By Sue Pavord, Beverley Hunt
Obstetric hematology is a fast-growing region of drugs masking the analysis and administration of hematological difficulties of being pregnant. finished in method, The Obstetric Hematology guide addresses the numerous hematological stipulations which may reason severe difficulties in being pregnant, supply and the post-partum interval for either mom and child. Written through a staff of overseas specialists, this article presents up to date, evidence-based guidance on most sensible care, in addition to sound recommendation in response to the adventure and opinion of specialists. the place applicable, simple ideas are mentioned to elucidate the explanation for administration, and platforms and methods for sickness prevention are highlighted. Many stipulations and instances are mentioned, together with venous thromboembolism, pre-eclampsia, anemia, thrombocytopenia and inherited issues. This e-book will entice either trainees and practitioners in obstetrics, obstetric drugs, obstetric anesthesia and hematology. it's also an obtainable textual content for midwives, nurses, and laboratory employees.
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Extra resources for The obstetric hematology manual
Periconceptual folic acid reduces the incidence of neural tube defects by 70%. If women have had a child affected by a neural tube defect, the recommendation is for a higher dose of folic acid periconceptually – at least 5 mg/day. Folate deficiency is also an independent risk factor for thrombosis. Folate prophylaxis is required in those with an increased red cell turnover seen in inherited and acquired red cell disorders and also for those on anticonvulsants. 8). 23 Section 1. 8 Folate requirements Folate demand/ Folate supply requirement Typical Western diet 250 g/day Average daily requirements (non-pregnant) 100 g/day Average daily requirements (pregnant) 400 g/day increased folate metabolism transfer of folate from the mother to the fetus (approximately 800 g at term).
May need supplemental oxygen. r Continuous CTG monitoring throughout labor r Epidural analgesia is pain relief of choice. r Avoid prolonged labor, not more than 12 hours and prolonged rupture of membranes, which increase the risk of infection and dehydration. Chapter 3. Inherited red cell disorders r If operative delivery necessary, discuss with hematologist. Regional (rather than general) anesthesia reduces the likelihood of sickle crisis and post-op acute chest syndrome. r Thromboprophylaxis with low molecular weight heparin and graduated compression stockings.
Longitudinal study of the effect of pregnancy on maternal and fetal cobalamin status in healthy women and their offspring. The Journal of Nutrition 2007; 137: 1863–1866. 27 Section 1 Chapter 3 Cellular changes Inherited red cell disorders Emma Welch and Josh Wright Introduction The hemoglobinopathies are common genetic disorders. They may result in significant morbidity and mortality, affecting all age groups and genders. This chapter will concentrate on sickle cell disease and thalassemia. The abnormalities of hemoglobin can be of two kinds.
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