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Tables of Contents for Obstetrical Pearls
Chapter/Section Title
Page #
Page Count
PART 1. PRENATAL CARE
1
36
The Initial Assessment
3
8
Initial History
3
2
Initial Physical Exam
5
2
Dating the Pregnancy
7
3
Referral to a High-Risk Clinic
10
1
Routine Prenatal Visits
11
5
Weight
11
1
Blood Pressure
12
1
Urine Dipstick
13
1
Fundal Height and Fetal Heartbeat
14
1
Edema
14
1
Fetal Movement
15
1
Prenatal Labs
16
15
Blood Sugar and Diabetes
16
4
Hematocrit
20
1
Rh and Antibody Screen
21
1
Rubella Titer
22
1
Human Immunodeficiency Virus (HIV)
23
1
Hepatitis B
24
1
Pap Smear
24
1
Maternal Serum Alpha-Fetoprotein
25
2
Ultrasound
27
1
Genetic Testing
28
3
Common Concerns and Problems of Pregnancy Women
31
6
Fetal Movement
31
1
Vaginal Infections
32
1
Urinary Tract Infections
33
1
Sex
33
1
Abdominal Pain
33
1
Leg Cramps
34
1
Common Myths
35
2
PART 2. THE LABOR AND DELIVERY SUITE
37
84
Initial Patient Evaluation
39
8
Triage
39
1
Admitting Work-up
40
4
Tips on Doing the Work-up
44
1
Notifying the Appropriate Physician of the Patient's Visit to Labor and Delivery
45
2
Care of the Laboring Patient
47
28
Normal and Abnormal Progress in Labor
47
8
Fetal Monitoring
55
7
Meconium
62
1
Prescribing Pain Relief
63
4
Progress Notes
67
1
Induction of Labor
68
5
Premature Rupture of Membranes and Infection
73
2
Procedures Performed on Laboring Patients
75
5
Artificial Rupture of Membranes
75
2
Intrauterine Pressure Catheter Placement
77
1
Scalp pH
78
2
Vaginal Birth
80
14
Tips for the Uninitiated
80
5
Spontaneous Delivery of Placenta
85
1
Examination of the Birth Canal
85
1
Repair of a Midline Episiotomy
86
4
Uterine Atony
90
1
Obstetrical Shock
90
1
The Delivery Note
91
1
Postpartum Orders for Vaginal Birth
92
2
Cesarean Section
94
19
History, Indications, and Trends
94
2
Preop
96
2
Operative Tips
98
6
Postpartum Orders
104
4
The Delivery Note
108
1
Example of Operative Dictation of a Cesarean Section
108
2
Complications
110
3
Informed Consent
113
2
Consent for Cesarean Section
113
1
Consent for Tubal Ligation
114
1
The Newborn
115
6
Apgar Score
115
1
Newborn Resuscitation
116
5
PART 3. THE POSTPARTUM FLOOR
121
24
Daily Postpartum Rounds
123
9
Follow-up of Women with Vaginal Births
123
5
Follow-up of Cesarean Section Patients
128
4
Lactation
132
3
Breast-Feeding
132
1
Lactation Suppression
133
1
Breast Engorgement and Mastitis
134
1
Postpartum Endometritis
135
4
Risk Factors
135
1
Diagnosis
135
1
Treatment
136
2
Septic Pelvic Vein Thrombosis and Pelvic Abscess
138
1
Circumcision
139
6
Indications and Contraindications
139
1
Informed Consent
139
1
Anesthesia
140
1
Procedure
140
3
A Few Last Words
143
2
PART 4. LESS COMMON PROBLEMS
145
60
Hypertension in Pregnancy
147
7
Risk Factors for Pregnancy-Induced Hypertension
148
1
Definitions
148
1
Severe Pregnancy-Induced Hypertension
148
1
Laboratory Evidence
149
1
Treatment
150
4
Twins
154
9
Incidence and Cause
154
1
Diagnosis
155
1
Diagnosis of Zygosity
156
1
Morbidity and Mortality
157
3
Prenatal Cre
160
1
Labor and Delivery
160
3
Breech
163
8
Definition
163
1
Incidence and Cause
164
1
Risks
165
1
Management
166
5
Preterm Labor
171
17
Epidemiology
171
1
Diagnosis
172
2
Treatment
174
6
Progression of Preterm Labor
180
1
The Newborn Premature Infant
181
3
Preterm Premature Rupture of the Membranes
184
4
Third Trimester Bleeding
188
10
Evaluation of a Patient with Third Trimester Bleeding
189
1
Differential Diagnosis
190
2
Placenta Previa
192
3
Abruption
195
3
Forceps Delivery and Vacuum Extraction
198
7
Definitions
198
2
Indications
200
2
Technique
202
1
Vacuum Extraction
203
2
Epilogue
205
2
Appendix Commonly Used Abbreviations
207
2
Index
209