Obstetrics by Ten Teachers, 19th Edition

334 Pages·2011·5.338 MB·English

by  Philip N. Baker, Louise Kenny

OBSTETRICS
by Ten Teachers
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OBSTETRICS
by Ten Teachers
19th edition
Edited by
Philip N Baker BMEDSCI BM BS DM FRCOG FRCSC FMEDSCI
Dean of the Faculty of Medicine and Dentistry,
University of Alberta, Edmonton, Canada
Louise C Kenny MBCHB (HONS) MRCOG PHD
Professor of Obstetrics and
Consultant Obstetrician and Gynaecologist
The Anu Research Centre,
Cork University Maternity Hospital,
Department of Obstetrics and Gynaecology,
University College Cork,
Cork, Ireland
First published in Great Britain in 1917 as Midwifery
El eventh edition published in 1966 as Obstetrics
Ei ghteenth edition published in 2006
Th is nineteenth edition published in 2011 by
Ho dder Arnold, an imprint of Hodder Education, an Hachette UK Company,
338 Euston Road, London NW1 3BH
htt p://www.hodderarnold.com
© 2011 Hodder & Stoughton Ltd
All r ights reserved. Apart from any use permitted under UK copyright law, this publication may only be reproduced,
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In the United Kingdom such licences are issued by the Copyright Licensing Agency Limited, Saffron House,
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Whils t the advice and information in this book are believed to be true and accurate at the date of going to press,
neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that
may be m ade. In particular (but without limiting the generality of the preceding disclaimer) every effort has been
made to check drug dosages; however it is still possible that errors have been missed. Furthermore, dosage schedules
are constantly being revised and new side-effects recognized. For these reasons the reader is strongly urged to consult
the drug companies’ printed instructions before administering any of the drugs recommended in this book.
Briti sh Library Cataloguing in Publication Data
A cata logue record for this book is available from the British Library
Libr a ry of Congress Cataloging-in-Publication Data
A cata log record for this book is available from the Library of Congress
ISBN - 13 978 0 340 983 539
ISBN- 13 [ISE] 978 1 444 1 22 305 (Internati onal Students’ Edition, restricted territorial availability)
1 2 3 4 5 6 7 8 9 10
Commi ssioning Editor: Joanna Koster
Produ ction Editor: Sarah Penny
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This book is dedicated to my younger daughter, Sara (PNB)
And to my sons, Conor and Eamon (LCK)
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Contents
The Ten Teac hers ix
Preface x
Commonly used ab breviations xi
CHAPTER 1 Obstetric history takin g and examination 1
Lucy Kean
CHAPTER 2 Modern maternity care 13
Lucy Kean
CHAPTER 3 Physiological changes in pregnancy 20
Keelin O’Donoghue
CHAPTER 4 Normal fetal development and growth 38
Gary Mires
CHAPTER 5 Antenatal care 48
Alec McEwan
CHAPTER 6 Antenatal imaging and as sessment of fetal well-being 61
Gary Mires
CHAPTER 7 Prenatal diagnosis 75
Sarah Vause
CHAPTER 8 Antenatal obstetric comp lications 85
Louise C Kenny
CHAPTER 9 Twins and higher multipl e gestations 109
Griffi th Jones
CHAPTER 10 Pre-eclampsia and other disorders of placentation 120
Louise C Kenny
CHAPTER 11 Late miscarriage and ear ly birth 132
Griffi th Jones
CHAPTER 12 Medical diseases complic ating pregnancy 144
Keelin O’Donoghue
CHAPTER 13 Perinatal infections 169
Sarah Vause
CHAPTER 14 Labour 185
Alec McEwan
CHAPTER 15 Operative interve ntionin obstetrics 224
Philip N Baker
CHAPTER 16 Obstetric emergencies 241
Clare Tower
CHAPTER 17 The puerperium 258
Louise C Kenny
viii Contents
CHAPTER 18 Psychiatric disorders an d the puerperium 272
Alec McEwan
CHAPTER 19 Neonatology 281
Janet M Rennie
CHAPTER 20 Ethical and medicolegal issues in obstetric practice 302
Philip N Baker
Index 309
The Ten Teacher s
Philip N Baker BMEDSCI BM BS DM FRCOG FRCSC Gary Mires MBCHB MD FRC OG FHEA
FMEDSCI Professor of Obstetrics and Undergraduate Teaching
Dean of the Faculty of Medicine and Dentistry, Dean, School of Medicine, University of Dundee, UK
University of Alberta, Edmonton, Canada
Keelin O’Donghue MB BCH BAO MRCOG PHD
Griffi th Jones MRCOG FRCSC
Senior Lecturer and Consultant Obstetrician and
Assistant Professor, Division of Maternal–Fetal Gynaecologist, The Anu Research Centre, Cork
Medicine, University of Ottawa, Ottawa, Canada University Maternity Hospital, Department of
Obstetrics and Gynaecology, University College
Lucy Kean MA DM FRCOG Cork, Cork, Ireland
C o nsultant Obstetrician and Subspecialist in Fetal
Janet M Rennie MA MD FR CP FRCPCH DCH
and Maternal Medicine, Department of Obstetrics,
City Campus, Nottingham University Hospitals, Consultant and Senior Lec turer in Neonatal
Nottingham, UK Medicine, Elizabeth Garrett Anderson and Obstetric
Hospital, University College London Hospitals,
Louise C Kenny MBCHB (HONS) MRCOG PHD London, UK
Professor of Obstetrics and Consultant Obstetrician
and Gynaecologist, The Anu Research Centre, Clare Tower MBCHB PHD MRCOG
Cork University Maternity Hospital, Department Clinical Lecture and Subspecialty Trainee in Fetal
of Obstetrics and Gynaecology, University College and Maternal Medicine, Maternal and Fetal Health
Cork, Cork, Ireland Research Centre, St Mary’s Hospital, University of
Manc hester, UK
Alec McEwan BA BM BCH M RCOG
Sarah Vaus eMD FRCOG
Consultant in Obstetrics and Subspecialist in Fetal
and Maternal Medicine, Department of Obstetrics, Consultant i n Fetal and Maternal Medicine
Nottingham University Hospitals, Nottingham, UK St Mary’s Hospital, Manch ester