Download Management of Common Problems in Obstetrics and Gynecology, by T. Murphy Goodwin, Martin N. Montoro, Laila Muderspach, PDF
By T. Murphy Goodwin, Martin N. Montoro, Laila Muderspach, Richard Paulson, Subir Roy
This useful ebook offers present and powerful assessment and remedies presently on hand for the entire spectrum of stipulations affecting girls. In effortless to eat, bite-sized chapters, it levels from ailments happening while pregnant and the perinatal interval, via basic gynecologic stipulations from early life to outdated age, gynecologic urology, oncology, reproductive drugs and kinfolk making plans.
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Additional resources for Management of Common Problems in Obstetrics and Gynecology, 5th edition
Example text
In situations where presentation of the second twin is not vertex and its estimated fetal weight is greater than 2000 g, a trial of vaginal delivery may be undertaken with either external or internal version of the second twin after delivery of the first. Hazards of this routine involve relative inexperience of the obstetrician, lack of patient acceptance, and lack of immediate surgical back-up. In cases of a nonvertex second twin with estimated fetal weight less than 2000 g, cesarean section has been advocated to prevent increased morbidity and mortality of vaginally delivered breech fetuses in this weight range.
Suggested reading American College of Obstetricians and Gynecologists. Practice Bulletin No. 75: management of alloimmunization. Obstet Gynecol 2006; 108(2): 457–464. Geifman-Holtzman O, Grotegut CA, Gaughan JP. Diagnostic accuracy of noninvasive fetal Rh genotyping from maternal blood – a meta-analysis. Am J Obstet Gynecol 2006; 195(4): 1163–1173. Kumpel BM. On the immunologic basis of Rh immune globulin (anti-D) prophylaxis. Transfusion 2006; 46(9): 1652–1656. Oepkes D, Seaward PG, Vandenbussche FP, et al.
As hematopoietic tissue supplants liver parenchyma, liver functions, including protein synthesis, are impaired. High cardiac output, a compensatory response to anemia and hypoxemia, leads to cardiac failure. Hypoproteinemia and impaired cardiac function combine to produce fetal body cavity effusions and generalized edema, the clinical picture referred to as hydrops fetalis. Untreated, hydrops fetalis results in perinatal death. Rhesus disease and isoimmunization Rhesus blood group system Several dozen red cell antigens have been associated with isoimmunization.