Obstetrics and Gynaecology: An evidence-based text for MRCOG

Front Cover......Page 1
Contents......Page 7
Contributors......Page 11
Preface......Page 15
Acknowledgements......Page 17
List of abbreviations used......Page 19
How to use this book......Page 27
Section One: Introductory/General......Page 29
Chapter 1: Evidence-based medicine and medical informatics......Page 31
Chapter 2: The general principles of surgery......Page 42
Chapter 3: Communication and counselling......Page 51
Chapter 4: The law, medicine and women’s rights......Page 55
Chapter 5: Clinical risk......Page 61
Chapter 6: Rationale for advanced skills training......Page 67
Section Two: Antenatal Obstetrics......Page 77
Chapter 7: Routine antenatal care: an overview......Page 79
Chapter 8: Chronic hypertension......Page 88
Chapter 9: Diabetes mellitus......Page 96
Chapter 10: Cardiac disease......Page 106
Chapter 11: Thyroid disease......Page 111
Chapter 12: Haematological conditions......Page 116
Chapter 13: Renal disease......Page 139
Chapter 14: Autoimmune conditions......Page 144
Chapter 15: Liver and gastrointestinal disease......Page 150
Chapter 16: Respiratory conditions......Page 156
Chapter 17: Neurological conditions......Page 165
Chapter 18: Dermatological conditions......Page 176
Chapter 19: Drug and alcohol misuse......Page 180
Chapter 20: Smoking......Page 188
Chapter 21: Anaemia......Page 191
Chapter 22: Abdominal pain......Page 196
Chapter 23: Malignancy......Page 203
Chapter 24: Maternal infections in pregnancy......Page 212
Chapter 25: Gestational diabetes......Page 219
Chapter 26: Pre-eclampsia and non-proteinuric pregnancy-induced hypertension......Page 226
Chapter 27: Medication in pregnancy......Page 234
Chapter 28: Maternal mortality......Page 241
Section Three: Fetal Conditions......Page 253
Chapter 29: Biochemical screening......Page 255
Chapter 30: Ultrasound Screening......Page 259
Chapter 31: Invasive and non-invasive prenatal diagnosis......Page 265
Chapter 32: Understanding genetics and genetic tests......Page 269
Chapter 33: Management of fetal anomalies......Page 281
Chapter 34: Previous history of fetal loss......Page 285
Chapter 35: Multiple pregnancy......Page 290
Chapter 36: Fetal infections......Page 295
Chapter 37: Tests of fetal wellbeing......Page 302
Chapter 38: Small for gestational age and intrauterine growth restriction......Page 309
Chapter 39: Aberrant liquor volume......Page 320
Chapter 40: Fetal hydrops......Page 328
Chapter 41: Malpresentation......Page 334
Chapter 42: Prolonged pregnancy......Page 338
Chapter 43: Routine intrapartum care: an overview......Page 344
Section Four: Late Pregnancy and Intrapartum Events......Page 353
Chapter 44: Preterm labour......Page 355
Chapter 45: Pre-labour rupture of the membranes......Page 366
Chapter 46: Antepartum haemorrhage......Page 373
Chapter 47: Intrauterine fetal death......Page 388
Section Five: First Stage of Labour......Page 399
Chapter 48: Induction of labour......Page 401
Chapter 49: Management after previous caesarean section......Page 409
Chapter 50: Poor progress in labour......Page 417
Chapter 51: Fetal compromise in the first stage of labour......Page 423
Chapter 52: Obstetric anaesthesia and analgesia......Page 432
Chapter 53: Caesarean section......Page 444
Section Six: Second Stage of Labour......Page 453
Chapter 54: Fetal compromise in the second stage of labour......Page 455
Chapter 55: Shoulder dystocia......Page 459
Chapter 56: Instrumental vaginal delivery......Page 465
Chapter 57: Breech presentation......Page 471
Chapter 58: Perineal trauma......Page 485
Section Seven: Postpartum Complications......Page 497
Chapter 59: Perinatal asphyxia......Page 499
Chapter 60: Neonatal resuscitation......Page 504
Chapter 61: Common neonatal problems......Page 513
Chapter 62: Perinatal mortality......Page 521
Chapter 63: Postpartum collapse......Page 530
Chapter 64: Postpartum haemorrhage......Page 535
Chapter 65: Postpartum pyrexia......Page 540
Chapter 66: Disturbed mood......Page 544
Chapter 67: Problems with breastfeeding......Page 548
Section Eight: Reproductive Gynaecology......Page 551
Chapter 68: Normal and abnormal development of the genitalia......Page 553
Chapter 69: Karyotypic abnormalities......Page 564
Chapter 70: Menarche and adolescent gynaecology......Page 567
Chapter 71: Ovarian and menstrual cycles......Page 571
Chapter 72: Contraception and termination of pregnancy......Page 579
Chapter 73: Endometrial function......Page 598
Chapter 74: Uterine fibroids......Page 602
Chapter 75: Abnormal uterine bleeding......Page 611
Chapter 76: Dysmenorrhoea and pelvic pain......Page 620
Chapter 77: Endometriosis......Page 630
Chapter 78: Adenomyosis......Page 641
Chapter 79: Premenstrual syndrome......Page 645
Chapter 80: Normal conception......Page 653
Chapter 81: Female infertility......Page 657
Chapter 82: Male infertility......Page 666
Chapter 83: Unexplained infertility......Page 671
Chapter 84: Assisted reproduction......Page 676
Chapter 85: Polycystic ovary syndrome......Page 682
Chapter 86: Hirsutism and virilism......Page 691
Chapter 87: Amenorrhoea and oligomenorrhoea......Page 696
Chapter 88: Menopause......Page 700
Chapter 89: Miscarriage......Page 706
Chapter 90: Ectopic pregnancy......Page 713
Chapter 91: Premature ovarian insufficiency......Page 726
Chapter 92: Fertility preservation......Page 735
Chapter 93: Psychosexual medicine......Page 740
Section Nine: Urogynaecology and Sexual Health and Wellbeing......Page 745
Chapter 94: Assessment of lower urinary tract function......Page 747
Chapter 95: Urinary Incontinence......Page 764
Chapter 96: Other lower urinary tract disorders......Page 793
Chapter 97: Lower urinary tract infections......Page 801
Chapter 98: Urogenital prolapse......Page 808
Chapter 99: Infection and sexual health......Page 819
Chapter 100: Dyspareunia and other psychosexual problems......Page 838
Chapter 101: Child sexual abuse......Page 845
Chapter 102: Rape and sexual assault......Page 850
Chapter 103: Female genital mutilation......Page 858
Section Ten: Lower Genital Tract......Page 865
Chapter 104: Benign vulval problems......Page 867
Chapter 105: Vulvodynia......Page 876
Chapter 106: Pre-invasive disease......Page 882
Section Eleven: Gynaecological Oncology......Page 899
Chapter 107: Endometrial cancer......Page 901
Chapter 108: Cervical cancer......Page 911
Chapter 109: Benign and malignant ovarian masses......Page 917
Chapter 110: Vulval and vaginal cancer......Page 934
Chapter 111: Gestational trophoblastic disease......Page 941
Chapter 112: Rare tumours......Page 950
Back Cover......Page 955