Titlebook: Obstetrics in Family Medicine; A Practical Guide Paul Lyons,Nathan McLaughlin Book 2020Latest edition The Editor(s) (if applicable) and The

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Intrauterine Growth Restriction no complications in fetal growth, a small number will show evidence of growth restriction. A variety of conditions are associated with or increase the risk for intrauterine growth restriction (IUGR). These factors are summarized in Table 7.1. This chapter will review risk factors for IUGR, as well

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Preterm Laborw-birth weight (LBW) infants remain one of the most significant challenges of current obstetrical practice. Preterm labor is defined as uterine contractions resulting in progressive cervical change prior to 37 weeks’ gestation. Preterm delivery is delivery prior to 37 weeks’ gestation. LBW infants a

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Premature Rupture of Membranes labor progresses, the contractions become stronger and more regular and of increased duration. Spontaneous rupture of membranes generally follows the development of a regular contraction pattern as cervical dilation progresses. In approximately 10% of cases, however, spontaneous rupture of membrane

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Early Pregnancy Bleedinge underlying etiology. Bleeding that occurs late in pregnancy (generally within the third trimester) is covered in Chap. .. Bleeding that occurs early in pregnancy (generally within the first trimester) is of particular concern because of concerns with pregnancy viability and possible ectopic pregna

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Recurrent Pregnancy Lossion, spontaneous abortion is often an unexpected and traumatic experience for the patient and her family. Spontaneous abortion is discussed in detail in Chap. .. Briefly, abortion can be considered to fall into one of two categories: complete abortion, which is defined as delivery of all products of

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Infection in Pregnancyated symptoms. Infection may affect both the mother and fetus; antibiotic choices may be limited by concerns related to pregnancy and fetal development. As with most elements of obstetrical care, management of infection in pregnancy ideally begins in the preconception period. The preconception histo

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Hypertension in Pregnancyries with it significant risks and important management considerations that may impact the well-being of both the mother and fetus. Pre-eclampsia, a multisystem disorder that is marked by pregnancy-induced hypertension and evidence of end organ involvement, is a significant obstetrical risk that aff

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Diabetes in Pregnancyound impact on pregnancy. Uncontrolled diabetes prior to or early in the course of pregnancy is associated with a variety of birth defects, including renal, gastrointestinal, cardiac, central nervous system, and skeletal abnormalities (. Table 16.1). The presence of diabetes may alter the interpreta