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Compendium for the Antenatal Care of High-Risk Pregnancies


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Table of Contents

1. Maternal Haematological and Vascular Conditions ; 2. Maternal Infections ; 3. Maternal Respiratory Conditions ; 4. Maternal Cardiac Disease ; 5. Maternal Hypertension in Pregnancy ; 6. Maternal Renal Disease ; 7. Maternal Adrenal Disease ; 8. Maternal Hepato-biliary Conditions ; 9. Maternal Endocrine Disorders ; 10. Maternal Neurological Conditions ; 11. Maternal Uterine, Cervical and Vulvo-vaginal conditions ; 12. Maternal Dermatological Conditions ; 13. Maternal Auto-Immune disorders ; 14. Maternal Connective Tissue Disorders ; 15. Maternal Bowel Disease ; 16. Maternal Musculo-ligamental Conditions ; 17. Maternal Skeletal Disorders ; 18. Maternal Obesity ; 19. Maternal Malignancy ; 20. Pregnancy in the mother post-organ Transplant ; 21. Maternal Enzymatic abnormalities: ; 22. Previous Pregnancy Problems ; 23. Fertility related Issues ; 24. Other Maternal Conditions ; 25. Multiple Pregnancies ; 26. Fetal Growth Issues ; 27. Fetal Abnormalities ; 28. Other fetal conditions ; 29. Placental Conditions ; Appendix: Information for Patients

About the Author

Dr. Harini Narayan has worked in the NHS for more than three decades, 21 years of which have been as Consultant Obstetrician and Gynaecologist and Lead Obstetrician. As Senior Lecturer / Honorary Consultant in the University Hospitals of Leicester (1994-97),she also headed an EC funded multi-centric research in fetal neurology. She is Lead Obstetrician at the Great Western Hospitals Foundation Trust in Swindon, UK (1997-to date), heading maternal medicine, high risk obstetrics and clinical risk management. Dr. Narayan is a preceptor/ supervisor for the RCOG ATSMs in Maternal Medicine, Advanced antenatal and labour ward practice and Honorary Consultant in Feto-Maternal Medicine in Oxford. She has received several accolades, national and international, for her work in restructuring antenatal care for high-risk pregnancies, including the Health Foundations Shine Innovation award (2010), UK All-Party Parliamentary Maternity Service award (2011), HSJ awards etc. This model for complex pregnancy care has been adapted by several maternity units and is a permanent case study in Value in Healthcare module in Harvard, USA where she has been an invited speaker.


The Compendium provides by far the most practical handbook currently available and is likely to prove the most turned-to source for immediate in-clinic access to evidence-based information and care pathway advice. * Helen Crisp, Assistant Director of Research, The Health Foundation *

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