Efnisyfirlit

• Instructions for online access
• Cover image
• Title page
• Table of Contents
• Copyright
• Preface
• Acknowledgements
• Chapter 1 Gynaecological and obstetric history and examination
• The Woman Presenting with Gynaecological Problems
• The Maternity Patient
• Chapter 2 Ovulation and the menstrual cycle
• Menarche
• Effects of Oestrogen and Progesterone on Body Tissues
• Menstruation and Ovulation
• Endometrial Cycle
• Cervical Cycle
• Vaginal Cycle
• Chapter 3 Conception and placental development
• Implantation
• Formation of the Placenta
• Function of the Placenta
• Immunology of the Trophoblast
• Chapter 4 Embryo and fetus
• Nutrition
• Cardiovascular System
• Lungs
• Gastrointestinal Tract
• Renal System
• Immune System
• Muscular System
• Endocrine Activity
• Chapter 5 Physiological and anatomical changes in pregnancy
• Hormonal Changes
• Genital Tract Changes
• Cardiovascular System
• Respiratory System Changes
• Alimentary System Changes
• Renal System Changes
• Immune System Changes
• Weight Gain in Pregnancy
• Chapter 6 Antenatal care
• Aims of Antenatal Care
• Preconception Advice
• Antenatal Care Providers
• Psychological Preparation for Motherhood
• Diet in Pregnancy
• Antenatal Screening
• Antenatal Depression
• Domestic Violence
• Care of the Pregnant Woman
• Frequency of Antenatal Visits
• Preparation for Breastfeeding
• Growth of the Fetus during Pregnancy
• Age and Reproductive Performance
• Preparing for Childbirth
• Signs That Labour Is About to Start
• Antenatal Information
• Chapter 7 Physiological and anatomical changes in childbirth
• The Passages
• The Passenger
• The Powers
• Effect of Childbirth on the Mother
• Effect of Childbirth on the Fetus
• Chapter 8 Course and management of childbirth
• Choices in Childbirth
• Onset of Labour
• Progress and Management of Labour and Birth
• Birth of the Baby
• The Newborn Baby
• Progress, Management and Delivery of the Placenta
• Inspection and Repair of the Genital Tract and Perineum
• Management of the Immediate Postdelivery Period
• Pain Relief during Labour and Childbirth
• Chapter 9 The puerperium
• Physiological and Anatomical Changes
• Morphological Changes in the Genital Tract
• Conduct of the Puerperium
• Care of the Neonate
• Lactation and Breastfeeding
• Maintenance of Lactation
• Psychological Problems in the Puerperium
• Sexuality after Childbirth
• Perinatal Bereavement
• Postnatal Check
• Chapter 10 Minor complications of pregnancy
• Backache
• Carpal Tunnel Syndrome
• Cervical Eversion and Discharge
• Constipation
• Displacement of the Uterus
• Dyspnoea
• Heartburn (Reflux)
• Haemorrhoids and Varicose Veins
• Insomnia
• Leg Cramps
• Micturition
• Nausea and Vomiting
• Oedema
• Palpitations, Fainting and Headaches
• Placidity and Drowsiness
• Pubic Symphysis Diastasis (Pelvic Osteoarthropathy)
• Pruritus
• Sweating
• Vaginal Discharges
• Chapter 11 Miscarriage and abortion
• Aetiology of Spontaneous Miscarriage
• Mechanisms of Miscarriage
• Varieties of Spontaneous Miscarriage
• Psychological Effects of Spontaneous Miscarriage
• Induced Abortion
• Psychological Effects of Induced Abortion
• Chapter 12 Extra-uterine pregnancy/ectopic gestation
• Aetiology
• Outcome for the Pregnancy
• Clinical Aspects
• Diagnosis
• Treatment
• Prognosis
