Jayaprakasan, Kanna.

Clinical Management of Pregnancies following ART. - 1 online resource (256 pages) - eBooks on Demand .

Preface -- Contents -- Contributors -- Chapter 1: Pre-conception Risk Assessment: Medical Problems -- Introduction -- General Advice -- Women with Pre-existing Medical Disorders -- Diabetes and Impaired Glucose Tolerance -- Thyroid Disorders -- Essential Hypertension -- Cardiac Disease -- Epilepsy -- Asthma -- Connective Tissue and Auto-immune Disorders -- Mental Disorders -- Patients at Higher Risk of Developing Problems due to Increased Age and BMI -- Thrombo-Embolic Disease -- Ovarian Hyperstimulation Syndrome -- Impact of Pre-conceptional Care -- Summary -- References -- Chapter 2: Pre-conception Risk Assessment: Gynaecological Problems -- Introduction -- Fibroids -- Effect on Fertility and Pregnancy -- Submucous Fibroids -- Intramural Fibroids -- Subserosal Fibroids -- Management -- Hormonal Treatment -- Interventional Radiology -- Surgical Treatment -- Endometrial Polyps -- Effect on Fertility -- Management -- Congenital Uterine Anomalies -- Effect on Fertility and Pregnancy -- Septate Uterus -- Management -- Unicornuate Uterus -- Bicornuate Uterus -- Uterus Didelphys -- Intrauterine Adhesions -- Effect on Fertility and Pregnancy -- Management -- Endometriosis -- Effect on Fertility -- Management -- Adenomyosis -- Pathogenesis -- Management -- Hydrosalpinx -- Effect on Fertility and Pregnancy -- Management -- Conclusion -- References -- Chapter 3: Psychological Difficulties and Mental Ill-­Health Associated with ART -- Introduction -- Brief Discussion About Screening for a Mental Health Problem Which May Be Impacted Upon by Treatment with ART -- Anthropological and Socio-Cultural Considerations That May Help a Fertility Specialist Understand a Couple's or an Individual Patient's Response to the Stresses of Infertility (or Sub-fertility) and Its Treatment with ART. Socio-Cultural Factors Which Interact with Biology to Modify an Individual's Natural Fertility -- Theories of Infertility: The Contribution of Ideas About Conception and Spiritual and Social Disharmony -- The Pursuit of Treatment -- Clinical Scenarios -- Scenario 1: A Woman with a Pre-existing Severe Mood Disorder Who Relapses During Treatment for Sub-fertility and Shows Signs of Recurrence of a Depressive Psychosis -- Learning Points from Scenario 1 -- Scenario 2: A Woman with Pre-existing Severe Mood Disorder Who, with Pre-conceptual Advice and Robust Management of Her Mental Illness During Fertility Treatment, Conceives with IVF and Remains Well During Pregnancy and Postpartum -- Learning Points from Scenario 2 -- Scenario 3: A Woman Conceives Through Egg Donation with Husband's Sperm and Subsequently Develops Symptoms Thought to Be Related to the Stress and Anxiety Generated by Repeated Attempts to Conceive -- Learning Points from Scenario 3 -- Scenario 4: A Woman Undergoes Fetal Reduction for Triplet Pregnancy and Subsequently Develops a Severe Postpartum Depressive Illness After the Birth of Twins -- Learning Points from Scenario 4 -- Scenario 5: A Woman in a Same-Sex Relationship with a History of Mental Health Problems Who Struggles with Severe Anxiety in a Pregnancy Conceived with AID -- Learning Points from Scenario 5 -- Scenario 6: A Single, Heterosexual Woman Who Chooses Not to Reveal Her Long-Standing Problems with Severe Anxiety When Embarking on an IVF Pregnancy Because of the Concern That She May Be Refused ART -- Learning Points from Scenario 6 -- Scenario 7: Cultural and Ethical Issues Arising in the Case of a South Asian Muslim Woman, Married to a Man with Poorly Controlled Schizophrenia, Who Sought Fertility Treatment in Her Home Country Because She Had Not Been Successful in Accessing It in -- Learning Points from Scenario 7. Conclusion -- References -- Bibliography -- Chapter 4: Preconceptual Diagnosis -- Introduction -- Preimplantation Genetic Diagnosis -- In Vitro Fertilisation for PGD -- PGD for Single Gene Mutations -- PGD for "De Novo" Mutations -- PGD for Sex Selection -- PGD for Chromosomal Rearrangement -- PGD for HLA Tissue Typing -- Preimplantation Genetic Screening -- Potential Risks of PGD and PGS -- The Future of PGD and PGS: Karyomapping and Next Generation Sequencing -- Outcome of Children Born Following PGD/PGS -- PGD for Mitochondrial DNA Diseases -- Regulations of PGD -- Conclusions -- References -- Chapter 5: Complications of ART and Associated Early Pregnancy Problems -- Introduction -- Ovarian Hyperstimulation Syndrome (OHSS) -- Management of OHSS -- TVOR Related Complications -- Bleeding -- Visceral Injury -- Infections -- Other Complications -- First Trimester Miscarriage -- Ectopic Pregnancy -- Multiple Pregnancies -- Conclusions -- References -- Chapter 6: Early Pregnancy Support: Evidence-Based Management -- Introduction -- Life Style Advice -- Smoking -- Use of E-Cigarettes -- Alcohol -- Exercise -- Vitamin Supplementation -- Folic Acid -- Vitamin D -- Caffeine Intake -- Complimentary Therapy -- Weight -- Pharmacological Interventions to Support Pregnancy -- Progesterone -- Heparin -- Aspirin -- Steroids -- Immunotherapy -- Use of Granulocyte Colony Stimulating Factor (G-CSF) -- Use of Human Chorionic Gonadotropin -- Ultrasound in Early Pregnancy for Reassurance -- Supportive Care -- Research Participation -- Conclusion -- References -- Chapter 7: Screening for Fetal Abnormalities -- Introduction -- Screening for Trisomies -- Biochemical Variables -- Ultrasound Variables -- Combining the Variables -- Screening Using cfDNA -- Screening for Trisomy 18 and 13 -- Screening in Multiple Pregnancies -- Invasive Testing in Multiples. The Impact of Assisted Reproductive Technologies -- Screening for Structural Anomalies -- ART and Structural Anomalies -- References -- Chapter 8: Multiple Pregnancy Update: Issues Following Assisted Reproductive Techniques -- Introduction -- What Are the Maternal, Fetal and Neonatal Risks Associated with Multiple Pregnancies? -- Assisted Reproductive Technologies and Multiple Pregnancies: How Does It Happen? -- Ovulation Induction -- Gonadotrophin Stimulation in Intrauterine Insemination (IUI) -- IVF/ICSI -- The HFEA and Elective Single Embryo Transfers (eSET) -- Fetal Reduction -- Recommendations for Birth Choices and Intrapartum Care -- Zygosity, Chorionicity, and Amnionicity -- Antenatal Care -- Twin-Twin Transfusion Syndrome -- Growth Restriction -- Timing and Mode of Delivery -- Strategies to Promote Single Embryo Transfer -- Conclusion -- References -- Chapter 9: Maternal Medical Complications in Pregnancy Following Assisted Reproductive Technology -- Introduction -- Problems Arising due to Advanced Maternal Age -- Risk Assessment, Identification, and Management of Specific Pregnancy Complications -- Hypertensive Complications of Pregnancy -- Gestational Diabetes -- Thromboembolism -- Multiple Gestation -- Risk Assessment, Identification, and Management of Specific Pregnancy Complications -- Hypertensive Complications of Pregnancy -- Thromboembolism -- Pre-existing Hypertension -- Pregnancy Care for Women with Underlying Hypertension -- Polycystic Ovarian Syndrome -- Pregnancy Care for Women with PCOS -- Thyroid Dysfunction -- Pregnancy Care for Women with Thyroid Dysfunction -- Clinical or Subclinical Hypothyroidism, Thyroid Autoimmunity -- Clinical Hyperthyroidism -- Other Intercurrent Medical Conditions -- Pregnancy Care for Women with Underlying Medical Conditions -- Maternal Obesity -- Pregnancy Care for Obese Women. Pregnancy Post-bariatric Surgery -- Pregnancies Following Gamete Donation -- Pregnancy Care for Women Following Gamete Donation -- Conclusion -- References -- Chapter 10: Fetal Complications During Pregnancy -- Introduction -- Factors Contributing to Fetal Complications in Pregnancies Conceived with ART -- Fetal Complications During Pregnancy -- Fetal Genetic and Chromosomal Disorders -- Fetal Imprinting Disorders -- Clinical Practice Points -- Fetal Structural Anomalies -- Clinical Practice Points -- Fetal Growth -- Clinical Practice Points -- Preterm Delivery -- Clinical Practice Points -- Stillbirth -- Clinical Practice Points -- Multiple Pregnancies -- Twin Pregnancies -- Higher-Order Multiples -- Clinical Practice Points -- Placental Complications -- Vasa Praevia -- Placenta Praevia/Accreta -- Placental Insufficiency -- Clinical Practice Points -- Conclusions -- References -- Chapter 11: The Intrapartum and Postpartum Care of Women Following Assisted Reproduction Techniques (ART) -- Introduction -- Recognition of the Psychological Effects of ART -- Birth Outcomes After ART?: How Do They Differ? -- Approach for Birth Planning -- Planning and Timing of Birth in Relationship to Identified Risk Factors -- Increased Maternal Age -- Hypertension -- Gestational Diabetes (GDM) -- Multiple Pregnancies -- Timing of Birth in Multiple Pregnancies -- Monitoring of Multiple Pregnancies in Labour -- Preterm Considerations for Singleton and Twin Pregnancies -- Preterm Multiple Pregnancies -- Other Key Issues for Birth Planning -- Preparation for Birth: Discussion of Choices of Place and Method of Delivery -- Consideration of Timing of Birth -- Considerations during Labour -- Fetal Monitoring -- Vigilance for Complications -- Postpartum Support -- Clinical Recommendations -- Conceiving Through Art and Breastfeeding -- Clinical Recommendations -- Summary. References.

9783319428581


Maternity nursing.


Electronic books.

RG951.C556 2017

610.73677999999995