TAILIEUCHUNG - Update on Medical Disorders in Pregnancy

I am delighted to have the opportunity to edit this important issue of Obstetrics and Gynecology Clinics of North America on the topic of Medical Complications in Pregnancy. The broad field of medicine changes rapidly, with constantly occurring new breakthroughs, approaches, and recommendations. The area of medical disorders in pregnancy encompasses a broad range of diseases; a woman may have a long-term chronic disorder that can have major implications for undertaking a pregnancy. Yet, other medical conditions are unique to pregnancy but also influence gestational outcomes. Although the obstetrician has to be knowledgeable in regard to the normal physiologic changes occurring with gestation, understanding the interplay of medical conditions. | Update on Medical Disorders in Pregnancy Contents Foreword xv William F. Rayburn Preface xvii Judith U. Hibbard Pregestational Diabetes 143 Gabriella Pridjian The prevalence of preexisting diabetes in pregnancy is increasing largely because of an increase in type 2 diabetes. Outcomes of diabetic pregnancies for mother and newborn have improved greatly in recent decades from advances in understanding the disease process improved education and new treatment modalities delivered in a team approach. Nausea and vomiting from pregnancy and pregnancy-associated insulin resistance can make glycemic control a challenge. Care of women with preexisting diabetes demands careful monitoring in the preconception prenatal and peripartum periods. Asthma in Pregnancy Pathophysiology Diagnosis and Management 159 Abbey J. Hardy-Fairbanks and Emily R. Baker Asthma is a common potentially serious even life-threatening chronic medical condition seen amongst nearly all groups of patients regardless of ethnicity and socioeconomic circumstances. This article addresses the group of pregnant women with symptomatic asthma as well as those whose asthma is asymptomatic as a result of good control. The incidence the pathophysiologic changes of pregnancy and the interplay between these changes and asthma are reviewed in this article. The classification of these patients and appropriate management strategies are discussed. Diagnosis and Management of Thyroid Disease in Pregnancy 173 Diana L. Fitzpatrick and Michelle A. Russell Thyroid disease is common affecting 1 to 2 of pregnant women. Pregnancy may modify the course of thyroid disease and pregnancy outcomes can depend on optimal management of thyroid disorders. Consequently obstetric providers must be familiar with thyroid physiology and management of thyroid diseases in pregnancy. Following a brief overview of physiology this article provides an in-depth review of diagnosis and management of the spectrum of thyroid disease occurring in .

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