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1

Tarr, Katherine. Herbs, helps, and pressure points for pregnancy and childbirth. 5th ed. W.W. Whitman Co., 2001.

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2

Churchill, David. Twenty four hour ambulatory blood pressure monitoring in pregnancy. University of Birmingham, 1994.

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3

Wheeler, Linda A. Maternal assessment: Blood pressure. 2nd ed. Edited by Raff Beverly S, Albers Lolita, and March of Dimes Birth Defects Foundation. March of Dimes Birth Defects Foundation, 1988.

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4

Pre-Eclampsia, Action on, ed. Why blood pressure is checked in pregnancy: A woman's guide to screening for pre-eclampsia. Action on Pre-Eclampsia, 1999.

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5

Wheeler, Linda A. Maternal assessment: Urine evaluation. 2nd ed. Edited by Raff Beverly S, Albers Lolita, and March of Dimes Birth Defects Foundation. March of Dimes Birth Defects Foundation, 1987.

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6

Pre-Eclampsia, Action on, ed. Why blood pressure and urine are checked in pregnancy: A woman's guide to screening for pre-eclampsia. Action on Pre-Eclampsia, 2004.

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7

Lee, Jenny. Skinny bitching: A thirty-something woman mouths off about age angst, pregnancy pressure, and the dieting battles you'll never win. Delta Trade Paperbacks, 2005.

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8

National High Blood Pressure Education Program working group report on high blood pressure in pregnancy. U.S. Dept. of Health and Human Services, Public Health Service, National Institutes of Health, National Heart, Lung, and Blood Institute, 2000.

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9

Tarr, Katherine. A Guide to Motherhood : Herbs, Helps, and Pressure Points for Pregnancy and Childbirth. 4th ed. Whitman Pubns, 1994.

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10

In Control: Learning to Say No to Sexual Pressure (The Teen Pregnancy Prevention Library). Rosen Publishing Group, 1999.

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11

Bramham, Kate, and Catherine Nelson-Piercy. Specific renal conditions in pregnancy. Edited by Norbert Lameire and Neil Turner. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0298.

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Pre-pregnancy glomerular filtration rate, proteinuria, and blood pressure are usually more important in determining the risk of pregnancy in patients with chronic kidney disease, but some diseases may be exacerbated in pregnancy, or appear more liable to complications. This chapter considers immunoglobulin A nephropathy, systemic lupus erythematosus (which may also be associated with some manifestations in the infant), diabetic nephropathy, polycystic kidney disease, reflux nephropathy, single kidney, urological disorders, and angiomyolipomata. Distinguishing underlying renal disease exacerbat
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12

Loochtan, Aaron I., Jodi Dodds, and Cheryl D. Bushnell. Hemorrhagic Stroke Management in Pregnancy. Edited by Emma Ciafaloni, Cheryl Bushnell, and Loralei L. Thornburg. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0015.

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Intracerebral hemorrhage (ICH) during pregnancy and the puerperuim is a rare but potentially devastating complication of pregnancy. It is a condition that requires emergent medical attention and inclusion of multiple medical and or surgical specialists. Accurate diagnosis based on clinical exam and supported by neuroimaging techniques is essential. Medical management is the mainstay in most cases including post-hemorrhage blood product consideration, reversal agents if on anti-coagulation, blood pressure control, cerebral edema management, and treatment of seizures. Circumstances also arise in
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13

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 tr
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14

Drennan, Kathryn J., and Maria Vanushkina. Spinal Cord Injury in Pregnancy. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0029.

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Spinal cord injury is an uncommon complication of pregnancy. But women with spinal cord injuries should be counseled that successful pregnancy is possible. Pregnancies should be planned once the patient has reached optimal functional status. At the outset of pregnancy, complications should be planned for, and an overall functional and routine health maintenance assessment should be evaluated. Providers should pay particular attention to voiding and elimination management, prevention of urinary tract infection, respiratory complications, and autonomic dysreflexia. Urinary complications can be d
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15

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 significa
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16

Gluckman, Sir Peter, Mark Hanson, Chong Yap Seng, and Anne Bardsley. Exercise and physical activity in pregnancy. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780198722700.003.0029.

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Exercise has many beneficial effects for pregnant women and their offspring, reducing insulin resistance and blood pressure and supporting angiogenesis, while also helping to maintain a healthy weight and body composition. Exercise/physical activity also been reported to reduce the risks of large for gestational age/small for gestational age babies and of preterm birth. Moderate exercise of 30 minutes or more on most days is recommended. Reasonable goals of aerobic conditioning in pregnancy should be to maintain a good fitness level throughout pregnancy without trying to reach peak fitness lev
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17

Hausmann, Christie. Pregnancy Wellness Log: Gestational Diabetes Log Book. Keep Record of Daily Blood Sugar and Food Journal, Gestational Diabetes, Pregnancy Wellness Log, Blood Pressure, Classic Happy Planner. Size 8. 5x11 , 110 Pages. Independently Published, 2021.

