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1

Westoff, Charles F. Trends in marriage and early childbearing in developing countries. Calverton, Md: ORC Macro, MEASURE DHS+, 2003.

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2

Branch, Eryn Jane. 2006 needs assessment: Substance abuse among Nevada's women of childbearing age. [S.l.]: Bureau of Family Health Services, 2006.

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3

World Health Organization (WHO). Expanded programme on immunization: Neonatal tetanus : immunize all women of childbearing age. Geneva: World Health Organization, 1988.

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4

Mullin, Charles E. The timing of childbearing among heterogeneous women in dynamic general equilibrium. Cambridge, MA: National Bureau of Economic Research, 2002.

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5

Fleming, Michael F. Identification of at-risk drinking and intervention with women of childbearing age: A guide for primary-care providers. [Rockville, Md.]: National Institute on Alcohol Abuse and Alcoholism, 1999.

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6

New, Mexico Dept of Health Division of Epidemiology Evaluation and Planning Substance Abuse Epidemiology Unit. Summary report: Substance use among childbearing-age females (SUCAF) : the prevalence of alcohol, tobacco, marijuana and other drug use among women seeking pregnancy tests in public and private health clinics in New Mexico, 1994. [Santa Fe, N.M.]: Substance Abuse Epidemiology Unit, Division of Epidemiology, Evaluation, and Planning, New Mexico Department of Health, 1995.

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7

Mcguire, Patricia Jean. DETERMINANTS OF HEALTH-PROMOTING BEHAVIORS IN LATINO MOTHERS OF CHILDBEARING AGE. 1994.

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8

Knowledge and Use of Dietary Supplements Among Women of Childbearing Age. Storming Media, 2002.

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9

Marmo, Leeann D. Judgments of warning labels on alcoholic beverages among women of childbearing age. 1991.

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10

Ho, Evangelina Manyee Pow. DETERMINANTS OF PRECONCEPTION HEALTH BEHAVIORS IN CHILDBEARING AGE WOMEN IN A COLLEGE SETTING. 1994.

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11

Bechtel, Deborah Ann. THE EXPERIENCE OF PRENATAL CARE IN WOMEN OF CHILDBEARING AGE: AN INTERPRETIVE INTERACTIONIST APPROACH. 1993.

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12

Authority, Health Education, ed. Effectiveness of interventions to promote healthy eating in pregnant women and women of childbearing age. London: Health Education Authority, 1998.

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13

Enter, Bonnie Baker. HEALTH BELIEFS AND SELF-EFFICACY OF PRIMIPARAS OVER AGE 35: A NATURALISTIC INQUIRY (LATE CHILDBEARING, HIGH-RISK PREGNANCY). 1993.

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14

1948-, Fleming Michael F., National Institute on Alcohol Abuse and Alcoholism (U.S.), and National Institutes of Health (U.S.). Office of Research on Minority Health., eds. Identification of at-risk drinking and intervention with women of childbearing age: A guide for primary-care providers. Rockville, MD: National Institute on Alcohol Abuse and Alcoholism and Office of Resarch on Minority Health, National Institutes of Health, 1999.

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15

Fleming, Michael. Identification Of At-risk Drinking And Intervention With Women Of Childbearing Age: A Guide For Primary-care Providers. Diane Pub Co, 1999.

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16

National Institute on Alcohol Abuse and Alcoholism (U.S.) and National Institutes of Health. Office of Research on Minority Health., eds. Identification of at-risk drinking and intervention with women of childbearing age: A guide for primary-care providers. Rockville, MD: National Institute of Health, 1999.

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17

National Institute on Alcohol Abuse and Alcoholism (U.S.), ed. Identification of At-Risk Drinking and Intervention with Women of Childbearing Age, A Guide for Primary-Care Providers, 1999. [S.l: s.n., 2000.

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18

O, Earl Robert, Woteki Catherine E, Calloway Doris Howes, Institute of Medicine (U.S.). Committee on the Prevention, Detection, and Management of Iron Deficiency Anemia among U.S. Children and Women of Childbearing Age., and Institute of Medicine (U.S.). Food and Nutrition Board., eds. Iron deficiency anemia: Recommended guidelines for the prevention, detection, and management among U.S. children and women of childbearing age. Washington, DC: National Academy Press, 1993.

