Obstetrics and Gynecology at a Glance

Contents

List of contributors 7

Preface 8

Acknowledgments 8

About the companion website 9

Part 1 Gynecology

General

1 History taking and physical examination 10

2 Anatomy of the female reproductive tract 12

3 The menstrual cycle 14

4 Abnormal vaginal bleeding 16

5 Ectopic pregnancy 18

6 Pelvic pain 20

7 Lower genital tract infections 22

8 Pelvic inflammatory disease (PID) 24

9 Benign disorders of the lower genital tract 26

10 Benign disorders of the upper genital tract 28

11 Endometriosis and adenomyosis 30

12 Contraception 32

13 Sterilization 34

14 Breast disease 36

15 Miscarriage 38

16 Termination of pregnancy 40

17 Gynecologic surgery 42

18 Ethical and medicolegal issues 44

Urogynecology

19 Urinary incontinence 46

20 Pelvic organ prolapse 48

Reproductive endocrinology and infertility

21 Puberty and precocious puberty 50

22 Amenorrhea 52

23 Polycystic ovarian syndrome (PCOS) 54

24 Recurrent pregnancy loss 56

25 The infertile couple 58

26 Ovulation induction 60

27 Assisted reproductive technology (ART) 62

28 Menopause and hormone replacement therapy 64

Gynecologic oncology

29 Cervical dysplasia and HPV vaccine 66

30 Cervical and vaginal cancer 68

31 Vulvar cancer 70

32 Uterine cancer 72

33 Ovarian cancer 74

34 Gestational trophoblastic disease (GTD) 76

Part 2 Obstetrics

General

35 Embryology and early fetal development 78

36 Fetal physiology 80

37 Endocrinology of pregnancy and parturition 82

38 Maternal adaptations to pregnancy 84

39 Prenatal diagnosis 86

40 Obstetric ultrasound 88

41 Obstetrics in primary care 90

Antepartum complications

42 Infections in pregnancy: bacteria and protozoa 92

43 Infections in pregnancy: viruses and spirochetes 94

44 Hypertensive disorders of pregnancy 96

45 Diabetes mellitus in pregnancy 98

46 Cardiovascular disease in pregnancy 100

47 Thyroid disease in pregnancy 102

48 Other medical and surgical conditions in pregnancy 104

49 Drugs and medications during pregnancy 106

50 Disorders of amniotic fluid volume 108

51 Disorders of fetal growth 110

52 Antepartum fetal surveillance 112

53 Hydrops fetalis 114

54 Intrauterine fetal demise 116

55 Multiple pregnancy 118

56 Antepartum hemorrhage 120

57 Premature labor 122

58 Cervical in sufficiency and cervical cerclage 124

59 Premature rupture of the membranes 126

Intrapartum management

60 Normal labor and delivery I 128

61 Normal labor and delivery II 130

62 Induction and augmentation of labor 132

63 Abnormal labor and delivery 134

64 Pain relief in labor 136

65 Intrapartum fetal monitoring 138

66 Surgical vaginal delivery 140

67 Cesarean section delivery 142

Postpartum complications

68 Third stage of labor and postpartum hemorrhage 144

69 The puerperium 146

70 Circumcision 148

Part 3 Self assessment

Case studies and questions 150

Answers 152

Further reading 162

Index 163