Читать книгу Managing Medical and Obstetric Emergencies and Trauma - Группа авторов - Страница 44

Of the many other causes of indirect death, the leading category is central nervous system disease, including epilepsy, where women may stop taking their medication when they become pregnant. All medical diseases in pregnancy need careful supervision because of the effects of the disease on the pregnant woman and the effects of the pregnancy on the disease. This responsibility tends to be shared between the GP, midwife, obstetrician and physician, and they often work in isolation without appreciation of the full clinical picture and risks. Good communication among carers is essential, and if it cannot be done in joint clinics, there should at least be telephone discussions with a documented outcome. Communication should not be left to the patient or her handheld notes.