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9780340573136

Obstetrics by Ten Teachers

by
  • ISBN13:

    9780340573136

  • ISBN10:

    0340573139

  • Edition: 16th
  • Format: Paperback
  • Copyright: 1995-05-04
  • Publisher: Hodder Education Publishers
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List Price: $31.47

Summary

The sixteenth edition of this successful textbook is written by leading specialists from the London teaching hospitals. The text has been extensively revised and includes recent developments in feto-maternal medicine, care of the newborn, haemostatic and psychiatric disorders in pregnancy and discussion of medico-legal problems in obstetrics.

Table of Contents

List of Contributors
ix
A History of Ten Teachers in Obstetrics x
Preface xiv
Introduction xv
Anatomy and Physiology
1(36)
The early development of the ovum
1(6)
Ovulation
1(1)
Formation of decidua
2(1)
Maturation of the ovum
3(1)
Transit and fertilization of the ovum
4(1)
Early development and embedding of the blastocyst
4(3)
The placenta, cord and membranes
7(8)
Functions of the placenta
11(1)
The chorion
12(1)
The amnion
13(1)
Amniotic fluid
13(1)
The umbilical cord
14(1)
The fetus
15(3)
Size of the fetus
15(1)
Fetal circulation
16(1)
Oxygen supply of the fetus
17(1)
Nutrition of the fetus
18(1)
Anatomy of the normal female pelvis and the fetal skull
18(6)
The pelvis
18(3)
The fetal skull
21(3)
Maternal physiology
24(11)
Further reading
35(2)
Normal Pregnancy
37(42)
Clinical signs and diagnosis of pregnancy
37(7)
The duration of pregnancy
37(1)
Symptoms of pregnancy
37(1)
Signs of pregnancy
38(2)
Human chorionic gonadotrophin levels
40(1)
Ultrasound diagnosis of pregnancy
41(1)
Differential diagnosis of pregnancy
42(1)
Pseudocyesis
43(1)
The expected date of delivery
43(1)
Ultrasound scan
44(1)
Antenatal care
44(11)
Pre-pregnancy counselling
45(1)
Antenatal care
45(2)
Antenatal fetal monitoring
47(1)
Advice during pregnancy
48(4)
Harmful effects of drugs on the fetus
52(2)
Smoking during pregnancy
54(1)
Alcohol during pregnancy
55(1)
Obstetrical examination
55(4)
Abdominal examination
55(3)
Vaginal examination
58(1)
Radiological examination
59(1)
Ultrasound examination in obstetrics
59(12)
Clinical applications of ultrasound
60(6)
Assessing fetal growth and size
66(4)
The safety of ultrasound
70(1)
Prenatal diagnosis
71(6)
Further reading
77(2)
Abnormal Pregnancy
79(88)
Abnormalities of the pelvic organs
79(5)
Retroversion of the uterus
79(1)
Prolapse of the pregnant uterus
80(1)
Congenital abnormalities of the uterus and vagina
80(1)
Uterine fibroids
80(2)
Ovarian cysts
82(1)
Carcinoma of the cervix uteri
83(1)
Placental abnormalities
84(2)
Placental site, anatomy and adherence
84(1)
The umbilical cord
85(1)
Gestational trophoblastic disease
86(3)
Aetiology
86(1)
Biological behaviour and histological classification
86(1)
Recognition of molar pregnancy
87(1)
Management
88(1)
Surveillance
88(1)
Treatment of gestational trophoblastic tumour
88(1)
Chemotherapy
89(1)
Choice of chemotherapy
89(1)
Antepartum haemorrhage
89(8)
Placental abruption
90(4)
Placenta praevia
94(3)
Vasa praevia
97(1)
Polyhydramnios and oligohydramnios
97(3)
Polyhydramnios
97(2)
Oligohydramnios
99(1)
Amniotic adhesions
99(1)
Hypertensive disorders in pregnancy
100(11)
Pregnancy induced hypertension
100(5)
Eclampsia
105(4)
Chronic hypertension preceding pregnancy
109(1)
Placental abruption and hypertension during pregnancy
110(1)
Intercurrent diseases during pregnancy
111(27)
Renal disease
111(4)
Anaemia
115(4)
Heart disease
119(3)
Diabetes
122(4)
Infections during pregnancy
126(5)
Sexually transmitted diseases
131(3)
Diseases of the alimentary tract
134(2)
Neurological disease
136(1)
Endocrine disorders
136(2)
Psychiatric disorders in pregnancy and the puerperium
138(2)
Drug dependence
139(1)
Puerperal disorders
139(1)
The fetus at risk in late pregnancy
140(8)
Placental insufficiency during pregnancy
141(1)
Intrauterine growth retardation
141(4)
Postmaturity
145(2)
Intrauterine death of the fetus
147(1)
Multiple pregnancy
148(6)
Varieties of twins
149(5)
Counselling in obstetrics
154(2)
Diagnosis of intrauterine death or fetal abnormality
154(1)
Intrauterine death or termination due to abnormality
155(1)
Longer term follow up
155(1)
The next pregnancy
156(1)
Fetal loss in early pregnancy
156(6)
Abortion or miscarriage
156(1)
Pathological anatomy
157(1)
Clinical varieties of abortion
158(4)
Ectopic pregnancy
162(3)
Aetiology
162(1)
Pathological anatomy
162(1)
Clinical course and management
163(2)
Other causes of haemorrhage during early pregnancy
165(1)
Further reading
165(2)
Normal Labour
167(28)
The stages of normal labour
167(6)
The onset of labour
167(1)
The uterine segments
168(1)
