By Vincenzo Berghella

Designed for simple revision, the 2 volumes during this set assessment the proof for top perform, providing the reader with definitely the right details, within the correct layout, summarized in easy-to-use tables and algorithms. every one guide is designed to "make it effortless to do it right", with acceptable use of confirmed interventions and little need of destructive interventions. lots of facts is obtainable in order that well-informed clinicians can lessen mistakes, in order that the 1st objective is eventually to enhance the healthiness of mom and child via supplying caliber.

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Women with asymptomatic bacteriuria are at increased risk for symptomatic infection and pyelonephritis. There is also a positive relationship between untreated bacteriuria and LBW/PTB. Treatment of asymptomatic bacteriuria prevents these complications (see Chapter 15). HBSAg: Screen at initial encounter, and rescreen highrisk populations in third trimester. Postnatal intervention is recommended in all HBsAg-positive women to reduce the risk of viral transmission to the neonate. Pregnancy and breastfeeding are not contraindications to immunization in women who are at risk for acquisition of the hepatitis B virus (see Chapters 28–30 in Maternal–Fetal Evidence Based Guidelines).

1 Prenatal exposure to ultrasound is not associated with an adverse influence on school performance or neurobehavioral function. There is no evidence of an adverse effect on speech, vision, on hearing. 1,2 As ultrasound is a form of energy and may produce secondary effects in the tissues it traverses, it should be performed only with valid medical indications and with the shortest duration possible and at the lowest settings to avoid unnecessary exposure to ultrasonic waves. Exposing the fetus to ultrasonography with no anticipation of medical benefit is not justified.

Routine use of ultrasound reduces the incidence of postterm pregnancies and rates of induction of labor for post-term pregnancy, increases early detection of multiple pregnancies, increases earlier detection of major fetal anomalies when termination of pregnancy is possible, increases detection rates of fetal malformations, decreases admission to special care nursery, and decreases poor spelling at school compared with selective ultrasound. No significant differences are detected for substantive clinical outcomes such as perinatal mortality, possibly because of insufficient data.

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