- Updated evidence-based content includes the latest AHWONN standards of practice. - Patient safety and risk management strategies include updated approaches to improving outcomes, reducing complications, and increasing patient safety during high risk pregnancy and delivery. - New Venous Thromboembolic Disease chapter provides current information on this increasingly common condition. - Information on the latest assessment and monitoring devices keeps you current with today's technology. - Standardized terminology and definitions from the National Institute of Child Health & Human Development (NICHD) lead to accurate and precise communication.

Thoroughly revised edition of this well-known text is prompted by the popularity of the previous edition among both students and practitioners. The revised edition has been endeavoured keeping the key objective of Dr Fernando Arias alive—to provide Obs & Gynae residents, fellows in Maternal–Fetal Medicine, obstetricians, general physicians and interested nurses and medical students with a source of practical information about complications of pregnancy.• Most of the chapters have been completely re-written. • A new chapter 'Impact of Advances in Genetics on Prenatal Diagnosis' has been added, which does justice to the enormous advances in the field of Prenatal Genetics in the recent years. • Our understanding of multiple pregnancies has increased considerably. A separate chapter on multiple pregnancy has been added given that multiple pregnancies are at high risk of developing problems and therefore require greater attention. • An entire section of intrapartum problems has been added, making this a comprehensive Obstetric text. • The editors have managed to persuade leaders in the field to write for this edition. The chapters are authored by researchers working on the coalface. Their first-hand experience, knowledge, wisdom and hard work are evident in this edition.

High Risk Pregnancy examines the full range of challenges in general obstetrics, medical complications of pregnancy, prenatal diagnosis, fetal disease, and management of labor and delivery. Drs. David James, Philip J. Steer, Carl P. Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson present an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient. This comprehensive reference features the fully searchable text online at www.expertconsult.com, as well as more than 100 videos of imaging and monitoring. giving you easy access to the resources you need to manage high risk pregnancies. Prepare for clinical challenges and save time in addressing them thanks to expert advice on treatment options from international contributors. Find and apply the information you need quickly and easily through a consistent organization and at-a-glance summary boxes that discuss evidence-based management options. Access the fully searchable text online at www.expertconsult.com, along with links to Medline. View over 140 videos of detailed fetal imaging and monitoring that aid in diagnoses. Tap into recent developments in treatment and management in four new chapters—Global Maternal & Perinatal Health Issues; Recurrent Pregnancy Loss; Surveillance of the Fetus and its Indications; and Training for Obstetric Emergencies. Apply new evidence-based management options to treat genetic and constitutional factors leading to a high-risk pregnancy (such as diabetes, obesity, hypertension, and cardiac disease) through new and expanded coverage of these increasingly common presentations. Reference pregnancy-relevant laboratory values with an updated and comprehensive appendix on "Normal Values in Pregnancy." Effectively manage patients newly diagnosed with hematologic and immunologic malignancies, and explore the available drug options. Confirm your diagnoses with greater confidence thanks to full-color images throughout the text.

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

This book is a must-have for all health professionals involved in the care of women with high risk pregnancies. It is a concise and practical resource for all perinatal care and a reference for the diagnosis and management of high risk pregnancy. The fifth edition of this classic, focuses on factors affecting pregnancy, genetics, practical diagnostic techniques, maternal diseases in pregnancy and pregnancy complications, labor, anesthesia, and neonatal considerations. Dr Queenan is joined in the fifth edition by a new editor, Catherine Spong. The book will take an explicitly evidence-based approach this time around and will expand upon several important areas; genetics, doppler ultrasound, prevention, AIDS, group B streptococcus, preeclampsia, and prematurity.

The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.