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  4. ATSM: Maternal medicine

ATSM: Maternal medicine

Dermatological problems in pregnancy

This tutorial outlines the pharmacological and non-pharmacological management of the pregnancy dermatoses to improve treatment of women with these conditions. 

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Asthma

This tutorial covers the fetal and maternal risks of asthma in pregnancy and how to effectively plan antenatal, delivery and postnatal care for pregnant women with asthma.

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Gastrointestinal disease

This tutorial covers some common gastrointestinal conditions occuring in pregnancy, namely hyperemesis gravidarum, gastroesophageal reflux diseasea and irritable bowel syndrome.

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Gestational diabetes mellitus

This tutorial looks at how to manage women with gestational diabetes, long term effects of GDM in the mother and child and how to recognise neonatal complications due to gestational diabetes.

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Previous venous thromboembolism

This tutorial covers the pathophysiology and management of previous VTE in pregnancy and the puerperium.

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Peripartum cardiomyopathy

This tutorial describes how to diagnose peripartum cardiomyopathy, outlines initial management of the disease and discusses follow-up care and risk of recurrence.

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Cystic fibrosis

The tutorial focuses on the effect that CF can have on pregnancy and the antenatal, intrapartum and postnatal care of pregnant women with CF.

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Systemic lupus erythematosus

Pregnancy with SLE poses risks to the mother and the baby. This tutorial discusses counselling of women with this disorder and methods of minimising the impact of SLE on pregnancy in order to optimise maternal and fetal outcomes.

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Sickle cell disease

This tutorial focuses on the care of women with SCD as part of a multidisciplinary team, including the management of acute complications.

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Pre-existing diabetes without complications

This tutorial focuses on the care of women with pre-existing diabetes and how to manage them throughout their pregnancy and postnatally. It also explains the role of different therapies in improving glycaemic control.

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Chronic hypertension

This tutorial looks at how to evaluate and formulate a management plan for pregnant women with chronic hypertension and choose appropriate antihypertensives, recognising their effects on the mother, fetus and neonate.

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Acute fatty liver of pregnancy

This tutorial looks at the aetiology and pathogenesis of AFLP, identifying complications of this condition, its impact on maternal and fetal outcome and the key principles of treating women with AFLP. 

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Kidney disease in pregnancy

This tutorial covers all aspects of care of women with chronic kidney disease in pregnancy, from basic renal anatomy through to renal replacement therapy in pregnancy.

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Royal College of Obstetricians and Gynaecologists
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