Essentials of Prehospital Maternity Care

Essentials of Prehospital Maternity Care

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Recognizing prehospital obstetrics as a low-frequency, high-intensity skill, this book explains current principles and practices in obstetrics, gynecology, and neonatology as they specifically relate to emergencies in the field. The author provides "real life" case studies and review questions to reinforce key points. Helpful professional tips throughout the text prepare providers to facilitate the natural process of birth and stand ready to intervene if complications arise. Topics covered include:* Reproductive Anatomy and Physiology* Evaluating the Pregnant Woman* Maternal and Fetal Complications* Threats to Mother and Fetus* Care of the High-risk Neonate* Normal Delivery Management* and much more!show more

Product details

  • Paperback | 464 pages
  • 177.8 x 231.1 x 25.4mm | 657.72g
  • Pearson Education (US)
  • Pearson
  • Upper Saddle River, NJ, United States
  • English
  • Revised ed.
  • 0131199900
  • 9780131199903
  • 1,709,385

Back cover copy

Recognizing prehospital obstetrics as a low-frequency, high-intensity skill, this book explains current principles and practices in obstetrics, gynecology, and neonatology as they specifically relate to emergencies in the field. The author provides real life case studies and review questions to reinforce key points. Helpful professional tips throughout the text prepare providers to facilitate the natural process of birth and stand ready to intervene if complications arise. Topics covered include: . Reproductive Anatomy and Physiology . Evaluating the Pregnant Woman . Maternal and Fetal Complications . Threats to Mother and Fetus . Care of the High-risk Neonate . Normal Delivery Management . and much more!"show more

