Table Of Content~
Clinical Perspectives in Obstetrics and Gynecology
~
Series Editor:
J.
Herbert Buchsbaum,
M.D.
~
Clinical Perspectives in Obstetrics and Gynecology
~
perspective noun: ... the capacity to view sub
jects in their true relations or relative importance.
Each volume in Clinical Perspectives in Obstetrics and
Gynecology covers in depth a major clinical area in the
health care of women. The objective is to present to the reader
the pathophysiologic and biochemical basis of the condition
under discussion) and to provide a scientific basis for clinical
management. These volumes are not intended as "how to»
books) but as a ready reference by authorities in the field.
Though the obstetrician and gynecologist may be the primary
of
provider health care for the female) this role is shared with
family practitioners) pediatricians) medical and surgical
specialists) and geriatricians. It is to all these physicians that
the series is addressed.
J.
Series Editor: Herbert Buchsbaum, M.D.
Buchsbaum (ed): The Menopause
Aiman (ed.): Irifertility
Futterweit: Polycystic Ovarian Disease
Lavery and Sanfilippo (eds.): Pediatric and Adolescent Obstetrics and Gynecology
Forthcoming Volumes:
Galask (ed.): Infectious Diseases in the Female Patient
Buchsbaum and Walton (eds.): Strategies in Gynecologic Surgery
Pediatric and
Adolescent Obstetrics
and Gynecology
Edited by
J.P. Lavery · J.S. Sanfilippo
With 106 Illustrations
Springer-Verlag
New York Berlin Heidelberg Tokyo
J. Patrick Lavery, Associate Professor, Department of Obstetrics and Gynecology,
Director, Division of Maternal-Fetal Medicine, University of Louisville, Medical
Director, Teenage Parent Program, Louisville, Kentucky, U.S.A.
Joseph S. Sanfilippo, Associate Professor, Department of Obstetrics and Gynecology,
Division of Reproductive Endocrinology, Co-Director, Pediatric Adolescent
Gynecology, University of Louisville, Louisville, Kentucky, U.S.A.
Series Editor: Herbert J. Buchsbaum, M.D., Department of Obstetrics and
Gynecology, University of Pittsburgh-Magee Women's Hospital,
Pittsburgh, Pennsylvania, U.S.A.
Library of Congress Cataloging in Publication Data
Main entry under title:
Pediatric and adolescent obstetrics and gynecology.
(Clinical perspectives in obstetrics and gynecology)
Bibliography: p.
Includes index.
1. Pediatric gynecology. 2. Pregnancy, Adolescent.
3. Adolescent girls-Diseases. I. Lavery, J. Patrick.
II. Sanfilippo, Joseph S. III. Series
RJ478.P434 1985 618.92'098 84-26728
© 1985 by Springer-Verlag New York, Inc.
Softcover reprint of the hardcover 1st edition 1985
All rights reserved. No part of this book may be translated or reproduced in any form
without written permission from Springer-Verlag, 175 Fifth Avenue, New York, New
York 10010, U.S.A. The use of general descriptive names, trade names, trademarks,
etc., in this publication, even if the former are not especially identified, is not to be
taken as a sign that such names, as understood by the Trademarks and Merchandise
Marks Act, may accordingly be used freely by anyone.
While the advice and information of this book is believed to be true and accurate at
the date of going to press, neither the authors nor the editors nor the publisher can
accept any legal responsibility for any errors or omissions that may be made. The
publisher makes no warranty, express or implied, with respect to the material
contained herein.
Typeset by Ampersand Publisher Services Incorporated, Rutland, Vermont.
9 8 7 6 543 2 1
ISBN-13: 978-1-4612-9547-1 e-ISBN-13: 978-1-4612-5064-7
DOl: 10.1007/978-1-4612-5064-7
To our children-Cathryn, Angela, Andrea, and Luke
who have taught us much about pediatrics and adolescence
Contents
Preface ...............................................
