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MFM Objectives HO3
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last edited
by Patrick Newman 7 years, 2 months ago
Preconception Care
- Counsel a patient regarding the impact of pregnancy on maternal medical conditions.
- Counsel a patient regarding the impact of maternal medical conditions on pregnancy.
- Counsel a patient regarding pregnancy associated risks and conditions, such as: Advanced age, Hypertension, Diabetes, Genetic disorder, Prior aneuploidy or anomalous fetus/newborn.
- Creasy and Resnik, Chapter 52 Cardiac Diseases
- Preconceptual Counseling p.852
- Williams Obstetrics, Chapter 53 Renal and Urinary Tract Disorders
- Chronic Renal Disease p.1061
- Williams Obstetrics, Chapter 49, Cardiovascular Disease
- Congenital Heart Disease in Offspring p.976
- Table 49-4 Risks for Fetal Heart Lesions Related to Affected Family Members
- Williams Obstetrics, Chronic Hypertension Preconceptual Counseling p.1001
- Williams Obstetrics, Pregnancy and Chronic Renal Disease p.1061
- Creasy and Resnik, Chapter 30, p.417 Prenatal Diagnosis of Congenital Diseases
- Table 30-3 Risk for Down Syndrome Bases on Maternal Ages p.419
- Table 30-7 Likelihood Ratios for Isolated Markers in Three Studies p.425
- Table 30-1 Second Trimester Ultrasound Markers Associated with Down Syndrome p.425
- Table 30-9 Ultrasound Finding Associated with Trisomy 18
- Table 30-15 Common Autosomal Recessive Disorders in Ethnic Groups: Carrier Screening Recommended p.436
Diabetes Mellitus
- Asses, recognize, and manage fetal and maternal complications, such as; fetal malformations. Disturbances in fetal growth, Diabetic ketoacidosis.
- Counsel patients with Diabetes regarding future reproduction and the long term health implications of their medical condition.
- Creasy and Resnik, Chapter 59 Diabetes in Pregnancy
- Table 59-5 Treatment Protocol for Diabetic Ketoacidosis p.999
- Table 59-6 Congenital Malformations in Infants of Insulin-Dependent Diabetic Mothers p.1000
- Complications of Diabetes During Pregnancy: Retinopathy, Nephropathy, Cardiovascular Complications, Pre-eclampsia, Heart Disease p.995
- IUGR and Macrosomia p.1001
Diseases of the Urinary System
- Counsel patients about the possible adverse effects of diseases of the urinary tract on fetal and maternal outcome, such as: Intrauterine growth restriction, Prematurity, Perinatal mortality, Hypertension.
- Williams Obstetrics, Chapter 53, Renal and Urinary Tract Disorders p.1051
- Polycystic Kidney Disease-Pregnancy Outcomes p.1058
- Acute Nephritic Syndromes and Pregnancy p.1059
- Chronic Renal Disease and Pregnancy p.1061
- Chronic Renal Insufficiency p.1063
Hematologic Disorders
- Evaluate possible causes of anemia, thrombocytopenia, deep vein thrombosis, and coagulopathy in pregnancy.
- Institute appropriate acute and chronic management plans for these conditions, including prophylaxis to minimize recurrent risk.
- Counsel patients about the fetal and maternal impact of hematologic disorders in pregnancy.
- Williams Obstetrics, Chapter 56 Hematological Disorders
- Table 56-1 Causes of Anemia During Pregnancy p.1102
- Iron Deficiency Anemia p.1102
- Anemia from Acute Blood Loss p.1103
- Anemia Associated with Chronic Disease p.1103
- Megaloblastic Anemia p.1104
- Hemolytic Anemia p.1104
- Hereditary Spherocytosis p.1106
- Polycythemias p.1107
- Hemoglobinopathies Sickle-cell Hemoglobinopathy p.1107
- Thalassemia Syndromes p.1112
- Platelet Disorders p.1114
- Inherited Coagulation Defects p.1117
Cardiopulmonary Disease
- Counsel patients about the impact of pregnancy on cardiopulmonary disease and the impact of these diseases on pregnancy.
- Creasy and Resnik, Chapter 58, Repertory Diseases in Pregnancy
- Patient Education p.978
- Table 58-3 Typical Dosages of Asthma Medications p.979
- Box 58-2 Emergency Department and Hospital-Based Management of Asthma Exacerbation p.982
- Restrictive Lung Disease in Pregnancy (Sarcoidosis and Cystic Fibrosis) p.983
- Creasy and Resnik, Chapter 52 Cardiac Disease p.852
- Pre-Conception Counseling p.852
- Table 52-1 High Risk Maternal Cardiovascular Disorders
- Williams Obstetrics, Chapter 49 Cardiovascular Disorders p.972
- Table 49-3 WHO Risk Classification of Cardiovascular Disease and Pregnancy
- Valvular Heart Disease p.983
- Congenital Heart Disease p.984
- Cyanotic Heart Disease p.985
- Infective Endocarditis p.990
- Arrhythmias p.991
Gastrointestinal Disease
- Counsel patients about the impact of gastrointestinal disease on pregnancy and the impact of pregnancy on gastrointestinal disease.
- Williams Obstetrics, Chapter 54 Gastrointestinal Disorders
- Non-invasive Imaging Techniques p.1069
- Laparotomy and Laparoscopy p.1070
- Nutritional Support p.1070
- GERD p.1072
- Peptic Ulcer p.1073
- Upper Gastrointestinal Bleeding p.1074
- Inflammatory Bowel Disease p.1075
- Table 54-4 Some Shared and Differential Characteristics of Inflammatory Bowel Disease p.1075
- Intestinal Obstruction p.1078
- Appendicitis p.1078
Neurologic Disease
- Counsel pregnant patients regarding the impact of pregnancy on neurological disease and the impact of neurologic disease on pregnancy.
