دانلود کتابچه راهنمای پزشکی زنان و زایمان نلسون-پیرس

Pre-existing and new-onset medical problems in pregnancy are encountered in every antenatal clinic and every delivery suite in every country. Medical disorders in pregnancy are increasingly prevalent and a cause of mortality. Pregnancy at older ages increases the likelihood of medical disorders, and medical advances mean that pregnancy and assisted reproduction are options for those with complex medical conditions. Every clinician needs to understand the interaction between medical disorders and pregnancy and be able to counsel about the impact of medical conditions on pregnancy, the impact of pregnancy on the underlying medical condition, and the safety of investigations and prescribing during pregnancy and lactation. However, not all medical conditions have been diagnosed and are being managed by specialist clinicians in advance of pregnancy. Pre-existing conditions may manifest during routine clinical assessment in pregnancy or be revealed for the first time due to the physiological changes of pregnancy. All clinicians therefore need to be confident in the diagnosis and management of new-onset or newly manifest medical conditions in pregnancy. This handbook is designed as a pragmatic, easy-to-use reference guide. The epidemiology, clinical features, pathogenesis, effect of pregnancy, and management of conditions are described according to system. Cancer has been added as a new chapter in this edition, given its increasing frequency in pregnancy. ‘Points to Remember’ boxes provide summary and revision. The final chapter gives the differential diagnoses for common symptoms, signs, and abnormal investigations in pregnancy. All chapters have been updated and revised to provide contemporary, evidence-based information. Readers are reminded about other resources including the International Society of Obstetric Medicine (https://isomlink.org/) and the journal of the Society, Obstetric Medicine: The Medicine of Pregnancy (https://journals.sagepub.com/ home/obm). In the UK, the MacDonald Obstetric Medicine Society offers guidance and resources (https://www.obstetricmedic.org.uk/), the Royal College of Physicians has a toolkit on managing acute medical problems in pregnancy (https://www.rcp.ac.uk/improving-care/resources/acute-care-toolkit- 15-managing-acute-medical-problems-in-pregnancy/), and the UK Teratology Information Service (uktis.org) provides evidence-based safety information about medication, vaccine, and radiological exposures in pregnancy. Maternity services will be accessed by both women as well as those with a gender different from that registered at birth. This book preserves womencentred language and includes language for those who do not identify as women. In the UK, the education and advancement of specialist obstetric physicians and the development of obstetric medicine networks in England would not have occurred without Professor Catherine Nelson-Piercy. To author the seventh edition of her book is to stand on her shoulders. To practice obstetric medicine is an enormous privilege. Thank you, Cathy, for all you have taught me, and for sharing this privilege with me.