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Obstetric Clinical Algorithms
By: Errol R. Norwitz , Michael A. A. BelforteBook Publisher: John Wiley & Sons
Imprint: Wiley-Blackwell
Format: ePub Encrypted (DRM)
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The evidence relating to the advances in obstetric practice and research over the past several decades have resulted in significant improvements in maternal and perinatal outcome. The obstetric care provider has the responsibility to be aware of these improvements and implement evidence-based practice when the situation requires. Clinical decisions should, as much as possible, be evidence based. This requires expertise in retrieving, interpreting, and applying the results of scientific studies and in communicating effectively the risks and benefits of different courses of action to patients.
The highly-regarded authors have used easy-to-follow management algorithms presented in a highly visual format to assist rapid decision making; with sections covering: Preventative Health Maternal Disorders Infectious Complications Antenatal Complications Intrapartum / Postpartum Complications
Featuring best obstetric management guidance, based on graded published evidence and recommendations, this book will enable practicing and trainee obstetrician-gynecologists and nurse midwives to ensure that the primary goals of the delivery of a healthy mother and a healthy baby are met.
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| Title of eBook: Obstetric Clinical Algorithms | |
| Release Date: 09-07-2011 | |
| Publisher: Wiley-Blackwell |
This eBook download is available in the following formats:
| Parent title | Obstetric Clinical Algorithms |
|---|---|
| Encrypted (DRM) | Yes |
| SKU | 9781444314496 |
| File size | 1968 |
| Security | n/a |
| Printing | Not allowed |
| Copying | Not allowed |
| Read aloud | No Sys requirements Download reader |
| Devices | Samsung Tablet, Apple Ipad & Iphone, Barnes & Noble Nook, Kobo eReader, Aluratek Libre, Iliad, Nokia, Blackberry, Hanlin |
| Note | Excellent navigation features are available via Adobe such as bookmarks and a quick access table of contents. Text search is easily accessible. An Adobe DRM-protected file is different than a pdf file in that it uses Adobe DRM (Digital Rights Management) technology, which authors and publishers use to protect their content from illegal online distribution and to set certain privileges such as restrictions on copying and printing. |
Obstetric Clinical Algorithms
Chapter One
Abnormal Pap Smear
1. Guidelines for screening frequency are based on 2004 recommendations by the American Cancer Society for detection of cervical cancer. Pap tests should be performed for women annually, starting within 3 years of first vaginal intercourse and no later than age 21. For women over 30 years of age who have had three sequential normal Pap tests, screening may be done every 2-3 years. Women over 70 years of age with [greater than or equal to] 3 sequential normal Pap tests and no abnormal tests in the last 10 years may stop screening altogether. Women with a history of cervical cancer or other risk factors should continue screening.
2. Women who have had a total hysterectomy may choose to stop screening altogether, unless the surgery was performed for cancer or precancerous lesions in which case vaginal vault smears are indicated. Women who have had a supracervical hysterectomy (and therefore still have their cervix in place) should continue to follow the guidelines for Pap testing outlined above.
3. Women who have risk factors for cervical/vaginal cancer (such as a history of in utero diethylstilbestrol (DES) exposure, HIV, women who are immune compromised or those on chronic steroids) should be screened annually.
4. Finding of benign endometrial cells occurs in 10% of Pap smears from premenopausal women and 0.01-0.5% of postmenopausal women. The incidence varies throughout the menstrual cycle and with the use of oral contraceptives or hormone replacement therapy. Of note, the presence of benign endometrial cells in a postmenopausal woman should raise concerns about endometrial canc
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