OBSTETRICS

GYNECOLOGY

OBSTETRICS

CONTENTS

CHAPTER 1

NORMAL PREGNANCY

  • Fertilization, Implantation, an early development                              1
  • Extra-fetal Structures                                                                                     7
  • Fetal Circulation                                                                                                13
  • Formation, Abnormalities & functions of the placenta,                    15
  • Maternal adaptation                                                                                       37
  • Preconceptional Care                                                                                     45
  • Prenatal Care and Diagnosis of pregnancy                                             46

CHAPTER 2

PHASES OF PARTURITION

  • Basics of Obstetrics                                                                                         59
  • Phases of Parturition overview                                                                  71
  • Phase 1                                                                                                                 72
  • Phase 2                                                                                                                 73
  • Phase 3                                                                                                                 75
  • Management of Normal Labor                                                                    85
  • Phase 4                                                                                                                 102
  • Management of Normal Puerperium                                                       108
  • Pain Control in Obstetrics                                                                                             111

CHAPTER 3

MATERNAL SHOCK AND COLLAPSE                                                                          119

  • Hypovolemic Shock                                                                                         121
  • Septic Shock                                                                                                       136
  • Disseminated Intravascular Coagulopathy                                             142
  • Transfusion Reactions                                                                                    147
  • Pulmonary Edema                                                                                           149
  • Adult Respiratory Distress                                                                            150
  • Maternal Cardiac Arrest – Perimortem C-Section                                               152

CHAPTER 4

ABNORMAL LABOR                                                                                                         153

  • Abnormalities of The Expulsive Forces                                                    154
  • Abnormal passage – Contracted Pelvis                                                    158
  • Abnormal Passenger
    • Cephalopelvic Disproportion                                                       162
    • Malposition and Malpresentations                                           164
    • Shoulder Dystocia                                                                            200
  • Abnormal Pattern (Prolonged labor)                                                        205
  • Induction and Augmentation of Labor                                                                     215
  • Obstetric Operations                                                                                                      234
  • Birth after C-Section (VBAC-TOLAC)                                                                         246
  • The Newborn                                                                                                                    255
  • Puerperal infections and puerperal sepsis                                                             271
  • Secondary postpartum hemorrhage                                                                        282

CHAPTER 5

OBSTETRIC ULTRASOUND                                                                                            286

  • Maternal Abdomen and Pelvis                                                                    287
  • Scan before 11 weeks                                                                                    288
  • 11-14 weeks scan                                                                                            290
  • Fetal Biometry                                                                                                  291
  • 18-24 weeks scan
    • Skull and cranium                                                                             292
    • Face and Neck                                                                                   398
    • Fetal Heart                                                                                          299
    • Fetal Abdomen                                                                                 309
    • Fetal Genitalia                                                                                   318
    • Vertebral Column and limbs                                                        319
    • Placenta                                                                                               320
    • Amniotic Fluid                                                                                   325
  • Obstetric Doppler                                                                                            327

CHAPTER 6

FETOLOGY                                                                                                                                  334

  • Fetal Assessment
    • Assessment of fetal maturity                                                                       334
    • Antepartum Assessment of fetal well-being                                          349
    • Intrapartum Assessment of fetal well-being                                          364
  • Prenatal Diagnosis of Fetal anomalies                                                                      377
  • Fetal Growth Disorders
    • Fetal growth Restriction and SGA                                                              398
    • Large for gestaional age LGA                                                                       412
    • Hydrops fetalis                                                                                                  415
  • Fetal Anemia (Including Rh Alloimmunization)                                                     420
  • Fetal Death and Still birth                                                                                             445
  • Fetal Therapy                                                                                                                    458

CHAPTER 7

OBSTETRIC DISORDERS

  • Pregnancy Disorders Guide                                                                                         461
  • Obstetrical Complications
    • Amniotic Fluid Disorders
      • Polyhydramnios                                                                                469
      • Oligohydramnios                                                                             476
      • Meconium in the amniotic fluid                                                  481
      • Preterm Prelabor Rupture of membranes                              483
      • Chorioamnionitis                                                                             494
    • Disorders of Gestational Age
      • Preterm Birth                                                                                     598
      • Prolonged Pregnancy                                                                     518
      • ELECTIVE BIRTH AT TERM                                                              521
      • Multifetal Pregnancy                                                                      523
 