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19

National Institute on Alcohol Abuse and Alcoholism (U.S.), ed. Identification of At-Risk Drinking and Intervention with Women of Childbearing Age, A Guide for Primary-Care Providers, 1999. [S.l: s.n., 2000.

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20

National Institute on Alcohol Abuse and Alcoholism (U.S.), ed. Identification of At-Risk Drinking and Intervention with Women of Childbearing Age, A Guide for Primary-Care Providers, 1999. [S.l: s.n., 2000.

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21

National Institute on Alcohol Abuse and Alcoholism (U.S.), ed. Identification of At-Risk Drinking and Intervention with Women of Childbearing Age, A Guide for Primary-Care Providers, 1999. [S.l: s.n., 2000.

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22

Effectiveness of Interventions to Promote Healthy Eating in Pregnant Women and Women of Childbearing Age (Health Promotion Effectiveness Reviews). Health Development Agency, 1998.

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23

Identification of At-Risk Drinking and Intervention with Women of Childbearing Age, A Guide for Primary-Care Providers, 1999. [S.l: s.n., 2000.

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24

(Editor), Robert Earl, and Catherine E. Woteki (Editor), eds. Iron Deficiency Anemia: Recommended Guidelines for the Prevention, Detection, and Management Among U.S. Children and Women of Childbearing Age. National Academies Press, 1994.

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25

National Institute on Alcohol Abuse and Alcoholism (U.S.), ed. Identification of At-Risk Drinking and Intervention with Women of Childbearing Age, A Guide for Primary-Care Providers, 1999. [S.l: s.n., 2000.

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26

Tollefson, Trenton, and Lynn Liu. Pregnancy and Epilepsy. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0020.

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Epilepsy is the fourth most common neurologic disorder behind migraine, stroke, and Alzheimer’s disease. The Center for Disease Control (CDC) data estimates about 3.4 million people in the United States have active epilepsy. Approximately 1 million women of childbearing age in the United States have epilepsy, and about 2 to 5 infants of 1000 pregnancies are born to mothers with epilepsy. Therefore, providers should consider additional aspects of epilepsy care unique to women with epilepsy (WWE) of childbearing age such as planning for and care during pregnancy; concern how epilepsy may affect pregnancy and how pregnancy may impact seizure control. Fortunately, more than 90% of pregnant WWE will give birth to healthy infants. Providers should maintain these important items in mind when caring for a WWE of child-bearing age. This chapter focuses on the effects of pregnancy on seizures and the effects of seizures on pregnancy in pregnant WWE.
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27

Carton, James. Multisystem diseases. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199591633.003.0018.

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Systemic lupus erythematosus 346Systemic sclerosis 348Sarcoidosis 349Vasculitis 350• A multisystem autoimmune disease characterized by autoantibody production against a number of nuclear and cytoplasmic autoantigens.• Incidence of 4 per 100,000 people per year.• Most cases occur in women of childbearing age....
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28

Miller, Aaron E., and Teresa M. DeAngelis. Pregnancy and Multiple Sclerosis. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199732920.003.0006.

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The risk of MS relapse is lower during pregnancy but significantly higher in the postpartum period. There are several key management issues to address in women of childbearing age with multiple sclerosis who are pregnant or in family planning. In this chapter, we review important therapeutic issues regarding peripartum and postpartum disease management, data regarding the prospect of breastfeeding, and the psychosocial support and counseling to help patients and their families navigate these decisions.
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29

Adams, Jamie L., and Christopher G. Tarolli. Movement Disorders in Pregnancy. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0019.

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Movement disorders occurring in women of childbearing age or arising during pregnancy are uncommon. However, advancing maternal age increases the likelihood for a pregnant women to have a preexisting movement disorder. Studies are limited regarding the effects of movement disorders and their treatment on pregnancy or the effects of pregnancy on preexisting movement disorders. More research is needed to provide better evidence-based guidelines. Still, there are special considerations when encountering movement disorders in this population, particularly with regard to diagnostic investigation and the safety of medications.
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30

Voinescu, P. Emanuela. A 27-Year-Old Woman with Epilepsy Planning for Pregnancy. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0028.

