Fetal anomaly

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  • This book is the long-anticipated sequel to the first edition of Psychological Aspects of Women’s Health Care written almost a decade ago. In this edition, the authors continue the tradition of writing and speaking plainly about the fascinating, and at times baffling, relationships between women patients and their obstetrician and gynecologist physicians. As the authors note, the field has changed dramatically since the first volume was published.

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  • Rubella (See also Chap. 186) Rubella virus is a known teratogen; first-trimester rubella carries a high risk of fetal anomalies, though the risk decreases significantly later in pregnancy. Congenital rubella may be diagnosed by percutaneous umbilical blood sampling with the detection of IgM antibodies in fetal blood. All pregnant women should be screened for their immune status to rubella. Indeed, all women of childbearing age, regardless of pregnancy status, should have their immune status for rubella verified and be immunized if necessary.

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  • Ultrasound has become an integral component of obstetric care, with the vast majority of patients having at least one ultrasound examination during pregnancy. From the determination of early pregnancy and gestational age to the evaluation of fetal growth and well being, ultrasound is a valuable diagnostic tool for the practicing obstetrician. Recent advances in obstetric ultrasonography have increased its importance in managing pregnancies at risk for aneuploidy, structural anomalies, preterm delivery, and blood flow abnormalities. ...

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  • Diabetes Mellitus in Pregnancy: Treatment Pregnancy complicated by diabetes mellitus is associated with higher maternal and perinatal morbidity and mortality rates. Preconception counseling and treatment are important for the diabetic patient contemplating pregnancy and can reduce the risk of congenital malformations and improve pregnancy outcome. Folate supplementation reduces the incidence of fetal neural tube defects, which occur with greater frequency in fetuses of diabetic mothers.

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