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This book surveys the normal obstetrics encountered in primary care and serves as a practical guide to the evaluation and management of common prenatal, peripartum and postpartum complications. Thoroughly revised and updated, Obstetrics in Family Medicine, Second Edition, addresses the major issues and problems related to each stage and outlines management protocols. It provides critical information about physical and ultrasound examinations, laboratory tests, drug toxicities, and screening techniques and highlights new and emerging areas of obstetrical care, such as prenatal testing protocols, treatment options for HIV in pregnancy and antenatal monitoring. Key points for each topic are summarized in tabular form for quick reference and diagnostic flow charts illuminate all aspects of the decision-making process. Concise and clinically oriented, this book is designed to help primary and family medicine physicians improve the quality of women´s health care.

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I Preconception and Prenatal Care

1. Physiology

2. Preconception Counseling

3. Prenatal Care

4. Medications in Pregnancy

II Complications of Pregnancy

5. Dysmorphic Growth and Genetic Abnormalities

6. Intrauterine Growth Restriction

7. Preterm Labor

8. Premature Rupture of Membranes

9. Early Pregnancy Bleeding

10. Late Pregnancy Bleeding

11. Recurrent Pregnancy Loss

12. Rh Isoimmunization

13. Infection in Pregnancy

14. Hypertension in Pregnancy

15. Diabetes in Pregnancy

16. Multi gestational Pregnancy

17. Post-Dates Pregnancy

III Labor and Delivery

18. Normal Labor

19. Induction and Augmentation

20. Pain Management in Labor

21. Operative Delivery

IV Complications of Labor and Delivery

22. Prolonged Labor

23. Shoulder Dystocia

24. Malpresentation

25. Fetal Heart Rate Monitoring

26. Maternal Fever in Labor

27. Postpartum Hemorrhage

28. Perineal Laceration and Episiotomy

V Postpartum Management

29. Newborn Evaluation

30. Routine Hospital Postpartum Management

31. Complications of the Hospital Postpartum Period

Index

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Paul Lyons, MD

Department of Family Medicine

University of California, Riverside

Riverside, CA

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