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Comprehensive Handbook Obstetrics & Gynecology 2nd Edition von Zehng, Thomas (eBook)

  • Erscheinungsdatum: 01.08.2012
  • Verlag: Phoenix Medical Press
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Comprehensive Handbook Obstetrics & Gynecology 2nd Edition

This e-book provides the most updated information in a concise, portable format. It focuses on diagnosis and therapy, including management protocols, medications, and dosages. Common problems are covered in greater detail. Key facts on uncommon conditions are also presented. Medical students and interns can find pearls on pelvic and breast examinations and cervical examinations during labor, and they can also prepare confidently for quizzes by quickly glancing over the terminology, etiology, and other background information or using the handbook's mnemonics to recall the key points. Operative techniques and procedures such as knot-tying, instrument use, perineal laceration repair, amniocentesis, and measurement of AFI and cervical length are illustrated to help trainees learn the basic skills. Thirteen operative dictations describe the common procedures with the latest techniques. Seasoned clinicians will find most recent guidelines on cancer screening, antibiotic prophylaxis, thrombosis prevention, and 2010 medical eligibility criteria for contraceptives.

Produktinformationen

    Format: ePUB
    Kopierschutz: none
    Seitenzahl: 409
    Erscheinungsdatum: 01.08.2012
    Sprache: Englisch
    ISBN: 9780982267738
    Verlag: Phoenix Medical Press
    Größe: 13574kBytes
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Comprehensive Handbook Obstetrics & Gynecology 2nd Edition

OBSTETRICS

OB TRIAGE WORKUP

Term Labor Admission

Early admission is recommended for patients in labor, especially for high-risk pregnancies (e.g., prior cesarean, hypertension and diabetes) and patients who are remote from hospitals. Identifying the patient in true labor is important. If unsure at initial presentation, observe the patient in OB triage for 1–2 hours. Labor is diagnosed if cervix changes. Fetal well- being should be assured and documented.

Admission Criteria for Normal Laboring Patients

Cervical dilation ≥3–4 cm with regular and painful contractions
Ruptured membranes
Bloody "show" or completed cervical effacement with regular and painful contractions
True Labor

Regular contractions
Intervals gradually shorten
Intensity gradually increases
Cervix dilates/effaces
Discomfort is not stopped by sedation
False Labor

Irregular contractions
Long intervals
Intensity unchanged
Cervix not dilating/effacing
Discomfort, mainly in lower abdomen, relieved by sedation
Source: Williams Obstetrics 23rd Ed, McGraw-Hill 2010. p390

Preterm Labor or Contractions

Preterm contractions are one of the most common reasons for visits to OB triage. When the cervix is 30 mm - PTL unlikely
CL 20–30 mm plus contractions - PTL more likely
CL <20 mm plus contractions - high ris

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