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The Midwives' Guide to Key Medical Conditions


Synopsis


The Midwives' Guide to Key Medical Conditions is designed to help practitioners manage pregnancy and childbirth in women with systemic disease, recognize the early onset of disease-related pregnancy complications, and determine when it may be necessary to refer patients to another member of the healthcare team. The volume is ideal for all midwives, whether qualified or in training.

    • Written by well-known authorities in the field to ensure that the information is perfectly tailored to the midwifery student
    • Accessible writing style and clear artwork program helps make learning easy
    • Recaps on the underlying anatomy and physiology for the relevant body system
    • Explains the normal physiological changes that occur during pregnancy
    • Summarises the relative risk of the specific disorder in the context of overall maternal mortality
    • Explains the pathophysiology of a given condition, with emphasis on its impact on pregnancy
    • Explores the relevant management the neonate and the likely impact of the medical disorder on future pregnancies
    • Places particular emphasis on the management of critical illness and medical emergencies
  • Risk management and the use of pathways of care
  • Management of obesity
  • Sepsis and infectious diseases
  • Additional pre-existing chronic disorders

Linda Wylie, Helen Bryce

Summary



Chapter 1: Hypertension
The first chapter of the book, The Midwives' Guide to Key Medical Conditions, focuses on hypertension, also known as high blood pressure. The author defines hypertension as a condition where the blood pressure in the body is consistently higher than normal. The chapter covers the causes, signs and symptoms, and treatments for hypertension.

Real-life example:
Sophia, a pregnant woman, schedules a routine check-up with her midwife. She has been experiencing headaches and dizziness lately, and her midwife notices that her blood pressure is higher than normal. The midwife immediately recognizes it as hypertension and advises Sophia to seek further medical treatment.

Chapter 2: Anemia
The second chapter discusses anemia, a condition where the body lacks enough healthy red blood cells. The author explains the different types of anemia, including iron-deficiency anemia, sickle cell anemia, and pernicious anemia, and how it can affect pregnant women.

Real-life example:
Maya, a pregnant woman, presents to her midwife with symptoms of fatigue, weakness, and shortness of breath. The midwife suspects anemia and orders a blood test, which confirms that Maya has iron-deficiency anemia. The midwife then prescribes iron supplements and advises Maya to increase her iron intake through her diet.

Chapter 3: Gestational Diabetes
In this chapter, the midwife guide covers gestational diabetes, a condition where women develop high blood sugar levels during pregnancy. The chapter discusses the risk factors, screening, and management of gestational diabetes.

Real-life example:
Anna, a pregnant woman, is diagnosed with gestational diabetes during her routine glucose tolerance test. Her midwife educates her about the importance of controlling her blood sugar levels through diet, exercise, and medication if needed. The midwife also coordinates with a diabetes specialist for additional care.

Chapter 4: Pre-eclampsia
This chapter explains the serious pregnancy complication called pre-eclampsia, which is characterized by high blood pressure and may lead to organ damage if left untreated. The author discusses the signs and symptoms, risk factors, and treatment for this condition.

Real-life example:
Lila, a pregnant woman, presents to her midwife with sudden swelling in her hands and feet, along with high blood pressure. The midwife recognizes these as signs of pre-eclampsia and refers Lila to the hospital for further monitoring and management.

Chapter 5: Thrombocytopenia
Thrombocytopenia is a condition where the body has a low number of blood cells that help with clotting. This chapter delves into the different types of thrombocytopenia, their causes and treatments, and how they may affect pregnancy.

Real-life example:
Maria, a pregnant woman, is diagnosed with immune thrombocytopenia (ITP) during her pregnancy, which causes her to have a low platelet count. Her midwife coordinates with an obstetrician and hematologist to closely monitor her condition and prescribe appropriate treatment to prevent complications during delivery.

Chapter 6: Asthma
The author of this chapter discusses asthma, a chronic respiratory condition that can worsen during pregnancy. The chapter covers the triggers, signs and symptoms, and management of asthma in pregnant women.

Real-life example:
Michelle, a pregnant woman, has a history of asthma and has been experiencing frequent episodes of shortness of breath. Her midwife educates her about the potential risks that asthma can pose during pregnancy and helps her develop an asthma action plan to prevent and manage flare-ups.

Chapter 7: Mental Health Disorders
This chapter delves into the various mental health disorders that may affect pregnant women, such as depression, anxiety, and postpartum psychosis. The author explains the importance of identifying and treating these conditions to ensure the well-being of both the mother and the baby.

Real-life example:
Danielle, a pregnant woman, has a history of depression and is experiencing heightened symptoms during her pregnancy. Her midwife collaborates with a mental health professional to provide her with appropriate treatment and support throughout her pregnancy and postpartum period.

Chapter 8: Epilepsy
Epilepsy, a neurological disorder characterized by recurring seizures, is the focus of this chapter. The author discusses how pregnancy affects epilepsy and vice versa and provides recommendations for managing seizures during pregnancy.

Real-life example:
Amber, a pregnant woman with epilepsy, schedules a consultation with her midwife to discuss any potential risks during her pregnancy. Her midwife works with her neurologist to adjust her medication and provide effective seizure management strategies during her pregnancy.

In conclusion, The Midwives' Guide to Key Medical Conditions covers a broad range of conditions that may affect pregnant women, providing essential information and real-life examples to aid midwives in their practice. This book serves as an invaluable resource for midwives and healthcare professionals, ensuring the best possible care for pregnant women with medical conditions.