BOOK
Llewellyn-Jones Fundamentals of Obstetrics and Gynaecology E-Book
Jeremy J N Oats | Suzanne Abraham
(2011)
Additional Information
Book Details
Abstract
Comprehensive coverage of the clinical essentials of both obstetrics and gynaecology in one affordable volume. A new team of authors presents the latest advances in the management of pregnancy and the treatment of gynaecological disorders in a well-written, easy-to-read style. Shorter chapters, updated terminology, clearer scans, and more line drawings are just some of the fresh, new changes that bring this popular reference up-to-date and make it relevant to today's practice
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Llewellyn-ones Fundamentals of Obstetrics and Gynaecology | iii | ||
| Copyright Page | iv | ||
| Contents | v | ||
| Preface \nto the ninth edition | vii | ||
| Acknowledgements | viii | ||
| Chapter 1: Gynaecological and obstetric history and examination | 1 | ||
| The Woman Presenting With Gynaecological Problems | 1 | ||
| The Maternity Patient | 6 | ||
| Chapter 2: Ovulation and the menstrual cycle | 9 | ||
| Menarche | 9 | ||
| Effects of Oestrogen and Progesterone on Body Tissues | 10 | ||
| Menstruation and Ovulation | 11 | ||
| Endometrial Cycle | 11 | ||
| Cervical Cycle | 15 | ||
| Vaginal Cycle | 15 | ||
| Chapter 3: Conception and placental development | 17 | ||
| Implantation | 19 | ||
| Formation Of The Placenta | 20 | ||
| Function Of The Placenta | 23 | ||
| Immunology Of The Trophoblast | 26 | ||
| Chapter 4: Embryo and fetus | 27 | ||
| Nutrition | 27 | ||
| Cardiovascular System | 28 | ||
| Lungs | 28 | ||
| Gastrointestinal Tract | 30 | ||
| Renal System | 30 | ||
| Immune System | 30 | ||
| Muscular System | 30 | ||
| Endocrine Activity | 30 | ||
| Chapter 5: Physiological and anatomical changes in pregnancy | 31 | ||
| Hormonal Changes | 31 | ||
| Genital Tract Changes | 32 | ||
| Cardiovascular System | 33 | ||
| Respiratory System Changes | 34 | ||
| Alimentary System Changes | 35 | ||
| Renal System Changes | 35 | ||
| Immune System Changes | 35 | ||
| Weight Gain In Pregnancy | 35 | ||
| Chapter 6: Antenatal care | 37 | ||
| Aims of Antenatal Care | 37 | ||
| Preconception Advice | 37 | ||
| Antenatal Care Providers | 38 | ||
| Psychological Preparation for Motherhood | 38 | ||
| Diet in Pregnancy | 38 | ||
| Antenatal Screening | 40 | ||
| Antenatal Depression | 42 | ||
| Care of the Pregnant Woman | 44 | ||
| Frequency of Antenatal Visits | 45 | ||
| Preparation for Breastfeeding | 45 | ||
| Growth of the Fetus During Pregnancy | 46 | ||
| Age and Reproductive Performance | 47 | ||
| Preparing for Childbirth | 49 | ||
| Signs That Labour is About to Start | 50 | ||
| Antenatal Information | 50 | ||
| Chapter 7: Physiological and anatomical changes in childbirth | 53 | ||
| The Passages | 53 | ||
| The Passenger | 57 | ||
| The Powers | 60 | ||
| Effect of Childbirth on the Mother | 63 | ||
| Effect of Childbirth on the Fetus | 64 | ||
| Chapter 8: Course and management of childbirth | 65 | ||
| Choices in Childbirth | 65 | ||
| Onset of Labour | 68 | ||
| Progress and Management of Labour and Birth | 69 | ||
| Birth of the Baby | 74 | ||
| The Newborn Baby | 75 | ||
| Progress, Management and Delivery of the Placenta | 76 | ||
| Inspection and Repair of the Genital Tract and Perineum | 79 | ||
| Management of the Immediate Postdelivery Period | 82 | ||
| Pain Relief During Labour and Childbirth | 82 | ||
| Chapter 9: The puerperium | 85 | ||
