Netter's Obstetrics and Gynecology, Second Edition by Roger P. Smith MD

By Roger P. Smith MD

Achieve effortless visible entry to the typical stipulations and difficulties customarily encountered in obstetrics and gynecology perform! This source pairs greater than 250 beautiful Netter photographs with concise descriptions of the most up-tp-date clinical considering on universal diseases/conditions, diagnostics, remedies, and protocols for a unmarried easy-to-use quickly reference. New and multiplied assurance together with a brand new part on gynaecological and obstetric approaches, overviews of preventative women's well-being, fit being pregnant, and counseling position need-to-know assistance at your fingertips for normal workplace visits, whereas brief reference lists cite graded evidence-based reviews for extra in-depth examine. the result's an exceptional resource for speedy medical reference in addition to sufferer and employees education.Features concise textual content with standardized headings for fast entry to specialist scientific thinking.Presents greater than 250 beautiful Netter and Netter-style illustrations that supply a brief and remarkable evaluate of every disease.Presents themes of value to obstetrics and gynecology perform, together with universal techniques, health and wellbeing upkeep schedules, fit being pregnant check-ups, birth control, counseling, and different preventive care.Includes an evidence-based reference record in each one bankruptcy, permitting you to analyze additional into medical experiences with various degrees of evidence.Includes insurance of pathophysiology, whilst vital, for medical administration.

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Example text

Among patients with a threatened abortion, one half go on to lose the pregnancy in a spontaneous abortion. ) For those who carry the fetus to viability there is a greater risk for preterm delivery and low fetal birth weight and a higher incidence of perinatal mortality. There does not, however, appear to be a higher incidence of congenital malformations in these newborns. MISCELLANEOUS Other Notes: When losses are caused by aneuploidy or polyploidy, they tend to happen earlier in gestation (75% before 8 weeks) and are more likely to recur in subsequent pregnancies.

When a missed abortion is diagnosed, evacuation of the uterus can be accomplished either through dilation and evacuation or through medical therapies such as prostaglandin suppositories or mifepristone (RU-486), based on the stage of the pregnancy and other considerations. Septic abortion requires immediate and aggressive management. Broad-spectrum parenteral antibiotics, fluid therapy, and prompt evacuation of the uterus are indicated. Emergency evacuation of the uterine contents is mandatory because of the significant threat they represent.

Specific Measures: The only effective treatment is surgical, often carried out under general or spinal anesthesia in an ambulatory surgery unit. Fistulectomy or fistulotomy should not be performed in the presence of diarrhea or active inflammatory bowel disease. Diet: High-fiber diet advisable. Activity: No restriction. Patient Education: Perianal care, sitz baths. Drug(s) of Choice Although the only effective treatment is surgery, the use of stool softeners is often beneficial. FOLLOW-UP Patient Monitoring: Close follow-up during postoperative period, routine health care thereafter.

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