CHAPTER 8

BLEEDING IN PREGNANCY                                                                                                 552

  • Bleeding in early pregnancy                                                                              553
    • Abortion                                                                                                554
    • Cervical Insufficiency                                                                          581
    • Ectopic Pregnancy                                                                               585
    • Gestational Trophoblastic Disease                                                   603
  • Antepartum Hemorrhage                                                                                   629
    • Placental Abruption                                                                            631
    • Placenta Previa                                                                                    636
    • Management of APH                                                                          640
    • Vasa-Previa                                                                                           652
    • Rupture of the Uterus                                                                          653
  • Postpartum Hemorrhage                                                                                    659
    • Obstetric Injuries                                                                                  674
    • Secondary PPH                                                                                     679

CHAPTER 9

SYSTEMIC AND Medical DISORDERS IN PREGNANCY

  • Hypertensive disorders in Pregnancy                                                              683
  • Endocrinal Disorders
    • - Diabetes Mellitus – Gestational Diabetes                                     718
    • - Thyroid disorders                                                                               744
    • - Parathyroid disorders                                                                       757
    • - Adrenal disorders                                                                               761
    • - Pituitary disorders                                                                             768
  • Immunological Disorders
    • Antiphospholipid Syndrome                                                               771
    • Systemic Lupus Erythematosus                                                          778
  • Hematological Disorders
    • Anticoagulants                                                                                     788
    • Thromboprophylaxis                                                                           796
    • Thromboembolic disorders
      • Superficial Thrombophlebitis                                            804
      • Deep Vein Thrombosis                                                        805
      •  Pulmonary Embolism                                                         811
      • Amniotic fluid embolism syndrome                                 815
    •  Maternal Anemia                                                                               817
    • Hemoglobinopathies                                                                           830
    • Hemolytic anemias                                                                              840
    • Disorders of Hemostasis                                                                     843
  • Renal and Urinary Tract Disorders                                                                   849
    • Urinary tract infections                                                                      850
    • Urinary Calculi                                                                                      857
    • Acute Nephritic Syndrome                                                                858
    • Acute kidney Injury                                                                             861
    • Chronic Renal Disease                                                                        863
    • Renal Transplant Patient                                                                   
  • Gastrointestinal Disorders
    • Intrahepatic Cholestasis of Pregnancy                                            867
    • Acute fatty liver of Pregnancy                                                          871
    • Acute Cholecystitis                                                                              875
    • Hyperemesis gravidarum                                                                   878
    • Obesity in pregnancy                                                                          886
    • Pregnancy after Bariatric Surgery                                                    890
  • Cardiovascular Disorders
    • Effects, Diagnosis and Management                                                896
  • Specific Cardiac Lesions                                                                                     915

Valvular Heart Disease, Congenital Heart Disease, Pulmonary Hypertension, Cardiomyopathies, Heart Failure, Infective Endocarditis, Arrhythmias, Diseases of The Aorta, Ischemic Heart Disease

  • Seizure Disorder                                                                                                  938
  • Psychiatric Disorders                                                                                          944
  • Substance abuse and Addiction                                                                        948

CHAPTER 10

INFECTIONS IN PREGNANCY                                                                                     951

  • Congenital Infections
    • Toxoplasma                                                                           952
    • Parvovirus                                                                             955
    • Syphilis                                                                                   956
    • Rubella                                                                                   959
    • HZV                                                                                         961
    • CMV                                                                                        963
    • HSV                                                                                         965
    • Coxachie virus                                                                      969
    • Zika virus                                                                               969
    • Malaria                                                                                   970
    • Listeria                                                                                   972
  • Peripartum Infections                                                                         973
    • Bacterial: GAS, GBS, MRSA                                                974
    • Viral Hepatitis                                                                       982
    • Human Immune Deficiency Virus                                     989
    • Human Papilloma Virus                                                      995
    • Cervicitis (Gonorrhea, Chlamydia)                                    996
    • Vaginitis (Vaginosis, Trichomonas, Candida)                  998
    • Tuberculosis                                                                         999
  • Infectious Diseases
    • Air-Borne infections (Influenza, COVID..)                        1002
    • Food-Borne infections                                                        1007
    • Vector Borne Infections                                                     1008
    • Bioterrorism                                                                         1009

