cardiac defects 181, 200 cardiac disease 71, 73-4, 80, 82-3 cardiac output 2, 57-8, 68-9, 72-3, 75, 80 cardiac status 82-5 Cardiovascular health after maternal placental syndromes (CHAMPS) 86 cavity, peritoneal 128, 160, 162-3 cells 4-5, 10, 13, 15, 111, 127-8, 133-4, 149, 151, 166, 171, 191, 196-7, 199-200 mucosal 5-6 cervix 27, 55, 57, 80, 165, 171, 187, 196 CHAMPS (Cardiovascular health after maternal placental syndromes) 86 CHD see congenital heart disease chemotherapy 16, 156, 158 chest X-ray 50, 73, 75, 105, 207, 217 childhood cancer 218-19, 227 the risk <strong>of</strong> fatal 219, 225 cholelithiasis 114, 116-17 cholestasis 114, 117-18, 121 cholestasis <strong>of</strong> pregnancy 118, 120, 122 Chorionic villus sampl<strong>in</strong>g see CVS chromosomal abnormalities 190, 197, 199- 201 chronic hepatitis 115, 121 chronic hypertension 40, 51-3, 59 class 20, 72, 79, 81, 83 Class III and IV 80-1 Class IV patient's delivery 80 classification 19-20, 40-1, 44, 72, 95, 107 cl<strong>in</strong>ical features 2, 6, 8, 10, 13-15, 35-6, 40, 47, 58, 74, 135, 138, 141-2, 154-5, 159- 60 closure 69-70 clott<strong>in</strong>g 46, 136-7, 140, 146 clott<strong>in</strong>g Factors 136-7, 140 CMV 132, 152, 168 CMV <strong>in</strong>fection 168 CMV <strong>in</strong>fection rash 168-9 coarctation 41, 49-50, 52, 67, 70, 74, 80, 84, 200 coca<strong>in</strong>e 179, 181-3 coma 18, 42, 59-62, 155, 203 Complementary drug 175, 177, 179 congenital heart disease (CHD) 67, 71, 79, 83-4 congenital <strong>in</strong>fections 168, 172, 198, 201 congenital malaria 156-7 congenital toxoplasmosis 169-70 congestive heart failure 73-4, 78-81, 83, 124, 131 conjugation 110-11, 131, 133 Connective tissue diseases 52, 106 contraceptive advice 17, 33 convulsions 42, 46, 49, 54-6, 59-62, 156, 169 corticosteroids, <strong>in</strong>haled 102-3 coumar<strong>in</strong> anticoagulants 78-9 creat<strong>in</strong><strong>in</strong>e 27, 45-6, 90, 93, 195-6 CT 219, 223-7 CT pulmonary angiography 223 CVS (Chorionic villus sampl<strong>in</strong>g) 8, 106, 189, 196, 199 cyanosis 42, 48, 59, 104, 142-3, 176-7 cystic fibrosis 106-7 cysts 50, 158, 162-3, 203 D decompensation 71, 73, 80 defects 22, 84, 111-12, 119-20, 165, 195, 197, 201 delivery 1-2, 16, 22-3, 25, 30-1, 55-6, 58-9, 77-81, 84-6, 103-4, 118, 124-5, 133-4, 139, 183 complicated 85-6 elective 121, 129 follow<strong>in</strong>g 51, 56, 79, 82, 119-20, 155 normal 84, 139 premature 21-2, 24, 129, 172 preterm 17, 21, 185, 197 prompt 116, 119 the time <strong>of</strong> 20, 82, 129, 172 delivery plan 82 density 210-12 optical 127-8 depression 57-8, 60, 62, 77, 104, 182 descent 207 development 23, 34, 43-4, 47, 51, 53-4, 64, 79, 93, 96, 132, 142, 181, 187 diabetes 18-25, 27, 29-33, 42, 86, 95, 189, 213 develop<strong>in</strong>g 24, 26 Diabetes Care 33-4, 86 diabetes mellitus 18, 22, 25, 32-4, 44, 52, 64, 187, 190 Diabetes NSF 21, 32 diabetic mothers 26-7, 31, 33 diabetic pregnancies 21, 24-5 diagnos<strong>in</strong>g ectopic pregnancy 214 Diagnosis <strong>of</strong> pregnancy 213 diameters 27, 150, 206-8, 210 transverse 100, 208-9 diaphragmatic hernia 31, 200 diarrhoea 10-11, 36, 51, 153, 159, 177-9 diastolic pressure 44, 48, 55-6, 58, 63 diet 2-4, 11, 28-9, 33, 93, 96, 201 differential diagnosis 38, 49, 51, 112, 129, 163 dilatation 88-9, 95 discharge 65, 132-3 congenital 168, 172 cystic 202-3 genetic 199 sickle cell 3, 13-15 symptomatic severe 85 disturbance, visual 47-9 diuretics 57, 64, 78, 134 II
DNA sequences 199 Dom<strong>in</strong>ant polycystic kidney disease (DPKD) 202 Down syndrome 181, 190-1, 193, 197, 200 DPKD (Dom<strong>in</strong>ant polycystic kidney disease) 202 dr<strong>in</strong>k<strong>in</strong>g 77, 180-1 drows<strong>in</strong>ess 58, 175-7 drug abuse 104, 175, 180, 184 antithyroid 37-9 Drugs <strong>in</strong> <strong>Pregnancy</strong> and Lactation 186 E early pregnancy 88-9, 91, 98, 107, 156, 189, 212-13, 221 echocardiography 77, 83, 85-6 eclampsia 21, 40-2, 44-6, 48, 53-4, 58-63, 65, 112, 123, 155, 204 ectopic pregnancy 190, 214 the diagnosis <strong>of</strong> 214 edema 2, 23, 26, 43-5, 47, 49, 53, 56, 59, 74, 107, 119, 138, 145 Effect <strong>of</strong> pregnancy 35, 103, 155 electrocardiogram 76, 81-2, 85 elevation 46, 48, 51, 53, 67, 77, 93, 118, 120 embolectomy 143, 145 emboli 141-2, 145 small 141-2 embolism 50, 141-3, 145 embryo 165, 185, 213-14, 217 enzymes, elevated liver 122-3 epidural 83, 85-6 epilepsy 59-60, 169 estriol 27, 55, 189-91, 198 Estriol