The stages of labour
168(5)
The mechanism of normal labour
173(5)
Mechanism of labour with vertex presentations
174(4)
Management of normal labour
178(9)
Management of the first stage
179(4)
Management of the second stage
183(1)
Delivery of the baby
183(2)
Management of the third stage
185(2)
The relief of pain in labour
187(7)
The ideal analgesic
188(1)
Spinal anaesthesia
189(2)
Anaesthesia for caesarean section
191(1)
General anaesthesia in obstetric practice
191(1)
Anaesthesia associated maternal mortality
192(1)
The use of oxytocic drugs
193(1)
Further reading
194(1)
Abnormal Labour
195(54)
Prolonged labour
195(3)
The partogram
195(3)
Fetal malposition and malpresentation
198(18)
Occipitoposterior position
198(4)
Deep transverse arrest of the head
202(1)
Face presentation
202(2)
Brow presentation
204(2)
Breech presentation
206(8)
Transverse and oblique lie
214(2)
Fetal malformations that cause difficulty in labour
216(1)
Pelvic abnormalities and disproportion
216(10)
Pelvic abnormalities
216(4)
Cephalopelvic disproportion
220(3)
Obstructed labour
223(3)
Premature labour and preterm premature rupture membranes
226(3)
Aetiology and diagnosis
226(1)
Principles of management
226(1)
Predicting and preventing preterm labour
227(2)
Fetal distress during labour
229(5)
Continuous monitoring of the fetal heart rate
229(4)
Fetal scalp blood sampling
233(1)
Traumatic lesions
234(7)
Rupture of the uterus
234(3)
Acute inversion of the uterus
237(1)
Laceration of the cervix
238(1)
Laceration of the perineum and vagina
238(1)
Fistulae
239(1)
Haematoma of the vulva
240(1)
Broad ligament haematoma
240(1)
Maternal nerve injuries
241(1)
Postpartum haemorrhage
241(6)
Primary postpartum haemorrhage
241(4)
Secondary postpartum haemorrhage
245(1)
Shock in obstetrics
245(1)
Postpartum pituitary necrosis
246(1)
Further reading
247(2)
Normal Puerperium
249(18)
The puerperium
249(4)
The baby
253(6)
The respiratory system at birth
253(2)
The immediate care of the healthy infant
255(3)
Normal progress of the full term infant
258(1)
Infant feeding
259(7)
Breast or bottle feeding?
260(1)
Lactation
260(3)
Breastfeeding
263(1)
Difficulties in breastfeeding
263(1)
Artificial feeding
264(2)
Further reading
266(1)
Abnormal Puerperium
267(18)
Puerperal pyrexia
267(4)
Genital tract infection
267(3)
Urinary tract infection
270(1)
Breast infection
271(1)
Thrombophlebitis
271(1)
Wound infection
271(1)
Respiratory tract infection
271(1)
Intercurrent febrile illness
271(1)
Breast disorders in the puerperium
271(3)
Engorgement
271(1)
Cracked nipples
272(1)
Acute puerperal mastitis
272(1)
Breast abscess
273(1)
Inhibition of lactation
273(1)
Galactocoele
273(1)
Carcinoma of the lactation breast
273(1)
Disorders of haemostasis in pregnancy
274(6)
Haemostasis
274(4)
Coagulation and fibrinolytic systems in pregnancy and labour
278(1)
Coagulation disorders specific to pregnancy and labour
278(2)
Coagulation disorders coincident with pregnancy
280(1)
Thrombocytopaenia in pregnancy
280(3)
Thromboembolic disease in pregnancy
283(1)
Further reading
284(1)
Obstetric Procedures
285(20)
External version
285(18)
Induction of labour
285(3)
Episiotomy
288(1)
Forceps delivery
289(7)
Vacuum extractor (Ventouse)
296(1)
Internal version
297(1)
Caesarean section
297(6)
Further reading
303(2)
Problems of the Newborn
305(38)
Resuscitation
305(18)
Low birthweight infants
309(1)
Very low weight infants
310(1)
Stabilizing the very low birth weight infant
310(1)
Specific problems
311(1)
Temperature control
311(1)
Respiratory problems
312(2)
Nutrition
314(1)
Osteopenia of prematurity (rickets)
315(1)
Intraventricular haemorrhage and ischaemic brain injury
315(1)
Patent ductus arteriosus
316(1)
Infection
317(1)
Anaemia of prematurity
317(1)
Necrotizing enterocolitis
318(1)
Retinopathy of prematurity
318(1)
Growth
318(1)
Parents
318(1)
Discharge from hospital
319(1)
Neurodevelopmental outcome
319(1)
The asphyxiated infant
319(2)
Birth trauma
321(2)
Respiratory distress
323(2)
Jaundice in the newborn infant
325(3)
Infections
328(2)
Metabolic problems
330(1)
Hypoglycaemia
330(1)
Gastrointestinal problems
331(1)
Vomiting
331(1)
Diarrhoea
332(1)
Haematological problems
332(3)
Rhesus and ABO incompatibility
332(3)
Congenital malformations
335(7)
Lower limb malformations
341(1)
Further reading
342(1)
Medico-Legal Problems in Obstetrics
343(8)
Litigation in obstetrics
343(1)
Pre-pregnancy and genetic counselling
344(1)
Pregnancy
345(1)
Labour and delivery
346(2)
The postnatal period
348(1)
Home confinement
348(1)
Further reading
349(2)
Vital Statistics
351(12)
Maternal mortality
352(5)
Stillbirths and neonatal deaths: Perinatal mortality
357(4)
Further reading
361(2)
Index 363

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