Obstetrics: Evidence-based Algorithms

Clinical research has produced a continuous stream of evidence-based guidelines to guide practice in obstetrics. The guidelines are often widely scattered: this book brings together the essential guidelines in one comprehensive resource. The primary focus is on the Royal College of Obstetricians and Gynaecologists and other UK national guidelines; however, many chapters contain a 'Guideline Comparator' box carrying information from important international guidelines. Where there are no UK guidelines, information based on international guidelines is provided; where any guidelines do not exist, available evidence and accepted norms of practice based on expert opinion are detailed. Several chapters also contain a 'what not to do' box, which should act as a source of rich debate. To assist those studying for postgraduate examinations - such as MRCOG - the information is presented in schematic flowcharts, representing a step-by-step method of approaching clinical problems and providing an easy-to-use learning resource.

List of abbreviations
Part I. Fetal Conditions:
1. Prenatal screening for aneuploidy and neural tube defects
2. Routine fetal ultrasound screening
3. Amniocenteses and chorionic villus sampling
4. Non immune fetal hydrops
5. Late intrauterine fetal death and stillbirth
6. Fetal haemolytic disease
7. Anti-D immunoglobulin for rhesus D prophylaxis
8. Small for gestational age babies (SGA)
9. Reduced fetal movements (RFM)
10. Multiple pregnancy – twin pregnancy
11. Amniotic fluid abnormalities
Part II. Infections in Pregnancy:
12. Human immunodeficiency virus
13. Hepatitis
14. Group B streptococcal disease in pregnancy
15. Viral rash in pregnancy
16. Genital herpes in pregnancy
17. Rubella infection in pregnancy
18. CMV infection in pregnancy
19. Toxoplasmosis in pregnancy
20. Parvo-virus infection in pregnancy
21. Chicken pox in pregnancy
22. Measles in pregnancy
23. Malaria in pregnancy
24. Bacterial sepsis in pregnancy
Part III. Antenatal Care:
25. Antenatal care
26. Pregnancy induced hypertension (PIH) or gestational HT
27. Pre-eclampsia (PET) and eclampsia
28. Obstetric cholestasis (OC)
29. Gestational diabetes mellitus (GDM)
30. Antepartum haemorrhage (APH)
31. Preterm prelabour rupture of membranes (PPROM)
32. Preterm labour (PTL)
33. Preterm labour – tocolysis and antenatal corticosteroids
Part IV. Maternal Medicine:
34. Chronic hypertension
35. Pregnancy in pre-existing type 1 or type 2 diabetes mellitus
36. Cardiac disease and pregnancy
37. Thyroid disorders in pregnancy
38. Renal condition in pregnancy
39. Iron deficiency anaemia in pregnancy
40. Epilepsy in pregnancy
41. Haemoglobinopathies – sickle cell disease in pregnancy
42. Haemoglobinopathies – beta thalassemia in pregnancy
43. Prevention and treatment of thrombosis and embolism during pregnancy and the puerperium
44. Pruritis in pregnancy
45. Antenatal and postnatal mental health
Part V. Labour and Delivery:
46. Breech presentation
47. Caesarean section (CS)
48. Induction of labour (IOL)
49. Intra partum care
50. Operative vaginal delivery (OVD)
51. Vaginal birth after previous caesarean section (VBAC)
52. Management of third, and fourth-degree, perineal tears
Part VI. Obstetric Emergencies:
53. Shoulder dystocia
54. Prevention and management of postpartum haemorrhage (PPH)
55. Blood transfusion (BT) in obstetrics
56. Maternal collapse in pregnancy and the puerperium
57. Umbilical cord prolapse
58. Neonatal resuscitation
Part VII. Postnatal Care:
59. Postnatal care
60. Bacterial sepsis following pregnancy
Part VIII. Miscellaneous:
61. Obesity in pregnancy
62. Alcohol consumption in pregnancy
63. Smoking in pregnancy
64. Teenage pregnancy
65. Reproductive ageing
66. Air travel in pregnancy
67. Women with breast cancer in pregnancy
68. Complex social issues and pregnancy