| Physiological and Anatomical Changes | 85 | ||
| Morphological Changes in the Genital Tract | 86 | ||
| Conduct of the Puerperium | 86 | ||
| Care of the Neonate | 87 | ||
| Lactation and Breastfeeding | 88 | ||
| Maintenance of Lactation | 90 | ||
| Psychological Problems in the Puerperium | 92 | ||
| Sexuality After Childbirth | 93 | ||
| Perinatal Bereavement | 93 | ||
| Postnatal Check | 94 | ||
| Chapter 10: Minor complications of pregnancy | 95 | ||
| Backache | 95 | ||
| Cervical eversion and discharge | 95 | ||
| Constipation | 95 | ||
| Displacement of the uterus | 96 | ||
| Dyspnoea | 96 | ||
| Heartburn | 96 | ||
| Haemorrhoids and varicose veins | 96 | ||
| Insomnia | 96 | ||
| Leg cramps | 96 | ||
| Micturition | 97 | ||
| Nausea and vomiting | 97 | ||
| Oedema | 97 | ||
| Palpitations, fainting and headaches | 98 | ||
| Placidity and drowsiness | 98 | ||
| Pubic symphysis diastasis | 98 | ||
| Pruritus | 98 | ||
| Sweating | 98 | ||
| Vaginal discharges | 98 | ||
| Chapter 11: Miscarriage and abortion | 99 | ||
| Aetiology of Spontaneous Miscarriage | 99 | ||
| Mechanisms of Miscarriage | 100 | ||
| Varieties of Spontaneous Miscarriage | 100 | ||
| Psychological Effects Of Spontaneous Miscarriage | 105 | ||
| Induced Abortion | 105 | ||
| Psychological Effects of Induced Abortion | 106 | ||
| Chapter 12: Extra-uterine pregnancy/ectopic gestation | 107 | ||
| Aetiology | 107 | ||
| Outcome for rhe Pregnancy | 107 | ||
| Clinical Aspects | 108 | ||
| Diagnosis | 110 | ||
| Treatment | 111 | ||
| Prognosis | 112 | ||
| Chapter 13: Antepartum haemorrhage | 113 | ||
| Placenta Praevia | 113 | ||
| Placenta Accreta | 115 | ||
| Placental Abruption (Accidental Haemorrhage) | 115 | ||
| Chapter 14: Hypertensive diseases in pregnancy | 117 | ||
| Classification | 117 | ||
| Gestational Hypertension | 118 | ||
| Pre-Eclampsia | 119 | ||
| Eclampsia | 120 | ||
| Chronic Hypertension | 121 | ||
| Renal Disease in Pregnancy | 122 | ||
| Chapter 15: Cardiovascular, respiratory, haematological, neurological and gastrointestinal disorders in pregnancy | 123 | ||
| Cardiovascular Complications in Pregnancy | 123 | ||
| Venous Thromboembolism in Pregnancy | 125 | ||
| Antiphospholipid Syndrome | 126 | ||
| Respiratory Conditions | 126 | ||
| Anaemia in Pregnancy | 126 | ||
| Thalassaemia and Haemoglobinopathies | 127 | ||
| Red Cell Alloimmunization | 128 | ||
| Neurological Disorders | 131 | ||
| Gastrointestinal Disorders | 131 | ||
| Chapter 16: Endocrine disorders in pregnancy | 132 | ||
| Diabetes Mellitus | 132 | ||
| Thyroid Disease | 135 | ||
| Pituitary Disease | 135 | ||
| Adrenal Disease | 135 | ||
| Chapter 17: Infections during pregnancy | 136 | ||
| Urinary Tract Infection | 136 | ||
| Vaginal Infections | 137 | ||
| Bacterial Infections | 137 | ||
| Other Infection | 138 | ||
| Viral Infections | 138 | ||
| Infections in the Tropics | 140 | ||
| Chapter 18: Diseases of the placenta and membranes | 141 | ||
| Abnormal Placentation | 141 | ||
| Gestational Trophoblastic Disease | 141 | ||
| Abnormalities of the Amniotic Fluid | 145 | ||
| Abnormalities of the Umbilical Cord | 146 | ||
| Chapter 19: Variations in the duration of pregnancy | 147 | ||
| Premature or Preterm Birth | 147 | ||
| Preterm Labour | 148 | ||
| Prelabour Rupture of The Membranes (Prom) | 149 | ||
| Fetal Maturity | 150 | ||
| Post-Term Pregnancy | 150 | ||
| Chapter 20: The at-risk fetus | 152 | ||
| High-Risk Pregnancy | 153 | ||
| Tests for Fetal Wellbeing in High-Risk Pregnancies | 153 | ||
