- •Contents
- •Preface
- •Acknowledgements
- •Abbreviations
- •Contributors
- •1 Normal pregnancy
- •2 Pregnancy complications
- •3 Fetal medicine
- •4 Infectious diseases in pregnancy
- •5 Medical disorders in pregnancy
- •6 Labour and delivery
- •7 Obstetric anaesthesia
- •8 Neonatal resuscitation
- •9 Postnatal care
- •10 Obstetric emergencies
- •11 Perinatal and maternal mortality
- •12 Benign and malignant tumours in pregnancy
- •13 Substance abuse and psychiatric disorders
- •14 Gynaecological anatomy and development
- •15 Normal menstruation and its disorders
- •16 Early pregnancy problems
- •17 Genital tract infections and pelvic pain
- •18 Subfertility and reproductive medicine
- •19 Sexual assault
- •20 Contraception
- •21 Menopause
- •22 Urogynaecology
- •23 Benign and malignant gynaecological conditions
- •24 Miscellaneous gynaecology
- •Index
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Oxford Handbook of
Obstetrics and
Gynaecology
Third Edition
Edited by
Sally Collins
Specialist Registrar in Obstetrics and Gynaecology,
The John Radcliffe Hospital,
Oxford, UK
Sabaratnam Arulkumaran
Professor of Obstetrics and Gynaecology,
St George’s Hospital Medical School,
University of London, UK
Kevin Hayes
Senior Lecturer/Honorary Consultant in Obstetrics
and Gynaecology, and Medical Education,
St George’s Hospital Medical School,
University of London, UK
Simon Jackson
Consultant Gynaecologist,
The John Radcliffe Hospital,
Oxford, UK
Lawrence Impey
Consultant in Obstetrics and Fetal Medicine,
The John Radcliffe Hospital,
Oxford, UK
1
3
Great Clarendon Street, Oxford, OX2 6DP,
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© Oxford University Press, 2013
The moral rights of the authors have been asserted
First edition published 2005
Second edition published 2008
Third edition published 2013
All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, without the prior permission in writing of Oxford University Press,
or as expressly permitted by law, or under terms agreed with the appropriate reprographics rights organization. Enquiries concerning reproduction
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British Library Cataloguing in Publication Data
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ISBN 978–0–19–969840–0
Printed in China by
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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up-to-date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breast-feeding.
v
Contents
|
Preface |
vi |
|
|
|
Acknowledgements vii |
|
||
|
Abbreviations |
ix |
|
|
|
Contributors |
xxiii |
|
|
1 |
Normal pregnancy |
|
||
1 |
||||
2 |
Pregnancy complications |
|
||
49 |
||||
3 |
Fetal medicine |
|
|
|
|
107 |
|||
4 |
Infectious diseases in pregnancy |
|
||
155 |
||||
5 |
Medical disorders in pregnancy |
|
||
185 |
||||
6 |
Labour and delivery |
|
||
263 |
||||
7 |
Obstetric anaesthesia |
|
||
327 |
||||
8 |
Neonatal resuscitation |
|
||
339 |
||||
9 |
Postnatal care |
|
|
|
|
349 |
|||
10 |
Obstetric emergencies |
|
||
373 |
||||
11 |
Perinatal and maternal mortality |
|
||
403 |
||||
12 |
Benign and malignant tumours in pregnancy |
|
||
419 |
||||
13 |
Substance abuse and psychiatric disorders |
|
||
429 |
||||
14 |
Gynaecological anatomy and development |
|
||
457 |
||||
15 |
Normal menstruation and its disorders |
|
||
501 |
||||
16 |
Early pregnancy problems |
|
||
525 |
||||
17 |
Genital tract infections and pelvic pain |
|
||
549 |
||||
18 |
Subfertility and reproductive medicine |
|
||
569 |
||||
19 |
Sexual assault |
|
|
|
|
613 |
|||
20 |
Contraception |
|
||
621 |
||||
21 |
Menopause |
|
|
|
|
635 |
|||
22 |
Urogynaecology |
|
||
653 |
||||
23 |
Benign and malignant gynaecological conditions |
|
||
685 |
||||
24 |
Miscellaneous gynaecology |
|
||
771 |
||||
|
Index |
799 |
|
|
vi
Preface
Welcome to the third edition of this Oxford Handbook. In obstetrics and gynaecology, as in all fields of medicine, the available evidence, technology and guidelines can move forward at a rapid pace and often prove difficult to keep up with. As the majority of junior doctors are well aware, the gaps in our knowledge often become apparent at the most inopportune moments; this book seeks to fill those gaps rapidly and effectively. It uses the well-known Oxford Handbook format to facilitate easy navigation around concise, clinically relevant, evidence-based information. It can be quickly dipped into for specific answers between seeing patients in clinic or on delivery suite, as well as providing a solid, general grounding for those just beginning in the specialty. It also has sufficient depth and detail to provide a good starting point in the preparation for postgraduate exams. To ensure the most up-to-date information is always available, emphasis has been placed on providing relevant web addresses, especially for guidelines and useful organizations. Text boxes have also been employed to help highlight some of the more important pieces of information.
Although this handbook is most likely to be used by trainees within the specialty, we envisage it will be useful for all those involved in women’s health, including GPs, midwives, and medical students. We hope you find it a helpful resource and that it proves to be a valuable companion and guide in your everyday practice of obstetrics and gynaecology.
vii
Acknowledgements
We would like to thank all our second edition authors, especially the trainees at the John Radcliffe and St George’s hospitals. Additionally, we are very grateful to those who have gone the extra mile to ensure that our third edition chapters are up to date, especially Charlotte Bennett, Lucy MacKillop, and Jo Morrison who reviewed the highly specialized areas of neonatology, maternal medicine, and oncology to ensure that they contained the best available evidence. We would also like to thank the doctors of all grades who anonymously reviewed some of the text, providing valuable feedback and further fine-tuning the finished manuscript. To conform to the Oxford Handbook style and to avoid overlap and repetition, some contributions have been considerably edited and we thank all our authors for their understanding. We are most grateful to Prof. Basky Thilaganathan for providing many of the ultrasound images and Ms Penny Trotter for the colposcopy pictures. Last, but definitely not least, we would like to thank our partners and families who continue to remain so patient and supportive throughout this project, especially Berni O’Connor ‘for doing all the real work on the home front’ and David Reynard ‘for putting up with all this’.
Sally Collins, Sabaratnam Arulkumaran, Kevin Hayes, Simon Jackson, and Lawrence Impey London and Oxford, October 2012
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