Obstetrics and Gynaecology (5^th Ed.)

Praise for the previous edition:

′ this textbook is a useful resource for medical students it will provide them with the basic information they need to survive clinics and to pass exams Clear, concise and colourful; perfect for easy learning and revision. Times Higher Education

Obstetrics & Gynaecology by Impey and Child continues to be an invaluable and authoritative resource for healthcare and medical students. This comprehensive guide provides the perfect level of detail on history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics.

Fully updated in accordance with NICE and other national guidelines, this fifth edition now includes:

• New sections on FGM, influenza and sepsis
• Expanded areas in medical disorders in pregnancy and mental illness
• Improvements to the popular management section
• Colour–coded sections on obstetrics and gynaecology for ease of use

This new edition of Obstetrics & Gynaecology will be an indispensable support to help not only students to revise for exams, especially OSCEs, but also healthcare practitioners and practising doctors to structure their knowledge and improve their practice.

Obstetrics & Gynaecology is also supported by a companion website at featuring:

• Downloadable illustrations from the book
• Interactive MCQs and EMQs
• Downloadable revision notes to facilitate learning

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Preface to the fifth edition vii

Preface to the first edition vii

Acknowledgements ix

List of abbreviations x

About the companion website xiii

Gynaecology

1 The history and examination in gynaecology 3

2 The menstrual cycle and its disorders 9 with Margaret Rees

3 The uterus and its abnormalities 22

4 The cervix and its disorders 33

5 The ovary and its disorders 42

6 Disorders of the vulva and vagina 51

7 Prolapse of the uterus and vagina 57

8 Disorders of the urinary tract 62

9 Endometriosis and chronic pelvic pain 70

10 Genital tract infections 76 with Graz Luzzi and Jackie Sherrard

11 Fertility and subfertility 85

12 Contraception 102

13 The menopause and postreproductive health 114 with Margaret Rees

14 Disorders of early pregnancy 123

15 Gynaecological operations 135

Obstetrics

16 The history and examination in obstetrics 143

17 Antenatal care 152

18 Congenital abnormalities and their identification 158

19 Infections in pregnancy 171

20 Hypertensive disorders in pregnancy 180

21 Other medical disorders in pregnancy 189

22 Red blood cell isoimmunization 209

23 Delivery before term 213

24 Antepartum haemorrhage 221

25 Fetal growth, health and surveillance 228

26 Abnormal lie and breech presentation 240

27 Multiple pregnancy 245

28 Labour 1: Mechanism anatomy and physiology 253

29 Labour 2: Management 260

30 Labour 3: Special circumstances 279

31 Instrumental and operative delivery 284

32 Obstetric emergencies 291

33 The puerperium 295

34 Birth statistics and audit 302

35 Legal (UK) and ethical issues in obstetrics and gynaecology 308 with Ingrid Granne

Gynaecology management 315

Obstetric management 329
Lawrence Impey and Catharine Greenwood

Appendix 1: Common drugs: safety and usage in pregnancy and breastfeeding 345

Appendix 2: Normal maternal ranges in pregnancy 349

Index 351

Lawrence Impey is Consultant in Obstetrics and Fetal Medicine, The John Radcliffe Hospital, Headington, Oxford, UK.

Tim Child is Senior Fellow in Reproductive Medicine and Surgery at the University of Oxford and Honorary Consultant Gynaecologist, The John Radcliffe Hospital, Headington, Oxford, UK.