[PDF] Drug Treatment In Obstetrics eBook

Author : R. S. Ledward
Publisher : Springer
Page : 324 pages
File Size : 18,57 MB
Release : 2013-11-11
Category : Medical
ISBN : 1489932968

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Everyone involved in obstetric practice at the present time will be well aware of the complexities of drug interactions in the mother and fetus, and in the newborn baby. Perhaps themost spectacular manifestations of these drug interactions are those that result in teratogenic effects, but the implications of drug therapy generally in pregnancy range far wider than the hazards of inducing fetal malformation. It must also be realised that there are hazards in withholding some therapeutic agents from pregnant women, and these hazards have to be weighed against the dangers of indis criminate drug therapy. It is often very difficult to obtain relevant information about any given compound in relation to its use in pregnancy, and it is therefore appropriate to provide a handbook which brings together information about a wide variety of drugs in a form which allows ready access for the practising clinician. Rodney Ledward first discussed this project with me some years ago, and it seemed to me at the time that with his background as both a pharmaceutical chemist and an obstetrician that his talents were particularly well suited to this task. In conjunction with Professor Hawkins, he has produced a concise reference book for use in clinical practice, which I feel confident will prove to be invaluable to all those practising obstetrics at all levels of seniority. . The book covers the use of drugs during pregnancy, but it also includes sections on the transfer of drugs into breast milk.

Author : Gerald G. Briggs
Publisher : ASHP
Page : 553 pages
File Size : 20,92 MB
Release : 2009-01-01
Category : Medical
ISBN : 1585283371

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Introducing Diseases, Complications, and Drug Therapy in Obstetrics— A Guide for Clinicians. Edited by Gerald Briggs and Michael Nageotte, two of the leading names in maternal-fetal medicine, this new resource both answers your questions and provides practical tools for your daily patient care. This book is comprised of 27 chapters and broken down in three key sections: I. General Considerations in Pregnancy and Lactation II. Complications Unique to Pregnancy III. Treatment of Chronic Diseases in Pregnancy In sections II and III, case discussions bookend the chapters and there are extensive figures, tables, and discussion questions throughout. This text is designed to help you navigate the best course of treatment for your patients. Learn how to safely treat expectant mothers who suffer from chronic diseases, such as: Asthma Depression Gestational diabetes Epilepsy Chronic hypertension Infectious disease Nausea Autoimmune disease Thromboembolic disease Thyroid disease The two expert editors and thirty-two contributors cover many of the questions your patients may ask, including: - Which over-the-counter medicines are safe? - What physiologic changes are normal during pregnancy? - Will this cause my baby any developmental delays? - Is this medication safe during lactation? If you work with pregnant women and lactating mothers, you need to understand the risks and rewards of drug therapy. Your well-informed choices can save lives.

Author : Tom K. A. B. Eskes
Publisher : Elsevier
Page : 241 pages
File Size : 20,84 MB
Release : 2013-10-22
Category : Medical
ISBN : 1483162982

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Drug Therapy During Pregnancy is a collection of papers dealing with the risks and benefits of drug treatment for both mother and fetus. One paper notes that the total use of medication during pregnancy in the Netherlands has decreased from 82.7 % to 71.7 %. The paper also points out the lack of a relationship between the number or type of congenital anomalies and the use of medication. Another paper assesses fetal drug exposure in two ways: firstly, through the physicochemical characteristics of the drug and the way it is handled by the mother in order to estimate placental passage and fetal exposure. Secondly, through the utilization of pharmacokinetic models estimating the probable time course of drug concentrations in the feto-maternal unit. One paper investigates the effects of hypertension during pregnancy, in which the etiology of hypertension, a group of disorders with one common abnormality, remains unsolved with a clinical diagnosis that is not always accurate. Treatment differs widely depending on the type: chronic hypertension, albuminuric hypertension, and hypertensive crises during pregnancy. One paper suggests that to prove any environmental exposure to a particular substance affecting pregnancy, the exact timing of exposure must be established, large samples are necessary, possibly on a national or international scale. The paper cites as example the four-year documentation period of the 50% to 80% incidence of malformations due to thalidomide. General medicine practitioners, obstetricians, gynecologists, and researchers dealing with pharmacology, pharmocokinetics, toxicology, or embryology will find the collection valuable.

Author : Hendree E. Jones
Publisher : Oxford University Press
Page : 229 pages
File Size : 38,43 MB
Release : 2013-03-28
Category : Medical
ISBN : 0199968551

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This book provides a first in-depth, comprehensive, and evidenced-based overview of the treatment of substance use disorders in the pregnant patient. It provides readers with materials that will not only aid them in identifying, assessing, and understanding the issues involved in treating these women, but also the practical tools to implement the best practices from comprehensive care programs specializing in this sort of treatment. Each chapter strikes a balance between the best scientific information available and reasoned, clinical wisdom to fill in where evidence-based information is unavailable — all in a form that is practical and accessible. It is a valuable tool for clinicians and service providers across disciplines.