levels 191 ethambutol 105, 179 euthyroid 37-8 exam<strong>in</strong>ation 11, 17, 90-1, 155, 171, 198, 206, 210, 216 Excess risk <strong>of</strong> childhood cancer 218 exchange transfusion 8, 10, 121, 126, 130-2 F fatal 73, 112, 143, 145 fatal cases 45-6, 145 fatal childhood cancer 218-19, 225 father 8, 25, 127 ferrit<strong>in</strong> 2-5 ferrous form 4-5 fetal 4, 24, 28, 57-8, 64, 83, 87, 93, 102, 105, 124-5, 133, 188-92, 218, 224 assessment <strong>of</strong> 189 fetal adrenal glands 27, 190 fetal blood cells 189, 196 fetal cells 125, 194-6, 199-200, 204, 217 fetal distress 118, 192-3, 195 fetal effects, adverse 102, 180 fetal goitre 36-7 fetal head 27, 206, 216 fetal heart 211, 215-16 fetal heart beats 192, 213 fetal heart rate 62, 182, 192-3 fetal hydrops 44, 201 fetal hyper<strong>in</strong>sul<strong>in</strong>ism 31 fetal maturity 26-7, 55, 62, 194-5, 213, 215- 16 fetal skull 210, 212, 215 fetal surveillance 33, 85 fetal surveillance labor/delivery 84-5 fetal tissues 165, 183-4 fetus 23-5, 27-8, 35-8, 54-5, 77-9, 97-8, 104-7, 127-8, 165-6, 182-3, 187-91, 193-8, 209-10, 216-22, 224-7 develop<strong>in</strong>g 118, 196 oversized 18 positive 126-7 fever 14, 37, 60, 90, 106, 116, 120, 130, 140, 149, 151-3, 155-7, 161, 169-72, 181 high 91, 156 rheumatic 73-4 fibr<strong>in</strong>ogen 46, 113, 137-8 field, high power 90-1 first trimester 6, 16-17, 21-3, 27, 32, 68, 98, 100-1, 115, 155-6, 158, 169, 197, 218- 19, 221 first trimester <strong>of</strong> pregnancy 172, 184, 186 FISH 196, 199 fluid 25, 57, 96, 194-5, 213, 222 fluid overload 85-6 foetus 14, 155, 169, 171-2, 174, 183 folic acid 10-12, 14-15, 156, 181, 197, 201 folic acid deficiency 3, 8, 10-12, 15, 155 food 4-5, 17, 19, 26, 148, 150, 157 forceps 79-81, 206 frame rate 211-12 frequency 21, 41, 58, 62, 91, 106, 155, 168, 192, 209, 211, 217 fungi 149-50, 180 G G-6-PD 176, 178 gadol<strong>in</strong>ium 222-3 <strong>in</strong>travenous 222-3, 226 gamma globul<strong>in</strong> 133, 173-4 GDM (Gestational diabetes mellitus) 18-19, 24-7, 29, 32-4 gene 106, 127, 199 General <strong>in</strong>formation 175, 177, 179 gestation 6, 18, 24, 26-7, 29-30, 37, 42, 44, 51-3, 82, 126-7, 191-4, 196-7, 216-20, 224 days <strong>of</strong> 31 III
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MEDICAL DISORDERS IN PREGNANCY M. S
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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
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Labor/delivery: Expedite for normal
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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
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largely related to the problems of
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femoral epiphyses can help in asses
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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
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fetuses. Recent studies indicate th
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to procrastinate all available meth
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cases are said to occur up to 1 wee
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has been carried out. There can be
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intensive care room for the next 48
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Severe pre eclampsia at or remote f
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Chapter No: 5 HEART DISEASE IN PREG
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pregnancy. The increase in volume i
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Fourth Heart sound - This is rarely
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Class III - With cardiac disease pr
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differentiate from hemodynamically
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dominant). Jervell + Lange Nielson
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striking of which is stippling seen
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increase venous pressure and burden
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determine whether she will be safe
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supplemental 02. Fetal surveillance
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11. Percutaneous transluminal angio
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ureter at the pelvic brim may play
