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Medical management of normal pregnancy 

Medical management of normal pregnancy
Chapter:
Medical management of normal pregnancy
Author(s):

David J. Williams

DOI:
10.1093/med/9780198746690.003.0265
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date: 26 February 2021

This chapter looks at the medical management of normal pregnancy, and how the global maternal mortality ratio fell by almost 50% between 1990 and 2015 and the reasons for this decline. In resource-poor nations, provision of basic antenatal facilities with community healthcare workers, improved transport, communications, and education are largely responsible. Yet despite this progress maternal deaths are still common, particularly in sub-Saharan Africa, usually from readily preventable causes that would not occur in the presence of a skilled birth attendant. In wealthy nations, new challenges to maternal health include obesity, older age, and a growing number of pregnancies in women with chronic diseases through in vitro fertilization. Pregnancy can be accurately diagnosed within a day of missing a menstrual bleed by identifying a rise in urinary human chorionic gonadotropin concentration.

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