, and autoimmune diseases.

The finals chapters discuss delivery complications and miscellaneous topics such as intrauterine foetal death, cerebrovascular accidents, ART pregnancies, and medicolegal aspects.

The book is further enhanced by clinical photographs, diagrams and tables.

Key points

• Comprehensive guide to management of high risk pregnancy
• Detailed discussion on screening and prevention of complications
• Presents recent advances in the field
• Highly illustrated with clinical photographs, diagrams and tables

Section 1: Update on Antenatal Care

• Changing Trends in Antenatal Care
• Missing Dimensions in Antenatal Care
• Nutrition in Pregnancy
• Antenatal Fetal Surveillance and Identification of High-risk Pregnancy

Section 2: Fetal Advances

• Prenatal Genetic Screening and Testing
• Impact of Advances in Genetics in Prenatal Diagnosis
• Ultrasonography-guided Interventions in Pregnancy

Section 3: Hematological Disorders during Pregnancy

• Anemia During Pregnancy and New Parenteral Iron
• Non-nutritional Anemia in Pregnancy
• Rh-incompatibility during Pregnancy
• Management of Rh-alloimmunized Pregnancy
• Disseminated Intravascular Coagulation in Pregnancy

Section 4: Early Pregnancy Complications

• Recurrent Pregnancy Loss
• Hyperemesis Gravidarum
• Early Pregnancy Hemorrhage
• Unsafe Abortions and its Consequences

Section 5: Medical Disorders during Pregnancy

• Gestational Diabetes
• Cardiac Diseases in Pregnancy
• Specific Cardiac Conditions and Complications during Pregnancy
• Peripartum Cardiomyopathy
• Respiratory Diseases during Pregnancy
• Pregnancy and Chronic Kidney Disease
• Thyroid Disorders during Pregnancy
• Jaundice in Pregnancy

Section 6: Obstetric Complications

• Prediction and Prevention of Pre-eclampsia
• Management of Pregnancy-induced Hypertension
• Maternal Assessment in Hypertensive Disease of Pregnancy
• Eclampsia and HELLP Syndrome
• Eye in Pregnancy
• Placenta Previa: An Obstetrical Resurgence
• Placenta Accreta
• Placental Abruption
• Preterm Labor: Diagnosis and Treatment
• Premature Rupture of Membranes
• Management of Multiple Pregnancy: The Recent Evidence
• Teenage Pregnancy: A Global Issue
• Obesity and Pregnancy
• Cesarean Scar Pregnancy

Section 7: Infections during Pregnancy

• Malaria during Pregnancy
• Management of Influenza, Swine Flu and Dengue during Pregnancy
• Tuberculosis in Pregnancy: Update on an Archenemy
• Viral Infections in Pregnancy and Labor
• Toxoplasmosis during Pregnancy
• Zika Fever and Parvovirus Infection during Pregnancy

Section 8: Fetal Dysmaturity and Dysmorphology

• Fetal Growth Restriction: Monitoring and Management
• Fetal Dysmorphology

Section 9: Autoimmune Diseases and other Disorders during Pregnancy

• Systemic Lupus Erythematosus in Pregnancy
• Antiphospholipid Antibody Syndrome
• Dermatological Disorders in Pregnancy
• Pregnancy and Oral Health
• Epilepsy in Pregnancy

Section 10: Complications during Delivery

• Rupture Uterus
• Medical Management of Postpartum Hemorrhage
• Balloon Tamponade in Postpartum Hemorrhage
• Surgical Management of Postpartum Hemorrhage: A Review

Section 11: Miscellaneous

• Intrauterine Fetal Death (Its Impact on Maternal Morbidity and Mortality and Preventive Strategies)
• Cerebrovascular Accidents in Pregnancy
• ART Pregnancies: Are they different?
• Adnexal Masses in Pregnancy
• Medicolegal Aspects of High-risk Pregnancy
• Destination Far Ahead: Strategies to Reduce MMR

Index

Richa Baharani MD FICOG Dip
Senior Consultant, Department of Obstetrics and Gynaecology, Jabalpur Hospital and Research Centre, Jabalpur, Madhya Pradesh, India

Pushpa Pandey MD
Senior Consultant, Department of Obstetrics and Gynaecology, Bombay Hospital and Research Centre, Jabalpur, Madhya Pradesh, India

Shashi Khare MS FICOG
Former Dean, Professor and Head, Department of Obstetrics and Gynaecology, Netaji Subhash Chandra Bose Medical College , Jabalpur, Madhya Pradesh, India

Sushma Dikhit MS MRCOG
Senior Consultant and Head, Department of Obstetrics and Gynaecology, Max Superspecialty Hospital, Ghaziabad, Uttar Pradesh, India