Gabbes Obstetrics Pdf [verified]

Fetal anomalies and the emerging field of in-utero fetal surgery. 4. Maternal Medical Complications

| Topic | Key Points (≤ 3 bullets) | |---|---| | | • Severe range : SBP ≥ 160 mmHg or DBP ≥ 110 mmHg → immediate IV antihypertensives (labetalol, hydralazine). • MgSO₄ : 4 g IV loading, then 1‑2 g/hr infusion for seizure prophylaxis. | | Gestational Diabetes | • Screen : 1‑hr 50‑g GCT; if ≥ 140 mg/dL → 3‑hr 100‑g OGTT. • Treatment : Diet ± metformin (if needed), insulin if > 200 mg/dL. | | Preterm Labor | • Tocolysis : Nifedipine first line, consider atosiban (if available). • Corticosteroids : Betamethasone 12 mg IM × 2 doses 24 h apart (≤ 34 wk). | | Fetal Monitoring | • NST : Reactive = 2 accelerations > 15 bpm lasting > 15 sec within 20 min. • Biophysical Profile : Score ≥ 8/10 is reassuring. | | Postpartum Hemorrhage | • First‑line : Uterine massage + oxytocin 10 IU IV. • Second‑line : Carboprost 250 µg IM, tranexamic acid 1 g IV over 10 min. | gabbes obstetrics pdf

The textbook is broadly divided into sections dealing with normal pregnancies and those that present medical or surgical challenges. Some of the highly sought-after, core chapters include: 1. Maternal and Fetal Physiology Fetal anomalies and the emerging field of in-utero

The textbook covers a wide range of topics, including: • MgSO₄ : 4 g IV loading, then