Comprehensive and clinical, the 3rd Edition of this popular text examines the full range of challenges in general obstetrics, medical complications of pregnancy, prenatal diagnosis and fetal disease, and management of labor and delivery. World-recognized authorities employ an evidence-based management approach throughout and explore a series of options to equip you to select the most appropriate treatment for each patient. A significantly updated appendix of Normal Values for both the fetus and pregnant woman enable you to chart and track your patients' conditions. Plus, clearly designed boxes summarize management options for each condition, saving you time and placing a wealth of expert guidance at your fingertips. Examines a full-range of high-risk pregnancy problems-and offers expert advice and treatment options-to prepare you for clinical challenges and save you time in addressing them. Uses a consistent organization and at-a-glance summary boxes for fast and easy reference. Offers a significantly updated appendix of Normal Values for both the fetus and pregnant woman to help you chart your patients' conditions. Includes a bonus CD-ROM, containing illustrations from the book, video clips, and summaries of management approaches, for convenient access to the material where and when you need it. Presents increased coverage of genetics-along with information on fetal pain, fetal surgery, and other developments in fetal medicine¬. Delivers revised "Summary of Management Approaches" boxes providing you with a range of evidence-based management options from which to choose. Features two-color throughout with numerous four-color images for greater accuracy in confirming your clinical diagnoses.

List of Contributors v Evidence-Based Summary of Management Options Boxes xv Preface to the First Edition xvii Preface xix Section 1 Pregnancy 1 1 Prepregnancy Antecedents of a High Risk Pregnancy 3 2 Genetics, Risk, and Genetic Counseling 43 Section 2 Early Prenatal Care 65 3 Planning Prenatal Care and Identification of Risk (Screening) 67 4 Bleeding and Pain in Early Pregnancy 84 5 Recurrent Miscarriage 105 6 Midpregnancy Problems 125 7 First Trimester Screening for Fetal Abnormalities 138 8 Second Trimester Screening for Fetal Abnormalities 157 9 Counseling and Management of an Abnormal Result on a Screening or Diagnostic Test for Fetal Abnormality 191 10 Invasive Procedures for Antenatal Diagnosis 209 Section 3 Late Prenatal-Fetal 227 11 Critical Evaluation of Fetal Assessment Methods 229 12 Fetal Growth Disorders 240 13 Hydramnios and Oligohydramnios 272 14 Fetal Hemolytic Disease 291 15 Fetal Thrombocytopenia 313 16 Fetal Cardiac Arrhythmias Diagnosis and Therapy 325 17 Fetal Cardiac Abnormalities 341 18 Fetal Craniospinal and Facial Abnormalities 369 19 Fetal Genitourinary Abnormalities 399 20 Fetal Gastrointestinal Abnormalities 422 21 Fetal Skeletal Abnormalities 450 22 Fetal Thyroid and Adrenal Disease 474 23 Fetal Tumors 491 24 Fetal Problems in Multiple Pregnancy 524 25 Fetal Hydrops 561 26 Fetal Death 574 Section 4 Infection 581 27 Intrauterine Infection, Preterm Parturition, and the Fetal Inflammatory Response Syndrome 583 28 Hepatitis Virus Infections 606 29 Human Immunodeficiency Virus 620 30 Rubella, Measles, Mumps, Varicella, and Parvovirus 636 31 Cytomegalovirus, Herpes Simplex Virus, Adenovirus, Coxsackievirus, and Human Papillomavirus 648 32 Other Infectious Conditions 671 33 Parasitic Infections 697 Section 5 Late Prenatal-Maternal 719 34 Substance Abuse 721 35 Medication 742 36 Hypertension 772 37 Cardiac Disease 790 38 Respiratory Disease 828 39 Anemia and White Blood Cell Disorders 865 40 Malignancies of the Hematologic and Immunologic Systems 889 41 Thrombocytopenia and Bleeding Disorders 901 42 Clotting Disorders 925 43 Thromboembolic Disease 938 44 Autoimmune Disease 949 45 Diabetes 986 46 Thyroid Disease 1005 47 Pituitary and Adrenal Disease 1018 48 Hepatic and Gastrointestinal Disease 1032 49 Neurologic Disorders 1061 50 Renal Disorders 1098 51 Spine and Joint Disorders 1125 52 Skin Disease 1138 53 Malignant Disease 1163 54 Pregnancy After Transplantation 1174 55 Trauma 1187 56 Psychiatric Disorders 1213 Section 6 Prenatal-General 1229 57 Abdominal Pain 1231 58 Nonmalignant Gynecology 1248 59 Bleeding in Late Pregnancy 1259 60 Multiple Pregnancy 1276 61 Screening for Spontaneous Preterm Labor and Delivery 1293 62 Threatened and Actual Preterm Labor Including Mode of Delivery 1304 63 Prelabor Rupture of the Membranes 1321 64 Breech Presentation 1334 65 Unstable Lie, Malpresentation, and Malpositions 1359 66 Prolonged Pregnancy 1376 67 Labor-An Overview 1383 68 Induction of Labor and Pregnancy Termination for Fetal Abnormality 1392 69 Poor Progress in Labor 1426 70 Shoulder Dystocia 1443 71 Fetal Distress in Labor 1450 72 Central Neuraxial, Analgesia, and Anesthesia in Obstetrics 1473 73 Perineal Repair and Pelvic Floor Injury 1499 74 Assisted Vaginal Delivery 1514 75 Delivery After Previous Cesarean Section 1531 76 Cesarean Section 1543 Section 7 Postnatal 1557 77 Postpartum Hemorrhage and Other Problems of the Third Stage 1559 78 Puerperal Problems 1579 79 Major Obstetric Hemorrhage and Disseminated Intravascular Coagulation 1606 80 Critical Care of the Obstetric Patient 1624 81 Domestic Violence 1641 82 Resuscitation and Immediate Care of the Newborn 1650 Appendix Normal Values 1665 Index 1735