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Maternal adrenal disease 

Maternal adrenal disease
Chapter:
Maternal adrenal disease
Author(s):

Harini Narayan

DOI:
10.1093/med/9780199673643.003.0007
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date: 26 November 2020

This chapter presents individual fact files, care pathways, and patient information for a wide range of maternal infections. Bacterial sepsis in pregnancy has been identified as a leading cause of direct maternal deaths in the UK. Some infections including H1N1 and pneumonia are more serious in pregnant women because of relative immunosuppression; others have the potential for fetal/neonatal vertical transmission. Urinary tract infections, bacterial vaginosis, varicella zoster, parvovirus, hepatitis B, hepatitis C and sexually transmitted infections (HIV, gonorrhoea, chlamydia, anogenital warts, trichomoniasis) are familiar; syphilis, toxoplasmosis, rubella, cytomegalovirus, herpes are routinely screened for. Malaria and tuberculosis, though relatively rare, appear to be increasing. Epidemiology, symptomatology, diagnosis including serology, complications and long-term sequelae are summarized in each fact file, referenced with national and international guidelines and up-to-date best practice recommendations. The care pathways incorporate essential investigations, assessments, antenatal management, documented communication of key information for intrapartum, postnatal, and neonatal care.

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