Pregnancy at Risk: A Practical Approach to High Risk Pregnancy and Delivery

by Usha Krishna, Duru Shah, Vinita Salvi, Nozer Sheriar

This book is about these Pregnancies at Risk, where medical understanding, vigilance and care is the difference between safety and catastrophe. This fifth edition of Pregnancy at Risk – A Practical Approach to High Risk Pregnancy and Delivery is published to keep our readers, practicing colleagues and postgraduate students alike updated with the most recent developments in what is now differentiated and defined as perinatology. Its purpose is to provide and ensure pregnant women under our care the very best of available treatment. The scope of the book continues to extend beyond routine obstetrics. It continues this by a coverage of various subjects such as genetics, infections, and medical complications as also problems and risks related to labor and delivery. It does this with a special emphasis on understanding their most recent clinical concepts and technological advances that are applicable for diagnosis and management. In spite of the rapid technological progress in recent years, the role of interpersonal interaction and clinical acumen remains central to patient care. The importance of an insightful history, thorough examination and proper counseling with genuine involvement of patients and their families is even more essential as we deal with high-risk pregnancy and delivery. Technology is no substitute for a caring, empathetic and conscientious physician. Interaction starts early with preconception counseling, continues with vigilant antepartum care and carries forward to appropriate and judicious intrapartum management of normal and abnormal labor. A team approach with selected professional colleagues is an asset in providing multidimensional care and is essential to manage potential medical and surgical complications. The team could include physicians and intensivists, surgeons and anesthetists, neonatologists and perinatologists, endocrinologists and immunologists, pathologists and sonologists, psychiatrists and counselors as required.

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