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Normal Lab Values In Pregnancy
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The Placenta
The placenta is the central player of the maternal–fetal interface, able to communicate with both the fetus and the mother and to regulate signals from one to the other. Consequently, disturbing its development, growth, or function can have major impacts…
Substance Abuse in Pregnancy
Recreational drug abuse has increased dramatically in recent years. Approximately 250,000 women in the United States abuse intravenous (IV) drugs, and nearly 90% of them are of childbearing age. Maternal drug addiction may result in life-threatening complications for both the…
Genetic Counseling
Women with congenital heart disease have an increased risk of complications for themselves and their babies, as well as an increased risk of having children with heart disease. Ideally, genetic counseling should take place before pregnancy (see Chapter 4 ),…
Infertility Treatment
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Termination of Pregnancy
In situations when gestation carries a significant fetal or maternal risk, it may be appropriate to terminate the pregnancy. The safest time for termination is during the first trimester. Abortions may be induced by medication or performed surgically. This chapter…
Contraception
High-Risk Patient Populations The highest-risk patients are those with pulmonary hypertension and those with prior peripartum cardiomyopathy. The American College of Cardiology recommendations for women with adult congenital heart disease are as follows: 1. Women of childbearing potential with congenital…
Breastfeeding
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COVID-19 in Pregnant Patients
Over the past few years, the coronavirus disease 2019 (COVID-19) pandemic has affected nearly every aspect of human life, including, of course, health care. For expecting women, the normal anxiety of pregnancy has been heightened by concern over the possible…