Handbook of Obstetrics and Gynaecology,9780412585302

Handbook of Obstetrics and Gynaecology

by ; ;
Edition: 4th
ISBN13: 9780412585302
ISBN10: 0412585308
Format: Paperback
Pub. Date: 1995-12-21
Publisher(s): Hodder Education Publishers
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Table of Contents

Contributors xii(2)
Preface xiv
1 History-taking and physical examination
1(31)
1.1 General instructional objective
1(11)
1.2 Specific behavioural objectives
1(11)
1.3 Reasons for learning to take a relevant history and performing a specific obstetric and gynaecological examination
1(2)
1.4 Obstetric history
3(2)
1.5 History of the present pregnancy
5(1)
1.6 Obstetric examination
5(13)
1.7 Vaginal examination in gynaecology
18(13)
1.8 Summary
31(1)
2 Adverse factors affecting embryo or fetus
32(19)
2.1 General instructional objective
32(1)
2.2 Specific behavioural objectives
32(1)
2.3 Reasons for learning to appreciate the pre-conceptual, antenatal and intrapartum factors that may adversely affect an embryo or fetus in utero
33(1)
2.4 Genetic and social factors
34(4)
2.5 Retarded intrauterine growth of the fetus
38(4)
2.6 Small-for-gestational-age babies
42(1)
2.7 Management of growth retardation
43(1)
2.8 Delivery
44(1)
2.9 Induction of labour
45(4)
2.10 Anaesthesia
49(1)
2.11 Vaginal delivery
50(1)
3 Drug treatment in pregnancy
51(12)
3.1 General instructional objective
51(1)
3.2 Specific behavioural objectives
51(1)
3.3 Reasons for learning about drug treatment in pregnancy
51(1)
3.4 Teratogenic risk
52(1)
3.5 Drug use in pregnancy
52(6)
3.6 Drug use in obstetrics
58(2)
3.7 Drug use in lactation
60(2)
3.8 Summary
62(1)
4 Normal pregnancy
63(24)
4.1 General instructional objective
63(1)
4.2 Specific behavioural objectives
63(1)
4.3 Reasons for understanding the normal pregnancy
64(1)
4.4 Physiological changes in the mother
65(4)
4.5 Fertilization
69(2)
4.6 Symptoms and signs detected during pregnancy
71(5)
4.7 The first antenatal visit
76(2)
4.8 Subsequent visits
78(1)
4.9 General advice
79(1)
4.10 Estimation of the date of confinement
79(1)
4.11 Investigations performed during pregnancy
80(2)
4.12 Placental function
82(5)
5 Deviations from normal pregnancy
87(55)
5.1 General instructional objective
87(1)
5.2 Specific behavioural objectives
87(1)
5.3 Reasons for studying deviations from normal pregnancy
88(1)
5.4 Bleeding in late pregnancy
89(6)
5.5 Renal diseases associated with pregnancy
95(5)
5.6 Anaemia in pregnancy
100(3)
5.7 Heart disease in pregnancy
103(3)
5.8 Pre-term labour
106(2)
5.9 Counselling in relation to an abnormal pregnancy
108(1)
5.10 Convulsions in pregnancy and the puerperium
109(2)
5.11 Chronic illness
111(1)
5.12 Rhesus iso-immunization and haemolytic disease
112(4)
5.13 Glycosuria and diabetes mellitus
116(4)
5.14 Amniocentesis in pregnancy
120(3)
5.15 Radiology in pregnancy
123(1)
5.16 Ultrasound in pregnancy
124(1)
5.17 Radioisotopes in pregnancy
125(1)
5.18 Investigation of suspected fetal growth retardation
126(2)
5.19 Pre-eclampsia and eclampsia
128(7)
5.20 Intrauterine fetal death
135(1)
5.21 Coagulation defects in obstetrics
136(1)
5.22 Breech presentation
137(5)
6 Normal labour and delivery
142(38)
6.1 General instructional objective
142(1)
6.2 Specific behavioural objectives
142(1)
6.3 Reasons for understanding normal labour and delivery, and resuscitation of the newborn
143(1)
6.4 Anatomy of the female pelvis
143(6)
6.5 The fetus
149(5)
6.6 Physiological process in labour (the powers)
154(2)
6.7 Mechanisms of labour
156(5)
6.8 Normal labour
161(14)
6.9 Breech delivery
175(5)
7 The newborn infant
180(25)
7.1 General instructional objective
180(1)
7.2 Specific behavioural objectives
180(1)
7.3 Examination of the newborn
180(6)
7.4 Definitions
186(1)
7.5 Pre-term babies
187(2)
7.6 Small-for-dates infants
189(1)
7.7 Large-for-dates infants
190(1)
7.8 Infant of the diabetic mother
190(1)
7.9 Hypoglycaemia in the newborn
191(2)
7.10 Jaundice in the newborn
193(4)
7.11 Infections in the newborn
197(1)
7.12 Respiratory problems of the newborn
198(5)
7.13 Neonatal convulsions
203(2)
8 Abnormal labour
205(31)
8.1 General instructional objective
205(1)
8.2 Specific behavioural objectives
205(1)
8.3 Reasons for studying abnormal labour
206(1)
8.4 Delay in labour
206(4)
8.5 Types of abnormal uterine activity
210(4)
8.6 Prolonged labour
214(2)
8.7 Fetal distress
216(5)
8.8 Transverse and oblique lie
221(2)
8.9 Cord prolapse
223(2)
8.10 Shoulder dystocia
225(2)
8.11 Twin pregnancy and unsuspected second twin
227(1)
8.12 Indications for Caesarean section
227(1)
