This up-to-date pocket guide for use in obstetric triage and emergency settings provides speedy access to critical information needed by healthcare providers in obstetrics, midwifery, emergency medicine, and family care medicine. It includes practice protocols that offer point of service management guidelines, diagnostic parameters for robust diagnostic imagery, ultrasound and other diagnostic modalities, and easy to follow algorithms and protocols in each chapter.
This information will enable practitioners to easily recognize and understand symptomatology, lab results, diagnostic imagery and clinical workings. Chapters address over 30 clinical conditions and are consistently organized to include presenting symptomatology, patient history and data collection, physical exam findings, lab and imagery studies, differential diagnosis and clinical management protocol and follow up, and clinical management follow up. The book disseminates the contributions of expert midwives, nurse practitioners, obstetricians, gynecologists, and radiologists who evaluate more than 30,000 OB visits each year.
Key Features:
Provides a pocket-sized, easy-to-use interdisciplinary triage protocol guide for ER and OB triage settings Includes current protocols and guidelines for more than 30 clinical situations requiring emergent care Offers plentiful diagnostic and imaging guidelines with accompanying figures and images Presents algorithms, protocols, diagnostic images and best evidence for each condition
| Contributors |
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ix | |
| Preface |
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xiii | |
| Acknowledgments |
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xv | |
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1 Overview of Obstetric Triage and Potential Pitfalls |
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1 | (10) |
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2 Legal Considerations in Obstetric Triage: EMTALA and HIPAA |
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11 | (8) |
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II MANAGEMENT OF OBSTETRIC CONDITIONS IN EARLY PREGNANCY (LESS THAN VIABILITY) |
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3 Management of Ectopic Pregnancy |
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19 | (10) |
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4 Vaginal Bleeding in Early Pregnancy |
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29 | (10) |
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5 Recognition and Treatment of Postabortion Complications |
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39 | (8) |
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6 Abdominal Pain and Masses in Pregnancy |
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47 | (10) |
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7 Pregnancy Loss Prior to Viability |
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57 | (12) |
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8 Early Complications of Multiple Gestations |
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69 | (10) |
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9 Nausea, Vomiting, and Hyperemesis of Pregnancy |
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79 | (8) |
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10 Medical Conditions in Early Pregnancy |
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87 | (10) |
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III MANAGEMENT OF OBSTETRIC CONDITIONS (GREATER THAN VIABILITY) |
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11 Fetal Evaluation and Clinical Applications |
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97 | (14) |
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12 Limited or No Prenatal Care at Term |
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111 | (8) |
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119 | (10) |
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14 Preterm Premature-Rupture of Membranes |
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129 | (8) |
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137 | (12) |
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16 Severe Preeclampsia or Eclampsia and Hypertensive Issues |
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149 | (10) |
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159 | (10) |
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18 Severe Medical Complications in Pregnancy |
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169 | (16) |
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19 Vaginal Bleeding in Pregnancy |
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185 | (12) |
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IV MANAGEMENT OF COMMON OBSTETRIC CONDITIONS THROUGHOUT PREGNANCY |
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20 Common General Surgical Emergencies in Pregnancy |
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197 | (20) |
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21 Management of Biohazardous Exposure in Pregnancy |
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217 | (10) |
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22 Infections in Pregnant Women |
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227 | (10) |
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23 Intimate Partner Violence and Sexual Assault in Pregnancy |
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237 | (10) |
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24 Substance Use and Psychiatric Disorders in Pregnancy |
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247 | (12) |
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25 Sexually Transmitted Infections |
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259 | (12) |
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V MANAGEMENT OF POSTPARTUM COMPLICATIONS COMMONLY SEEN IN OB TRIAGE |
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26 Postpartum Preeclampsia Complications |
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271 | (12) |
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27 Postpartum Breast Complications |
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283 | (12) |
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28 Secondary Postpartum Hemorrhage and Endometritis |
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295 | (8) |
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29 Psychiatric Complications in the Postpartum Period |
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303 | (14) |
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30 Critical Postpartum Medical Complications |
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317 | (10) |
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| Index |
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327 | |
Diane J. Angelini, EdD, CNM, FACNM, FAAN, is Director of Midwifery at Women and Infants' Hospital and Clinical Professor, Department of Obstetrics-Gynecology at Alpert Medical School of Brown University. Dr. Angelini was founding director of the Nurse-Midwifery Graduate Education programs at the University of Rhode Island College of Nursing and the University of Southern California (USC). She was formerly the Assistant Director of Nursing, Division of OB-GYN-Neonatal Nursing at Brigham and Women's Hospital (Boston) and Director of Maternal-Child Nursing at Danbury Hospital (CT). She is an Advanced Nurse Executive, Board Certified. Her publications include 18 peer-reviewed journal articles, 13 non-peer-reviewed publications, including two book chapters; and two books, ""Case Studies in Perinatal Nursing"" and ""Perinatal Nursing."" She is the Senior Editor and Founding Co-Editor of the Journal of Perinatal and Neonatal Nursing, Associate Editor of Journal Watch Women's Health, and past Editorial Consultant and current peer reviewer for the Journal of Midwifery and Women's Health. She is a Fellow of the American Academy of Nursing, a Fellow of the American College of Nurse Midwives and, by invitation, a member of the International Academy of Nursing Editors. She is a national presenter and consultant in obstetric triage.
||Donna LaFontaine, MD, is the former Director of OB-GYN Triage and Obstetrical Gynecology and Emergency Medicine at Women and Infants' Hospital and Clinical Associate Professor in the Department of Obstetrics-Gynecology at the Alpert Medical School of Brown University. Her publishing credits include three journal articles and one book chapter, When to Screen in Obstetrics and Gynecology: in Screening Tests for Contraceptive Users. Dr. LaFontaine serves on several hospital committees including Emergency Preparedness, Pain Management, Obstetrics and Gynecology Executive Committee, and Guidelines Committee, all at Women and Infants Hospital. She is a certified Sexual Assault Forensic Examiner and has been directing the Sexual Assault Program at Women and Infants Hospital since 2004. Dr. Lafontaine has received over twenty teaching awards throughout her twenty four year career as a physician.
