PROTOCOLS FOR HIGH-RISK PREGNANCIES. AN EVIDENCE-BASED APPROACH

High-risk pregnancies present life-threatening challenges to two of your patients: the mother and her fetus. The direct, exemplary guidance in Protocols for High-Risk Pregnancy enables you to
- better understand your patients' conditions
- Devise optimum management strategies
- Maximize the outcome and minimize the complications for both the mother and her fetus
To enhance clinical relevance, each protocol is written as if the patient were present. Evidence to support an intervention is given where it exists. The authors' experience provides additional wise counsel. Key references provide the springboard for a deeper understanding of a topic. In this more compact and fully updated sixth edition, new protocols include
- Amniotic fluid disorders
- Depression
- Fetal growth restriction
- HIV
- Indicated late preterm and early term birth
- Malaria
- Noninvasive prenatal diagnosis
Designed for clinical practice by the leaders of two generations of maternal-fetal medicine, no obstetrician or obstetric health care provider can afford to miss Protocols for High-Risk Pregnancy.

Table of Contents
Part I Concerns in Pregnancy
1 Tobacco, Alcohol, and the Environment 3
2 Ionizing Radiation 14
3 Depression 27
Part II Antenatal Testing
4 Prenatal Detection of Fetal Chromosome Abnormality 35
5 Fetal Echocardiography 48
6 Clinical Use of Doppler 54
7 Antepartum Testing 65
8 Fetal Blood Sampling and Transfusion 71
Part III Maternal Disease
9 Maternal Anemia 81
10 Sickle Cell Disease 88
11 Isoimmune Thrombocytopenia 97
12 Autoimmune Disease 104
13 Antiphospholipid Antibody Syndrome 115
14 Inherited Thrombophilias 119
15 Cardiac Disease 128
16 Peripartum Cardiomyopathy 139
17 Thromboembolism 143
18 Renal Disease 150
19 Obesity 157
20 Diabetes Mellitus 163
21 Thyroid Disorders 172
22 Acute and Chronic Hepatitis 180
23 Asthma 188
24 Epilepsy 196
25 Chronic Hypertension 203
26 Cytomegalovirus, Genital Herpes, Rubella, Syphilis, and Toxoplasmosis 213
27 Influenza, West Nile Virus, Varicella-Zoster, and Tuberculosis, 222
28 Malaria 232
29 Human Immunodeficiency Virus Infection 238
30 Parvovirus B19 Infection 245
31 Group B Streptococcus 251
32 Acute Abdominal Pain Due to Nonobstetric Causes 260
33 Gallbladder, Fatty Liver, and Pancreatic Disease 270
Part IV Obstetric Problems
34 First Trimester Vaginal Bleeding 281
35 Cervical Insufficiency 288
36 Nausea and Vomiting 298
37 Fetal Death and Stillbirth 306
38 Abnormal Amniotic Fluid Volume 315
39 Preeclampsia 329
40 Fetal Growth Restriction 340
41 Rh and Other Blood Group Alloimmunizations 353
42 Preterm Labor 363
43 Premature Rupture of the Membranes 369
44 Indicated Late-Preterm and Early-Term Deliveries 383
45 Prevention of Cerebral Palsy 388
46 Amnionitis 392
47 Third Trimester Bleeding 398
48 Amniotic Fluid Embolus 406
Part V Labor and Delivery
49 Induction of Labor 411
50 Intrapartum Fetal Heart Rate Monitoring 418
51 Breech Delivery 423
52 Vaginal Birth After Cesarean 428
53 Placenta Accreta 435
54 Shoulder Dystocia 445
55 Twins, Triplets and Beyond 451
56 Postpartum Hemorrhage 462
Appendix A: Evaluation of Fetal Health and Defects 470
Index 483