Download Gabbe: Obstetrics - Normal and Problem Pregnancies by Steven G. Gabbe MD, Jennifer R. Niebyl MD, Joe Leigh Simpson PDF

By Steven G. Gabbe MD, Jennifer R. Niebyl MD, Joe Leigh Simpson MD, Mark B Landon MD, Henry L Galan MD, Eric R. M. Jauniaux MD PhD FRCOG, Deborah A Driscoll MD, Vincenzo Berghella MD, William A Grobman MD MBA

After 30 years, Obstetrics: common and challenge Pregnancies remains your go-to selection for authoritative guidance on dealing with today’s obstetric sufferer. International specialists put the latest wisdom during this strong point at your fingertips, with present and suitable info on every thing from fetal origins of grownup illness, to enhancing worldwide maternal health and wellbeing, to special issues in day by day obstetrical perform. Highly readable, well-illustrated, and straightforward to understand, this bestselling obstetrics reference is a perfect instrument for citizens and clinicians.

  • Take good thing about the collective knowledge of world specialists within the box,
  • including new editors― Drs. Vincenzo Berghella and William Grobman -- and approximately 30 new members.

  • Gain a brand new perspective 
  • on quite a lot of trendy key issues - all evidence-based and simple to learn.

  • Sweeping updates throughout
  • together with 4 new chapters: ‘Vaginal start after Cesarean Delivery’; ‘Placenta Accreta’; ‘Obesity’; and ‘Improving worldwide Maternal future health: demanding situations and Opportunities’

  • 11 videos
  • strengthen bankruptcy content material and improve studying in components comparable to cesarean supply and operative vaginal supply

  • New
  • Glossary of the main often used key abbreviations for simple reference

  • Expanded use of bolded statements and key points in addition to extra tables, circulate diagrams, and bulleted lists enables and enhances the mastery of every chapter
  • More than a hundred pictures within the Obstetrical Ultrasound bankruptcy offer an enormous source for regular and irregular fetal anatomy

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Extra info for Gabbe: Obstetrics - Normal and Problem Pregnancies

Example text

114] Placental Protein-5. A glycoprotein with a molecular weight of 36 kDa, placental protein 5 (PP5) is believed to be produced in the syncytiotrophoblasts. [116] Decidual Proteins PROLACTIN Molecular Structure. [78] Origin. Prolactin, produced by decidualized endometrium, is first detectable in the endometrium on cycle day 23, a time corresponding to implantation. , IGF-1) and other poly-peptide hormones (-hCG) as co-regulators. Decidual prolactin is transported across intact amnion and chorion from adherent decidua and released into the amniotic fluid with little entering the fetal or maternal circulation.

1-19B) , a marked increase in fetal adrenal cortex growth velocity reflects the acceleration of fetal maturation processes just before parturition. [159] Therefore, the fetus cannot make progesterone or androstenedione, the immediate precursor to the sex steroids. The placenta, however, has an abundance of 3-hydroxysteroid dehydrogenase. [157] , [160] Pregnenolone sulfate is delivered through the umbilical artery to the placenta. The placenta converts pregnenolone to progesterone and returns the latter to the fetus for synthesis into mineralocorticoids and glucocorticoids.

1-23) (Figure Not Available) . After birth, these three zones survive: the definitive zone is transformed into the zona glomerulosa, the transitional zone evolves into the cortisol-secreting zona fasciculata, and the fetal zone evolves into the androgen-secreting zona reticularis[179] (Fig. 1-22) (Figure Not Available) and (Fig. 1-23) (Figure Not Available) . Fetal adrenal blood flow, modulated by arterial oxygen tension, tropic hormones, and intra-adrenal vascular proliferation, exposes fetal adrenal receptors to increases in circulating tropic hormones.

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