Sally Collins (editor) - Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks)
Here you can read online Sally Collins (editor) - Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks) full text of the book (entire story) in english for free. Download pdf and epub, get meaning, cover and reviews about this ebook. year: 2023, publisher: OUP Oxford, genre: Home and family. Description of the work, (preface) as well as reviews are available. Best literature library LitArk.com created for fans of good reading and offers a wide selection of genres:
Romance novel
Science fiction
Adventure
Detective
Science
History
Home and family
Prose
Art
Politics
Computer
Non-fiction
Religion
Business
Children
Humor
Choose a favorite category and find really read worthwhile books. Enjoy immersion in the world of imagination, feel the emotions of the characters or learn something new for yourself, make an fascinating discovery.
- Book:Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks)
- Author:
- Publisher:OUP Oxford
- Genre:
- Year:2023
- Rating:3 / 5
- Favourites:Add to favourites
- Your mark:
Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks): summary, description and annotation
We offer to read an annotation, description, summary or preface (depends on what the author of the book "Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks)" wrote himself). If you haven't found the necessary information about the book — write in the comments, we will try to find it.
Written and reviewed by a team of highly experienced clinicians, academics, and trainees, this Handbook is a perfect starting point for preparation for postgraduate exams. Practical advice is presented with key evidence-based guidelines, supported by visual algorithms and top clinical tips.
The previous edition was Highly Commended in the Obstetrics and Gynaecology category of the BMA Book Awards. The indispensable, concise, and practical guide to all aspects of obstetric and gynaecological medical care, diagnosis, and management, this fourth edition continues to be the must-have resource for all specialist trainees, junior doctors, and students, as well as a valuable aide memoire for experienced clinicians.
Sally Collins (editor): author's other books
Who wrote Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks)? Find out the surname, the name of the author of the book and a list of all author's works by series.
Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks) — read online for free the complete book (whole text) full work
Below is the text of the book, divided by pages. System saving the place of the last page read, allows you to conveniently read the book "Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks)" online for free, without having to search again every time where you left off. Put a bookmark, and you can go to the page where you finished reading at any time.
Font size:
Interval:
Bookmark:
| Drug | Risk | Conclude | Alternatives | Breast-feeding |
| Antibiotics | ||||
| Metronidazole | Possible increased risk of preterm labour | Caution | Clindamycin | Safe |
| Penicillins | Nil known | Use if indicated | N/A | Safe |
| Erythromycin | Nil known | Use if indicated | N/A | Safe |
| Cephalosporins | Nil known | Use if indicated | N/A | Safe |
| Co-amoxiclav | Possible increased neonatal risk if preterm birth | Caution | Penicillins | Safe |
| Tetracyclines | Discolour teeth if 2nd trimester | Avoid | Erythromycin | Safe |
| Trimethoprim | Folic acid antagonsist | Avoid | Cephalosporins | Safe |
| Fundamentals: bacterial infection in pregnancy requires treatment | ||||
| Analgesics | ||||
| Non-steroidals (normal dose) | Closure of fetal ductus arteriosus, fetal oliguria, possible cerebral haemorrhage | Caution (avoid for analgesia) Monitor fetus with ultrasound | Paracetamol | Safe |
| Aspirin (low dose) | Nil known | Use if high risk of pre-clampsia | N/A | Safe |
| Paracetamol | Nil known | Safe | N/A | Safe |
| Opiates | Maternal/fetal dependency | Only if severe pain or drug dependency | Methadone if opiate addict | Beware accumulation |
| Fundamentals: best use paracetamol, plus codeine if more severe | ||||
| Anticoagulants | ||||
| Warfarin | TeratogenicFetal haemorrhage | Only if artificial heart valves (seek advice) | LMWH | Safe |
| LMWH | Maternal bleeding in overdose Safe for fetus | If indicated | N/A | Safe |
| Fundamentals: anticoagulation is probably underused in pregnancy, warfarin only used in exceptional circumstances | ||||
| Antihypertensives | ||||