Table of contents

Table of ContentsList of Tables. xxxviiiAcknowledgments. xxxixPreface. xlii1. The Woman and the Fetus. 1Learning Objectives. 1Key Terms. 1Case Study. 2Introduction. 4Female Internal Reproductive Anatomy and physiology. 5Ovaries. 5Fallopian Tubes. 7Uterus. 8Vagina. 11Bony Pelvis. 13External Reproductive Anatomy. 15Uterine Abnormalities. 20Puberty. 23The Menstrual Cycle. 25Menopause. 29Surgical Menopause. 33Conception and Fetal Development 33Developmental Highlights from Date of Conception. 41The Placenta. 48Fetal Circulation. 49Congenital Abnormalities. 52Physical and Behavioral Changes of Pregnancy. 53Metabolism.. 53Reproductive System.. 53Breasts. 55Nutritional Needs. 55Cardiovascular System.. 56Respiratory System.. 57Urinary System.. 58Gastrointestinal System.. 58Musculoskeletal System.. 58Psychological Changes. 59Case Study Wrap-Up. 60Answers. 61Summary. 62Review Questions. 632. Evaluating the Pregnant Woman. 64Learning Objectives. 64Key Terms. 64Case Study. 65Introduction. 67Signs of Pregnancy. 68Presumptive Signs of Pregnancy. 69Probable Signs of Pregnancy. 72Positive Signs of Pregnancy. 73Taking a Relevant History. 73Obstetrical History. 75Evaluating the Present Complaint 79Universal Precautions. 81Vital signs. 81Evaluating the Pregnant Abdomen. 84Where to transport 94Incorporating a Patient-Centered Approach. 96Cultural and Religious Considerations. 97Antenatal testing. 100Case Study Wrap-Up. 102Answers. 102Summary. 105Review Questions. 1053. Pregnancy Complications. 106Learning Objectives. 106Key terms. 106Case Study. 107Questions. 108Introduction. 108Antepartal Bleeding-First half of pregnancy. 109Spontaneous Abortion. 110Threatened Abortion. 111Inevitable Abortion. 113Complete Abortion. 114Incomplete Abortion. 114Missed Abortion. 114Septic Abortion. 114Elective Abortion. 115Therapeutic Abortion. 118Hydatidiform Mole. 119Ectopic Pregnancy. 121Antepartal Bleeding-Second Half of Pregnancy. 125Placental Abruption. 125Disseminated Intravascular Coagulation (DIC) 128Placenta Previa. 129Pelvic and Abdominal Pain. 131Ligament Pain. 132Appendicitis. 133Urinary Tract Infection. 133Chorioamnionitis and Pelvic Inflammatory Disease. 136Cholecystitis/Cholelithiasis. 137Other Pain. 138Low Back Pain. 138Syncope. 139Hyperemesis Gravidarum.. 140Hypertensive Disorders. 142Pregnancy-Induced Hypertension (Preeclampsia) 142Eclampsia. 145HELLP Syndrome. 149Case Study Wrap-Up. 150Answers. 150Summary. 152Review Questions. 1534. Threats to Mother and Fetus. 154Learning Objectives. 154Key terms. 154Case Study. 155Questions. 156Introduction. 156Trauma in Pregnancy. 157Vulnerability to Trauma. 158Consequences of Trauma in Pregnancy. 160Managing the Trauma Victim.. 161Cardiac Arrest in Pregnancy. 165Pregnancy and Chronic Diseases. 168Asthma. 168Diabetes. 169Cardiac Disease. 172Seizure Disorders. 174Thromboembolism.. 177HIV Infection. 178RH Incompatibilities and Hemolytic Disease. 179Preterm Labor 180Carbon Monoxide Poisoning. 185Substance Abuse. 188Cocaine and Crack. 188Opiates. 188Alcohol 189Amphetamines. 190Tobacco. 190Case Study Wrap-up. 191Answers. 191Summary. 192REVIEW QUESTIONS. 1925. The Woman in Labor. 194Learning Objectives. 194Key terms. 194Case Study. 195Questions. 197Introduction. 197Mechanism and Stages of Labor 198Signs of Impending Labor 199Stages of Labor 202First-Stage Labor 203Second-Stage Labor 207Third-Stage Labor 207Factors Affecting Length of Labor 208The "Four P's". 208Maternal Response to Labor 210Vital Signs. 211Bladder Function. 212Gastrointestinal Changes. 212Fluids and Electrolytes. 213Induction of Labor 213Impediments to Labor 214Comfort Measures. 215Evaluation of Labor 219Taking a History and Assessing a Patient in Labor 219Differentiate between False Labor and True Labor 221Stay and Deliver or Transport?. 221Precipitous Delivery. 224Case Study Wrap-Up. 227Answers. 227Summary. 228REVIEW QUESTIONS. 2286. Normal Delivery Management 230Learning Objectives. 230Key terms. 230Case Study. 231QUESTIONS. 231Introduction. 232Equipment and Setting. 232Maternal Positioning. 235Squatting. 235Supine (Dorsal, Lithotomy) 235Semi-Fowler's Position. 236Left Lateral Recumbent 237Hands-and-Knees. 237Mechanism of Second-Stage Labor (Cardinal Movements) 239Pushing Techniques. 242Closed-Glottis Coached Pushing (Valsalva Pushing) 242Open-Glottis ("Natural") Pushing. 243Normal Delivery. 244Nuchal Cord. 247Delivering the Body. 249Immediate Care of the Normal Newborn. 251Newborn Management Priorities. 252Cutting the Umbilical Cord. 254Apgar Scores. 256Placenta Delivery. 257Examining Placenta and Membranes. 261Torn Umbilical Cord. 262Perineal Tears. 263Documentation. 267Case Study Wrap-Up. 268Answers. 268SUMMARY.. 269Review Questions. 2707. Maternal and Fetal Complications of Labor and Delivery. 