- Williams Obstetrics, Chapter 60, Neurological Disorders p.1187
- Central Nervous System Imaging p.1187
- Headache p.1188
- Table 60-1 Classification of Headache p.1188
- Seizure Disorders in Pregnancy Preconceptual Counseling p.1189
- Table 60-2 Teratogenic Effects of Common Anticonvulsant Medications p.1190
- Cerebrovascular Diseases p.1191
- Multiple Sclerosis p.1194
- Myasthenia Gravis p. 1196
- Bell’s Palsy p.1197
- Carpel Tunnel Syndrome p.1198
Endocrine Disorders (excluding Diabetes Mellitus)
- Counsel patients about the impact of an endocrine disease and its treatment in pregnancy and the impact of the pregnancy on the endocrine disorders.
- Creasy and Resnik, Chapter 60 Thyroid Disease and Pregnancy
- Laboratory Evaluation of Thyroid Function During Pregnancy p.1025
- Thionamide Therapy p. 1029
- Hyperthyroidism- Signs and Symptoms p.1028
- Hypothyroidism p.1027
- Postpartum Grave Disease p.1036
- Thyrotropin Receptor Antibodies p.1026
- Antithyroid Antibodies p.1026
- Williams Obstetrics, Chapter 58 Endocrine Disorders p.1147
- Hyperparathyroidism in Pregnancy p.1158
- Pheochromocytoma Complicating Pregnancy p.1159
- Cushing Syndrome and Pregnancy p. 1161
- Prolactinomas p. 1162
- Diabetes Insipidus p. 1162
- Sheehan’s Syndrome p.1163
Collagen Vascular Disorder
- Counsel patients regarding the impact of collagen vascular disease and its treatment on pregnancy and the impact of pregnancy on collagen vascular disease.
- Williams Obstetrics, Chapter 59 Connective Tissue Disorders p. 1168
- Systemic Lupus Erythematosus p.1169
- Table 59-1 Some Antibodies Produced in Patients with SLE p.1169
- Table 59-2 Clinical Manifestations of Systemic Lupus Erythematosus p.1169
- Table 59-4 Complications in 12,555 Pregnancies in Women with Systemic Lupus Erythematosus p.1171
- Antiphospholipid Antibody Syndrome Diagnosis p.1174
- Rheumatoid Arthritis p.1176
- Table 59-6 Criteria for Classification of Rheumatoid Arthritis p.1177
- Vasculitis Syndromes p.1179
- Hereditary Connective Tissue Disorders p.1181
Psychiatric Disorders
- Asses the risk of the psychiatric disorders such as: bipolar disorder, schizophrenia, depression and safety of psychiatric medications in the patient and the fetus.
- Williams Obstetrics, Chapter 61 Psychiatric Disorders p.1204
- Identify patients who require referral for psychiatric consultation.
- Williams Obstetrics, Table 61-2 Symptoms of Depressive Illness 1206
- Table 61-3 Some Drugs Used for Treatment of Major Mental Disorder in Pregnancy 1208
- Creasy and Resnik, Chapter 66 Management of Depression and Psychosis in Pregnancy and the Puerperium p.1122
- Table 66-2 Depressive and Psychotic Disorders p. 1124
- Risks of psychopharmacologic Treatment During Pregnancy p.1126
Substance Abuse in Pregnancy
- Assess the fetus for adverse effects of substance abuse, such as congenital anomalies or growth restrictions.
- Refer patients with known or suspected substance abuse for counseling and follow up.
- Creasy and Resnik, Chapter 67 Substance Abuse in Pregnancy p.1131
- Tobacco-Fetal Effects p.1134
- Alcohol-Fetal Effects p.1136
- Marijuana-Fetal Effects p.1138
- Opioids-Fetal Effects p.1139
- Cocaine-Fetal Effects p.1141
- Methamphetamine-Fetal Effects p.1143
- Benzodiazepines-Fetal Effects p.1144
- Clinical Practice p.1145
Intrauterine Growth Restriction
- Perform an accurate ultrasound examination to assess fetal growth.
- Monitor a fetus with suspected growth restriction (e.g. with antepartum heart rate tests, ultrasonography, and Dopples Velocimetry) to determine the appropriate time and method of delivery.
- Counsel patients about the recurrence risk for intrauterine growth restriction.
- Williams Obstetrics, Chapter 44 Fetal Growth Disorders p.872
- Figure 44-4 Risk Factors and Causes of Impaired Fetal Growth Centering on the Mother, Her Fetus, and the Placenta. P.877
- Sonographic Measurements of Fetal Size p.880
- Amniotic Fluid Volume Measurement p.881
- Doppler Velocimetry p.881
- Creasy and Resnik, Chapter 47 Intrauterine Growth Restriction p.743
- Box 47-1 Disorders and Other Factors Associated with Intrauterine Growth Restriction p.750
- Antenatal Fetal Testing p.752
- Timing of Delivery p.753
Isoimmunization and Alloimmune Thrombocytopenia
- Describe the appropriate indications for determination of paternal antigen status.
- Describe the major fetal complications of isoimmunization and alloimmune thrombocytopenia.
- Williams Obstetrics, Chapter 15 Fetal Disorders p.306
- Management of the Alloimmunized Pregnancy p.309
- Fetal Thrombocytopenia/Alloimmune Thrombocytopenia p.313
- Hydrops Fetalis/Immune Hydrops p. 315
MFM Objectives HO3
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