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18

Hausmann, Christie. Pregnancy Wellness Log: Gestational Diabetes Log Book. Keep Record of Daily Blood Sugar and Food Journal, Gestational Diabetes, Pregnancy Wellness Log, Blood Pressure, Classic Happy Planner. Size 8. 5x11 , 110 Pages. Independently Published, 2021.

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19

Press, Dynasty Field. Gestational Diabetes Log Book: Blood Sugar Tracker and Food Diary for Women, 90-Day Pregnancy Glucose Monitoring Logbook with Blood Pressure Tracker,. Independently Published, 2022.

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20

O’Neal, M. Angela. A Lady with a Headache in the Second Trimester. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0014.

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This case illustrates a typical presentation of idiopathic intracranial hypertension (IIH) during pregnancy. The diagnostic criteria, complications, and treatment of the condition during pregnancy are explored. The major complication of IIH is visual loss. The International Headache Society 2013 criteria for idiopathic intracranial hypertension are: that the headache should remit after the CSF pressure is in the normal range, CSF pressure is greater than 250 mm, and the majority of patients have papilledema and other symptoms, which may include visual obscurations, pulsatile tinnitus, double v
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21

Sasso, Uma, and Emily McQuaid-Hanson. Severe Preeclampsia. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0048.

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Preeclampsia and other hypertensive diseases during pregnancy are common causes of maternal morbidity and increase the risk for adverse fetal outcomes. Women are monitored for changes in blood pressure throughout pregnancy and depending on gestational age, once such changes are noted providers may opt to move toward delivery. Blood pressure control and magnesium sulfate are the cornerstone of therapy as well as the key to preventing progression to eclampsia. A thorough understanding of this disease process is essential for anesthesiologists and other anesthesia providers to provide optimal and
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22

Contents under pressure. Random House Children's Books, 2004.

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23

Neligan, Patrick J., and John G. Laffey. Obstetric physiology and special considerations in ICU. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0365.

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Pregnant patients constitute less than 1% of intensive care unit admissions, and fewer than 1% of obstetric patients become critically ill. Critical illness may result from pregnancy-specific diseases, diseases that pregnancy predisposes to, or are co-incidental to pregnancy. The presence of a second patient—the foetus—may necessitate adjustments to therapeutic and supportive strategies. However, the foetus is generally robust despite maternal illness. The physiological changes of pregnancy are significant, but may delay the diagnosis of critical illness, requiring modifications to standard ma
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24

O’Neal, M. Angela. “Will I Have a Stroke?”. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0031.

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This chapter reviews stroke in women, their third leading cause of death. Complications of pregnancy are associated with a higher risk of cerebrovascular disease beyond pregnancy. Women with preeclampsia have 2–10-fold risk of chronic hypertension. Fifty percent of women with gestational diabetes mellitus will develop type II DM within 5–10 years of their pregnancy. Women who have preeclampsia have twice the risk of stroke and a four-fold risk of high blood pressure. In women with atrial fibrillation over the age of 75, there is a higher risk of stroke than in men. The American Heart and Strok
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25

O’Neal, M. Angela. Postpartum Left-Sided Numbness and Right-Sided Shaking. Edited by Angela O’Neal. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190609917.003.0019.

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The chapter discusses cerebral venous thrombosis (CVT) in pregnancy. The signs and symptoms of the patient depend on which venous sinus is clotted. The clinical features may include headache, bilateral symptoms, hemorrhagic stroke, and seizures. The headaches are related to elevated intracranial pressure and can mimic those of idiopathic intracranial hypertension. Hematological changes that occur in pregnancy result in a hypercoagulable state; this normal physiology can predispose in certain situations to CVT. Other factors associated with an increase in the risk of clotting include infection,
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26

Contents under pressure. Delacorte Press, 2004.

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27

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 wit
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28

Gidwani, Hitesh, and Chenell Donadee. Hypertensive Emergencies (DRAFT). Edited by Raghavan Murugan and Joseph M. Darby. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190612474.003.0009.

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Hypertensive emergencies may be encountered by rapid response teams (RRTs). Various forms of acute organ dysfunction separate hypertensive urgency from hypertensive emergency. These include acute heart failure, acute coronary syndrome, acute aortic dissection, ischemic stroke, hemorrhagic stroke, hypertensive encephalopathy, sympathetic crisis, postoperative hypertension, and hypertensive emergencies in pregnancy. RRTs must be able to rapidly assess the patient’s condition, initiate treatment, and triage the patient to the appropriate level of care. This chapter summarizes the initial evaluati
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29

Quintero, Isabel. Gabi, a Girl in Pieces. Lee & Low Books, Incorporated, 2014.

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30

Quintero, Isabel. Gabi, a Girl in Pieces. Lee & Low Books, Incorporated, 2015.