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Fig6.3: Shows location of kidney in
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A clear cut history of streptococca
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(a) Polycystic renal disease - Fort
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with patients in this category. In
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2. Beard, R.W.and Roberts, A.P. (19
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increases slightly. Arterial blood
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scan, 0.004 Gy; pulmonary angiograp
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CD4 + cell count (200/ml) should re
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embark upon a pregnancy. Severe air
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Chapter No: 8 LIVER DISEASE IN PREG
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owel, but conjugated bilirubin is n
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Hepatic causes - Viral hepatitis bo
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Immunoprophylaxis at birth followed
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highest reported rate of vertical t
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curs in 60 to 70 percent of subsequ
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Chronic liver disease: An increased
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22. Riely CA. Hepatic disease in pr
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ilirubin is transported across the
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when the titre is greater than 1: 3
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Induction of labour: When screening
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Blood brain barrier and bilirubin e
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place if the infant develops jaundi
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REFERENCES 1. UpToDate a. “Pathog
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of embolus formation is far less in
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Unfortunately this faculty is not a
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hours. The maximal effect takes 36
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may complain of constricting type o
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When the embolus is small and non f
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3. Sukal S, Geronemus R. "Deep Veno
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damage specific cells in the tissue
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is capable of breaking off and deve
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Chapter No: 12 PARASITIC INFECTIONS
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sporozoite stage. The main characte
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insect repellents and insecticide s
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is 2 tablets i.e. (400 mgs) thrice
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Cardiac failure resulting from seve
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dysmenorrhea, dysuria, and even obs
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Chapter No: 13 VIRAL DISEASES IN PR
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after exposure favors but does not
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Fig13.4: shows CMV infection rash o
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three quarters of HYH strains isola
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where 'T' stands for toxoplasmosis
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Chapter No: 14 Introduction: The dr
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hexacyanoferrate (II) 2H2O (Prussia
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- Page 212 and 213: cause progressive renal failure as
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- Page 216 and 217: position of the head. The student s
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- Page 224 and 225: From twelve week onwards the bipari
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- Page 230 and 231: iodinated contrast during pregnancy
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- Page 236 and 237: REFERENCE: 1. Stewart A, Webb J, Gi
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