• Chapter 13 Antepartum haemorrhage
• Placenta Praevia
• Placenta Accreta
• Placental Abruption (Accidental Haemorrhage)
• Chapter 14 Hypertensive diseases in pregnancy
• Classification
• Gestational Hypertension
• Pre-eclampsia
• Eclampsia
• Chronic Hypertension
• Renal Disease in Pregnancy
• Chapter 15 Cardiovascular, respiratory, haematological, neurological and gastrointestinal disorders in pregnancy
• Cardiovascular Complications in Pregnancy
• Venous Thromboembolism in Pregnancy
• Antiphospholipid Syndrome
• Respiratory Conditions
• Anaemia in Pregnancy
• Thalassaemia and Haemoglobinopathies
• Red Cell Alloimmunization
• Neurological Disorders
• Gastrointestinal Disorders
• Chapter 16 Endocrine disorders in pregnancy
• Diabetes Mellitus
• Thyroid Disease
• Pituitary Disease
• Adrenal Disease
• Chapter 17 Infections during pregnancy
• Urinary Tract Infection
• Vaginal Infections
• Bacterial Infections
• Other Infection
• Viral Infections
• Infections in the Tropics
• Chapter 18 Diseases of the placenta and membranes
• Abnormal Placentation
• Gestational Trophoblastic Disease (GTD)
• Abnormalities of the Amniotic Fluid
• Abnormalities of the Umbilical Cord
• Chapter 19 Variations in the duration of pregnancy
• Premature or Preterm Birth
• Preterm Labour
• Prelabour Rupture of the Membranes (PROM)
• Fetal Maturity
• Post-Term Pregnancy
• Chapter 20 The at-risk fetus
• At-Risk Pregnancy
• Tests for Fetal Wellbeing in At-Risk Pregnancies
• Management of an At-Risk Pregnancy
• Monitoring the At-Risk Fetus in Labour
• Management of CTG Abnormalities – Non-Reassuring Fetal Status
• Chapter 21 Abnormal fetal presentations
• Occipitoposterior Presentations
• Breech Presentations
• Transverse Lies, Oblique Lies and Shoulder Presentations
• Face Presentations
• Brow Presentations
• Multiple Pregnancy
• Prolapse of the Umbilical Cord
• Chapter 22 Abnormal labour (dystocia)
• ‘Faults’ in the Fetus (the Passenger)
• Abnormal Shape or Size of the Pelvis (the Passages)
• Cephalopelvic Disproportion
• Abnormalities of Uterine Action
• Uterine Overefficiency
• Shoulder Dystocia
• Psychological Effects of Dystocia and Prolonged Labour
• Obstructed Labour
• Rupture of the Uterus
• Classification of Pelvic Abnormalities
• Chapter 23 Disorders in the puerperium
• Postpartum Haemorrhage
• Puerperal Infection
• Postpartum Psychiatric Problems
• Chapter 24 Obstetric operations
• Induction of Labour
• Augmentation of Labour
• Instrumental Delivery
• Caesarean Section
• Vaginal Birth after Previous Caesarean Section
• Version
• Destructive Operations on the Fetus
• Chapter 25 The epidemiology of obstetrics
• Maternal Mortality
• Perinatal Mortality
• Management of Fetal Intra-Uterine Death
• Chapter 26 The newborn infant
• Transition to Extra-Uterine Life
• Perinatal Hypoxia
• Birth Injuries
• Respiratory Disorders
• Neonatal Infections
• Jaundice
• Infants of Diabetic Mothers
• Congenital Malformations
• Metabolic Disorders
• Maternal Ingestion of Drugs Affecting the Fetus
• Circumcision
• Chapter 27 The low-birthweight infant
• Definition of Low Birthweight
• Causes of Low Birthweight
• Problems of Premature and Growth-Restricted Infants
• Management of Premature and Growth-Restricted Infants
• Mortality and Morbidity of Low-Birthweight Infants
• Chapter 28 Disorders of menstruation