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31

Quintero, Isabel. Gabi, a Girl in Pieces. Listening Library, 2015.

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32

Bonnet, Marie-Pierre, and Anne Alice Chantry. Placenta and uteroplacental perfusion. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0003.

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The placenta is a complex and changing organ necessary for normal fetal growth and development and for maintenance of a healthy pregnancy. It has three major functions: a protective function of the fetus, an endocrine function, and a metabolic function. The main functional unit of the placenta is the chorionic villous, responsible for the majority of the fetal–maternal exchanges. Migration of trophoblastic cells induces a remodelling of the uterine arteries, with vasodilatated and compliant vessels, unresponsive to maternal vasomotor control. Therefore, any significant change in maternal blood
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33

Jolly, Elaine, Andrew Fry, and Afzal Chaudhry, eds. Neurology and neurosurgery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199230457.003.0014.

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Chapter 14 covers the basic science and clinical topics relating to neurology and neurosurgery which trainees are required to learn as part of their basic training and demonstrate in the MRCP. It covers the approach to the neurological Patient, neurological examination, neurological investigations, coma, acquired brain injury, encephalopathies, alcohol and the nervous system, brainstem disorders, common cranial nerve disorders, migraine, other primary headaches, secondary headache, neuro-ophthalmology, vertigo and hearing loss, seizures and epilepsy, intracranial pressure, stroke, central nerv
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34

Trzcinka, Agnieszka. Aspiration Pneumonitis. Edited by Matthew D. McEvoy and Cory M. Furse. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190226459.003.0016.

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Aspiration pneumonitis during the perioperative period is a serious complication and involves passage of sterile gastric contents into the airway resulting in alveolar damage. The mechanism of aspiration pneumonitis is characterized by a significant inflammatory reaction. The risk of aspiration is highest during anesthesia induction, but it is also present during emergence and extubation. The risk factors include delayed gastric emptying (gastritis, pain, pregnancy, obesity, elevated intracranial pressure), emergency surgery, upper abdominal surgery, and difficulty securing the airway. Anesthe
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35

Whitworth, Caroline, and Stewart Fleming. Malignant hypertension. Edited by Neil Turner. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199592548.003.0216.

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Malignant hypertension (MH) is recognized clinically by elevated blood pressure together with retinal haemorrhages or exudates with or without papilloedema (grades III or IV hypertensive retinopathy); and may constitute a hypertensive emergency or crisis when complicated by evidence of end-organ damage including microangiopathic haemolysis, encephalopathy, left ventricular failure, and renal failure. Though reversible, it remains a significant cause of end-stage renal failure, and of cardiovascular and cerebrovascular morbidity and mortality in developing countries.MH can complicate pre-existi
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36

Gabi, a Girl in Pieces. Cinco Puntos Press, 2014.

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37

Gabi, Fragmentos de una Adolescente: Spanish-Language Edition. Knopf Doubleday Publishing Group, 2020.

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38

Gabi, a girl in pieces. Cinco Puntos Press, 2014.

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39

Hert, Stefan De, and Patrick Wouters. Heart disease and anaesthesia. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0083.

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Cardiovascular disease is a leading cause of mortality. Hypertension is one of the major risk factors for cardiovascular disease. Classically, hypertension is subdivided according to the aetiology into primary and secondary hypertension. Ischaemic heart disease constitutes a major concern for perioperative morbidity and mortality. Therefore important efforts are directed towards the identification of the patient at risk for perioperative cardiac complications and towards optimization of the cardiac status before intervention. Cardiac rhythm disturbances fall into two general classes: bradyarrh
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40

Roth, Louise Marie. The Business of Birth. NYU Press, 2021. http://dx.doi.org/10.18574/nyu/9781479812257.001.0001.

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The Business of Birth examines the effects of malpractice and reproductive rights laws on maternity care practices in the US from 1995 to 2015. It is a common public belief that frivolous malpractice claims and women’s choices shape hospital birth practices. This book uses mixed methods to demonstrate that this belief is inaccurate. The Business of Birth carefully documents how there are interconnected systems of laws and policies, or legal “regimes,” that influence birth practices in unexpected ways. When it comes to malpractice, the standard of care that defines malpractice is internal to th
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41

Bennett, Rebecca. Welfare of Future Children. Bloomsbury Publishing Plc, 2024. https://doi.org/10.5040/9781350344389.

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This open access practical guide to reproductive ethics navigates the complex subject of the policy around IVF treatment and disability screening based on the concerns around the welfare of future children. It focuses on 3 questions in order to examine these often complex philosophical issues: · Should we allow prospective parents using IVF to implant an embryo with a condition considered to be a disability? · Is routine screening for Down syndrome in pregnancy ethically acceptable, even if there is evidence that individuals may feel pressure to accept this screening? · Are we justified in att
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