CHAPTER 11

  • Vital Statistics                                                                                                       1010
  • Maternal Mortality
  • Author Advice
  • Ethics
  • Research Methodology
  • Biostatistics
  • Author advise                                                                                                       1012

Appendix

GYNECOLOGY

CONTENTS

CONTENTS

CHAPTER 1


PHASES OF LIFE
1.1 EMBYOLOGY: FEMALE SEXUAL DIFFERENTIATION

  • Sexual Differentiation and development                                                        1
  • Mullerian Anomalies                                                                                           8
  • DISORDERS OF SEXUAL DEVELOPMENT                                                         11

1.2 BIRTH TO PUBERTY

  • Birth to Puberty                                                                                                  31
  • Normal Puberty                                                                                                   32
  • PRECOCIOUS PUBERTY                                                                                       42

1.3 REPRODUCTIVE YEARS

  • Steroidogenesis                                                                                                   52
  • Female Hormones and Antihormone Therapy                                             61
  • The Menstrual Cycle                                                                                           70

1.4 PERIMENOPAUSE AND MENOPAUSE78

- Perimeopause80

CHAPTER 2


METHODS OF CONTRACEPTION                                                                                       96

Tier 1

  • Intrauterine device                                                                                             100
  • Subdermal Implants                                                                                           109
  • Sterilization                                                                                                          112

Tier 2

  • INJECTABLES, PILLS, PATCH, RING                                                                   114

Tier 3

  • Barriers, Periodic absitance, Spermicides, coital related, and lactation 128

CHAPTER 3

FEMALE SEXUAL RESPONSE                                                                                              138

  • Normal femal sexual response                                                                         139
  • Female Sexual Dysfunction                                                                                146

CHAPTER 4

ENDOCRINAL DISORDERS

  • Dysmenorrhea                                                                                                     156
  • PreMenstrual Syndrome, PreMenstrual Dysphoric Disroders                    163
  • Polycystic ovarian syndrome                                                                             167
  • Hyperandrogenism in the female                                                                     184
  • Hyperprolactinemia                                                                                            204
  • Amenorrhea and anovulation                                                                           214
  • Endometriosis                                                                                                       242
  • Adenomyosis                                                                                                        275
  • Abnormal uterine bleeding                                                                               284
 

CHAPTER 5

BOOK OF INFERTILITY                                                                                                        312

  • Definition and epidemiology                                                                             314
  • Male factor                                                                                                           317
  • Female factor                                                                                                       329
  • Assessment of female factor                                                                             338
  • Treatment of female factor                                                                               354

Assisted Reproductive Technology367

  • Pituitary Suppression Protocols                                                        368
  • Ovarian Stimulation                                                                             372
  • Egg Collection                                                                                       376
  • In-Vitro fertilization and embryo culture                                        377
  • Embryo Selection and transfer                                                         379
  • Frozen Thawed Embryo transfer                                                      382
  • The poor responder                                                                            385
  • Ovarian Hyperstimulation Syndrome OHSS                                   388

CHAPTER 6

ONCOLOGY                                                                                                                           392

  • Basics of oncology                                                                                               393
  • Basics of Chemotherapy                                                                                     400
  • Basics of Radiotherapy                                                                                       402
  • Malignant disease of the cervix                                                                       407
  • Malignant disease of the vagina                                                                       434
  • Malignant disease of the Vulva                                                                         439
  • Neoplastic diseases of the Uterus                                                                    447
    • Endometrial Hyperplasia                                                                    447
    • Endometrial Carcinoma                                                                      450
    • Uterine sarcoma                                                                                  463
    • Uterine Leiomyoma                                                                             467
  • Ovarian Neoplasm                                                                                               494

CHAPTER 7

ANATOMICAL DISORDERS531

  • Pelvic Organ Prolapse                                                                                         531
  • Urinary Incontinence                                                                                          562
  • Genitourinary Fistula                                                                                          587
  • Fecal Incontinence and Recto-vaginal fistula                                                 613
  • Retroverted Retroflexed uterus and uterine inversion                                629

CHAPTER 8

GYNECOLOGICAL INFECTIONS634

  • Basics of genital tract infections                                                                       634
  • Vulvar lesions and infections                                                                             640
  • Vaginal infections                                                                                                                665
  • Infections of the cervix                                                                                      686
  • Infections of the upper genital tract                                                                703
  • Chronic Pelvic Pain                                                                                              717
  • Wound infections                                                                                                720

Appendix

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