Table Of ContentOB/GYN Hospital Medicine:
Principles and Practice
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08/GYN Hospital Medicine:
Principles and Practice
Edited by
Jennifer R. Butler, MD Alpesh N. Amin, MD, MBA
Associate Clinical Professor Thomas and Mary Cesario Endowed Chair, Department of Medicine
Director, OB/GYN Hospitalist Division Professor of Medicine, Business, Public Health, Nursing Science, and
Director, 08/GYN Hospitalist Fellowship Biomedical Engineering
Department of Obstetrics and Gynecology Executive Director, Hospitalist Program
University of (alifomia, Irvine University of california, Irvine
Orange, (alifornia Orange, California
Laura E. Fitzmaurice, MD Christine M. Kim, MD
Assistant Clinical Professor Associate Clinical Professor
Residency Program Director OB/GYN Clerkship Director
08/GYN Hospitalist Division 08/GYN Hospitalist Division
Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology
University of (alifomia, Irvine University of California, Irvine
Orange, California Orange, California
II
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Contents
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix 17 Transitionsofcare . . . . . . . . . . . . . . . . . . . . . . . . . . . 80
Preface .... .... .. ................ .. .... ....... xv Israel De Alba and Alpesh N. Amin
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii 18 Team-Based Medicine . . . . . . . . . . . . . . . . . . . . . . . . . 83
John Hann
PART I OBH: The OBH Specialty . . . . . . . . . . . . . . . . . . . 1 19 The Role of Simulation for the OB Hospltalist . . . . . . . . . . . . 86
Corey K. Nelson, Christine M. Kim, and Adam Crosland
General Hospitalist Movement . . . . . . . . . . . . . . . . . . . . . 3
Alpesh N. Amin
PART 111 Clinical Conditions and Procedures in OBH Medicine 93
2 Introduction to the OB/6YN Hospitalist Spedallty. . . . . . . . . . . S
Rob Olson, Brendan Carroll, and Brian Monks A Core Obstetric Conditions
3 Starting aS ua:!ssful OB/6YN Hospitalist Program . . . . . . . . . 1S 20 Asthma in Pregnancy. . . . . . . . . . . . . . . . . . . . . . . . . . 9S
Vani Dandolu and Rob Olson Richard A. Lee and Dharmi B. Patel
4 PerformancufOB/GYN HospltallstPrograms. . . . . . . . . . . . 19 21 Blood Product Replacements . . . . . . . . . . . . . . . . . . . . . 99
Brian K. lriye Minh-Ha Tran
S Reglonallzed Perinatal care: The OB/GYN Hospitallst 22 Cardiac Disease in Pregnancy . . . . . . . . . . . . . . . . . . . . . 105
and Efforts to Reduce Perinatal Morbidity and Monallty. . . . . . 28 Sarah E. Paraghamian and Af'shan B. Hameed
Brigid McCue
23 Cervical lnsuffidency. . . . . . . . . . . . . . . . . . . . . . . . . . 112
6 Coding and Biiiing for the OB/6YN Hospitalist. . . . . . . . . . . . 32 Cindy Tung Chau and Lill S. Wei
Lori-Lynne A. Webb
24 Diabetes In Pregnancy ...... ....... ...... .. .... 115
7 The OB/GYN Hospitalist and Medical Education . . . . . . . . . . . 41 Carol A. Major and Jonathan G. Steller
Alyse Sherwin Blanchette, Joseph Cioffi, and
25 Dermatologic Conditions in Pregnancy. . . . . . . . . . . . . . . . 128
Anthony M. Vintzileos Lance W. Chapman, Kyle T. Amber, Francesca Ortenzio,
Ronald M. Harris, and Patrick K. Lee
PART II OBH Medicine: Healthcare System Issues in
26 Obstetrical Pharmacology . . . . . . . . . . . . . . . . . . . . . . . 132
OBH Medicine . . . . . . . . . . . . . . . . . . . . . . . 45
Catherine S. Stika
care
8 Patient-centered and Patient Experience Metrks . . . . . . . 47
27 Electronk Fetal Heart Rate Monitoring
Solange Eloundou and Zishan K. Siddiqui
fortheOB/GYN Hospltalist. ................... .. . 146
9 Ethical Issues Faced by the OB/GYN Hospitalist . . . . . . . . . . . SO Thomas J. Ga rite, Jennifer Y. Duffy, and Emily Hamilton
Steven J. Ralston and Ruth M. Farrell
28 Headaches in Pregnancy. . . . . . . . . . . . . . . . . . . . . . . . 163
10 Evidence-Based Medicine . . . . . . . . . . . . . . . . . . . . . . . 53 Baotran N. Vo and Esther Danphuong Ho Wang
Baotran N. Vo
29 Human lmmunodefidencyVlrus in Pregnancy ............ 168
11 Hospital Finance . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57 Laura Sienas, Carey Moreno-Hunt, and Douglas Gillott
Ajay Slal, Jaklin T. Orlowski, and Bhan Sial
30 Hyperemesis ........ ... ... ....... ......... 173
12 Leadership Development . . . . . . . . . . . . . . . . . . . . . . . 61 Sarah Lynn Lovell Frey
Mkhael D. Moxley, Jennifer R. Butler, and Alpesh N. Amin
31 Hypertension In Pregnancy .......... .. ........ .. 181
13 Patient Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63 Sherrie McElvy and Rosa H. Won
Douglas G. Merrill
