Queenan's Management of High-Risk Pregnancy
The new edition of the long-standing classic text, covering all areas of perinatal medicine

Continuing to set the standard for maternal-fetal practice, the seventh edition of Queenan's Management of
High-Risk Pregnancy provides practical, clinically useful information on the full spectrum of perinatal care.
Focused on clinical decision-making, this invaluable reference contains authoritative, evidence-based
information on the factors of high-risk pregnancy, biochemical and biophysical monitoring, maternal disease,
obstetric complications, patient safety in labor and delivery, and more.

With more than 50 concise chapters, this text has been written by leading experts, and contains evidence-
based protocols, algorithms, case studies, potential outcome measures, medications, and illustrative case
reports to ensure the best possible outcomes for fetal and maternal patients. This text offers clear guidance
on the common problems encountered in the day-to-day management of high-risk pregnancies.

The seventh edition of Queenan's Management of High-Risk Pregnancy includes new and updated chapters with the
most current evidence-based information and protocols available on topics such as infectious diseases in
pregnancy, vaping, operative vaginal delivery, postpartum hemorrhage, pregnancies in women with disabilities,
maternal anemia, malaria, and HIV infection.

Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Seventh Edition, remains an
indispensable reference and guide for obstetricians, gynecologists, OB/GYN trainees, midwives, and primary
and general practitioners.

TABLE OF CONTENTS

Part 1 Factors of High-Risk Pregnancy

1 Overview of High-Risk Pregnancy 1

2 Nutrition in Pregnancy 2

3 Alcohol and Substance Use Disorder 17

4 Environmental Agents and Reproductive Risk 33

Part 2 Genetics

5 Genetic Screening for Mendelian Disorders 44

6 Screening for Congenital Heart Disease 50

7 First- and Second-Trimester Screening for Fetal Aneuploidy and Neural Tube Defects 60

Part 3 Fetal Assessment

8 Sonographic Dating and Standard Fetal Biometry 70

9 Antepartum Fetal Monitoring 83

10 Interpreting Intrapartum Fetal Heart Tracings 88

Part 4 Maternal Disease

11 Sickle Cell Anemia 93

12 Anemia 99

13 Thrombocytopenia 105

14 Inherited and Acquired Thrombophilias 114

15 Thromboembolic Disorders 123

16 Cardiac Disease in Pregnancy 134

17 Renal Disease 142

18 Pregnancy in Transplant Patients 148

19 Gestational Diabetes Mellitus 156

20 Diabetes Mellitus 161

21 Thyroid Disorders 165

22 Asthma 170

23 Epilepsy 182

24 Chronic Hypertension 191

25 Systemic Lupus Erythematosus 197

26 Perinatal Infections 206

27 Malaria 218

28 Hepatitis in Pregnancy 221

29 HIV Infection 229

30 Pregnancy in Women with Disabilities 237

31 COVID-19 in Pregnancy 253

Part 5 Obstetric Complications

32 Recurrent Pregnancy Loss 262

33 Cervical Insufficiency 272

34 Gestational Hypertension, Preeclampsia, and Eclampsia 281

35 Postpartum Hemorrhage 288

36 Emergency Care 300

37 Rh and Other Blood Group Alloimmunizations 312

38 Multiple Gestations 319

39 Polyhydramnios and Oligohydramnios 332

40 Pathogenesis and Prediction of Preterm Delivery 344

41 Preterm (Prelabor) Premature Rupture of Membranes 361

42 Management of Preterm Labor 372

43 Placenta Previa and Related Disorders 381

44 Fetal Growth Restriction 392

Part 6 Complications of Labor and Delivery

45 Induction of Labor 399

46 Cesarean Delivery 406

47 Vaginal Birth after Cesarean Delivery 415

48 Breech Delivery 425

49 Operative Vaginal Delivery 432

50 Obstetric Analgesia and Anesthesia 437

51 Quality and Patient Safety 443

Part 7 Procedures

52 Genetic Amniocentesis, Chorionic Villus Sampling, Intrauterine Transfusion, and Shunts 450

53 Fetal Surgery 465

Index 474