Efnisyfirlit

• Instructions for online access
• Cover image
• Title page
• Disclaimer
• Table of Contents
• Copyright
• Preface
• Contributors
• Acknowledgements
• 1. Gynaecological and obstetric history and examination
• The Woman Presenting with Gynaecological Problems
• The Pregnant Woman
• 2. Ovulation and the menstrual cycle
• Menarche
• Effects of Oestrogen and Progesterone on Body Tissues
• Menstruation and Ovulation
• Endometrial Cycle
• Cervical Cycle
• Vaginal Cycle
• 3. Conception and placental development
• Implantation
• Formation of the Placenta
• Function of the Placenta
• Immunology of the Trophoblast
• 4. Embryo and fetus
• Nutrition
• Cardiovascular System
• Lungs
• Gastrointestinal Tract
• Renal System
• Immune System
• Muscular System
• Endocrine Activity
• 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
• 6. Pregnancy care
• Principles of Perinatal Care
• Prepregnancy Care
• Psychological Preparation for Motherhood
• Diet in Pregnancy
• Pregnancy Screening
• Perinatal Depression
• Domestic Violence
• Female Genital Mutilation/Cutting
• Care of the Pregnant Woman
• Frequency of Pregnancy Visits
• Growth of the Fetus During Pregnancy
• Age and Reproductive Performance
• Preparing for Childbirth
• Antenatal Information
• Preparation for Breastfeeding
• 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
• 8. Course and management of childbirth
• Choices in Childbirth
• Onset of Labour
• Vitamin K
• Progress, Management and Delivery of the Placenta
• Inspection and Repair of the Genital Tract and Perineum
• Management of the Immediate PostBirth Period
• Pain Relief during Labour and Childbirth
• 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
• Postnatal Check
• 10. Common conditions during pregnancy
• Backache and pelvic girdle pain
• 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
• Pubic Symphysis Diastasis (Pelvic Osteoarthropathy)
• Pruritus
• Sweating
• Vaginal Discharges
• 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
• 12. Ectopic (Extrauterine) pregnancy
• Aetiology
• Outcome for the Pregnancy
• Clinical Aspects
• Diagnosis
• Treatment
• Prognosis
• 13. Antepartum haemorrhage
• Placenta Praevia
• Placenta Accreta
• Placental Abruption (Accidental Haemorrhage)
• 14. Hypertensive diseases in pregnancy
• Classification
• Gestational Hypertension
• Pre-eclampsia
• Eclampsia
• Renal Disease in Pregnancy
• 15. Medical conditions complicating 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
• 16. Endocrine disorders in pregnancy
• Diabetes Mellitus
• Thyroid Disease
• Pituitary Disease
• Adrenal Disease
• 17. Infections during pregnancy
• Urinary Tract Infection
• Vaginal Infections
• Bacterial Infections
• Other Infections
• Viral Infections
• Other Infections
• 18. Weight and reproductive health
• Prepregnancy care
• Pregnancy care
• Contraception
• Gynaecological malignancies
• Eating and Exercise Disorders
• 19. Diseases of the placenta and membranes
• Abnormal Placentation
• Gestational Trophoblastic Disease (GTD)
• Abnormalities of the Amniotic Fluid
• Abnormalities of the Umbilical Cord
• 20. Variations in the duration of pregnancy
• Premature or Preterm Birth
• Preterm Labour
• Preterm Premature Rupture of The Membranes (PPROM)
• Fetal Maturity
• Postterm Pregnancy
• 21. 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
• 22. Fetal malpresentations, multiple pregnancy, cord prolapse
• Occipitoposterior Presentations
• Breech Presentations
• Transverse Lies, Oblique Lies and Shoulder Presentations
• Face Presentations
• Brow Presentations
• Multiple Pregnancy
• Prolapse of the Umbilical Cord
• 23. Abnormal labour (dystocia) and obstetric operations
• Fetal factors (the Passenger)
• Abnormal Shape or Size of the Pelvis
• Cephalopelvic Disproportion
• Abnormalities of Uterine Action
• Uterine Overefficiency
• Shoulder Dystocia