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Treatment for women with epilepsy (WWE) of childbearing age should be cautiously selected, given that the benefits of treatment during potential future pregnancies have to be weighed against the adverse effects on the developing fetus. The number of antiepileptic drugs (AEDs) has increased significantly in the last 20 years, and remarkable progress has been made in characterizing their teratogenicity, adverse neonatal outcomes, and neurodevelopmental problems. Not only the AED choice, but the number of AEDs used and their dose are also important. This chapter aims to introduce some of the basic guidelines for preconception counseling.
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31

Felder, Jennifer N., Abigail Lindemann, and Sona Dimidjian. Perinatal Depression. Edited by C. Steven Richards and Michael W. O'Hara. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199797004.013.024.

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Depression is a common problem among pregnant andpostpartum women, with rates comparable to or greater than those among women of childbearing age who are not pregnant or postpartum. Perinatal depression is associated with a wide range of unique assessment and treatment complexities, risk factors, and consequences for women and offspring. In this chapter, we review current research on the prevalence of perinatal depression, etiology, risk factors, and consequences, and we discuss assessment strategies and interventions. Limitations to current research and future research directions are noted. We conclude with guidelines for practitioners for assessing and treating depression during the perinatal period.
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32

Palmer, Julie R. Choriocarcinoma. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190238667.003.0050.

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Gestational choriocarcinoma is an extremely rare cancer that occurs in women of childbearing age. The malignancy arises from the trophoblastic epithelium of the placenta, which is formed from embryonic tissue. Choriocarcinoma is one of several related gestational trophoblastic diseases, which include complete and partial hydatidiform mole, invasive mole, and the extremely rare placental site and epithelioid trophoblastic tumors. Because at least 50% of choriocarcinomas occur after a recognized hydatidiform mole, incidence patterns of the latter are of interest. The only established risk factors for choriocarcinoma are history of hydatidiform mole and maternal age. Both teenage mothers and mothers over age 35 have increased risk. Incidence rates appear to be highest in parts of Asia and in the Philippines. There is also evidence of an increased incidence among American Indians and among Inuits living in Canada and Greenland.
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33

McKinlay Gardner, R. J., and David J. Amor. Prenatal Testing Procedures. Edited by R. J. McKinlay Gardner and David J. Amor. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199329007.003.0020.

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This chapter is somewhat technical; it reviews the laboratory methodologies by which a prenatal diagnosis can be made and the clinical procedures whereby tissue is obtained. The main indications for prenatal cytogenetic diagnosis are the pregnant woman being of older childbearing age, parental heterozygosity for a chromosome rearrangement, the birth of a previous child with a chromosome defect, increased risk on maternal screening tests, and fetal anomaly detected on ultrasonography. The move to molecular methodology is noted. The remarkable advances in NIPT (noninvasive prenatal testing), such that this approach has now become routinely available, are canvassed. The chapter briefly discusses ethical questions in the delivery of prenatal diagnosis. It reviews the approaches in fetal chromosomal screening, by a combined ultrasound and blood biochemical analysis, and the secular changes associated with this.
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34

Kaplan, Tamara B., and Marcelo Matiello. Multiple Sclerosis. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0026.

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Multiple sclerosis (MS) often affects women of childbearing age. There are many issues to consider when counseling women about their disease and treatment during this time. The Pregnancy in Multiple Sclerosis (PRIMS) study, published in 1998, is the best large-scale prospective study published to date. Based on this trial, and those that followed, it is recognized that the rate of relapse in MS decreases during pregnancy, especially during the third trimester, but there is a significant increase in relapse rate in the first three months postpartum. If relapses do occur during pregnancy, women are often treated with methylprednisolone, but this is generally avoided in the first trimester. Disease-modifying therapies (DMTs) are usually discontinued during preconception, pregnancy, and while breast-feeding. DMTs are classified under different FDA pregnancy categories based on human and animal data. Breast-feeding may influence postpartum relapse rate, but the true effect continues to be debated.
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35

Thompson, Karla L., William Filer, Matthew Harris, and Michael Y. Lee. Traumatic Brain Injury and Pregnancy. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0013.

