Medical Disorders in PregnancyA Manual for Midwives
Praise for the 1st edition: "This book is a must have for any midwife, particularly those working in the community, clinics and in high-risk areas.... This book is an extremely useful reference tool." (MIDIRS Midwifery Digest) "The important facts are laid out concisely, primarily focusing on management, using evidence based guidelines for best midwifery practice." (RCGP Journal) Medical Disorders in Pregnancy: A Guide for Midwives, 2nd edition clearly outlines existing and pre-existing conditions which women can experience during pregnancy. This comprehensive and practical handbook identifies issues for pre-conception care, defines the condition, explores possible complications, outlines recommended treatment and emphasizes specific midwifery care. This fully revised and updated edition of Medical Disorders in Pregnancy: A Guide for Midwives builds on the success of the first edition by covering more subjects. It includes physiology, more illustrations and algorithms and its accessible reference-style text enables information to be quickly and easily found. Special Features A practical guide on medical disorders written specifically for midwives Jointly written by medical and midwifery experts in the field Accessible reference style format makes information easy and quick to find Emphasis on inter-professional working
Companion Website details viii Contributors ix Acknowledgements xi Acronyms, Abbreviations and Cardiac Terms xiii Foreword xvii Foreword to the First Edition xix Preface xxi 1 Midwifery Care and Medical Disorders 1 S. Elizabeth Robson Pre-conception Care 2 Antenatal Care 2 Intrapartum Care 5 Postnatal Care 6 General Considerations 7 Emergency Management 9 Preventing Maternal Mortality 9 Back to Basics Campaign 12 Patient Organisations and Essential Reading 13 References 14 Appendix 1.1 UK Maternal Deaths – Causes and Risk Factors 15 Appendix 1.2 Daily Vitamin and Mineral Dietary Intake for Pregnancy and Lactation 16 2 Skin Disorders 17 Catherine Gittins and Rhoda Cowell 2.1 Physiological Skin Changes in Pregnancy 18 2.2 Dermatoses Specifi c to Pregnancy 19 2.3 Eczema 20 2.4 Psoriasis 22 Patient Organisations and Essential Reading 24 References 25 Appendix 2.2.1 Emollients and Steroid Creams 26 3 Hypertensive Disorders 27 Sophia Webster, Claire Dodd and Jason Waugh 3.1 Chronic Hypertension 28 3.2 Pre-eclampsia 34 3.3 Severe Pre-eclampsia and Eclampsia 36 3.4 HELLP Syndrome 38 Patient Organisations and Essential Reading 40 References 41 4 Heart Disease 43 Moira McLean, Frances A. Bu’Lock and S. Elizabeth Robson 4.1 Mild Structural Heart Disease 44 4.2 Moderate Structural Heart Disease 48 4.3 Severe Structural Heart Disease 51 4.4 Rheumatic and Valvular Heart Disease 54 4.5 Marfan’s Syndrome 56 4.6 Functional Heart Disease: Cardiomyopathy 58 4.7 Functional Heart Disease: Arrhythmias 60 4.8 Ischaemic Heart Disease: Angina and Myocardial Infarction 62 4.9 Pulmonary Hypertension and Eisenmenger’s Syndrome 64 4.10 Heart Transplant 66 Patient Organisations and Essential Reading 68 References 69 Appendix 4.3.1 Drugs for Cardiac Disease – An Overview for Midwives 74 5 Respiratory Disorders 75 Jane Scullion, Christopher Brightling and Michelle Goldie 5.1 The Breathless Pregnant Woman 76 5.2 Asthma 78 5.3 Pneumonia and Chest Infections 80 5.4 Tuberculosis 82 5.5 Cystic Fibrosis 84 5.6 Sarcoidosis 86 Patient Organisations and Essential Reading 88 References 89 Appendix 5.2.1 Asthma in Pregnancy:An Information Leaflet for Pregnant Women 90 6 Renal Disorders 91 Nigel J. Brunskill and Andrea Goodlife 6.1 Urinary Tract Infections 92 6.2 Chronic Kidney Disease 94 6.3 Dialysis in Pregnancy 96 6.4 Renal Transplantation 98 6.5 Nephrotic Syndrome 100 Patient Organisations and Essential Reading 102 References 103 Appendix 6.3.1 Replacement of Renal Function by Dialysis 104 7 Endocrine Disorders 105 Robert Gregory and Diane Todd 7.1 Hypothyroidism 106 7.2 Thyrotoxicosis 108 7.3 Type 1 Diabetes Mellitus 110 7.4 Type 2 Diabetes Mellitus 113 7.5 Gestational Diabetes Mellitus 115 7.6 Addison’s Disease (Adrenal Insuffi ciency) 118 7.7 Prolactinoma 120 Patient Organisations and Essential Reading 122 References 123 Appendix 7.3.1 Diabetes Mellitus 124 8 Neurological Disorders 125 Fionnuala McAuliffe, Eleanor Burns-Kent, Deborah Frost and Edmund S. Howarth 8.1 Migraine and Headaches 126 8.2 Epilepsy 128 8.3 Cerebrovascular Disease and Stroke 132 8.4 Bell’s Palsy 137 8.5 Carpal Tunnel Syndrome 140 8.6 Myasthenia Gravis 142 8.7 Multiple Sclerosis 144 Patient Organisations and Essential Reading 147 References 148 Appendix 8.2.1 Drugs Used for Neurological Conditions 152 9 Musculoskeletal Disorders 153 S. Elizabeth Robson, Marie C. Smith, Edmund S. Howarth and Javed Iqbal 9.1 Back and Pelvic Pain 154 9.2 Diastasis