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Clinical Management of Pregnancies following ART.

By: Jayaprakasan, Kanna.
Contributor(s): Kean, Lucy.
Material type: materialTypeLabelBookSeries: eBooks on Demand.Publisher: Cham : Springer International Publishing, 2016Copyright date: ©2017Description: 1 online resource (256 pages).Content type: text Media type: computer Carrier type: online resourceISBN: 9783319428581.Subject(s): Maternity nursingGenre/Form: Electronic books.Additional physical formats: Print version:: Clinical Management of Pregnancies following ARTDDC classification: 610.73677999999995 Online resources: Click here to view this ebook.
Contents:
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.
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Item type Current location Call number URL Status Date due Barcode
Electronic Book UT Tyler Online
Online
RG951.C556 2017 (Browse shelf) http://ebookcentral.proquest.com/lib/uttyler/detail.action?docID=4747247 Available EBC4747247

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.

Description based on publisher supplied metadata and other sources.

Author notes provided by Syndetics

<p>Mr Jayaprakasan is a Royal College (RCOG) accredited sub-specialist in Reproductive Medicine and Surgery. He has completed his subspecialty training at NURTURE, Queen's Medical Centre, Nottingham, where he subsequently worked as IVF Consultant and Associate Professor for two years before he moved to take up the lead consultant role at Derby fertility unit.Mr Jayaprakasan's special interests include Assisted Conception (IVF/ICSI), Reproductive surgeries (Laparoscopy and Hysteroscopy), recurrent pregnancy loss, recurrent implantation failure, PCOS and endometriosis. Mr Jayaprakasan is an expert in the application of advanced pelvic ultrasound in the field of fertility, in which he has done his PhD.</p> <p>Lucy H. Kean, Bm, BCh, DM, FRCOGConsultant in Fetal and Maternal medicineChief of service for Obstetrics and Gynaecology</p> <p>Nottingham University Hospitals NHS Trust</p> <p>Department of ObstetricsNottinghamUnited Kingdom</p>

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