8.13 Vaginal birth after Caesarean section (VBAC)
228(1)
8.14 Application of obstetric forceps
229(1)
8.15 Postpartum haemorrhage
230(2)
8.16 Intrapartum haemorrhage
232(1)
8.17 Shock in labour
232(1)
8.18 Pre-term labour
233(3)
9 Analgesia and anaesthetics in obstetrics
236(18)
9.1 General instructional objective
236(1)
9.2 Specific behavioural objectives
236(1)
9.3 The pain of parturition
237(2)
9.4 Pain relief in labour
239(11)
9.5 General anaesthesia for obstetrics
250(2)
9.6 Cardiac arrest
252(2)
10 The puerperium
254(32)
10.1 General instructional objective
254(1)
10.2 Specific behavioural objectives
254(1)
10.3 Reasons for learning about the puerperium
254(1)
10.4 Normal anatomical and physiological changes during the puerperium
255(5)
10.5 Management of the puerperium
260(8)
10.6 Lactation
268(11)
10.7 Thrombosis and embolism
279(4)
10.8 Secondary postpartum haemorrhage
283(1)
10.9 Discharge
283(1)
10.10 Postnatal care
284(2)
11 Abortion, ectopic pregnancy and trophoblastic diseases
286(19)
11.1 General instructional objective
286(1)
11.2 Specific behavioural objectives
286(1)
11.3 Reasons for learning about abortions
287(1)
11.4 Abortion (miscarriage)
287(12)
11.5 Ectopic pregnancy
299(4)
11.6 Hydatidiform mole and choriocarcinoma
303(2)
12 Contraception and infertility
305(31)
12.1 General instructional objective
305(1)
12.2 Specific behavioural objectives
305(1)
12.3 Reasons for learning about contraception and infertility
306(1)
12.4 Normal menstruation
306(3)
12.5 Safety of oral contraception
309(1)
12.6 Mode of action of oral contraceptives
309(2)
12.7 Side effects of oral contraceptives
311(4)
12.8 Other forms of contraception
315(4)
12.9 Infertility and subfertility
319(17)
13 Genital tract infections and discharge
336(25)
13.1 General instructional objective
336(1)
13.2 Specific behavioural objectives
336(1)
13.3 Reasons for learning about genital tract infection
336(1)
13.4 Achievement of specific behaviours
337(1)
13.5 Vaginal discharge
337(12)
13.6 Herpes genitalis
349(1)
13.7 Human immunodeficiency virus infection
350(1)
13.8 Pelvic infections
351(10)
14 Gynaecological endocrinology
361(22)
14.1 General instructional objective
361(1)
14.2 Specific behavioural objectives
361(1)
14.3 Reasons for learning about gynaecological endocrinology
361(1)
14.4 The hormonal control of the normal menstrual cycle
362(5)
14.5 Abnormal uterine bleeding
367(5)
14.6 Dysmenorrhoea
372(2)
14.7 Premenstrual syndrome (PMS)
374(2)
14.8 Amenorrhoea and anovulation
376(3)
14.9 Hyperprolactinaemia
379(1)
14.10 Androgen excess - polycystic ovary syndrome (PCO)
380(3)
15 The menopause
383(8)
15.1 General instructional objective
383(1)
15.2 Specific behavioural objectives
383(1)
15.3 Reasons for learning about the menopause
383(1)
15.4 Physiological activity of sex steroids
384(3)
15.5 Pharmacological agents available for treatment
387(1)
15.6 Optimum treatment
388(3)
16 Prolapse and urinary incontinence
391(21)
16.1 General instructional objective
391(1)
16.2 Specific behavioural objective
391(1)
16.3 Reasons for learning about prolapse and urinary incontinence
392(1)
16.4 Introduction
392(1)
16.5 Uterovaginal prolapse
392(2)
16.6 Anatomical considerations
394(2)
16.7 Causes of uterovaginal prolapse
396(2)
16.8 Symptoms and signs of prolapse
398(2)
16.9 Management of prolapse
400(2)
16.10 Urinary incontinence
402(2)
16.11 Symptoms and signs of urinary incontinence
404(1)
16.12 Urogynaecological assessment
405(4)
16.13 Management of urinary incontinence
409(3)
17 Benign and malignant tumours
412(39)
17.1 General instructional objective
412(1)
17.2 Specific behavioural objectives
412(1)
17.3 Reasons for learning about benign and malignant tumours of the female genital tract
413(1)
17.4 Types of tumours of the genital tract
414(1)
17.5 Physiological ovarian cysts
414(2)
17.6 Benign ovarian tumours
416(1)
17.7 Ovarian malignancy
417(4)
17.8 Uterine tumours
421(3)
17.9 Adenomyosis
424(1)
17.10 Endometriosis
425(3)
17.11 Carcinoma of the endometrium
428(4)
17.12 Tumours of the cervix
432(1)
17.13 Carcinoma of the cervix
433(11)
17.14 Vagina
444(2)
17.15 Vulva
446(5)
18 Human sexuality
451(16)
18.1 General instructional objective
451(1)
18.2 Specific behavioural objectives
451(1)
18.3 Reasons for learning about human sexuality
452(1)
18.4 Human sexuality
452(1)
18.5 The sexual response cycle
453(2)
18.6 Factors affecting human sexuality
455(2)
18.7 Sexual counselling
457(2)
18.8 Human sexual problems
459(5)
18.9 Sexuality in pregnancy
464(3)
Index 467

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