Obstetrics and Gynaecology 4/e

Obstetrics and Gynaecology has established itself as a key textbook and a classic favourite for medical students. The
opening sections of this new edition incorporate the relevant basic science, history and examination, investigations
and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics respectively.
These are supported by two unique separate sections on gynaecology and obstetrics management, which are tailored to
help students revise for exams, especially OSCEs. The overall emphasis on patient diagnosis and management means that
both medical students and postgraduate candidates have found this book invaluable.

This third edition has been completely updated, with more helpful features, including:









Two new appendices on Common Drugs and Normal Maternal Ranges in Pregnancy


Extra ‘at a Glance’ boxes for a quick chapter summary


Key point summary boxes and new and updated references provided throughout


New and improved Further Reading sections in every chapter


The third edition is full colour, highly illustrated, and includes new figures and new artwork in many chapters,
and sees Tim Child, a colleague of Lawrence Impey’s from the John Radcliffe, join the author team.



All in all, Obstetrics and Gynaecology is ideal as a core textbook and to revise from prior to the exams.



"...a structured textbook stressing the common disease entities...includes at-a-glance boxes for management,
therapeutics, and diseases...with a unique chapter on ethical dilemmas in obstetrics and gynecology." Appropriate for:
Obstetrics/Gynecology Residents, Medical Students.





Gynaecology Section



1 The History and Examination in Gynaecology 3



2 The Menstrual Cycle and its Disorders Margaret Rees Rees, Margaret 9



3 The Uterus and its Abnormalities 21



4 The Cervix and its Disorders 31



5 The Ovary and its Disorders 40



6 Disorders of the Vulva and Vagina 49



7 Prolapse of the Uterus and Vagina 54



8 Disorders of the Urinary Tract 59



9 Endometriosis and Chronic Pelvic Pain 66



10 Genital Tract Infections Graz Luzzi Luzzi, Graz 71



11 Fertility and Subfertiliry 79



12 Contraception 94



13 The Menopause and Post-Reproductive Health Margaret Rees Rees, Margaret 105



14 Disorders of Early Pregnancy 114



15 Gynaecological Operations 125



Obstetrics Section



16 The History and Examination in Obstetrics 133



17 Antenatal Care 142



18 Congenital Abnormalities and their Identification 148



19 Infections in Pregnancy 158



20 Hypertensive Disorders in Pregnancy 165



21 Other Medical Disorders in Pregnancy 174



22 Red Blood Cell Isoimmunization 187



23 Preterm Delivery 190



24 Antepartum Haemorrhage 196



25 Fetal Growth, Compromise and Surveillance 203



26 Abnormal Lie and Breech Presentation 212



27 Multiple Pregnancy 217



28 Labour I: Mechanism - Anatomy and Physiology 224



29 Labour 2: Management 231



30 Labour 3: Special Circumstances 251



31 Instrumental and Operative Delivery 256



32 Obstetric Emergencies 262



33 The Puerperium 266



34 Birth Statistics and Audit 273



35 Legal Issues in Obstetrics and Gynaecology Sally Newman Newman, Sally 279



Gynaecology Management Section 283



Obstetric Management Section 297



Appendix I Common Drugs: Safety and Usage in Pregnancy and Breastfeeding 313



Appendix 2 NormalMaternal Ranges in Pregnancy 315



Index 317