THE REVISED AND UPDATED NINTH EDITION OF THE ESSENTIAL TEXTBOOK OF OBSTETRICS AND GYNAECOLOGY
This revised, classic textbook continues to provide the basic knowledge relevant to the practice of obstetrics and
gynaecology. Comprehensive in scope, Dewhurst's Textbook of Obstetrics & Gynaecology offers contributions
from a noted panel of experts and contains an integrated approach that is designed to help deliver the highest possible
care to patients.
Since the publication of the previous edition, there have been a number of obstetric breakthroughs that are addressed
in this new edition. In addition, the ninth edition is restructured to reflect the reality of today's clinical
practice. Written for both students and professionals, Dewhurst's Textbook of Obstetrics & Gynaecology is a
straightforward, authoritative and practice-based guide to women's reproductive health. This revised edition follows
the current career structure and progression of OBGYN trainees and covers all the topics required for MRCOG
qualification.
This important textbook:
clinically focused guidance for the successful - practice of obstetrics and gynaecology.
List of Contributors xi
Preface to the Ninth Edition xviii
Preface to the First Edition xix
Section 1 Obstetrics 1
Part 1 Basic Science 3
? 1 Maternal Physiology 5
? 2 The Placenta and Fetal Membranes 18
Part 2 Normal Pregnancy 29
? 3 Healthy Fetal Growth 31
? 4 Pre?conception Counselling 38
? 5 Antenatal Care 47
? 6 First Trimester Antenatal Screening 58
Part 3 Maternal Medicine 71
? 7 Hypertensive Disorders 73
? 8 Heart Disease in Pregnancy 85
? 9 Diabetes in Pregnancy 97
?10 Liver and Endocrine Diseases in Pregnancy 116
?11 Renal Disease 129
?12 Haematological Problems in Pregnancy 147
?13 Maternal Infection During Pregnancy 161
?14 Psychiatric Problems in Pregnancy and Post Partum 178
?15 Autoimmune Rheumatic Diseases and Other Medical Disorders in Pregnancy 191
?16 Obesity and Pregnancy 207
Part 4 Fetal Medicine 219
?17 Fetal Growth Restriction 221
?18 Third Trimester Fetal Assessment 231
?19 Fetal Medical Conditions 243
?20 Fetal Anomalies 254
?21 Multiple Pregnancy 268
Part 5 Birth 283
?22 Normal Mechanisms in Labour 285
?23 Post?term Pregnancy 307
?24 Induction and Augmentation of Labour 326
?25 Obstetric Emergencies 336
?26 Malpresentation, Malposition, Cephalopelvic Disproportion and Obstetric Procedures 354
?27 Fetal Monitoring During Labour 372
?28 Preterm Labour 387
?29 Stillbirth 413
?30 Analgesia, Anaesthesia and Resuscitation 423
Part 6 Postnatal Care 431
?31 Puerperium and Lactation 433
?32 Neonatal Care for Obstetricians 445
?33 Perinatal Epidemiology and Statistics 459
Section 2 Gynaecology 473
Part 7 Basic Science 475
?34 Clinical Anatomy of the Pelvis and Reproductive Tract 477
?35 Normal and Abnormal Development of the Genital Tract 485
?36 Role of Imaging in Gynaecology 499
?37 Ambulatory Gynaecology, Hysteroscopy and Laparoscopy 519
Part 8 Childhood and Adolescence 541
?38 Puberty and Its Disorders 543
?39 Gynaecological Disorders of Childhood and Adolescence 552
Part 9 Early Pregnancy Problems 557
?40 Spontaneous Miscarriage 559
?41 Recurrent Miscarriage 568
?42 Gestational Trophoblast Neoplasia 575
?43 Ectopic Pregnancy 589
?44 Induced Abortion 597
?45 Acute Pelvic Infection 611
Part 10 Menstruation 621
?46 The Menstrual Cycle 623
?47 Polycystic Ovary Syndrome and Secondary Amenorrhoea 632
?48 Heavy Menstrual Bleeding 653
?49 Premenstrual Syndrome 663
?50 Menopause and Postmenopausal Health 672
Part 11 Reproductive Problems 689
?51 Subfertility 691
?52 Assisted Reproduction 704
Part 12 Pelvic Pain 721
?53 Endometriosis 723
?54 Chronic Pelvic Pain 744
Part 13 Urogynaecology 753
?55 Uterovaginal Prolapse 755
?56 Urinary Incontinence 766
Part 14 Benign Gynaecological Disease 793
?57 Benign Diseases of the Vulva 795
?58 Benign Diseases of the Vagina, Cervix and Ovary 811
?59 Benign Disease of the Uterus 823
Part 15 Gynaecological Cancer 835
?60 Malignant Disease of the Vulva and the Vagina 837
?61 Premalignant and Malignant Disease of the Cervix 858
?62 Endometrial Cancer 876
?63 Surgical and Medical Management of Epithelial Ovarian Cancer 884
Part 16 Sexual Health 905
?64 Sexually Transmitted Infections 907
?65 Contraception and Sterilization 939
?66 Sexual Dysfunction 954
?67 Rape and Sexual Assault and Female Genital Mutilation 967
Part 17 Miscellaneous Topics 985
?68 Ethical Dilemmas in Obstetrics and Gynaecology 987
?69 The Law and the Obstetrician and Gynaecologist 999
?70 Evidence-based Medicine in Obstetrics and Gynaecology 1008
Index 1015