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Traumatic brain injury (TBI) is a leading cause of death and disability throughout the world, particularly among young adults, affecting untold numbers of women of childbearing age. TBIs can disrupt almost any aspect of physical, cognitive, and/or emotional functioning, potentially complicating a woman’s ability to conceive, carry, and deliver a healthy child. For women who are already pregnant and sustain a TBI, medical stabilization of the mother and management of risk of further injury to the fetus are priorities. For women with a previous history of TBI, comprehensive assessment and optimal management of common sequelae of TBI (eg, seizures, endocrine dysfunction, physical and cognitive impairments, and neuropsychiatric symptoms) are essential to maximizing outcomes for both mother and child. Consultation with physiatry and neuropsychology, utilization of rehabilitation therapies to maximize the mother’s functional recovery, and consistent communication among all medical team members throughout pregnancy are essential.
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36

Logsdon, M. Cynthia, Catherine Monk, and Alison E. Hipwell. Perinatal Experiences of Adolescent Mothers. Edited by Amy Wenzel. Oxford University Press, 2014. http://dx.doi.org/10.1093/oxfordhb/9780199778072.013.008.

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The United States has one of the highest rates of teen pregnancy in the developed world. Pregnancy and parenting prior to age 20 are associated with compromised biopsychosocial outcomes for the mother, the fetus, and the future child—though the strong coupling of poverty and early pregnancy indicate that these outcomes may not be uniquely attributable to maternal age. This chapter reviews psychological as well as biological factors associated with risk for adolescent pregnancy, such as the potential correlation between conduct disorder and pregnancy, as well as data suggesting that environmental factors as varied as exposure to endocrine disrupters and psychosocial stress may contribute to the earlier onset of puberty, sexual activity, and, ultimately, conception. Pregnancy outcomes for both the mother and the child are reviewed, as well as what is known about mental health status in pregnant and parenting teenagers. This chapter covers the importance of social support for this population and the treatment of perinatal psychopathology in childbearing adolescents.
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37

Bramham, Kate, and Catherine Nelson-Piercy. Pregnancy in patients with chronic kidney disease and on dialysis. Edited by Norbert Lameire and Neil Turner. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199592548.003.0295_update_001.

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Chronic kidney disease (CKD) affects a small but increasing minority of women becoming pregnant. It is associated with additional risks depending on pre-pregnancy glomerular filtration rate, proteinuria, and hypertension. Some drugs are contraindicated in pregnancy. These are powerful reasons for counselling all women of childbearing age about pregnancy in CKD. With minor CKD the main issue is moderately increased risk of pregnancy-associated hypertension and pre-eclampsia. More advanced CKD is associated with reduced fertility, progressively increased risk of pre-term delivery and a significant chance of permanent loss of maternal renal function. Distinguishing pre-eclampsia from the natural effects of pregnancy on manifestations of CKD can be challenging. Blood pressure targets may be modified during pregnancy and angiotensin converting enzyme inhibitors and angiotensin receptor blockers are contraindicated. Dialysis may be initiated if pregnancy occurs at advanced levels of CKD. Pregnancy may also occur in patients on dialysis, usually in women with some residual native renal function. More intensive dialysis may improve outcomes.
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38

Onigu-Otite, Edore C. Fetal Exposure to Tobacco and Cannabis. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0180.

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Tobacco and cannabis are the most commonly used legal and illegal substances among pregnant women in the United States, respectively. About 12% to 25% of women smoke tobacco during pregnancy. Smoking tobacco during pregnancy and maternal exposure to environmental tobacco smoke during pregnancy is associated with a variety of adverse fetal outcomes. About 11% of women of childbearing age reported using cannabis in the preceding month. Fetal exposure to tobacco or cannabis is associated with dysregulation in development and may indicate a higher risk for neurodevelopmental and other psychiatric problems. As research has become more sophisticated, findings suggest that some of the associations between fetal exposure to cannabis and tobacco and adverse outcomes may be due to familial genetic risk factors. Separating environmental, familial, and genetic factors while disentangling their interactive effects on fetal and offspring development and neurobehavioral regulation remains a challenge in this field of study.
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39

Matsumoto, Tamaki, Hiroyuki Asakura, and Tatsuya Hayashi. Premenstrual disorders: luteal phase recurrent enigmatic conditions. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198749547.003.0007.