Recti Abdominis 156 9.3 Pregnancy Related Pelvic Girdle Pain 158 9.4 Hypovitaminosis D 160 9.5 Osteoporosis 163 Patient Organisations and Essential Reading 165 References 166 Appendix 9.1.1 Pain Therapy Ladder for Pregnancy 169 10 Gastrointestinal Disorders 171 Rosemary Lydall, Manjiri Khare, Caroline Farrar and S. Elizabeth Robson 10.1 Gastro-oesophageal Reflux and Hiatus Hernia 172 10.2 Coeliac Disease 176 10.3 Ulcerative Colitis 178 10.4 Crohn’s Disease 180 10.5 Irritable Bowel Syndrome 182 10.6 Haemorrhoids 184 10.7 Anal Sphincter Disorders 186 10.8 Obstetric Cholestasis 188 10.9 Gall Bladder and Pancreatic Disease 190 Patient Organisations and Essential Reading 192 References 193 Appendix 10.3.1 Care of a Stoma 197 Appendix 10.5.1 Management Algorithm of Irritable Bowel Syndrome 198 11 Autoimmune Disorders 199 S. Elizabeth Robson and Julie Goddard 11.1 Rheumatoid Arthritis 200 11.2 Raynaud’s Phenomenon 202 11.3 Systemic Lupus Erythematosus 204 11.4 Antiphospholipid (Hughes) Syndrome 206 Patient Organisations and Essential Reading 209 References 210 Appendix 11.1.1 Drugs for Autoimmune Disease – An Overview for Midwives 213 12 Infectious Conditions 215 Karen Watkins, Veronica Johnson-Roffey, Juliet Houghton and S. Elizabeth Robson 12.1 Viral Hepatitis 216 12.2 Human Immunodefi ciency Virus 218 12.3 Malaria 220 12.4 Chickenpox 223 12.5 Toxoplasmosis 226 12.6 Listeriosis 228 12.7 Herpes Simplex Virus 230 12.8 Streptococcal Sepsis 232 Patient Organisations and Essential Reading 234 References 235 Appendix 12.1.1 The ABC of Hepatitis 238 Appendix 12.2.1 Other Infectious Viral Diseases 239 Appendix 12.2.2 Other Infectious Bacterial Diseases 240 13 Metabolic Disorders 241 Rowena Doughty and Jason Waugh 13.1 Obesity 242 13.2 Phenylketonuria 244 13.3 Hyperemesis Gravidarum 246 13.4 Acute Fatty Liver of Pregnancy 248 Patient Organisations and Essential Reading 250 References 251 Appendix 13.1.1 Body Mass Index 253 14 Haematological Disorders 255 Abena Addo, Christina Oppenheimer and S. Elizabeth Robson 14.1 Iron Deficiency Anaemia 256 14.2 Megaloblastic Anaemia 260 14.3 Disseminated Intravascular Coagulation 262 14.4 Von Willebrand’s Disease and Other Bleeding Disorders 264 14.5 Thrombocytopenia in Pregnancy 266 14.6 Thalassaemia 268 14.7 Sickle Cell Disorders 270 Patient Organisations and Essential Reading 273 References 274 Appendix 14.1.1 Blood and Blood Products Overview 277 15 Thrombo-embolic Disorders 279 Daksha Elliott and Sue Pavord 15.1 Thrombophilia and Inherited Clotting Disorders 280 15.2 Deep Vein Thrombosis 282 15.3 Pulmonary Embolism 287 15.4 Thromboprophylaxis 290 Patient Organisations and Essential Reading 294 References 295 Appendix 15.4.1 Thrombo-embolic Disease Stockings 297 16 Addictive Disorders 299 Paul Moran and Madeleine Findlay 16.1 Substance Misuse 300 16.2 Alcohol Addiction 302 16.3 Tobacco and Cannabis Use 304 16.4 Cocaine Addiction 306 16.5 Opiate Addiction 308 16.6 Stimulant Addiction 310 Patient Organisations and Essential Reading 312 References 313 Appendix 16.1.1 Applying a Formal Assessment Framework 315 Appendix 16.3.1 Preventing SIDS: Advice to Parents 316 Appendix 16.4.1 Care of the Baby who Experiences Withdrawal 317 17 Psychiatric Disorders 319 Renuka Lazarus and Kathryn Gutteridge 17.1 Antenatal Psychiatric Disorders 320 17.2 Postnatal Psychiatric Disorders 322 17.3 Eating Disorders 324 17.4 Post-Traumatic Stress Disorder 326 Patient Organisations and Essential Reading 328 References 329 Appendix 17.1 Treatment Guidance for Depression 331 18 Neoplasia 333 Caroline Farrar and Francis J. E. Gardner 18.1 Gestational Trophoblastic Disease (Hydatidiform Mole and Choriocarcinoma) 334 18.2 Cervical Cancer 336 18.3 Cervical Screening 340 18.4 Breast Cancer 342 18.5 Non-Hodgkin’s Lymphoma 344 18.6 Hodgkin’s Lymphoma 346 18.7 Ovarian Neoplasia 348 18.8 Malignant Melanoma 351 Patient Organisations and Essential Reading 354 References 355 Index 357
Reviews of 1st edition: "The important facts are laid out concisely, primarily focusing on management and using evidence-based guidelines for best midwifery practice." (The Obstetrician & Gynaecologist, 2010) "A strength of this book is that it has an unashamedly simple at-a-glance format, easy to get used to. The chapters are based on the traditional systems approach with sections dealing with disorders and diseases...the important facts are laid out concisely, primarily focusing on management, using evidence based guidelines for best midwifery practice." (RCGP Journal, April 2010) “This is an excellent book for use in the clinical arena by nurse midwives, nurses, and other healthcare practitioners caring for women with preexisting medical problems.” (Doody's Reviews, June 2009) "The editors highlight recognition of deviation from the normal as an essential component of midwifery