Download Office Obstetrics, An Issue of Obstetrics and Gynecology by Sharon T. Phelan MD PDF

By Sharon T. Phelan MD

The subject of place of work Obstetrics is reviewed during this factor of Obstetrics and Gynecology Clinics of North the USA. Dr. Sharon Phelan has assembled a panel of specialists to pen articles on issues together with Prenatal Care, Prenatal files, Prenatal meals, NVP, selling fit conduct, Genetic Screening, Assessing and tracking Recurrent Obstetric hazards, Prenatal Counseling on Operative Obstetrics, and sufferer schooling and start Plans.

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Older providers and staff may be very intimidated by the computers; in addition, some programs are not intuitively obvious in how they work and become frustrating to use. Too many ‘‘bells and whistles’’ can make a program too complicated and it may run slower on some systems. Have the vendor or the institutional IT person in the clinic for a number of days to work one-on-one with staff, and then have them return to the clinic setting periodically for assistance. Make sure you have a ‘‘hot line’’ to IT and ideally, at least one member of the practice who is knowledgeable and understands the system well enough to serve as a champion of the program in the office.

Maternal calcium metabolism and bone mineral status. Am J Clin Nutr 2000; 71(5 Suppl):1312s–6s. [41] Weinsier RL, Krumdieck CL. Dairy foods and bone health: examination of the evidence. Am J Clin Nutr 2000;72(3):681–9. [42] Weaver CM, Proulx WR, Heaney R. Choices for achieving adequate dietary calcium with a vegetarian diet. Am J Clin Nutr 1999;70(3 suppl):543s–8s. [43] Heaney RP, Dowell MS, Rafferty K, et al. Bioavailability of the calcium in fortified soy imitation milk, with some observations on method.

Infants of supplemented mothers have higher serum ferritin concentrations and higher Apgar scores [50]. Iron supplementation (30 mg/d from 20 to 28 weeks) in nonanemic women has been shown to improve birth weight and to lower the incidence of LBW and preterm LBW, without changing anemia rates [54], possibly because iron was preferentially going to the fetus and placenta [55]. Because the iron needs are not likely to be met by diet, the CDC recommends low-dose iron supplementation (30 mg/d) from the first prenatal visit [49], and encouraging iron-rich foods and foods that enhance iron absorption.

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