Medical Management of the Pregnant Patient: A Clinician's by Karen Rosene-Montella

By Karen Rosene-Montella

This protocol-based publication makes use of algorithms to debate preconception care, care while pregnant, exertions and supply, and the hyperlink among postpartum and ongoing basic care. the necessity for an informed supplier group to take care of pregnant sufferers is gigantic, and Medical administration of the Pregnant sufferer provides a realistic instruction manual that addresses all features of this subject. a short evaluate of body structure, its impression on being pregnant and diagnostics, and remedy strategies are integrated. every one part covers either illnesses that could exist self sustaining of being pregnant and illnesses specified to being pregnant. also, symptom-based proceedings are integrated into every one part and cross-referenced safely. inner medication physicians, obstetricians, kin practitioners and gynecologists alike will enjoy the functional scientific directions offered during this booklet.

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Acta Med Scand Suppl. 1985;693:19–22. 13. Benedetti TJ, Starzyk P, Frost F. Maternal deaths in Washington state. Obstet Gynecol. 1985;66:99–101. 14. Habr F, Raker C, Lin CL, Zouein E, Bourjeily G. Predictors of gastroesophageal reflux symptoms in pregnant women screened for sleep disordered breathing: a secondary analysis. Clin Res Hepatol Gastroenterol. 2013;37:93–9. 15. Izci B, Riha RL, Martin SE, et al. The upper airway in pregnancy and pre-eclampsia. Am J Respir Crit Care Med. 2003;167:137–40.

2010;122:S829–61. Part III Depression and Anxiety Chapter 3 Mood Disorders Teri Pearlstein, Ellen Flynn, and Carmen Monzon Depression During Pregnancy Definition and Prevalence 10 to 15 % of pregnant women are depressed, approximately half having major depressive disorder (MDD) and half having minor depressive disorder. This prevalence rate is similar to prevalence rates reported in reproductive age women outside of the perinatal period. 1). Minor depressive disorder constitutes fewer symptoms or less impairment in functioning.

A change of more than 5 % of body weight in a month), or decrease or increase in appetite nearly every day (4) Insomnia or hypersomnia nearly every day (5) Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down) (6) Fatigue or loss of energy nearly every day (7) Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick) (8) Diminished ability to think or concentrate, or indecisiveness, nearly every day (9) Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide B.

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