Book of Medical Disorders in Pregnancy - Tintash

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embark upon a pregnancy. Severe airflow limitation, with lung function measurements below 60% of predicted, leads many units to advise CF women against becoming pregnant although, as Canny et al demonstrate, more seriously limited women can come through pregnancy successfully.60 it is vital that the developpment of edema, headaches and mental confusion is recognized as respiratory failure and not mistaken for preeclampsia. After a pregnancy, women with CF have worse lung function than before, but this deterioration is no greater than that seen in non pregnant CF women over a 9month period. 7. Influenza and the common cold: Influenza is generally self limited in healthy young adults. However, if pneumonia develops, it can be life-threatening and may be more severe in pregnancy.25. The influenza vaccine is recommended for all women who will be in the second or third trimester of pregnancy during the influenza season. Because influenza does not usually result in a viremia, transplacental infection rarely occurs. Concern has been raised about a possible association between influenza in early pregnancy and anencephaly, but there is no firm evidence. Influenza-specific antibody is transmitted to the fetus in utero and protects the newborn. However, susceptible newborns are at increased risk for influenza, with manifestations ranging from mild coryza to sepsis. If influenza occurs in late pregnancy, delivery should be delayed until the mother has recovered, if possible, to allow the newborn to acquire transplacental antibodies. This usually 107 occurs by five days after the onset of symptoms. The common cold is the most frequent acute illness affecting humans. REFERENCES: 1. Freeth A: Routine x-ray examination of the chest at an antenatal clinic. Lancet 1:287, 1953. 2. Krumholz RA, Echt CR, Ross JC: Pulmonary diffusing capacity, capillary blood volume, lung volumes, and mechanics of ventilation in early and late pregnancy. J Lab Clin Med 63:648, 1964. 3. Hopwood HG Jr: Pneumonia in pregnancy. Obstet Gynecol 25:875, 1965. 4. Andersen GJ, James GB, Mathers NP, et al: The maternal oxygen tension and acid-base status during pregnancy. J Obstet Gynaecol Br Commonw 76:16, 1969. 5. Bahna SL, Bjerkedal T: The course and outcome of pregnancy in women with bronchial asthma. Acta Allergol 27:397, 1972. 6. Alaily AB, Carrol KB: Pulmonary ventilation in pregnancy. Br J Obstet Gynaecol 85:518, 1978. 7. American Thoracic Society: Diagnostic standards and classification of tuberclosis. Am Rev Respir Dis 142:725, 1990. 8. Elias S, Annas GJ, Simpson JL: Carrier screening for cystic fibrosis: Implications for obstetric and gynecologic practice. Am J Obstet Gynecol 164:1077, 1991. 9. Bartlett, JG, Mundy, LM: Community-acquired pneumonia. N Engl J Med 333:1618, 1995. 10. Frangolias DD, Nakielna EM, Wilcox PG: Pregnancy and cystic
fibrosis: A case-controlled study. Chest 111:963, 1997. 11. Burrow, G.N, Duffy, T.P, Medical Complications During Pregnancy. Fifth edition, 1999. 108
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MEDICAL DISORDERS IN PREGNANCY M. S
Page 4 and 5:
PREFACE Almost all medical disorder
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Dedication This manuscript is dedic
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Uri. Elkayam MD Professor of Cardio
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Chapter No: 1 Anaemia in pregnancy:
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performance. Tiredness, listlessnes
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pregnancy and labour. The monthly b
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Fig 1.3: Shows developmental stages
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Prophylactic this includes routine
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granulocytes and thrombocyte is als
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or because the hemoglobin A is repl
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iron. Decrease in the number of gra
Page 26 and 27:
Labor/delivery: Expedite for normal
Page 28 and 29:
Risk factors: The risk of GDM incre
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to a large extent on the measure of
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vomiting, or through intercurrent i
Page 34 and 35:
largely related to the problems of
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femoral epiphyses can help in asses
Page 38 and 39:
in a randomized design the efficacy
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of the previous day’s dose of ins
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women with vascular disease are awa
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Chapter No 3 THYROID DISEASE IN PRE
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such as phenobarbitone 30 mg given
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REFERENCES: 1. Hawe, P. and Francis
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Incidence - Its incidence varies ac
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cerning the disturbance in the Reni
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Renal function: In normal pregnant
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severe pre eclampsia and eclampsia
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Epipastic pain: It is also a late s
