Download Obstetric Evidence-Based Guidelines (Series in by Vincenzo Berghella PDF

By Vincenzo Berghella

Designed for simple revision, the 2 volumes during this set assessment the proof for top perform, offering the reader with the perfect info, within the correct layout, summarized in easy-to-use tables and algorithms. each one guide is designed to "make it effortless to do it right", with applicable use of confirmed interventions and little need of destructive interventions. lots of facts is obtainable in order that well-informed clinicians can decrease blunders, in order that the 1st target is finally to enhance the future health of mom and child by way of delivering caliber.

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Sample text

Routine use of ultrasound reduces the incidence of postterm pregnancies and rates of induction of labor for post-term pregnancy, increases early detection of multiple pregnancies, increases earlier detection of major fetal anomalies when termination of pregnancy is possible, increases detection rates of fetal malformations, decreases admission to special care nursery, and decreases poor spelling at school compared with selective ultrasound. No significant differences are detected for substantive clinical outcomes such as perinatal mortality, possibly because of insufficient data.

Cochrane Database Syst Rev 2007; 1. [meta-analysis: 6 RCTs, n = 2189, both low- and high-risk women; see also Chapter 15 for high-risk women, such as those with prior PTB] 28. McGregor JA, French JI, Richter R et al. Cervicovaginal microflora and pregnancy outcome: results of a double-blind, placebo-controlled trial of erythromycin treatment. Am J Obstet and Gynecol 1990; 163: 1580–91. [RCT, n = 229] 29. Dennis C-L, Creedy D. Psychosocial and psychological interventions for preventing postpartum depression.

Sodium chloride has been understudied, and can be considered only in areas of low daily intake, with precautions regarding blood pressure effects. 35 Back pain Back pain is common in pregnancy, given weight gain and its uneven distribution. 36 Education, other exercises, massage, heat therapy, support belts, and analgesic therapy have not been studied in a trial in pregnancy for back pain relief. Constipation Constipation is common in pregnancy, given decreased bowel peristalsis (possibly related to increased progesterone).

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