Author : Hilary Smith Connery
Publisher : Elsevier Health Sciences
Page : 185 pages
File Size : 18,15 MB
Release : 2014-06-28
Category : Medical
ISBN : 032329944X

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This issue of Obstetrics and Gynecology Clinics of North America deals with the timely subject of substance use during pregnancy. Alcohol, tobacco, and illicit drug use is prevalent among reproductive-age women. Even though a reduction in use often occurs during pregnancy, many women continue to use substances until a pregnancy is either actually diagnosed or well underway.This issue consists of a well-qualified team of obstetricians-gynecologists, psychiatrists, and family physicians, focusing on various issues related directly to pregnancies complicated by substance use. Topics of interest include epidemiology and screening for hazardous and harmful substance use, teratogenic risks, psychiatric comorbidities, comprehensive treatment approaches before and after delivery, fetal surveillance, and team-based perinatal management. Particularly new information relates to prescribing buprenorphine, neonatal abstinence syndrome, and adolescent substance use.

Author : Gerald I. Zatuchni
Publisher :
Page : 564 pages
File Size : 37,74 MB
Release : 1996
Category : Medical
ISBN :

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This handbook outlines drug information for the treatment of women, with specific recommendations for pregnant and breastfeeding patients. It includes the mechanisms of action, indications, contra-indications, adverse effects, dosage and availability of different formulations. Alphabetical listing and consistent format make it easy to use.

Author : Peter Lewis
Publisher : Elsevier
Page : 406 pages
File Size : 36,22 MB
Release : 2013-10-22
Category : Medical
ISBN : 1483193454

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Clinical Pharmacology in Obstetrics presents an extensive examination of drug usage in pregnancy. It discusses the principles behind the adverse effects of drugs on the fetus. It addresses studies in the drug treatment of heart disease in pregnancy. Some of the topics covered in the book are the examination of pharmacokinetics in pregnancy; analgesia intake of pregnant women; drug treatment of gastrointestinal disorders; antibiotics and antimicrobial chemotherapy; anemia and hematinics of pregnant women, use of cytotoxic drugs; and treatment of threatened and recurrent abortion. The definition and description of antihypertensive drugs, therapy for asthma, and tocolytic therapy for pretern labor are fully covered. An in-depth account of the prophylactic treatment of idiopathic respiratory distress syndrome is provided. The drug treatment of thyroid and adrenal disease are completely presented. A chapter is devoted to description and effect of perinatal drugs on new born baby. Another section focuses on the treatment of renal disease. The book can provide useful information to obstetricians, doctors, students, and researchers.

Author : R. S. Ledward
Publisher : Springer
Page : 271 pages
File Size : 24,40 MB
Release : 2013-12-20
Category : Medical
ISBN : 1489932984

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Everyone involved in obstetric practice at the present time will be well aware oft he complexities of drug interactions in the mother and fetus, and newborn infant. Perhaps the most spectacular manifestations of these drug interactions are those that result in teratogenic effects, but the implications of drug therapy generally in pregnancy range far wider than the hazards of inducing fetal malformation. It must also be realised that there are hazards in withholding some therapeutic agents from pregnant women, and these hazards have to be weighed against the dangers of indiscriminate drug therapy. It is often very difficult to obtain relevant information about any given compound in relation to its use in pregnancy, and it is therefore appropriate to provide a handbook which brings together information about a wide variety of drugs in a form which allows ready access for the practising clinician. Rodney Ledward first discussed this project with me some years ago, and it seemed to me at the time that with his background as both a pharmaceutical chemist and an obstetrician that his talents were particularly well suited to this task. In conjunction with Professor Hawkins, he has produced a concise reference book for use in clinical practice, which I feel confident will prove to be invaluable to all those practising obstetrics at all levels of seniority. The book covers the use of drugs during pregnancy, but it also includes sections on the transfer of drugs into breast milk.

Author : Laura M. Sanders
Publisher : Bloomsbury Publishing USA
Page : 211 pages
File Size : 47,22 MB
Release : 1998-08-27
Category : Health & Fitness
ISBN : 0313025053

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Pioneering evidence is presented in this book to support the effectiveness of peer counseling for substance abuse treatment of pregnant women and their families. The introduction by Barry R. Sherman describes his personal experience as a behavioral scientist doing work in a culture other than his own. A comprehensive overview of the crack epidemic and its impact on women is followed by an up-to-date account of acupuncture in addiction treatment. The authors use the theory and principles of social learning to justify the peer counselor model known as SISTERS. Chapters include discussions of conducting culturally competent research, development and validation of the Abstinence Self-Efficacy Scale (ASES) and the Traumatic Life Events (TLE) Inventory, as well as the social support systems of drug-dependent women. Both quantitative and qualitative methods are used to evaluate program impact. A urine toxicology index of sobriety as well as empirical measures of psychosocial functioning and client satisfaction demonstrate sufficient success and cost-effectiveness of the program to warrant serious support by health care providers and insurance companies.