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Up to 90% of women of childbearing-age experience at least some degree of a regular recurrence of various physical and mental symptoms during the days prior to menstruation, which usually subside following menstruation. The cluster of symptoms can alter behaviour and well-being and affect family, friends, and relationships at work. Despite its prevalence, however, research has not yet demystified this enigmatic condition, commonly known as premenstrual syndrome (PMS) and premenstrual dysphoric disorder (PMDD)—severe PMS. Chapter 7 presents an exhaustive review that discusses the definition, diagnosis, prevalence, symptomatology, aetiopathogenesis, and therapeutic modalities of PMS/PMDD. It deliberates on the complex web of associated biopsychosocial factors. The discussion is further enhanced by presenting a real-life scenario of a sufferer with PMS who, in her dissatisfaction with the management provided, selected the option of surgical removal of her reproductive organs.
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40

Mammen, Andrew L., and Jessica R. Nance. Evaluation of hyperCKaemia. Edited by Hector Chinoy and Robert Cooper. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198754121.003.0007.

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Serum creatine kinase (CK) levels may be elevated in patients with muscle weakness or pain. In asymptomatic patients with CK elevations, the focus should be on identifying reversible causes, followed by investigation for inherited muscle diseases. In asymptomatic patients with an incidental finding of elevated CK, clinicians should look for reversible causes, then re-test the CK after 10 days of rest in the absence of potential triggers. If the CK remains markedly elevated and/or electromyography proves myopathic, a muscle biopsy should be considered. Women of childbearing age with elevation of serum CK should be evaluated for dystrophin mutation. Genetic causes of hyperCKaemia can be pursued with targeted gene sequencing, or whole exome or next generation sequencing. Patients with inherited skeletal muscle diseases may also have associated cardiac disease, so a cardiology evaluation should be considered in all patients with unexplained CK elevations.
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41

Hamel, Johanna, and Emma Ciafaloni. Neuromuscular Diseases. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0024.

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Myasthenia gravis is an acquired autoimmune disorder characterized by weakness of skeletal muscle, which often affects women in the childbearing age. A number of questions arise when a woman with myasthenia gravis plans to become pregnant or presents with pregnancy, as myasthenia can affect the pregnancy, delivery and the fetus. In addition, the pregnancy can affect the course of myasthenia and worsening of the disease during pregnancy may require treatment modifications. Therefore supportive counseling, ideally preceding conception, is indicated, focusing on issues of fertility, treatment optimization and drug safety, risks of worsening of symptoms during pregnancy and delivery. Counseling on possible effects on the infant should be discussed, as such as neonatal myasthenia gravis, a treatable and transient disease. Patients with myasthenia gravis may require more intensive monitoring and care, and should be supported by a multidisciplinary team involving the obstetrician, anesthesiologist, and neurologist.
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42

Bramham, Kate, and Catherine Nelson-Piercy. Pregnancy after renal transplantation. Edited by Norbert Lameire and Neil Turner. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199592548.003.0299_update_001.

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There is now experience of many thousands of pregnancies over more than 50 years of renal transplantation. Most such patients have some degree of hypertension and chronic kidney disease, and as expected their rates of complications are substantially higher than those of age-matched controls. However, rates of successful pregnancy are now high and pregnancy is no longer an unusual event in transplanted patients. As for other patients with chronic kidney disease, additional risks depend on pre-pregnancy glomerular filtration rate, proteinuria, and hypertension. Fertility returns rapidly after transplantation but delay of at least a year is usually recommended to be sure of stable graft function and drug dosage. Early discussion of these issues with women of childbearing age is essential as drug regimens may need to be altered to agents of known safety, and to stress the importance of planning the pregnancy. The combination of tacrolimus and azathioprine with or without low-dose prednisolone is probably the most common, but in many centres agents such as mycophenolate mofetil, which is teratogenic, are commonly used. Blood pressure should be well controlled as outside pregnancy but some drugs are contraindicated and others are best avoided.
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43

Ahmed, Ahmed I., Sarah Aldhaheri, and Allison Bannick. Inherited Metabolic Diseases (IMDs) and Pregnancy. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0030.