| ACE inhibitors | Fetal renal failure teratogenic (3% risk) | Avoid nifedipineMethyldopa | Captopril safe | |
| Methyldopa | Nil known | Best 1st line | N/A | Safe |
| -Blockers | Possible FGR if early | Caution, 3rd line | Methyldopa | Safe |
| Ca antagonists | Nil known | Best 2nd line (e.g. nifedipine) | N/A | Safe |
| Thiazide diuretics | Maternal hypovolaemia | Avoid | Methyldopa | Safe |
| Fetal thrombocytopenia | ||||
| Fundamentals: severe hypertension in pregnancy is common and life-threatening and requires treatment. Avoid ACE inhibitors prenatally | ||||
| Endocrine/hormone treatments | ||||
| Thyroid hormone | Replacement therapy | Use if indicated | N/A | Safe |
| Propylthiouracil | Fetal hypothyroidism (rare) | Use, minimum dose | N/A | Monitor thyroid |
| Carbimazole | Fetal hypothyroidism (rare), aplasia cutis | Use, minimum dose | Propylthiouracil | Monitor thyroid |
| Insulin | Replacement therapy, maternal hypoglycaemia | Use with usual precautions | N/A | Safe |
| Metformin | Probably safe, little data | Caution | Insulin | safe |
| Fundamentals: treatment of underlying disease greatly reduces maternal and fetal risks | ||||
| Immunosuppressants | ||||
| Ciclosporin | Nil known | Continue, monitor levels | N/A | Probably safe |
| Azathioprine | Minimal | Continue if indicated | N/A | Safe |
| Prednisolone | No fetal effects | Use minimum dose | N/A | Safe |
| Maternal gestational diabetes, hypertension | ||||
| Fundamentals: treatment of underlying disease (e.g. transplant) imperative and reduces maternal and, therefore, fetal risks | ||||
| Psychiatric medications | ||||
| Tricyclics | Largely safe | Use if high risk of relapse | Sertraline | Safe |
| SSRIs | Paroxetine teratogenic (3% risk) Others probably safe | Use if high risk of relapse (avoid paroxetine, fluoxetine best) | Sertraline | Safe |
| Lithium | Teratogenic (cardiac) (10% risk) | Use only if high risk of relapse | Difficult | Watch for toxicity |
| Neuroleptics | Possible very mild teratogenicity Largely unknown (avoid clozapine) | Usually continue because of risk of relapse | Difficult | Probably safe |
| Fundamentals: psychiatric disease is a major problem during/after pregnancy so treatment may need to continue | ||||
| Antiepileptics | ||||
| Sodium valproate | Impaired childhood cognition | Minimize combinations | Carbamazepine | Safe |
| Teratogenic (49% risk) | Consider change if <12 weeks | N/A | ||
| Carbamazepine | Teratogenic (13% risk) | Usually continue | N/A | Safe |
| Lamotrigine | Teratogenic (15% risk) | Usually continue | N/A | Safe |
| Fundamentals: best sorted preconceptually. Seizure control imperative, but minimize combinations and doses. High-dose folic acid | ||||
| Other drugs | ||||
| Steroids (lung maturation: - and dexamethasone) | Nil known with single course | Use if high risk for preterm deliveryBetamethasone best | N/A | N/A |
| -agonists | Nil known at anti-asthmatic doses | Use if indicated, e.g. asthma | N/A | Safe |
| Ursodeoxycholic acid | Use if indicated, e.g. cholestasis | N/A | Not indicated |
Note background risk of congenital malformations 12%
| Full blood count | ||
| Hb | 10.514.0g/dL | Levels higher if routine supplementation given |
| WBC | 511.0g/dL | Levels unchanged in pregnancy, but rise in labour |
| Platelets | 100450 109/L | Slight drop towards term |
| Note: high Hb associated with worse perinatal outcomes. Rapid drop in platelets suggestive of complications in PET | ||
| Thyroid function | ||
| Free T4 | 1122pmol/L | Slightly lower in early pregnancy |
| Free T3 | 435pmol/L | Slightly lower in early pregnancy |
| TSH | 04mU/L | Aim for 1.52.0 if replacement therapy |
| Note: undertreated and subclinical hypothyroidism associated with cognitive deficit in childhood | ||
| Renal function | ||
| Urea | 2.83.8mmol/L | Lowered in pregnancy |
| Creatinine | 5080mol/L | Lowered in pregnancy |
| Uric acid | 1st Tri: 0.140.23mmol/L 2nd Tri: 0.140.28mmol/L |
Font size:
Interval:
Bookmark:
Similar books «Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks)»
Look at similar books to Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks). We have selected literature similar in name and meaning in the hope of providing readers with more options to find new, interesting, not yet read works.
Discussion, reviews of the book Oxford Handbook of Obstetrics and Gynaecology (Oxford Medical Handbooks) and just readers' own opinions. Leave your comments, write what you think about the work, its meaning or the main characters. Specify what exactly you liked and what you didn't like, and why you think so.