Author | Robson, S. Elizabeth |
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Table Of Content | Companion Website details viii Contributors ix Acknowledgements xi Acronyms, Abbreviations and Cardiac Terms xiii Foreword xvii Foreword to the First Edition xix Preface xxi 1 Midwifery Care and Medical Disorders 1 Pre-conception Care 2 Antenatal Care 2 Intrapartum Care 5 Postnatal Care 6 General Considerations 7 Emergency Management 9 Preventing Maternal Mortality 9 Back to Basics Campaign 12 Patient Organisations and Essential Reading 13 References 14 Appendix 1.1 UK Maternal Deaths – Causes and Risk Factors 15 Appendix 1.2 Daily Vitamin and Mineral Dietary Intake for Pregnancy and Lactation 16 2 Skin Disorders 17 2.1 Physiological Skin Changes in Pregnancy 18 2.2 Dermatoses Specifi c to Pregnancy 19 2.3 Eczema 20 2.4 Psoriasis 22 Patient Organisations and Essential Reading 24 References 25 Appendix 2.2.1 Emollients and Steroid Creams 26 3 Hypertensive Disorders 27 3.1 Chronic Hypertension 28 3.2 Pre-eclampsia 34 3.3 Severe Pre-eclampsia and Eclampsia 36 3.4 HELLP Syndrome 38 Patient Organisations and Essential Reading 40 References 41 4 Heart Disease 43 4.1 Mild Structural Heart Disease 44 4.2 Moderate Structural Heart Disease 48 4.3 Severe Structural Heart Disease 51 4.4 Rheumatic and Valvular Heart Disease 54 4.5 Marfan’s Syndrome 56 4.6 Functional Heart Disease: Cardiomyopathy 58 4.7 Functional Heart Disease: Arrhythmias 60 4.8 Ischaemic Heart Disease: Angina and Myocardial Infarction 62 4.9 Pulmonary Hypertension and Eisenmenger’s Syndrome 64 4.10 Heart Transplant 66 Patient Organisations and Essential Reading 68 References 69 Appendix 4.3.1 Drugs for Cardiac Disease – An Overview for Midwives 74 5 Respiratory Disorders 75 5.1 The Breathless Pregnant Woman 76 5.2 Asthma 78 5.3 Pneumonia and Chest Infections 80 5.4 Tuberculosis 82 5.5 Cystic Fibrosis 84 5.6 Sarcoidosis 86 Patient Organisations and Essential Reading 88 References 89 Appendix 5.2.1 Asthma in Pregnancy:An Information Leaflet for Pregnant Women 90 6 Renal Disorders 91 6.1 Urinary Tract Infections 92 6.2 Chronic Kidney Disease 94 6.3 Dialysis in Pregnancy 96 6.4 Renal Transplantation 98 6.5 Nephrotic Syndrome 100 Patient Organisations and Essential Reading 102 References 103 Appendix 6.3.1 Replacement of Renal Function by Dialysis 104 7 Endocrine Disorders 105 7.1 Hypothyroidism 106 7.2 Thyrotoxicosis 108 7.3 Type 1 Diabetes Mellitus 110 7.4 Type 2 Diabetes Mellitus 113 7.5 Gestational Diabetes Mellitus 115 7.6 Addison’s Disease (Adrenal Insuffi ciency) 118 7.7 Prolactinoma 120 Patient Organisations and Essential Reading 122 References 123 Appendix 7.3.1 Diabetes Mellitus 124 8 Neurological Disorders 125 8.1 Migraine and Headaches 126 8.2 Epilepsy 128 8.3 Cerebrovascular Disease and Stroke 132 8.4 Bell’s Palsy 137 8.5 Carpal Tunnel Syndrome 140 8.6 Myasthenia Gravis 142 8.7 Multiple Sclerosis 144 Patient Organisations and Essential Reading 147 References 148 Appendix 8.2.1 Drugs Used for Neurological Conditions 152 9 Musculoskeletal Disorders 153 9.1 Back and Pelvic Pain 154 9.2 Diastasis Recti Abdominis 156 9.3 Pregnancy Related Pelvic Girdle Pain 158 9.4 Hypovitaminosis D 160 9.5 Osteoporosis 163 Patient Organisations and Essential Reading 165 References 166 Appendix 9.1.1 Pain Therapy Ladder for