32 lntrahepatic Cholestasis of Pregnancy . . . . . . . . . . . . . . . . 188
14 Pri~esofQualitylmprovement . . . . . . . . . . . . . . . . . . 67 Rachel A. Newman and Judith H. Chung
Douglas G. Merrill
33 Infectious Diseases in Pregnancy . . . . . . . . . . . . . . . . . . . 194
15 Risk Management and the Hospital-Based Lanny Hsieh and Miki Wiltanabe
Obstetrician/Gynecologist . . . . . . . . . . . . . . . . . . . . . . . 72
34 Infections ThatAffect the Fetus . . . . . . . . . . . . . . . . . . . . 201
Peter Schnelder
Robert J. Fagnant
16 Burnout and Physician Well-being . . . . . . . . . . . . . . . . . . 74
35 Stillbirth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 213
Hrayr Attarlan and Phyllis C. Zee
Cindy Tung Chau
vii
viii Contents
36 Intrauterine Growth Restriction .................... 216 S4 First-Trimester Bleeding ........................ 3S1
Tamera Hatfield Janet C. Jacobson and Shannon Connolly
37 Labor Management . . . . . . . . . . . . . . . . . . . . . . . . . . 220 SS PelvicPain ................................ 3S9
Jane van Dis Maureen C. Ries and Marcie Rome
38 Maternal Code Blue. . . . . . . . . . . . . . . . . . . . . . . . . . . 230 S6 Vulvar and Vaginal Trauma . . . . . . . . . . . . . . . . . . . . . . 366
Catherine Gordon and Vasiliki Tatsis Jeannette Lager, Mzimeli Morris, and Kavita Mishra
39 Multiple Gestations. . . . . . . . . . . . . . . . . . . . . . . . . . . 240 C Core OBH Procedures
Cariza Mercurio and Melissa Westermann
S7 Amniocentesis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 371
40 Neonatal Resuscitation for the OB/GYN Provider . . . . . . . . . . 249
Laura E. Fitzmaurice
Johanah M. carrera
SS Inpatient Female Sterilization Procedures . . . . . . . . . . . . . . 376
41 Obstetric Emergencies . . . . . . . . . . . . . . . . . . . . . . . . . 2S2
Marisa Liu and Dayna Smith
M. Shane Miller and Tara M. Vick
S9 Breed! Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 380
42 Obstetric Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . 266
William M. Gilbert
Corey K. Nelson, Ho J. Choi, and Dmitry Portnoy
60 Cesarean Delivery ............................ 387
43 Placental Abnormalities . . . . . . . . . . . . . . . . . . . . . . . . 274
Lorene A. lemming and Eric A. Strand
Robert C. Johnston and Deborah A. Wing
61 Perioperative Management of Cystotomies . . . . . . . . . . . . . 391
44 Postpartum Complications. . . . . . . . . . . . . . . . . . . . . . . 282
Bobby Garcia and Felicia Lane
Nisha Garg, Jennifer R. Butler, and Olivia Sanchez
62 Episiotomy and Perineal Laceration Repair. . . . . . . . . . . . . . 395
4S Preterm Labor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 293
Virginia Tancioco and Laura E. Fitzmaurice
Thoa K. Ha
63 External CephalicVersion . . . . . . . . . . . . . . . . . . . . . . . 402
46 Preterm Premature Rupture of Membranes . . . . . . . . . . . . . 296
Joshua I. Rosenbloom and Shayna N. Conner
Isabelle J. Cohen, Rebecca A. M. Pierce-Williams,
64 Hypogastric Artery Ligation . . . . . . . . . . . . . . . . . . . . . . 40S
and Robert M. Ehsanipoor
Tasha Serna-Gallegos and Robert E. Bristow
47 Psychiatric Disorders In Pregnancy . . . . . . . . . . . . . . . . . . 303
6S Obstetric Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . 410
Shannon L. Clark and Nuria S. Garcia-Ruiz
Manuel Porto and Megan C. Qakes
48 Opioid Use Disorder in Pregnancy. . . . . . . . . . . . . . . . . . . 310
66 Manual Rotation of the Oaiput Posterior or
Kelley A. Saia, Jordana Price, and Tirah Samura
OcdputTransverse Fetus in Labor. . . . . . . . . . . . . . . . . . . 415
49 Thromboembolic Disease in Pregnancy ....... ...... ... 317
Jean Maunder
Priya Rajan
67 Operative Vaginal Deliveries. . . . . . . . . . . . . . . . . . . . . . 422
SO Trauma in Pregnancy ........... ............ . .. 321
Michael D. Moxley
Michael E. Lekawa, Christine M. Kim, Sebastian D. Schubl, and Lauren Yu
68 Postpartum Hemorrhage Procedures . . . . . . . . . . . . . . . . . 430
S1 Assessment of Fetal Add-Base Status. . . . . . . . . . . . . . . . . 331
Katherine Coakley and Laura E. Fitzmaurice
Rebecca L. Cypher
69 Pudenda! Nerve Blocks. . . . . . . . . . . . . . . . . . . . . . . . . 439
S2 Trial of Labor After Cesarean Section and
Tushani lllangasekare
Vaginal Birth After Cesarean. . . . . . . . . . . . . . . . . . . . . . 337
70 Vulvar and Vaginal Hematoma . . . . . . . . . . . . . . . . . . . . 443
Alissa Dangel and Linda Kleeman
Lauren A. Cadish
B Core Gynecologic Topics
S3 Management of Arute, Abnormal Uterine Bleeding. . . . . . . . . 343
Index . . ............ .. .......... .. ....... 449
Kathryn Merriam and Lynn Amy Boardman
