changes in the environment produce new challenges, such as the corona virus. This edition and its state-of-the-art information with important changes that have occurred in the four years since the last edition was published. First Section critical update include the risks and benefits of the COVID vaccine in pregnant women and women looking to get pregnant. Counseling updates on preconception nutrition, preconception risk assessment, pre-existing disease management and advances in prenatal screening and prenatal US recommendations and infectious disease detection. Multiple updates on medications in pregnancy are also included as new classes of medications are frequent in this demographic such as diabetes. The second section details various complications that arise in pregnancy. There are updates to the majority of the chapters in this section,including new screening protocols for dysmorphic growth and genetics, new preterm labor management recommendations and updates of the infection in pregnancy chapter, including COVID. The third section, labor and delivery, includes all current best practices. The fourth and fifth sections of this book, complications of labor and delivery and postpartum management, include updates reflecting current understanding of what constitutes “prolonged” labor and the newborn evaluation including screening for genetic, cardiac and hearing issues as well as current guidelines for the management of hyperbilirubinemia. Written by experts in the field, this fully revised and expanded fourth edition of Obstetrics in Family Medicine is a valuable resource for a wide range of primary care providers who provide direct or indirect care of patients of childbearing age. This book also appeals to nurse practitioners, physician assistants and nursing personnel working in the primary care setting. Additionally, this book serves as a useful guide for medical providers who intersect with pregnant, or possibly pregnant patients including emergency medicine physicians, surgeons, EMT's and paramedics. |