gestational age 26, 31, 40, 165, 195, 197-8, 201, 213, 215, 218, 220 assessment <strong>of</strong> 213, 215 gestational sacs 213-14 GFR see glomerular filtration rate glob<strong>in</strong> 12, 15, 109 glomerular filtration rate (GFR) 18, 45, 51, 88 glomerulonephritis 52, 92 glucose levels 24 Glucose tolerance tests 18-19, 25 glyburide 24, 28-9 gram sta<strong>in</strong> 90-1 granulocytes 11-12, 15 gravidarum, hyperemesis 112, 114 guidel<strong>in</strong>es 1, 41, 163-4, 179, 217, 219-21, 227 H HCG 189-90 head 113, 207, 210 headache 2, 6, 47-9, 56, 60, 107, 119, 155, 159, 161 heart disease 67, 71, 73-4, 77-83, 86 the absence <strong>of</strong> 73, 75 heart disease team 82 heart rate 67, 71, 189 heart sounds 69-71, 75-6 first 70 HELLP 114, 123 HELLP syndrome 65, 119, 122-3 helm<strong>in</strong>ths 150, 159 hemodilution 1, 6, 10 hemoglob<strong>in</strong> 1-4, 6, 9-10, 12-15, 21, 62, 109, 130 circulat<strong>in</strong>g 1 hemoglob<strong>in</strong> concentration, corpuscular 1, 10 hemoglob<strong>in</strong> level 1, 5, 8-9, 11, 14, 130, 161 hemolysis 112-14, 116, 119, 122-4, 132, 154, 175-6, 178-9 hemolytic 13-14 hemolytic crisis 13-14 hemolytic disease 124, 127-30 severity <strong>of</strong> 126-7 hemolytic jaundice 110 hepar<strong>in</strong> 8, 79, 125, 139-40, 144, 146 hepatitis 114-17, 122-3, 132, 158, 173-4, 180 acute 115, 117, 122 the <strong>in</strong>cidence <strong>of</strong> 115 hero<strong>in</strong> 179, 183-4 herpes simplex virus (HSV) 114, 116, 122 Herpes virus Hom<strong>in</strong>i (HVH) 167 Herpesvirus <strong>in</strong>fections <strong>of</strong> pregnancy 122 HGH (human growth hormone) 19 high risk newborn 188 high risk pregnancies 188, 193 most 195 High Risk <strong>Pregnancy</strong> 187, 216 IV High risk pregnancy units 56 histolytica 158 history 10, 14-15, 19, 36, 49, 51, 59-62, 71, 73-4, 81-2, 89, 93, 113, 126, 180-1 previous 60-1, 79, 81, 139, 189 HIV (human immunodeficiency virus) 104-5, 115-17, 132, 163-4, 180-1, 198 homozygous 13-14, 106, 127 hookworm 2, 150, 159-61 hormones 18-19, 36, 49, 189-90 host 148-9, 154, 165, 168, 201 hours <strong>of</strong> delivery 56, 139 hours ur<strong>in</strong>e collections 65, 191 HPL 46, 189-90 HSV (herpes simplex virus) 114, 116, 122 human immunodeficiency virus see HIV human immunodeficiency virus type 163-4 HVH (Herpes virus Hom<strong>in</strong>i) 167 hydatidiform mole 41-2, 189-90, 214 hydralaz<strong>in</strong>e 55-8, 64 hydramnios 21-2, 26, 196, 213 hyperbilirub<strong>in</strong>emia 22, 32, 45, 113, 129, 133, 135 unconjugated 133, 135 hyperkaliemia 76-7, 96 hypertension 2, 11, 19, 21, 23, 33, 40-1, 43, 47-8, 50-2, 55, 63-6, 84-5, 93-5, 119-20 gestational 40, 44, 49, 58 <strong>in</strong>duced 41, 54, 93-4, 97 persistent 44 pulmonary 70, 72, 84, 106, 141, 143 transient 40, 53 Hypertension Stage 72 hypertensive disease 33, 40, 49 chronic 42, 44, 52 hypertensive disorders 44 hyperthyroidism 35, 37-9, 70 hypoglycemia 21-2, 32, 54, 77-8, 116, 119, 121, 132 hypothyroidism 36-9, 41, 70, 76, 220 I imag<strong>in</strong>g 193, 217, 222-4 immunization 124, 133, 172-4 <strong>in</strong>cidence 11, 13, 21-2, 35, 41, 44, 67-8, 91, 95-7, 115, 118-19, 155-7, 159-60, 200-1, 218 <strong>in</strong>fants 1, 18, 22, 26, 31-3, 35, 116-18, 120, 129-34, 150, 156-7, 166, 168-9, 171-2, 176-9 <strong>in</strong>fants, <strong>in</strong>fected 166, 168 <strong>in</strong>farction 13-15, 120, 141-2 <strong>in</strong>fection 3, 13-14, 17, 26, 79, 89, 92, 104, 114, 121, 129, 148-52, 154, 156-62, 165-72 hookworm 160 parasitic 153 primary 167-8, 172
