By Ronald S. Gibbs, Beth Y. Karlan, Arthur F. Haney, Ingrid E. Nygaard
A middle reference for citizens and practitioners for over forty years, Danforth's Obstetrics and Gynecology is now in its 10th Edition—thoroughly revised and reorganized to supply entire, authoritative insurance of the fashionable scientific perform of obstetrics and gynecology. This version has a brand new co-editor, Ingrid Nygaard, MD, a urogynecologist. a brand new urogynecology part comprises chapters on urinary and fecal incontinence and overactive bladder. different new chapters disguise stillbirth and mental problems of being pregnant and the postpartum. This variation additionally encompasses a sleek two-color layout, challenge situations, boxed pearls and pitfalls, key issues in the beginning of every bankruptcy, and extra algorithms, tables, and bulleted lists.
A better half web site bargains the absolutely searchable textual content and a picture financial institution which now permits any clinician, both in education or perform, to have in a single position what they should know.
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Additional info for Danforth's Obstetrics and Gynecology
Women should be cautioned about postpartum depression. Instructions from the pediatrician regarding care of the neonate should be reinforced, as well as encouraging follow-up should any problems occur. Although its value is open to question, it is customary to schedule an office visit 4 to 6 weeks postpartum. At this visit, inquiries should be made regarding breast-feeding, continued bleeding, resumption of sexual intercourse, use of appropriate contraception, and any difficulty with regard to voiding or bowel movements.
Midazolam has been used as an induction agent for cesarean delivery, but because of its ability to cross the placenta, it has produced neonatal respiratory depression and decreased body tone and temperature. Midazolam has not been recommended for use as a tranquilizer-sedative in labor, because its amnestic properties are unacceptable to most parturients. Barbiturates Barbiturates may be used in the latent phase of labor. Although they cause maternal sedation and decreased anxiety, barbiturates lack analgesic properties and may increase the perception of pain when given without concomitant administration of a narcotic.
While numerous small studies were performed to assess the safety of early discharge, most suffered from insufficient numbers to rule out an increase in adverse outcomes that, individually, are relatively uncommon. Bilirubin encephalopathy, a disorder rarely seen for the past 30 to 40 years, has recently been reported to be on the rise. Bilirubin peaks at 5 days in formula-fed infants but may peak as late as 7 to 10 days in breast-fed infants. Breast milk production is minimal in the first 48 hours after delivery and does not reach 80% of full volume until 4 days postpartum.