By James R. Scott, Ronald S. Gibbs, Beth Y. Karlan, Arthur F. Haney
A center reference for citizens and practitioners for over 35 years, Danforth's Obstetrics and Gynecology is now in its completely revised 9th variation. to make sure whole, authoritative insurance of modern alterations in obstetrics and gynecology, Dr. Scott has chosen 3 extraordinary new co-editors: Ronald S. Gibbs, MD, a consultant in maternal-fetal medication and infectious ailments; Beth Karlan, MD, a gynecologic oncologist; and Arthur Haney, MD, a reproductive endocrinologist. content material has been reorganized to target the trendy scientific perform of obstetrics and gynecology with greatest authority. This variation has extra tables and algorithms that may velocity entry to severe info.
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Extra resources for Danforth's Obstetrics and Gynecology 9th Edition
Readers seeking specific information on how to perform the various obstetric anesthetic techniques are referred to one of the basic obstetric anesthesia textbooks ( 1 ). Obstetric analgesia or anesthesia refers to the multiple techniques useful for the alleviation of the pain associated with labor, delivery, or surgery. The choice of an appropriate analgesic technique must be made by the patient, the obstetrician, and the anesthesiologist and should take into consideration the patient's anatomy and physiology, the status of her fetus, the obstetric plan for delivery, and the pharmacology of the drugs to be employed ( 2 ).
Breast-feeding should continue, as drainage of the breast has therapeutic value. Neglected or recurrent infections and infections with resistant organisms can lead to a breast abscess. Treatment of an abscess usually involves intravenous antibiotics and aspiration or surgical drainage. NEWBORN CARE Immediate Assessment and Resuscitation The transition from fetus to newborn infant is the most dramatic physiologic change that occurs in the human life span. The fetus that received all of its oxygen and nutritional needs via the placenta must now use two entirely different, essentially dormant organ systems to meet these needs.
However, women who are dehydrated may benefit from intravenous hydration. , those with prior postpartum hemorrhage, prolonged labor, or overdistended uterus). In most women, laboratory evaluation upon presentation in labor can be minimized. Although in many units it is customary to perform routine admission blood type and antibody screen, hemoglobin and hematocrit, and syphilis serology, the necessity and cost-effectiveness of repeating these tests in healthy women who have received adequate prenatal care is debatable.