New Handbook of High-Risk Obstetrics for iPhone

JL Software has announced Edition 1.2 of their popular Handbook of High-Risk Obstetrics for iPhone or iPod touch. The new edition adds chapters on the latest Centers for Disease Control guidelines on H1N1 Influenza in pregnancy, and the approach to the patient for obstetrical ultrasound. Also in the new edition are an expanded chapter on Induction of Labor incorporating the July guidelines released by the American College of Obstetricians and Gynecologists. In addition, many other chapters have been expanded and updated.

The Handbook is written for the busy medical student, resident in Obstetrics, or practicing clinician who needs a comprehensive and up-to-date yet concise guide to caring for the woman with a high-risk pregnancy. Written by R. Harold Holbrook Jr, a board-certified physician with 22 years of experience in academic perinatology, the Handbook covers all major areas of high-risk obstetrics, and is cross-referenced and indexed with over 3,200 keywords.

The Handbook provides a quick review of any perinatal topic at the bedside or in the office. Physicians can rapidly check diagnostic criteria, patient counseling information, and treatment options for the woman with a complicated pregnancy.



The Handbook covers the following general areas:

* Pregnancy in patients with coexisting medical problems
* Complications of pregnancy
* Preterm labor and delivery
* Preterm rupture of the membranes
* Management of complicated labor and delivery
* Fetal complications and diseases
* Genetic counseling for risks of fetal anomalies
* Pregnancy counseling for coexisting disease or past complicated pregnancy

The Handbook contains special sections for breast cancer in pregnancy, care of the pregnant patient with spinal cord injury, hypertension and its manifestations, and both gestational and pre-gestational diabetes mellitus. The complications of pregnancy covered include mild and severe preeclampsia, eclampsia, antepartum bleeding, preterm labor, preterm premature rupture of the membranes, and others.

Diagnostic steps and treatment are based on the latest information from the American College of Obstericians and Gynecologists, the CDC, and recent published studies in the major obstetrical journals. Topic pages in the Handbook of High-Risk Obstetrics are extensively cross-referenced with links to all associated topics, allowing the physician or student to start with an overview and quickly consult related information.


The entire text is indexed using more than 3,200 keywords, enabling the busy medical student, resident, or practicing clinician to quickly find all relevant pages via the intuitive search feature. Users can also easily bookmark any page for future quick reference. There is no limit on the number of bookmarks, double-bookmarking is automatically prevented, and bookmarks can be added or removed at any time. To retrieve a bookmarked page, the user simply chooses the Bookmarks icon and taps the desired page from the presented list.

Copy and paste of any text in the Handbook is supported, so clinicians can copy and email or copy and SMS-message any of the numerous protocol lists, medication options, or differential diagnosis summaries to colleagues on-call or at referring institutions.

The Handbook of High-Risk Obstetrics includes concise but complete coverage of all aspects of perinatal practice. Finding the information needed is much quicker than using a textbook, and all of the important points are summarized for a rapid but thorough overview of the topic.


The sections of the Handbook include:

Pregnancy and Coexisting Medical Conditions: diabetes mellitus, chronic hypertension, congenital and acquired cardiac conditions, thyroid disorders, gastrointestinal disorders, hepatic disorders, dermatologic disorders specific to pregnancy, collagen-vascular disease, systemic lupus erythematosus, antiphospholipid syndrome, hematologic disorders, breast cancer and pregnancy, renal disease in pregnancy, seizure disorders, carpal tunnel syndroms, bacterial and viral infections, spinal cord injuries, depression, bipolar disorder, anxiety disorders, and psychosis.

Common Omissions in Prenatal Care: screening for genetic defects, maternal obstetrical history, administration of magnesium sulfate, invasive diagnostic procedures, cause of low-birthweight infants, risk factors for congenital anomalies, signs of fetal compromise, distinguishing common pregnancy complaints from serious disease, and detecting early signs of preterm labor.

Fetal Medicine: symmetric and asymmetric intrauterine fetal growth restriction, detection of fetal anomalies by ultrasound, common chromosome anomalies, fetal hematologic disorders, red cell isoimmunization, neonatal alloimmune thrombocytopenia, alpha and beta thalassemia, sickle cell anemia, sickle S-C disease, sickle-thal carrier state, oligohydramnios, polyhydramnios, twin-twin transfusion syndrome, and congenital infections including rubella, cytomegalovirus, toxoplasmosis, group B beta-hemolytic streptococcus, parvovirus B19, Listeria monocytogenes, varicella (chicken pox), hepatitis A, B, C, and E, HIV and AIDS, and syphilis.

The Screening Ultrasound Exam: in addition to fetal biometric measurements of biparietal diameter, head circumference, abdominal circumference and femur length, normal and abnormal structures are listed for each body area. Examinations include head, brain, encephalocele, lateral cerebral ventricles, choroid plexus, cerebellum, cisterna magna, third ventricle, face, orbits, binocular diameter, intraocular diameter and ocular diameters, lips, cleft lip, nose, chin, neck, spine, chest, fetal heart views, fetal cardiac physiology, fetal circulation, fetal cardiac arrhythmias, lungs, pulmonary sequestration, congenital cystic adenomatoid malformation, diaphragmatic hernia, pleural effusion, abdomen and pelvis, stomach, esophageal atresia, tracheoesophageal fistula, jejunal atresia, duodenal atresia, 3-vessel umbilical cord, single umbilical artery, abdominal wall defects of omphalocele and gastroschisis, renal pelvis, ureteropelvic junction obstruction, hydronephrosis, bladder overdistention, posterior urethral valves, renal agenesis, dilated bowel, echogenic bowel, angulation of the feet, club foot, absent radius, abnormal curvature of the spine, meningomyelocele and spina bifida.

* Intrapartum Fetal Monitoring
* Guide To Fetal Anomalies and Genetic Counseling
* Multiple Gestation

Complications Of Pregnancy:
* Antepartum Bleeding
* Preeclampsia
* Eclampsia
* Gestional Diabetes

Induction of Labor:
* Cervical Ripening
* Management of Labor Induction

Preterm Labor and Delivery:
* Diagnosing Preterm Labor
* Treatment of Preterm Labor

Preterm Premature Rupture of the Membranes:
* Tocolysis
* Glucocorticoids
* Antibiotic Prophylaxis
* Management of Labor and Delivery

Pricing and Availability:
The Handbook of High-Risk Obstetrics is available on the Apple App Store at an introductory price of $49.99 (USD). All future updates are free of charge to existing customers.


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