| Management of a High-Risk Pregnancy | 156 | ||
| Monitoring the At-Risk Fetus in Labour | 157 | ||
| Management of Ctg Abnormalities – Non-Reassuring Fetal Status | 158 | ||
| Chapter 21: Abnormal fetal presentations | 160 | ||
| Occipitoposterior Presentations | 160 | ||
| Breech Presentations | 163 | ||
| Transverse Lies, Oblique Lies and Shoulder Presentations | 167 | ||
| Face Presentations | 167 | ||
| Brow Presentations | 167 | ||
| Multiple Pregnancy | 168 | ||
| Prolapse of the Umbilical Cord | 171 | ||
| Chapter 22: Abnormal labour (dystocia) and prolonged labour | 173 | ||
| ‘Faults’ in the Fetus (The Passenger) | 173 | ||
| Abnormal Shape or Size of the Pelvis (The Passages) | 173 | ||
| Cephalopelvic Disproportion | 174 | ||
| Abnormalities of Uterine Action | 174 | ||
| Uterine Overefficiency | 178 | ||
| Shoulder Girdle Dystocia | 178 | ||
| Prolonged Labour | 178 | ||
| Psychological Effects of Dystocia and Prolonged Labour | 179 | ||
| Obstructed Labour | 180 | ||
| Rupture of the Uterus | 180 | ||
| Classification of Pelvic Abnormalities | 181 | ||
| Chapter 23: Disorders in the puerperium | 183 | ||
| Postpartum Haemorrhage | 183 | ||
| Puerperal Infection | 185 | ||
| Thromboembolism | 186 | ||
| Postpartum Psychiatric Problems | 187 | ||
| Chapter 24: Obstetric operations | 189 | ||
| Induction of Labour | 189 | ||
| Augmentation of Labour | 192 | ||
| Instrumental Delivery | 192 | ||
| Caesarean Section | 197 | ||
| Vaginal Birth After Previous Caesarean Section | 199 | ||
| Version | 199 | ||
| Destructive Operations \non the Fetus | 199 | ||
| Chapter 25: The epidemiology of obstetrics | 200 | ||
| Maternal Mortality | 200 | ||
| Perinatal Mortality | 202 | ||
| Management of Fetal \nIntra-Uterine Death | 203 | ||
| Chapter 26: The newborn infant | 205 | ||
| Transition to Extra-Uterine Life | 205 | ||
| Perinatal Hypoxia | 207 | ||
| Birth Injuries | 208 | ||
| Respiratory Disorders | 209 | ||
| Neonatal Infections | 209 | ||
| Jaundice | 210 | ||
| Infants of Diabetic Mothers | 210 | ||
| Congenital Malformations | 210 | ||
| Metabolic Disorders | 214 | ||
| Maternal Ingestion of Drugs Affecting the Fetus | 214 | ||
| Circumcision | 214 | ||
| Chapter 27: The low-birthweight infant | 215 | ||
| Definition of Low Birthweight | 215 | ||
| Causes of Low Birthweight | 215 | ||
| Problems of Premature and Growth-Restricted Infants | 216 | ||
| Management of Premature and Growth-Restricted Infants | 217 | ||
| Mortality and Morbidity of Low-Birthweight Infants | 217 | ||
| Chapter 28: Disorders of menstruation | 219 | ||
| Definitions | 219 | ||
| Amenorrhoea and Oligomenorrhoea | 220 | ||
| Menorrhagia | 224 | ||
| Dysfunctional Uterine Bleeding | 225 | ||
| Metrorrhagia | 228 | ||
| Other Disturbances of Menstruation | 228 | ||
| Chapter 29: Psychological and physical disorders of the menstrual cycle | 229 | ||
| Mood and Physical Symptoms in the Menstrual Cycle | 229 | ||
| Premenstrual Syndrome | 229 | ||
| Functional Bowel Disease | 230 | ||
| Chronic Pelvic Pain | 230 | ||
| Dysmenorrhoea | 232 | ||
| Eating and Exercise Disorders | 233 | ||
| Psychological Symptoms After Hysterectomy and Oophorectomy | 233 | ||
| Chapter 30: Human sexuality | 235 | ||
| Sexuality | 235 | ||
| Human sexual response | 236 | ||
| Sexual dysfunctions | 236 | ||
| Other sexual problems | 240 | ||
| Chapter 31: Conception control | 241 | ||
| Reversible Methods of Contraception Used by the Couple | 242 | ||
| Reversible Methods of Contraception Used by Men | 242 | ||