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arely occurs. However, if pregnancy
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differentiating between chronic hyp
Page 64 and 65:
fetuses. Recent studies indicate th
Page 66 and 67: to procrastinate all available meth
Page 68 and 69: cases are said to occur up to 1 wee
Page 70 and 71: has been carried out. There can be
Page 72 and 73: intensive care room for the next 48
Page 74 and 75: Severe pre eclampsia at or remote f
Page 76 and 77: Chapter No: 5 HEART DISEASE IN PREG
Page 78 and 79: pregnancy. The increase in volume i
Page 80 and 81: Fourth Heart sound - This is rarely
Page 82 and 83: Class III - With cardiac disease pr
Page 84 and 85: differentiate from hemodynamically
Page 86 and 87: dominant). Jervell + Lange Nielson
Page 88 and 89: striking of which is stippling seen
Page 90 and 91: increase venous pressure and burden
Page 92 and 93: determine whether she will be safe
Page 94 and 95: supplemental 02. Fetal surveillance
Page 96 and 97: 11. Percutaneous transluminal angio
Page 98 and 99: ureter at the pelvic brim may play
Page 100 and 101: Fig6.3: Shows location of kidney in
Page 102 and 103: A clear cut history of streptococca
Page 104 and 105: (a) Polycystic renal disease - Fort
Page 106 and 107: with patients in this category. In
Page 108 and 109: 2. Beard, R.W.and Roberts, A.P. (19
Page 110 and 111: increases slightly. Arterial blood
Page 112 and 113: scan, 0.004 Gy; pulmonary angiograp
Page 114 and 115: CD4 + cell count (200/ml) should re
Page 118 and 119: Chapter No: 8 LIVER DISEASE IN PREG
Page 120 and 121: owel, but conjugated bilirubin is n
Page 122 and 123: Hepatic causes - Viral hepatitis bo
Page 124 and 125: Immunoprophylaxis at birth followed
Page 126 and 127: highest reported rate of vertical t
Page 128 and 129: curs in 60 to 70 percent of subsequ
Page 130 and 131: Chronic liver disease: An increased
Page 132 and 133: 22. Riely CA. Hepatic disease in pr
Page 134 and 135: ilirubin is transported across the
Page 136 and 137: when the titre is greater than 1: 3
Page 138 and 139: Induction of labour: When screening
Page 140 and 141: Blood brain barrier and bilirubin e
Page 142 and 143: place if the infant develops jaundi
Page 144 and 145: REFERENCES 1. UpToDate a. “Pathog
Page 146 and 147: of embolus formation is far less in
Page 148 and 149: Unfortunately this faculty is not a
Page 150 and 151: hours. The maximal effect takes 36
Page 152 and 153: may complain of constricting type o
Page 154 and 155: When the embolus is small and non f
Page 156 and 157: 3. Sukal S, Geronemus R. "Deep Veno
Page 158 and 159: damage specific cells in the tissue
Page 160 and 161: is capable of breaking off and deve
Page 162 and 163: Chapter No: 12 PARASITIC INFECTIONS
Page 164 and 165: sporozoite stage. The main characte
Page 166 and 167:
insect repellents and insecticide s
Page 168 and 169:
is 2 tablets i.e. (400 mgs) thrice
Page 170 and 171:
Cardiac failure resulting from seve
Page 172 and 173:
dysmenorrhea, dysuria, and even obs
Page 174 and 175:
Chapter No: 13 VIRAL DISEASES IN PR
Page 176 and 177:
after exposure favors but does not
Page 178 and 179:
Fig13.4: shows CMV infection rash o
Page 180 and 181:
three quarters of HYH strains isola
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where 'T' stands for toxoplasmosis
Page 184 and 185:
Chapter No: 14 Introduction: The dr
Page 186 and 187:
hexacyanoferrate (II) 2H2O (Prussia
Page 188 and 189:
Restricted indications: Anti lepros
Page 190 and 191:
potential Teratogen and inhibits ma
Page 192 and 193:
placental abruption, and intrauteri
Page 194 and 195:
Inhalation of volatile organic comp
Page 196 and 197:
Chapter No: 15 Pregnancy is a norma
Page 198 and 199:
time periods during the pregnancy f
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y the maternal kidney in urine or b
Page 202 and 203:
continues after the end of the uter
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Amniography - In this technique rad
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at the cranial end of the neural tu
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least maceration: placenta, lung, a
Page 210 and 211:
fetal hydrops with monosomy X, or T
Page 212 and 213:
cause progressive renal failure as
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9. Papageorgiou, E.A.; Karagrigorio
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position of the head. The student s
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centimeter ruler is placed alongsid
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echoes in B mode. The operator appl
Page 222 and 223:
also affects depth resolution and t
Page 224 and 225:
From twelve week onwards the bipari
Page 226 and 227:
tract. Normal kidneys can easily be
Page 228 and 229:
3.19, 1.29 and 1.30, respectively [
Page 230 and 231:
iodinated contrast during pregnancy
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Only tiny amounts of iodinated or g
Page 234 and 235:
intraperitoneal hemorrhage, or inju
Page 236 and 237:
REFERENCE: 1. Stewart A, Webb J, Gi
Page 238 and 239:
cardiac defects 181, 200 cardiac di
Page 240 and 241:
gestational age 26, 31, 40, 165, 19
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monitoring, invasive 83-6 monosomy
Page 244 and 245:
sensitization 124-5 sepsis 22, 95-6
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