• Psychological Effects of Dystocia and Prolonged Labour
• Obstructed Labour
• Rupture of the Uterus
• Induction of Labour
• Augmentation of Labour
• Instrumental Delivery
• Caesarean Section
• Vaginal Birth after Previous Caesarean Section
• Version
• Destructive Operations on the Fetus
• 24. Disorders in the puerperium
• Postpartum Haemorrhage
• Puerperal Sepsis
• Postpartum Psychiatric Problems
• 25. Maternal and perinatal mortality
• Maternal Mortality
• Perinatal Mortality
• Management of Fetal Intra-Uterine Death
• 26. The newborn infant
• Transition To Extrauterine Life
• Perinatal hypoxia
• Birth injuries
• Respiratory disorders
• Neonatal infections
• Jaundice
• Infants Of Mothers With Diabetes
• Congenital Anomalies
• Metabolic disorders
• Maternal ingestion of drugs affecting the fetus
• Circumcision
• 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
• 28. Disorders of menstruation
• Definitions
• Amenorrhoea and Oligomenorrhoea
• Heavy menstrual bleeding
• 29. Psychological and physical disorders of the menstrual cycle
• Mood and Physical Symptoms in the Menstrual Cycle
• Premenstrual Syndrome
• Dysmenorrhoea
• Psychosocial implications
• Psychological Symptoms after Hysterectomy and Oophorectomy
• 30. Human sexuality
• Management of Vagninismus
• Sexuality
• Human Sexual Response
• Sexual Difficulties/Dysfunctions
• Sexual pain
• Vulvodynia
• Vaginismus
• Management of Vaginismus
• Sexual Desire and Arousal
• Arousal and Orgasm
• Persistent Genital Arousal Disorder (PGAD)
• 31. Contraception
• 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
• 32. Infertility
• Factors in Infertility
• Investigation of Infertility
• Treatment of Infertility
• Psychosocial Problems Associated with Infertility
• 33. Infections of the genital tract
• Vulvovaginal Infections
• Infections of the upper genital tract
• 34. Atrophic and dystrophic conditions
• Atrophic Changes of the Internal Genital Organs
• 35. Endometriosis and adenomyosis
• Endometriosis
• Adenomyosis
• 36. Polycystic ovary syndrome
• Background and epidemiology
• Aetiology
• Clinical features
• Diagnostic criteria and differentials
• Monitoring and screening of complications
• Management of non-fertility issues (Table 36.4)
• Assessment and management of infertility
• 37. Benign tumours, cysts, and anomalies of the genital tract
• Anomalies of the genital tract
• Vulval tumours
• Vaginal tumours
• Cervical tumours
• Uterine tumours
• Uterine tube tumours
• Benign ovarian cysts and tumours
• 38. Premalignant and malignant conditions of the female genital tract
• Cervical screening
• Reporting on smears
• Cervical carcinoma
• Endometrial carcinoma
• Vulval disease
• Vaginal cancer
• Tubo-ovarian malignancies
• 39. Pelvic organ prolapse, injury, fistulae and FGM
• Pelvic organ prolapse
• Anatomic support
• Terminology
• Signs and symptoms
• Diagnosis
• Management
• Uterovaginal injury, genital tract fistulae
• Female genital mutilation (FGM)
• 40. The urinary tract and incontinence
• Mechanics of micturition
• Urinary incontinence
• Urinary tract infection
• The urethral syndrome
• Urethral problems
• 41. Gynaecological conditions in childhood and adolescence
• Newborn vaginal bleeding
• Labial fusion
• Vulvovaginitis in prepubertal children
• Physical changes of puberty in adolescence
• Delayed puberty
• Precocious puberty
• Menstrual disturbances in adolescence
• Differences (or Disorders) of sexual development (DSDs)
• Trans and gender diverse children and adolescents
• 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
• Nonhormonal therapies
• Postmenopausal bleeding
• 43. Female Pelvic Anatomy
• Overview
• Pelvic Floor
• Perineum
• Pelvic Walls
• Pelvic Cavity
• The Vulva
• The Clitoris
• The Vagina
• The Uterus
• The Uterine Tubes
• The Ovaries
• Lower Urinary Tract
• Anorectal Anatomy
• Index