There are approximately 55,000 practicing ob/gyns in the United States. The obstetrics and gynecology residency training authority (the Accreditation Council for Graduate Medical Education) has now pushed ambulatory primary and preventative care to the top of its list for residency training. Interest in the area of ambulatory gynecology is not just growing in the field of ob/gyn, however; family and primary care practitioners, emergency room physicians, and advance practice nurses all must know how to diagnose, manage, and treat gynecological conditions. Since office technology has expanded and decision-making has become increasingly complex, physicians need a guide through the endless list of treatment options for commonly presenting gynecologic disorders. Ambulatory Gynecology gives practitioners tools for diagnosis, investigation and management of these disorders, including decision-making algorithms. The text is evidence-based. From endocrine disorders to breast disease, preventative measures for osteoporosis to management of an abnormal pap smear, from adolescent gynecology to menopause, this book is crucial for office-based physicians to feel confident practicing in all areas of gynecology.
Provides clinicians with current information on obstetric conditions that can be treated in outpatient visits rather than by prolonged hospitalization. The 17 chapters discuss why ambulatory management is needed, which patients are eligible, and how to administer care to these patients. The outpatient management of pregnant women experiencing preterm labor, pyelonephritis, hypertension, asthma, multiple gestation, diabetes, and hyperemesis gravidarum is described. Other topics include early postpartum discharge, the psychosocial impact of high risk pregnancy, and strategies to reduce telephone liability. Annotation copyrighted by Book News Inc., Portland, OR.
"This book sets out how the concept of ambulatory gynaecology can be applied to the main areas of gynaecological practice. It describes how national guidelines can be integrated into modern gynaecological practice in the context of the Government's National Health Service (NHS) plan and provides an essential guide to all practising clinicians." "A change from traditional care pathways to more cost effective, patient-centred approaches to medical practice lies at the heart of modern health service management. A 'see and treat' management philosophy is growing. 'One stop' clinics and 'day surgery' operations are replacing traditional outpatient consultations and inpatient surgery and the term 'ambulatory gynaecology' is being adopted to describe this philosophy."--BOOK JACKET.
A primer on how to deal with patients in an ambulatory setting and how to conduct obstetrical and gynecology physical examinations. An excellent introduction for medical students and intern physicians doing their rotations in obstetrics and gynecology. The book is spiced with advice and funny cartoons.
ìThe authors have crafted a very user-friendly set of guidelines, identifying the steps in assessment of patients for risks, outlining the objectives for care from preconception through postpartum, and addressing care for pregnant HIV positive womenÖ[the book] includes avenues to electronic resources to assist them in accessing the newest information in ever-evolving and changing practice environments.î óJoellen W. Hawkins, RNC, PhD, FAAN Professor Emeritus, Boston College Connell School of Nursing Writer in Residence, Simmons College, School of Nursing and Health Sciences "This is a concise, yet comprehensive book. I would recommend that any advanced practice nurse working in obstetrics have it on the bookshelf. It could also be used as protocol manual for small practices." Score: 100, 5 Stars.--Doody's Medical Reviews This is the only comprehensive source of current, evidence-based guidelines for advanced practice nursing management of the obstetric patient in an ambulatory setting. Encompassing preconception, prenatal, and postpartum nursing care, it stresses the importance of recognizing pre-existing complications of pregnancy and identifying obstetric complications. The book provides best practices for care of uncomplicated pregnancies throughout the gestation period and covers preconception care, basic genetic counseling, and outpatient postpartum care, as well as assessment and management of common postpartum problems, health promotion, and lactation issues. It addresses medications that can be safely used during pregnancy and antenatal surveillance recommendations. The book is written by nurse practitioners with combined experience of more than 50 years of practice in womenís health and obstetrics. Written for NPs, CNMs, and PAs, it provides a consistent, easy-to-access outline format that includes definition, etiology, history, physical exam, lab exam, differential diagnosis, treatment, complications, consultation/referral, and follow-up. Tables and diagrams further illustrate and reinforce the content, and numerous websites and bibliographies offer sources for additional study. Key Features: Presents the first comprehensive, up-to-date source of guidelines for preconception, prenatal, and postpartum nursing care in ambulatory settings Formats guidelines clearly and consistently for easy access to clinical information Provides key assessments including laboratory and ultrasound diagnostics Includes the latest trends in preterm labor prevention, disaster planning, and HIV in pregnancy. Covers early parenting issues and breastfeeding for success Provides guidelines for identifying complications and when to refer for specialist care