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Inherited metabolic diseases (IMDs) are rare genetic disorders: clinically heterogeneous, and they can present at any age. With the expanded newborn screening panels, many of the IMDs have been successfully screened. Early diagnosis and treatment of these conditions have led to improved neurological outcomes and overall survival of these individuals, and now many of them are reaching childbearing age. Despite treatment, the potential presence of preexisting organ involvement may not only impact their fertility potentials but also may impose a higher risk of adverse maternal and fetal outcomes. Pregnancy leads to an extra strain on maternal metabolism; this may result in the manifestation of symptoms of a previously unknown disease or a progression of a known disease. This chapter will address the possible complications of some inherited disorders of metabolism that are associated with maternal or fetal neurological manifestations such as disorders of energy metabolism (eg, mitochondrial disorders, adult onset urea cycle disorders, ornithine transcarbamylase (OTC) deficiency, amino acidopathies, phenylketonuria (PKU), and impaired fatty acid oxidation disorders). We will provide special emphasis on the available potential treatments and plan of care during pregnancy and postpartum periods.
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44

1925-, Tokuhata George Kazunari, ed. Cancer incidence among women of childbearing ages exposed to TMI accident radiation, 10-year cohort follow-up. Harrisburg, Pa: Division of Epidemiology Research, Dept. of Health, 1991.

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45

Wiles, Kate, and Catherine Nelson-Piercy. Contraception in patients with kidney disease. Edited by Norbert Lameire and Neil Turner. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199592548.003.0293_update_001.

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Three per cent of women of childbearing age have chronic kidney disease, and although end-stage renal failure impacts on fertility, conception and high-risk pregnancy do occur. Following renal transplantation, the patient should understand the potential impact of a pregnancy on transplant function and vice versa. Surveys show that a large proportion of pregnancies in female renal patients are unplanned. The effectiveness of a particular contraceptive method is dependent upon acceptability to the patient and compliance. Contraceptive decision-making needs to balance acceptability and safety with the risk of an unplanned pregnancy. Oestrogen-containing contraceptive methods are considered unacceptable for many renal patients because of their association with increased blood pressure and thrombotic and vascular events. Progesterone-only methods have an advantageous safety profile. The progesterone-only pill (desogestrel preparations), intrauterine system (Mirena®), and implant (Nexplanon®) are safe and effective in women with CKD. Concerns regarding the intrauterine system (Mirena®) in women taking immunosuppression are unfounded and observational evidence does not demonstrate an increased risk of infection. Sterilization is effective and should be considered to be irreversible. The effectiveness of barrier methods is reduced when ‘typical use’ is compared to ‘perfect use’. Unplanned pregnancy rates are high with fertility awareness methods and reliance on lactational amenorrhoea is not advocated.Interactions between drugs which are commonly prescribed in the renal population and different contraceptive methods are outlined in this chapter.
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46

Ansari, Arash, and David Osser. Psychopharmacology. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780197537046.001.0001.

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Psychopharmacology: A Concise Overview, 3rd Edition discusses and reviews currently available psychiatric medications and their evidence-supported use in current clinical practice. It discusses the therapeutic uses of antidepressants, anti-anxiety medications, antipsychotics, mood stabilizers, stimulants, and other medications for attention-deficit/hyperactivity disorder (ADHD), as well as medicines for substance use disorders. It reviews the medications’ mechanisms of action, therapeutic effects, potential drug–drug interactions and short- and long-term adverse effects and risks. It includes sections on complementary and alternative pharmacotherapies as well as on emerging therapies. Every chapter includes an in-depth discussion of the clinical use of the reviewed classes of medications as they are used for the alleviation of their target psychiatric disorders, such as depression, anxiety disorders, schizophrenia, bipolar disorder, ADHD, and opioid, alcohol, and tobacco use disorders. Treatment challenges and controversies are reviewed. In addition, each chapter discusses the use of these medications in other psychiatric and medical conditions as well. Each chapter also discusses the use of these medications in women of childbearing age, especially in light of pregnancy and breastfeeding considerations. Finally, each chapter includes a table that provides each reviewed medicine’s generic and brand names, usual adult doses, pertinent clinical comments, black box warnings, and Food and Drug Administration indications. This book provides a concise and accessible overview that would be helpful to medical students, psychiatric residents, psychiatrists, primary care physicians, clinical nurse specialists, and nonmedical mental health practitioners.
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47

Kendrisic, Mirjana, and Borislava Pujic. Endocrine and autoimmune disorders. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0047.

