Clinical Obstetrics and Gynaecology, 3e

1336 Pages·2014·28.39 MB·English

Clinical Obstetrics & Gynaecology
THIRD EDITION
Brian A. Magowan, MB, CHB, FRCOG,
DIPFETMED Consultant Obstetrician and
Gynaecologist, The Borders General Hospital, Melrose
UK
Philip Owen, MB, BCH, MD FRCOG
Consultant Obstetrician and Gynaecologist, Princess
Royal Maternity Unit, Glasgow UK
Andrew Thomson, MB CHB, MRCOG,
MD Consultant Obstetrician and Gynaecologist, Royal
Alexandra Hospital, Paisley UK
Table of Contents
Cover image
Title page
Copyright page
Dedication
Foreword
Preface
Contributors
SECTION 1: Fundamentals
1. Clinical pelvic anatomy
Introduction
Obstetric anatomy
The pelvic organs during pregnancy
Anatomical points for obstetric analgesia
Gynaecological anatomy
Anatomy of the lower urinary tract
2. Human embryogenesis
Introduction
Nomenclature
Fertilization to implantation (0–6 GD)
Implantation and formation of the germ layers (7–18 GD)
Organogenesis (19–56 + GD)
3. History and examination
Introduction
Gynaecological history
Gynaecological examination
Obstetrical history
Obstetrical examination
4. Imaging in obstetrics and gynaecology
Introduction
Obstetrics
Gynaecology
SECTION 2: Gynaecology
5. Paediatric gynaecology
Introduction
Normal puberty
Delayed puberty
Precocious puberty
Abnormal genital tract development
Sexual abuse
Paediatric vaginal discharge
6. Disorders of sex development (DSD)
Introduction
Definitions
Some fundamental principles
Normal sex differentiation
Genital differentiation
Incidence of DSD
Classification of DSD
Summary
Management and prospects
7. The normal menstrual cycle
Introduction
Endocrine control of the menstrual cycle
The ovarian cycle
The uterine cycle
Other cyclical changes
8. Amenorrhoea
Introduction
Primary amenorrhoea
Secondary amenorrhoea
Summary of clinical management
9. Infertility
Introduction
Definitions
Age and fertility
Causes of infertility
Diagnosis
History and examination
Investigations and their interpretation
Treatment
Assisted conception
The UK Human Fertilisation and Embryology Act
10. Early pregnancy care
Miscarriage
Sepsis
Recurrent miscarriage
Conclusion
11. Heavy menstrual bleeding and dysmenorrhoea
Heavy menstrual bleeding
Dysmenorrhoea
12. Pelvic pain
Introduction
History
Examination
Acute pelvic pain
Chronic pelvic pain (CPP)
13. Endometriosis
Introduction
Incidence
Aetiology
Clinical presentation
Examination
Endometriosis and infertility
Investigation
Management
Fertility treatment
Complications, prognosis and long-term sequelae
14. Premenstrual syndrome
Introduction
Aetiology
Clinical presentation
Differential diagnosis
Management
15. The menopause
Introduction
Physiology
Signs and symptoms (Table 15.1)
Long-term effects
Osteoporosis
Diagnosis
Hormonal therapy
Non-hormonal treatment
16. Genital prolapse
Introduction
Aetiology
Classification
Symptoms
Signs
Management
17. Urinary incontinence
Introduction
Types of urinary incontinence
The mechanism of continence
Aetiology
Clinical presentation
Diagnostic evaluation
Treatment
18. Ovarian neoplasms
Introduction
Natural history
Aetiology
Pathology
Spread
Presentation
Investigation and staging
Tumour markers
Treatment
Survival
19. Uterine neoplasia
Introduction
Incidence
Aetiology
Clinical features and diagnosis
Pathology
Prognostic factors
Treatment
Recurrence
Summary
20. Cervical neoplasia
Introduction
Cervical intraepithelial and cervical cancer screening
Cervical cancer