Pregnancy 169 10 Gastrointestinal Disorders 171 10.1 Gastro-oesophageal Reflux and Hiatus Hernia 172 10.2 Coeliac Disease 176 10.3 Ulcerative Colitis 178 10.4 Crohn’s Disease 180 10.5 Irritable Bowel Syndrome 182 10.6 Haemorrhoids 184 10.7 Anal Sphincter Disorders 186 10.8 Obstetric Cholestasis 188 10.9 Gall Bladder and Pancreatic Disease 190 Patient Organisations and Essential Reading 192 References 193 Appendix 10.3.1 Care of a Stoma 197 Appendix 10.5.1 Management Algorithm of Irritable Bowel Syndrome 198 11 Autoimmune Disorders 199 11.1 Rheumatoid Arthritis 200 11.2 Raynaud’s Phenomenon 202 11.3 Systemic Lupus Erythematosus 204 11.4 Antiphospholipid (Hughes) Syndrome 206 Patient Organisations and Essential Reading 209 References 210 Appendix 11.1.1 Drugs for Autoimmune Disease – An Overview for Midwives 213 12 Infectious Conditions 215 12.1 Viral Hepatitis 216 12.2 Human Immunodefi ciency Virus 218 12.3 Malaria 220 12.4 Chickenpox 223 12.5 Toxoplasmosis 226 12.6 Listeriosis 228 12.7 Herpes Simplex Virus 230 12.8 Streptococcal Sepsis 232 Patient Organisations and Essential Reading 234 References 235 Appendix 12.1.1 The ABC of Hepatitis 238 Appendix 12.2.1 Other Infectious Viral Diseases 239 Appendix 12.2.2 Other Infectious Bacterial Diseases 240 13 Metabolic Disorders 241 13.1 Obesity 242 13.2 Phenylketonuria 244 13.3 Hyperemesis Gravidarum 246 13.4 Acute Fatty Liver of Pregnancy 248 Patient Organisations and Essential Reading 250 References 251 Appendix 13.1.1 Body Mass Index 253 14 Haematological Disorders 255 14.1 Iron Deficiency Anaemia 256 14.2 Megaloblastic Anaemia 260 14.3 Disseminated Intravascular Coagulation 262 14.4 Von Willebrand’s Disease and Other Bleeding Disorders 264 14.5 Thrombocytopenia in Pregnancy 266 14.6 Thalassaemia 268 14.7 Sickle Cell Disorders 270 Patient Organisations and Essential Reading 273 References 274 Appendix 14.1.1 Blood and Blood Products Overview 277 15 Thrombo-embolic Disorders 279 15.1 Thrombophilia and Inherited Clotting Disorders 280 15.2 Deep Vein Thrombosis 282 15.3 Pulmonary Embolism 287 15.4 Thromboprophylaxis 290 Patient Organisations and Essential Reading 294 References 295 Appendix 15.4.1 Thrombo-embolic Disease Stockings 297 16 Addictive Disorders 299 16.1 Substance Misuse 300 16.2 Alcohol Addiction 302 16.3 Tobacco and Cannabis Use 304 16.4 Cocaine Addiction 306 16.5 Opiate Addiction 308 16.6 Stimulant Addiction 310 Patient Organisations and Essential Reading 312 References 313 Appendix 16.1.1 Applying a Formal Assessment Framework 315 Appendix 16.3.1 Preventing SIDS: Advice to Parents 316 Appendix 16.4.1 Care of the Baby who Experiences Withdrawal 317 17 Psychiatric Disorders 319 17.1 Antenatal Psychiatric Disorders 320 17.2 Postnatal Psychiatric Disorders 322 17.3 Eating Disorders 324 17.4 Post-Traumatic Stress Disorder 326 Patient Organisations and Essential Reading 328 References 329 Appendix 17.1 Treatment Guidance for Depression 331 18 Neoplasia 333 18.1 Gestational Trophoblastic Disease (Hydatidiform Mole and Choriocarcinoma) 334 18.2 Cervical Cancer 336 18.3 Cervical Screening 340 18.4 Breast Cancer 342 18.5 Non-Hodgkin’s Lymphoma 344 18.6 Hodgkin’s Lymphoma 346 18.7 Ovarian Neoplasia 348 18.8 Malignant Melanoma 351 Patient Organisations and Essential Reading 354 References 355 Index 357 |
Publish Date | 11 Jan 2013 |