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Advanced maternal age and increasing numbers of women of childbearing age with endocrine and autoimmune disorders have become the challenge for both anaesthetists and obstetricians. Genetic studies have provided new insight into underlying causes of endocrine disorders and prenatal prediction of inheritance. The expression of endocrine disease may influence the interpretation of diagnostic laboratory testing during pregnancy. Better understanding of the pathophysiological mechanisms enables new therapeutic approaches which can compromise pregnancy outcome. Although only a small number of drugs have been shown through clinical studies to be safe for use in pregnancy, intensive therapy for chronic disease is usually needed. Thus, anaesthetic management of women with endocrine disorders in pregnancy has become more complex. The most frequently encountered endocrine disorders during pregnancy include gestational diabetes mellitus and thyroid and adrenal disorders. Gestational diabetes has become increasingly common in pregnant women. Not only does it influence pregnancy outcome, but it also carries a risk for mother and offspring of developing type 2 diabetes later in life. Intensive glucose control may prevent maternal and fetal complications and improve long-term outcome. Pregnancy itself has been found to influence the course of autoimmune diseases, such as rheumatoid arthritis and systemic lupus erythematosus. However, autoimmune diseases may have adverse consequences for maternal, fetal, and neonatal health. There is a relative paucity of literature concerning anaesthetic management of autoimmune diseases. Early recognition and immediate treatment of the common complications have been the key elements to achieving the ultimate goal—good pregnancy outcome.
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48

Schreiber, Karen, Eliza Chakravarty, and Monika Østensen, eds. Practical management of the pregnant patient with rheumatic disease. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198845096.001.0001.

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Specialists from different medical specialties need to gain familiarity with reproductive health issues in women with chronic rheumatic diseases of childbearing age. Health care providers must have easy access to summary recommendations for management of pregnancy, antenatal care, and care in the postpartum period. This book is intended as a quick-access guide of the most up-to-date understanding of the interplay between pregnancy and rheumatic diseases and principles of management before, during, and after pregnancy assisting in decision-making regarding treatment of women with autoimmune diseases. The book intends to provide concise, clinically relevant topics and cases with management recommendations for all providers who may encounter women of child-bearing age including rheumatologists, gynaecologists, paediatricians, primary care providers, nurses, midwives, and other health professionals dealing with pre-conceptional and pregnant women with rheumatic diseases. Aided by the discussion of 70 patient cases, pregnancy counselling, the management of disease flares, thromboembolic disease, the management of patients with end organ disease, advice on medications, obstetric complications, infections, vaccination, and the management of rare diseases in women with rheumatic diseases before and during pregnancy and postpartum is presented. The information is brought to the clinician in a distilled and clinically relevant manner that can be easily applied to the varying situations that may occur in the clinical setting, with references to more detailed background and primary studies for those who desire a more in depth review of the material.
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49

Nursing ACE Exam Secrets Test Prep Team. Nursing Acceleration Challenge Exam I PN-RN : Nursing Care During Childbearing and Nursing Care of the Child Secrets Study Guide: Nursing ACE ... Challenge Exam. Mometrix Media LLC, 2013.

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50

Lal, Mira, and Roch Cantwell. Preconceptual to postpartum mental health: mental illness and psychosomatic disease. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198749547.003.0004.

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Chapter 4 examines the advancing field of mental health and psychosomatic disease from preconception to the postpartum period. The reader is reminded of the normal adaptation of different organ systems to pregnancy. This adaptation affects both physical and emotional functioning, and is further modified by the pregnant woman's social circumstances. The transition to the pathological or diseased condition may follow an exaggeration of the physiological alterations or could occur due to health conditions specific to pregnancy. This may result in manifestations due to mind-body interactions that cause psychosomatic disease. Common and unfamiliar psychosomatic clinical conditions associated with childbearing such as anxiety and mood disorders, eating disorders, hyperemesis gravidarum, and substance misuse are discussed, along with the unfamiliar, such as schizophrenia and seizures. Pregnancy-related acute-on-chronic psychosomatic presentations, besides those arising de novo in labour, are illustrated by vignettes representing real-life encounters. Controversies in management are debated to acquaint the less familiar with these clinical challenges, which require patient-centred care. Promoting health during childbearing not only pertains to the health of the mother, but also to the well-being of her infant. This entails concomitant attention to both in order to enhance the physical, mental and social health of the mother-infant dyad. An urgency for improved understanding of biopsychosocial initiating factors is reflected in an UK surveillance report, `Saving Lives Improving Mother's Care: It confirms the continuing fall in fatalities from 'direct' pregnancy-related physical causes, but a rise due to under-recognition of 'indirect' psychiatric causes that represent the psychosomatic interface.
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