isk <strong>of</strong> 99, 151 rubella 165-6 <strong>in</strong>fluenza 107, 151, 165, 172 <strong>in</strong>formed consent, written 225-6 <strong>in</strong>hib<strong>in</strong> 197-8 <strong>in</strong>let 206-9 <strong>in</strong>sul<strong>in</strong> 18-20, 22-4, 27-31, 33, 61 <strong>in</strong>sul<strong>in</strong> reactions 30 <strong>in</strong>sul<strong>in</strong> therapy 28-9, 34 <strong>in</strong>tensity 22, 70-1, 75 <strong>in</strong>terface 210-11 <strong>in</strong>test<strong>in</strong>e 111-13, 148 Intrahepatic cholestasis <strong>of</strong> pregnancy 118, 121-3 <strong>in</strong>trauter<strong>in</strong>e pregnancy 214 <strong>in</strong>trauter<strong>in</strong>e transfusion 128, 130, 134 iod<strong>in</strong>ated contrast 220-3, 225 ioniz<strong>in</strong>g radiation 102, 207, 217-18, 220-1, 225, 227 iron 1-6, 9-10, 12, 15-17, 109, 160 elemental 8-9 gm <strong>of</strong> 3 plasma 3-4 iron absorption 2-3, 5, 17 iron deficiency 3, 6, 8, 15 iron dextran 9 iron supplementation 1, 6, 9 iron supplements 6, 8 isoniazid 105, 179 IU 119-20 IVP 91, 95, 217, 219, 224 J jaundice 14, 21, 61, 110-14, 116-19, 129, 132-3, 156, 168-9, 176-9 jaundice isoniazid 179 jaundice rifampic<strong>in</strong> 179 K karyotyp<strong>in</strong>g 194, 198-200 kernicterus 125, 130-4 kidneys 13, 23, 42, 49, 52, 57-8, 63, 66, 88- 9, 91-2, 95-7, 154, 162, 202-3, 216-17 affected 50, 202 Kjos SL 33-4 L Labor/delivery 17, 33, 64-5, 83-6, 98, 121 Labor/delivery/postnatal 84-6 severe uncorrected disease 84 laboratory <strong>in</strong>vestigations 8, 36, 49-50 labour 1, 5, 27, 30-1, 42, 57, 59, 68, 79-82, 96, 104, 112-13, 126, 129, 206-7 large baby 25 latent 53, 167, 169 latent malaria 155-6 LBBB (left bundle branch block) 70, 76-7 lecith<strong>in</strong> 194-6 left bundle branch block see LBBB Liley 127-8, 135 liver 4, 29, 45, 109-14, 116, 120, 122, 124- 5, 129-30, 140, 142, 150, 154, 157-8, 162-3 liver biopsy 10, 111, 119, 121 liver cells 110-12, 154 liver disease 61, 109, 113-14, 118, 122 cholestatic 118 chronic 121-2 liver function 111, 114, 118, 120 long term therapy 11, 55 lungs 42, 78, 105-6, 141-3, 145, 150, 154, 157, 161-2, 194-5, 198-9 M macrosomia 21, 24, 33 magnesium sulfate 63, 65, 177 malaria 11, 150, 153-7 cerebral 60, 155 malariae 154-5 Management <strong>of</strong> diabetic pregnancy 25 Management <strong>of</strong> Hypertension Dur<strong>in</strong>g <strong>Pregnancy</strong> 65 management <strong>of</strong> pregnancy 25, 49, 81 management options 16, 32, 38, 63-4, 83, 98, 121 maternal 21, 24, 42, 63, 65, 83, 86, 104-5, 115, 119, 123, 153, 185, 187-90, 221-2 maternal age 200 maternal blood 189-90, 196-7 maternal circulation 42, 125-6, 133, 190, 196 maternal <strong>in</strong>fection 115, 126, 169, 172-3 maternal serum 124, 126, 130, 190, 197 maximum blood glucose 29-30 measles 165-6, 173-4 medical 83, 112, 187-9 megaloblast 10-12 Men<strong>in</strong>gomyelocele 201, 216 merozoite 154-5 metabolism 12, 109-10, 199 metform<strong>in</strong> 28-9 methyldopa 55, 57, 64 metronidazole 158-9, 178, 186 mgm 9, 15, 22, 25, 27, 29-30, 111 microgram 11, 36 microscopic exam<strong>in</strong>ation 90-1, 159, 198 mitral 67, 69-70 mitral stenosis 70-1, 73-4, 77, 81, 85 mitral valve 67, 71-3 ml 4-5, 9-12, 15, 48, 52, 62-3, 90, 109, 125, 128-31, 133-4, 161, 167 ml <strong>of</strong> blood 3-4, 10, 136 mmHg 41, 63-5 mmol/l 19, 101 monitor <strong>in</strong>fant 175-9 V
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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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Restricted indications: Anti lepros
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