By Clifford R. Wheeless
This step by step consultant to pelvic surgical procedure is prepared by way of organ method for simple reference. This version comprises new fabric on operative strategies similar to laparoscopy.
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Extra resources for Atlas of pelvic surgery
However, one must be careful not to generalize because individuals will not necessarily follow the cultural stereotypes. In addition, reported problems may be inconsistent. Not complying with a craving may cause something to be missing from the baby (Mexico) or may cause the baby to be born sad, never able to close his/her mouth, and so will always drool (El Salvador). The patient herself may not necessarily believe, but will be given instructions by her family on what to do or what to avoid. These underlying assumptions and fears will aﬀect a patient’s ability to understand and act on our suggestions and, as much as possible, teaching needs to ﬁt into the patient’s cultural framework.
Underweight women overestimate their prepregnant weight, but overweight women underreport their weight, especially if they have less than a high school education [1,3]. The discrepancy is worse as the degree of overweight increases . Height also needs to be measured, not asked. People tend to * Corresponding author. T. Cox). 0889-8545/08/$ - see front matter Ó 2008 Elsevier Inc. All rights reserved. 2 years postmenarche) and black women should strive to gain toward the upper end of the ranges.
LGA babies have an increased risk for childhood obesity , which also may lead to higher rates of metabolic syndrome as adults, including obesity, insulin resistance, diabetes, and hypertension [7,10]. This area of research is active and prospective studies are now being done [21,22]. It may be that birth weight alone as an outcome measure may underestimate the eﬀect of maternal nutrition on the baby’s long-term health . Inappropriate weight gain may also cause long-term consequences for the mother because excess weight gain increases the risk for postpartum weight retention, leading to higher rates of obesity .
Atlas of pelvic surgery by Clifford R. Wheeless