• Definitions
• Amenorrhoea and Oligomenorrhoea
• Menorrhagia
• Dysfunctional Uterine Bleeding
• Metrorrhagia
• Other Disturbances of Menstruation
• Chapter 29 Psychological and physical disorders of the menstrual cycle
• Mood and Physical Symptoms in the Menstrual Cycle
• Premenstrual Syndrome
• Functional Bowel Disease
• Chronic Pelvic Pain
• Dysmenorrhoea
• Eating and Exercise Disorders
• Psychological Symptoms after Hysterectomy and Oophorectomy
• Chapter 30 Human sexuality
• Sexuality
• Human Sexual Response
• Sexual Dysfunctions
• Other Sexual Problems
• Chapter 31 Conception control
• Reversible Methods of Contraception Used by the Couple
• Reversible Methods of Contraception Used by Men
• Reversible Methods of Contraception Used by Women
• Permanent Methods of Birth Control
• Chapter 32 Infertility
• Factors in Infertility
• Investigation of Infertility
• Treatment of Infertility
• Psychosocial Problems Associated with Infertility
• Chapter 33 Infections of the genital tract
• Vulvovaginal Infections
• Infections of the Internal Genital Organs
• Chapter 34 Atrophic and dystrophic conditions
• Atrophic Changes of the Internal Genital Organs
• Pruritus Vulvae (Itchy Vulva)
• Vulvodynia (Chronic Vulval Burning or Pain)
• Chapter 35 Endometriosis and adenomyosis
• Endometriosis
• Adenomyosis
• Chapter 36 Benign tumours, cysts and malformations of the genital tract
• Malformations of the Genital Tract
• Vulval Tumours
• Vaginal Tumours
• Cervical Tumours
• Uterine Tumours
• Fallopian Tube Tumours
• Benign Ovarian Cysts and Tumours
• Chapter 37 Premalignant and malignant conditions of the female genital tract
• Cervical Precancer and Cancer
• Reporting on Smears
• Cervical Intraepithelial Neoplasia (CIN)
• Cervical Carcinoma
• Endometrial Carcinoma
• Vulval Disease
• Cancer of the Ovary (Fig. 37.15)
• Vaginal Cancer
• Fallopian Tube Carcinoma
• Telling the Patient She Has Gynaecological Cancer
• Psychological Implications of Gynaecological Cancer
• Chapter 38 Uterovaginal displacements, damage and prolapse
• Uterine Displacements
• Uterovaginal Damage and Injuries
• Genital Tract Fistulae
• Uterovaginal Prolapse
• Chapter 39 The urinary tract and its relationship to gynaecology
• Mechanics of Voluntary Micturition
• Urinary Incontinence (Involuntary Micturition)
• Urinary Tract Infection
• The Urethral Syndrome
• Urethral Problems
• Chapter 40 The breast
• Disorders of Size and Shape
• Breast Diseases
• Duct Ectasia
• Fibroadenoma of the Breast
• The Tietze Syndrome
• Breast Cancer
• Chapter 41 Gynaecological problems in childhood and adolescence
• Intersex
• The ‘Genital Crisis’
• Fusion of the Labia Minora
• Vulvovaginitis in Prepubertal Children
• Precocious Puberty
• Physical Changes of Puberty and Early Adolescence
• Menstrual Disturbances in Adolescence
• Chapter 42 The menopause
• Changes in the Genital Tract after the Menopause
• Symptoms of the Climacteric
• Long-Term Effects of Oestrogen Deficiency
• Psychological Symptoms of the Climacteric
• Sexuality after the Menopause
• Management of the Climacteric
• Postmenopausal Bleeding
• Osteoporosis
• Chapter 43 Anatomy of the female genital tract
• The Vulva
• Pelvic Floor
• The Vagina
• The Uterus
• The Fallopian Tubes or Oviducts
• The Ovary
• Anatomy of the Urinary Tract
• Index