Bleeding During Pregnancy A Comprehensive Guide
Bleeding during pregnancy is not a rare phenomenon and has been associated with significant maternal and fetal morbidities and even mortality. Although vaginal bleeding occurs mainly during the first trimester, it can appear at any stage of pregnanc
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Eyal Sheiner Editor
Bleeding During Pregnancy A Comprehensive Guide
Editor Eyal Sheiner, MD, PhD Department of Obstetrics and Gynecology Faculty of Health Sciences Soroka University Medical Center Ben-Gurion University of the Negev Beer-Sheva, Israel [email protected]
ISBN 978-1-4419-9809-5 e-ISBN 978-1-4419-9810-1 DOI 10.1007/978-1-4419-9810-1 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011929988 © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)
Acknowledgments
Pregnancy-related bleeding is a clinical challenge. Obstetrical morbidity associated with bleeding is significant. Accordingly, I was pleased to have the opportunity to participate in the creation of this book and invite some of the world’s experts on this topic to share their experience and knowledge. I thank all of the authors for their excellent chapters. I am most appreciative of their work. As always, the support of my beloved family was crucial and unwavering. The book is dedicated to my mother, Zehava Sheiner (1945–2010), who passed away unexpectedly during the process of editing the book. Beer-Sheva, Israel
Eyal Sheiner
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Contents
Part I Introduction to Bleeding During Pregnancy 1 Clinical Approach to Pregnancy-Related Bleeding. . . . . . . . . . . . . . . . . Nardin Aslih and Asnat Walfisch
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Part II Bleeding During Early Pregnancy 2 Early Pregnancy Loss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Adi Y. Weintraub and Eyal Sheiner 3 Ectopic Pregnancy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Avi Harlev, Arnon Wiznitzer, and Eyal Sheiner 4 Vaginal Bleeding and Gestational Trophoblastic Disease. . . . . . . . . . . . 65 Lisa M. Barroilhet, Donald Peter Goldstein, and Ross S. Berkowitz 5 Gynecological Cancer During Pregnancy. . . . . . . . . . . . . . . . . . .
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