IX
Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Xl
Physical Maturation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Susan M. Coupey, Deborah S. Saunders
2 Neuroendocrine Maturation 12
Peter A. Lee
3 Psychologic Maturation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Barbara Ann Fitzgerald
4 The Initial Gynecologic History and Physical Examination . . . . . 34
Najib Wakim, Frank D. DeLeon
5 The Child with Ambiguous Genitalia ...................... 38
Richard H. Reindollar, Paul G. McDonough
6 Gynecologic Problems of Adolescence 61
joseph S. Sarifilippo, Marvin A. Yussman
7 Androgens in the Adolescent 84
Robert Wild
8 Breast Disorders 96
john Pietsch
9 Surgical Emergencies in the Newborn 105
Thomas R. Weber, jay L. GrosJeld
10 Gynecologic Surgery in the Adolescent 115
Thomas R. Weber, jay L. GrosJeld
11 Gynecologic Neoplasms 124
john A. Carlson
viii Contents
12 Diethylstilbestrol Exposure in Utero 149
Elizabeth K. Senekjian, Arthur L. Herbst
13 Dysmenorrhea and Premenstrual Syndrome 162
Christine L. Cook
14 Endocrine Disturbances of Puberty 172
Alvin F. Goldfarb
15 Anorexia Nervosa ...................................... 184
John D. Lo~ Emery Wilson
16 Adolescent Nutrition 206
Starr Gantz
1 7 Sexually Transmitted Diseases ............................ 218
Major I. Keith Stone, Byron]. Masterson
18 Contraception ......................................... 234
Donald E. Greydanus
19 Hematologic Disorders 262
Salvatore Bertolone
20 Drug and Alcohol Abuse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 272
G. Randolph Schrodt, Jr., Kenneth N. Schikler
21 Obstetric Problems 285
]. Patrick Lavery
22 Pregnancy and Parenting: Psychosocial Perspectives 296
Elizabeth A. McGee, Laura Schiller
23 Pelvic Ultrasonography .................................. 304
William L. Koontz, Richard Fellows
24 The Adolescent Athlete .................................. 313
Mona M. Shangold, Gabe Mirkin
25 Dermatologic Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319
Melissa L.F. Knuckles, Lafayette G. Owen
26 Legal Rights of Minors 338
Steven R. Smith
Index ....................................... ..•.. . . . . . . 353
Preface
This book covers a broad area-the problems associated with female develop
ment-from the appearance of gender abnormalities in the delivery room,
through the trials of pubescence, early maturation, and precocious child
bearing.
Experts from many diverse fields of scholarship have contributed chapters
covering a wide range of subjects. The contributors have concentrated on their
areas of expertise. The broad range of this book is unique; no other textbook
covers as many areas. The diversity of subjects covered will help the reader
(gynecologist, pediatrician, nurse, health counselor, social worker, or psy
chologist) to understand both the physical and psychological problems which
beset the female, from birth to adolescence. Because of the wealth of
information presented, we hope that this volume will serve as a reference source
and as a basis for further in-depth studies.
The editors wish to express sincere thanks for the efforts "above and beyond
the call of duty" on the part of many members of our staff. A special thank you
to Carrie Marcell R.N., our research nurse and University of Louisville
coordinator for this project, for her time and effort in putting up with the
vagaries of the editors; and to Betty Jones and Linda Grear for their fine
secretarial work. Special recognition is due Sue Koenig, whose patience with us
in adapting the text to our word processor made our job a great deal easier.
Mrs. Koenig recently passed away after a short illness, we will miss her. Our
further appreciation goes to the staff of Springer-Verlag for their support and
cooperation in this project, and to Herbert J. Buchsbaum M.D., initial
collaborator and senior editor of this series, whose thoughts, advice and
encouragement enabled this project to be completed.
J. Patrick Lavery
Joseph S. Sanfilippo
Contributors
Salvatore Bertolone, M.D.
Associate Professor, Department of Pediatrics, University of Louisville, Kosair
Children's Hospital, Louisville, Kentucky, U.S.A.