and have provided a manual that will be appreciated by midwives in all areas of practice and will be of great value to students studying high-risk modules." (Midwives, April/May 2009) "This book is a must have for any midwife, particularly those working in the community, clinics and in high-risk areas.... This book is an extremely useful reference tool. For students midwives it is an essential read when undertaking the 'complications' module of their course." (MIDIRS Midwifery Digest, January 2009) I am currently a final year student midwife and can confidently say that this book has a simple with easy to read definitions of each disorder. It has clear details on the management in pregnancy, labour and following birth from a midwifery perspective - a must for any student midwife and a fantastic reference for all qualified midwives. (5* Amazon Review ) "This book is a long awaited text providing a comprehensive look at many of the medical conditions encountered by women during childbirth. Other texts with similar content have been recently produced but this text has the advantage of the information being presented in tabular format, thus making it easy to follow and an ideal reference tool. The care for each condition is broken down into pregnancy, labour and postnatal aspects and then presents expected care from the medical and midwifery perspective, although the reader will naturally have to apply any local policy for more specific care. The conditions are divided under logical headings and have been written by experienced professionals who have specialist knowledge in the field they are covering. There is also a welcome addition of a chapter covering addictive disorders and psychiatric disorders, both currently high on the agenda." –Alison Edwards, Senior Midwifery Lecturer, Birmingham City University. "Comprehensive coverage - systematic layout - extremely informative - simple and easy to understand language." –Aine Kothari, Senior Lecturer, Anglia Ruskin University "Easy to use and informative. Content relevant and up to date. Covers more topics than standard textbooks for midwives. Highly recommended." –Lesley Daniels, Midwifery Lecturer, Leeds University "A long-awaited text, providing succinct outlines of core required for wide range of commonly occurring conditions." –Alison Edwards, Midwifery Lecturer, Birmingham City University "Excellent book - contemporary, well organized and informative chapters well supported by tables. An excellent resource for midwives and students." –Alison James, Midwifery Lecturer, Plymouth University
S. Elizabeth Robson is Principal Lecturer in Midwifery at De Montfort University, Leicester, UK. With 25 years of experience as a midwifery lecturer, she leads a module on medical disorders for student midwives with a particular interest in immunology. Her link lecturer areas comprise a high-risk maternity ward and community team. She has presented nationally, and has a number of publications. Jason Waugh is Consultant in Obstetrics and Maternal Medicine at the Royal Victoria Infirmary, Newcastle Upon Tyne, UK. He has published extensively in the fields of hypertension and renal and cardiovascular disease in pregnancy as well as producing national guidelines for the management of pre-eclampsia and renal disease. He is President of the UK’s Macdonald Obstetric Medicine Society.
Acclaim for Medical Disorders in Pregnancy: A Manual for Midwives ‘This book is a must have for any midwife, particularly those working in the community, clinics and in high-risk areas.... This book is an extremely useful reference tool.’ (MIDIRS Midwifery Digest) ‘The important facts are laid out concisely, primarily focusing on management, using evidence-based guidelines for best midwifery practice.’ (RCGP Journal) The second edition of Medical Disorders in Pregnancy: A Manual for Midwives clearly outlines existing and pre-existing conditions which women can experience during pregnancy. This comprehensive and practical handbook identifies issues for pre-conception care, defines the condition, explores possible complications, outlines recommended treatment and emphasises specific midwifery care. This fully revised and updated edition of Medical Disorders in Pregnancy: A Manual for Midwives builds on the success of the first edition by covering more subjects. It includes increased information on physiology and a range of additional illustrations and algorithms, and its accessible reference-style text makes finding information quick and easy. Special Features A practical manual on medical disorders written specifically for midwives Jointly written by medical and midwifery experts in the field Accessible reference-style format makes information easy and quick to find Emphasis on inter-professional working Companion website: www.wiley.com/go/robson