271Learning Objectives. 271Key Terms. 271Case Study. 272Questions. 273Introduction. 273Maternal Complications. 273Third-Stage Hemorrhage. 273Postpartum Hemorrhage. 275Retained Placenta. 278Uterine Rupture. 280Uterine Prolapse (Uterine Inversion) 282Amniotic Fluid Embolism.. 283Chorioamnionitis. 284Uterine Dysfunction. 285Fetal Complications. 286Fetal Heart-Rate Abnormalities. 286Malpresentations and Cephalopelvic Disproportion. 288Umbilical Cord Prolapse. 302Multiple Gestation. 304Fetal Demise and Stillbirth. 308Case Study Wrap-Up. 311Answers. 311Summary. 312Review Questions. 3138. Postpartum Adaptation. 314Learning Objectives. 314Key terms. 314Case Study. 315Questions. 316Introduction. 316Physical Changes. 317The Uterus after Delivery. 317The Fundus and Hemostasis. 318Afterpains. 319Lochia. 319Subinvolution. 321Uterus Displaced by Full Bladder 321The Vagina and Vulva. 322Hematoma. 323Hemorrhoids. 323Postpartum Infections. 324Thrombophlebitis. 328Pulmonary Embolism.. 329Postpartum Thyroiditis. 330Emotional Changes. 331Postpartum Depression. 331Postpartum Blues. 332Postpartum Major and Minor Depression. 333Postpartum Psychosis. 333Initiating Breastfeeding. 334SUMMARY.. 337Case Study Wrap-Up. 338Answers. 338Review Questions. 3399. The Neonate. 340Learning Objectives. 340Key Terms. 340Case Study. 341Introduction. 342Care of the Newborn at Delivery. 343Apgar Scoring. 344Vital Signs. 345Physical Assessment of the Newborn. 346The Skin. 347The Head. 350Neck , Trunk, and Genitals. 352Extremities. 353Reflexes. 353Behavior 354Gestational Age Assessment 354Postmaturity. 358Common Illnesses of the Neonate. 360Hypoglycemia. 360Hypovolemia. 361Sepsis. 361Neonatal Seizures. 363Jitteriness. 364Apnea. 364Hypothermia. 367Vomiting. 369Diarrhea. 370Sudden Infant Death Syndrome. 371Case Study Wrap-Up. 373Summary. 374Review Questions. 37410. The High-risk Neonate. 376Learning Objectives. 376Key Terms. 376Case Study. 377Introduction. 378Care of High-Risk Newborns. 379The Transition from Fetus to Neonate. 382Neonatal Resuscitation. 384Meconium.. 395Respiratory Distress in the Neonate. 398Meconium Aspiration Syndrome (MAS) 398Transient Tachypnea of the Newborn. 399Persistent Pulmonary Hypertension of the Newborn (Persistent Fetal Circulation) 399Hypoxic-Ischemic Encephalopathy. 400Birth Trauma. 401The Infant with Low Birth Weight 404Intrauterine Growth Restriction (IUGR) 404Managing the Premature Infant 405Conditions Associated with Prematurity. 407Respiratory Distress Syndrome (RDS or Hyaline Membrane Disease) 407Bronchopulmonary Dysplasia. 410Bradycardia. 411Intraventricular Hemorrhage (IVH) 412Necrotizing Enterocolitis (NEC) 412Retinopathy of Prematurity (ROP) 413Congenital Anomalies. 413Nervous System.. 414Cardiovascular 418Alimentary Tract 423Genitourinary. 423Hypospadias and Epispadias. 425Ambiguous Genitalia. 425Musculoskeletal/Limbs/Body structure. 428Abdominal Wall 430Chromosomal Abnormality. 432Respiratory. 433Case Study Wrap-Up. 436Answers. 436Summary. 437Review Questions. 43711. Gynecology. 439Learning Objectives. 439Key terms. 439Case Study. 440Questions. 441Introduction. 441Abnormal Vaginal Bleeding. 442Postmenopausal Bleeding. 445Prehospital Management of Vaginal Bleeding. 445Acute Pelvic Pain. 447Ectopic Pregnancy. 448Pelvic Inflammatory Disease. 449Other Causes of Noncyclic Pelvic Pain. 450Cyclic Pain. 453Nongynecological Pelvic Pain. 456Prehospital Management of the Woman with Pelvic Pain. 456Toxic Shock Syndrome. 457Amenorrhea. 459Vulvar Itching. 460Nontraumatic Vulvar pain. 461Bartholin Abscess. 461Trauma. 461Violence against Women. 463Physical Abuse. 464The Abuser 464The Abuser's Tactics. 465The Victim.. 466Seeking Help. 466Abuse in Pregnancy. 467The EMS Provider and the Abused Woman. 468Sexual Abuse. 470Rape. 471Transporting the Sexual Assault Victim.. 473The Evidence. 475Female Genital Mutilation. 476Case Study wrap-up. 483Answers. 483Summary. 485Review questions. 48512. Professional Issues. 487Learning Objectives. 487Key terms. 487Case Study. 488Questions. 489Introduction. 489Documentation. 490The Pregnant Provider 495Teratogen Exposure. 495Disease Exposure. 499Stress. 503Physical Activity. 505Other Concerns. 506Working with Obstetrical Care Providers. 507Patient-Centered practice. 515Earning Trust 515Excellence in Practice. 518Holism and Patient-Centered Practice. 520Case Study Wrap-up. 522Answers. 522Summary. 523Review Questions. 524Introduction to Appendices. 525Appendix 1. 526U.S. FDA Pregnancy-Risk Categories for Drugs. 526Appendix 2. 528Drugs Commonly Seen or Administered in Obstetrical and Gynecological Emergencies 528Appendix 3. 566Overview of Contraceptive Methods. 566Glossary. 575 References. 646About the Author. 659show more

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