| Reversible Methods of Contraception Used by Women | 243 | ||
| Permanent Methods Of \nBirth Control | 249 | ||
| Chapter 32: Infertility | 251 | ||
| Factors In Infertility | 251 | ||
| Investigation of Infertility | 251 | ||
| Treatment of Infertility | 254 | ||
| Psychosocial Problems Associated With Infertility | 255 | ||
| Chapter 33: Infections of the genital tract | 257 | ||
| Vulvovaginal Infections | 257 | ||
| Infections of the Internal Genital Organs | 262 | ||
| Chapter 34: Atrophic and dystrophic conditions | 267 | ||
| Atrophic Changes of The Internal Genital Organs | 267 | ||
| Pruritus Vulvae (Itchy Vulva) | 268 | ||
| Vulvodynia (Chronic Vulval Burning or Pain) | 270 | ||
| Chapter 35: Endometriosis and adenomyosis | 271 | ||
| Endometriosis | 271 | ||
| Adenomyosis | 277 | ||
| Chapter 36: Benign tumours, cysts and malformations of the genital tract | 278 | ||
| Malformations of the Genital Tract | 278 | ||
| Vulval Tumours | 280 | ||
| Vaginal Tumours | 280 | ||
| Cervical Tumours | 280 | ||
| Uterine Tumours | 281 | ||
| Fallopian Tube Tumours | 285 | ||
| Benign Ovarian Cysts \nAnd Tumours | 285 | ||
| Chapter 37: Premalignant and malignant conditions of the female genital tract | 289 | ||
| Cervical Precancer And Cancer | 289 | ||
| Reporting on Smears | 291 | ||
| Cervical Intraepithelial Neoplasia (Cin) | 294 | ||
| Cervical Carcinoma | 296 | ||
| Endometrial Carcinoma | 297 | ||
| Vulval Disease | 298 | ||
| Cancer of the ovary Followed by Ultrasound | 299 | ||
| Vaginal Cancer | 301 | ||
| Fallopian Tube Carcinoma | 301 | ||
| Telling the Patient She Has Gynaecological Cancer | 301 | ||
| Psychological Implications of Gynaecological Cancer | 301 | ||
| Chapter 38: Uterovaginal displacements, damage and prolapse | 302 | ||
| Uterine Displacements | 302 | ||
| Uterovaginal Damage And Injuries | 303 | ||
| Genital Tract Fistulae | 303 | ||
| Uterovaginal Prolapse | 305 | ||
| Chapter 39: The urinary tract and its relationship to gynaecology | 308 | ||
| Mechanics of Voluntary Micturition | 308 | ||
| Urinary Incontinence (Involuntary Micturition) | 309 | ||
| Urinary Tract Infection | 312 | ||
| The Urethral Syndrome | 313 | ||
| Urethral Problems | 313 | ||
| Chapter 40: The breast | 314 | ||
| Disorders of Size and Shape | 314 | ||
| Breast Diseases | 314 | ||
| Duct Ectasia | 315 | ||
| Fibroadenoma of the Breast | 315 | ||
| The Tietze Syndrome | 315 | ||
| Breast Cancer | 315 | ||
| Chapter 41: Gynaecological problems in childhood and adolescence | 318 | ||
| Intersex | 318 | ||
| The ‘Genital Crisis’ | 320 | ||
| Fusion Of The Labia Minora | 320 | ||
| Vulvovaginitis In Prepubertal Children | 320 | ||
| Precocious Puberty | 320 | ||
| Physical Changes of Puberty And Early Adolescence | 321 | ||
| Menstrual Disturbances In Adolescence | 321 | ||
| Chapter 42: The menopause | 322 | ||
| Changes in the Genital Tract After The Menopause | 323 | ||
| Symptoms of the Climacteric | 323 | ||
| Long-Term Effects of Oestrogen Deficiency | 324 | ||
| Psychological Symptoms \nof the Climacteric | 324 | ||
| Sexuality After the Menopause | 324 | ||
| Management of the Climacteric | 325 | ||
| Postmenopausal Bleeding | 325 | ||
| Osteoporosis | 326 | ||
| Chapter 43: Anatomy of the female genital tract | 328 | ||
| The Vulva | 328 | ||
| Pelvic Floor | 330 | ||
| The Vagina | 331 | ||
| The Uterus | 336 | ||
| The Oviducts or Fallopian Tubes | 341 | ||
| The Ovary | 341 | ||
| Anatomy of the Urinary Tract | 342 | ||
| Index | 345 |