John A. Carlson, M.D.
Associate Director, Division of Gynecologic Oncology, Department of Ob
stetrics and Gynecology, Hospital of the University of Pennsylvania, Phila
delphia, Pennsylvania, U.S.A.
Christine L. Cook, M.D.
Associate Professor, Department of Obstetrics and Gynecology, Division of
Reproductive Endocrinology, University of Louisville, Louisville, Kentucky,
U.S.A.
Susan M. Coupey, M.D.
Assistant Professor, Department of Pediatrics, Montefiore Medical Center/
Albert Einstein College of Medicine, Bronx, New York, U.S.A.
Frank D. DeLeon, M.D.
Assistant Professor, Department of Obstetrics and Gynecology, Texas Tech
University Medical School, Louisville, Kentucky, U.S.A.
Richard Fellows, M.D.
Clinical Associate Professor, Department of Radiology, University of Louisville,
Kosair-Children's Hospital, Louisville, Kentucky, U.S.A.
Barbara Ann Fitzgerald, M.D.
Assistant Professor, Department of Psychiatry, University of Louisville, Kosair
Children's Hospital, Louisville, Kentucky, U.S.A.
Starr Gantz, R.D.
Department of Pediatrics, University of Kentucky College of Medicine, Lex
ington, Kentucky, U.S.A.
Alvin F. Goldfarb, M.D.
Professor of Obstetrics and Gynecology, Jefferson Medical College of Thomas
xii Contributors
Jefferson University, Program Director of Department of Obstetrics and
Gynecology, Delaware Medical Center, Newark, Delaware, U.S.A.
Donald E. Greydanus, M.D.
Director, Adolescent Medicine Program, Raymond Blank Memorial Hospital
for Children, Des Moines, Iowa, and Clinical Associate Professor of Pediatrics,
University of Iowa Hospitals & Clinics, Iowa City, Iowa, U.S.A.
Jay L. Grosfeld, M.D.
Professor and Director, Section of Pediatric Surgery, Indiana University School
of Medicine, and Surgeon and Chief, James Whitcomb Riley Hospital for
Children, Indianapolis, Indiana, U.S.A.
Arthur L. Herbst, M.D.
Joseph Bolivar Delee Distinguised Service Professor and Chairman, Department
of Obstetrics and Gynecology, The University of Chicago School of Medicine,
Chicago Lying-In Hospital, Chicago, Illinois, U.S.A.
Melissa L.F. Knuckles, M.D.
Division, of Dermatology, Department of Medicine, University of Louisville,
Louisville, Kentucky, U.S.A.
William L. Koontz, M.D.
Assistant Professor, Division of Maternal-Fetal Medicine, Department of
Obstetrics and Gynecology, University of Louisville, Louisville, Kentucky,
U.S.A.
J. Patrick Lavery, M.D.
Associate Professor, Department of Obstetrics and Gynecology, Director,
Division of Maternal-Fetal Medicine, University of Louisville, Medical Director,
Teenage Parent Program, Louisville, Kentucky, U.S.A.
Peter A. Lee, M.D.
Professor of Pediatrics, University of Pittsburgh, Children's Hospital, Pitts
burgh, Pennsylvania, U.S.A.
John D. Looff, M.D.
Clinical Instructor, Department of Obstetrics and Gynecology, University of
Kentucky College of Medicine, Lexington, Kentucky, U.S.A.
Byron J. Masterson, M.D.
Professor and Chairman, Department of Obstetrics and Gynecology, University
of Louisville, Louisville, Kentucky, U.S.A.
Paul G. MCDonough, M.D.
Professor, Department of Obstetrics and Gynecology, Director, Reproductive
Endocrine Section, Medical College of Georgia, School of Medicine, Augusta,
Georgia, U.S.A.
Elizabeth A. McGee, M.D.
Assistant Director, Center for Public Advocacy Research, New York, New York,
U.S.A.
