Problems in early pregnancy are among the most common conditions in gynecology and - with management becoming less invasive and depending more on accurate ultrasound and a good understanding of serum biochemistry - many countries now recommend that all maternity units have an early pregnancy section dedicated to managing these conditions. In addition to this, the subject is also an essential part of the training syllabus in the speciality of maternal-fetal medicine. Handbook of Early Pregnancy Care is a practical guide for the management of at-risk early pregnancy. The chapters are concise, well-illustrated and contain decision trees for the management of each condition. Focusing on practical management, not just research, this helpful text will be beneficial in the clinic, as contributors are encouraged to tell the readers what to do in critical situations. Covering key points and containing illustrative case studies, this handbook is relevant to trainees in maternal-fetal medicine and obstetrics, as well as nurses and sonographers who see many at-risk patients in the early stages of pregnancy.
Table of Contents
Setting up and running an early pregnancy unit - space, staffing and equipment. Normal findings and development in early pregnancy. Bleeding and pain in early pregnancy - what are the likely problems? The diagnosis of miscarriage. The expectant management of miscarriage. Medical management of miscarriage. Surgical management of miscarriage. Pregnancy of unknown location - what happens when you cannot see a pregnancy on ultrasound? The development and use of mathematical models to help manage pregnancies of unknown location. The ultrasound diagnosis of ectopic pregnancy. The expectant management of ectopic pregnancy. Medical management of ectopic pregnancy. Surgical treatment of ectopic pregnancy. Managing non-tubal ectopic pregnancy: interstitial and cervical pregnancy. Caesarean scar pregnancy. The diagnosis and management of trophoblastic tumours in early pregnancy. The management of ovarian cysts in early pregnancy. Hyperemesis gravidarum.
"I strongly recommend that every ultrasound clinic where pregnant women are seen should have a copy of this book. It should also be required reading for radiologists and obstetricians in training." - Australian Institute of Ultrasound in Medicine, Feb 2007