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Obstetrical Decisions and Neonatal Outcomes The nature of obstetrical practice requires consideration of two patients: mother and fetus. Their intrinsic biological interdependence creates unique challenges not typically encountered in other realms of medical practice. Often there is a paucity of…
Cardiovascular disease (CVD) is the leading cause of mortality among women in the United States and developed countries. Women on average experience CVD mortality about 10 years later than men. However, women experience a higher fatality rate following a first…
Critical care, as a branch of medicine, is a young specialty. Specialized intensive care units (ICUs) date only from the 1950s, having arisen either in response to polio epidemics, in which patients needed respiratory care up to and including mechanical…
An estimated 1% to 3% (40,000 to 120,000) of pregnant women require critical care services in the United States each year. Most admissions are related to hemorrhage, hypertension, or cardiac disease. , When a woman requires any of the following…
The physical and hormonal alterations induced by pregnancy, childbirth, and the puerperium are associated with numerous cutaneous changes. Some occur so frequently that they are not considered abnormal and vary only in degree. This chapter discusses these physiologic changes, the…
Substance use, substance misuse, and substance use disorder (SUD) or addiction are among the most complex clinical and public health challenges that affect individuals, families, and society. Most people in the United States have used a substance, but only some…
Epidemiology Approximately one in five women experiences a major depressive episode (MDE) over the course of her lifetime. Chronic psychotic disorders are less common, affecting about 1% of women. The risk for developing any type of depressive, bipolar, or chronic…
Women are as susceptible to neurologic disorders during gestation as at other times, and certain disorders may be aggravated or influenced by pregnancy. Investigation and management of many neurologic disorders may be complicated by the pregnancy and by concern about…
Systemic Lupus Erythematosus Systemic lupus erythematosus (SLE) is a systemic autoimmune disease with multiorgan involvement characterized by periods of remission and relapse. The clinical presentation varies considerably, but the disease tends to affect the joints, skin, kidneys, serous membranes, hematologic…