Clinics in obstetrics and gynaecology最新文献_第7页

Treatment of Diabetes in Pregnancy 妊娠期糖尿病的治疗

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01 Epub Date: 2021-05-26 DOI: 10.1016/S0306-3356(21)00014-5

N.J.A. Vaughan, Nigel W. Oakley

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Adverse Effects of Drugs in Later Pregnancy 妊娠后期药物的不良反应

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01 Epub Date: 2021-05-26 DOI: 10.1016/S0306-3356(21)00007-8

Linda Beeley

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Prescribing for Labour 分娩处方

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01 Epub Date: 2021-05-26 DOI: 10.1016/S0306-3356(21)00008-X

Gordon M. Stirrat, Trevor A. Thomas

{"title":"Prescribing for Labour","authors":"Gordon M. Stirrat, Trevor A. Thomas","doi":"10.1016/S0306-3356(21)00008-X","DOIUrl":"https://doi.org/10.1016/S0306-3356(21)00008-X","url":null,"abstract":"<div><ul><li>1.Prostaglandins, particularly PGE2 vaginally, can be valuable for cervical ripening or induction of labour in some women. Ease of use must not be allowed to result in unjustified intervention.</li><li>2.Amniotomy followed by oxytocin infusion are the methods of choice for induction of labour. Careful monitoring of the maternal and fetal condition are vital, especially if an epidural block is in place.</li><li>3.Augmentation of labour is only appropriate for inefficient primigravid labour. Failure to progress in a multiparous woman is more likely to be due to obstruction.</li><li>4.Low residue, easily digested foodstuffs are not necessarily contraindicated during normal labour.</li><li>5.When properly used, Entonox can provide analgesia equivalent to 75–100 mg pethidine.</li><li>6.Sodium citrate is the antacid of choice during labour and should be combined with an H2-receptor blocking agent for caesarean section, or other procedure involving anaesthesia.</li><li>7.The routine injection of Syntometrine at delivery of the anterior shoulder to prevent PPH is widespread in the UK but has not been properly tested. Oxytocics are invaluable in the treatment of PPH.</li></ul></div>","PeriodicalId":75719,"journal":{"name":"Clinics in obstetrics and gynaecology","volume":"13 2","pages":"Pages 215-229"},"PeriodicalIF":0.0,"publicationDate":"1986-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92111270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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The treatment of psychiatric disorders in pregnancy and the puerperium. 妊娠和产褥期精神障碍的治疗。

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01

M R Oates

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Antiparasitic agents in pregnancy. 妊娠期抗寄生虫药。

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01

C J Ellis

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Prescribing in pregnancy. Mineral and vitamin supplements. 怀孕期间开处方。矿物质和维生素补充剂。

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01

J Drife, G MacNab

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The Treatment of Gastrointestinal Disease in Pregnancy 妊娠期胃肠疾病的治疗

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01 Epub Date: 2021-05-26 DOI: 10.1016/S0306-3356(21)00017-0

R.D. Atlay, A.R.L. Weekes

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Treatment of Hypertension in Pregnancy 妊娠期高血压的治疗

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01 Epub Date: 2021-05-26 DOI: 10.1016/S0306-3356(21)00015-7

Peter C. Rubin

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The Treatment of Psychiatric Disorders in Pregnancy and the Puerperium 妊娠和产褥期精神障碍的治疗

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01 Epub Date: 2021-05-26 DOI: 10.1016/S0306-3356(21)00020-0

Margaret R. Oates

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Thyroid Disease 甲状腺疾病

Clinics in obstetrics and gynaecology Pub Date : 1986-06-01 Epub Date: 2021-05-26 DOI: 10.1016/S0306-3356(21)00013-3

William Burr

{"title":"Thyroid Disease","authors":"William Burr","doi":"10.1016/S0306-3356(21)00013-3","DOIUrl":"https://doi.org/10.1016/S0306-3356(21)00013-3","url":null,"abstract":"<div>When treating thyroid disease, as with other conditions in pregnancy, one is concerned with the welfare of both mother and developing child. Thyroid disease causes few maternal problems; thyrotoxicosis in fact tends to improve in pregnancy, allowing medical management with lower drug doses than usual. Relapse of thyroid disease may occur postpartum, when transient hypo- and hyperthyroidism are relatively common.In contrast, the fetus and neonate are threatened in a number of ways by drugs given to the mother and by transplacental passage of maternal antibodies capable of inducing thyroid disease.Antithyroid drugs may cause fetal goitre with airway obstruction, and are associated with mild neonatal hypothyroidism. Thyroid antibodies in primary myxoedema and Hashimoto's thyroiditis are occasionally implicated in neonatal hypothyroidism and may even cause thyroid dysgenesis. Neonatal hyperthyroidism has a high morbidity and mortality and may have long-term skeletal effects such as craniosynostosis.Fetal problems may not be apparent at birth but may emerge in the next eight to ten days, especially in hyperthyroidism when the mother has been on treatment. Close monitoring throughout pregnancy and for the first ten days postpartum is required to minimize risks to the fetus and neonate. Most pregnancies associated with thyroid disease will have a successful outcome. If the occasional at-risk fetus is to be identified and treated successfully there should ideally be close cooperation between obstetrician, endocrinologist and paediatrician.</div>","PeriodicalId":75719,"journal":{"name":"Clinics in obstetrics and gynaecology","volume":"13 2","pages":"Pages 277-290"},"PeriodicalIF":0.0,"publicationDate":"1986-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92032659","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0