Obstetrics: Evidence-based Algorithms Evidence-Based Algorithms

Provides evidence-based guidelines in schematic flowcharts, representing a step-by-step method of solving clinical problems in obstetrics.

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; Index.

Jyotsna Pundir is a Sub-Speciality Fellow in Reproductive Medicine and Surgery, St Bartholomew's Hospital, London, UK.
Arri Coomarasamy is Professor of Gynaecology, School of Clinical and Experimental Medicine, College of Medical and Dental Sciences, University of Birmingham, and a Consultant in Gynaecology, Reproductive Medicine and Surgery, Birmingham Women's Hospital Foundation Trust, Birmingham, UK.