Clinical Obstetrics and Gynaecology

Clinical Obstetrics and Gynaecology

5th Edition - April 30, 2022

Write a review

  • Editors: Elizabeth A. Layden, Andrew Thomson, Philip Owen, Mayank Madhra, Brian A. Magowan
  • eBook ISBN: 9780702085147

Purchase options

Institutional Subscription

Free Global Shipping
No minimum order

Description

Clinical Obstetrics and Gynaecology provides a thorough overview of the essential topics that healthcare practitioners in the field need to know, with a focus on clinical practice. This highly regarded textbook provides comprehensive coverage of gynaecology, reproductive health, obstetrics and on-call for O&G. It has been thoroughly updated to incorporate significant developments in clinical care, including in prenatal diagnosis and screening, COVID-19 management, antenatal and postnatal care, and telemedicine abortion practices. With full colour illustrations, self-assessment questions and additional online material to reinforce learning, this is a valuable resource for medical students, junior doctors, midwives, nurses and for healthcare practitioners from other specialties seeking a broad-based grounding in O&G.

Table of Contents

  • Cover Image
  • Title Page
  • Copyright
  • Dedication
  • Preface
  • Contributors
  • Language Statement
  • Table of Contents
  • Section 1 Fundamentals
  • Chapter 1 Clinical Pelvic Anatomy
  • Chapter Outline
  • Introduction
  • Obstetric Anatomy
  • The Pelvic Organs During Pregnancy
  • Anatomical Points for Obstetric Analgesia
  • Gynaecological Anatomy
  • Anatomy of the Lower Urinary Tract
  • Chapter 2 History and Examination
  • Chapter Outline
  • Introduction
  • Gynaecological History
  • Gynaecological Examination
  • Obstetrical History
  • Obstetrical Examination
  • Section 2 Gynaecology
  • Chapter 3 Paediatric Gynaecology and Differences in Sex Development
  • Chapter Outline
  • Introduction
  • Normal Puberty
  • Variations of Normal Puberty
  • Precocious Puberty
  • Delayed Puberty
  • Pre-Pubertal Conditions
  • Post-Pubertal Conditions
  • Müllerian Duct Anomalies
  • Differences in Sex Development (DSD)
  • Summary
  • Chapter 4 Menstruation and Amenorrhoea
  • Chapter Outline
  • The Menstrual Cycle
  • Endocrine Control of the Menstrual Cycle
  • The Ovarian Cycle
  • The Uterine Cycle
  • Other Cyclical Changes
  • Amenorrhoea
  • Primary Amenorrhoea
  • Secondary Amenorrhoea
  • Care of Women with Secondary Amenorrhoea
  • Chapter 5 Subfertility
  • Chapter Outline
  • Introduction
  • Definitions
  • Age and Fertility
  • Causes of Subfertility
  • Diagnosis
  • History and Examination
  • Investigations and Their Interpretation
  • Care of Couples With Subfertility
  • Assisted Conception
  • The UK Human Fertilisation and Embryology Act
  • Chapter 6 Early Pregnancy Care
  • Chapter Outline
  • Introduction
  • Miscarriage
  • Pregnancy of Unknown Location
  • Ectopic Pregnancy
  • After Pregnancy Loss
  • Chapter 7 Heavy Menstrual Bleeding, Dysmenorrhoea and Pre-Menstrual Syndrome
  • Chapter Outline
  • Heavy Menstrual Bleeding
  • Dysmenorrhoea
  • Pre-Menstrual Syndrome
  • Aetiology
  • Clinical Presentation
  • Differential Diagnosis
  • Care of Women With Pre-Menstrual Syndrome
  • Chapter 8 Pelvic Pain and Endometriosis
  • Chapter Outline
  • Pelvic Pain
  • History
  • Examination
  • Acute Pelvic Pain
  • Chronic Pelvic Pain (CPP)
  • Endometriosis
  • Incidence
  • Aetiology
  • Clinical Presentation
  • Examination
  • Endometriosis and Fertility
  • Investigation
  • Care of Women With Endometriosis
  • Fertility Treatment
  • Complications, Prognosis and Long-Term Sequelae
  • Chapter 9 Menopause and Hormone Replacement Therapy
  • Chapter Outline
  • Introduction
  • Physiology
  • Signs and Symptoms
  • Long-Term Effects
  • Diagnosis
  • Hormone Replacement Therapy
  • Risks and Side Effects of HRT
  • Non-Hormonal Treatment
  • Chapter 10 Pelvic Organ Prolapse
  • Chapter Outline
  • Introduction
  • Aetiology
  • Types of Prolapse
  • Prolapse Staging
  • Symptoms
  • Signs
  • Care of Women With Pelvic Organ Prolapse
  • Chapter 11 Urinary Incontinence
  • Chapter Outline
  • Introduction
  • Types of Urinary Incontinence
  • The Mechanism of Urinary Continence
  • Aetiology of Incontinence
  • Clinical Presentation
  • Clinical Assessment
  • Care of Women With Urinary Incontinence
  • Conservative
  • Chapter 12 Ovarian Neoplasms
  • Chapter Outline
  • Introduction
  • Risk Factors
  • Natural History
  • Genetics
  • Pathology
  • Spread
  • Presentation
  • Investigation
  • Tumour Markers
  • FIGO Staging
  • Care of Women With Benign Tumours
  • Surgery for Early Ovarian Cancer
  • Surgery for Advanced Ovarian Cancer
  • Chemotherapy and Targeted Therapies
  • Recurrence
  • Survival
  • Chapter 13 Uterine Neoplasms
  • Chapter Outline
  • Introduction
  • Incidence
  • Aetiology
  • Clinical Features and Diagnosis
  • Pathology
  • Prognostic Factors
  • Care of Women With Endometrial Carcinoma
  • Recurrence
  • Summary
  • Chapter 14 Cervical Neoplasms
  • Chapter Outline
  • Introduction
  • The Transformation Zone
  • The Cervical Screening Programme (UK)
  • Cervical Cancer
  • Chapter 15 Gestational Trophoblastic Disease
  • Chapter Outline
  • Introduction
  • Trophoblast Cells in Health and Disease
  • Premalignant Gestational Trophoblastic Disease
  • Malignant Gestational Trophoblastic Disease
  • Epithelioid Trophoblastic Tumour
  • Care of Women With Molar Pregnancies
  • Follow-Up After a Molar Pregnancy
  • Care of Women With Malignant Gestational Trophoblastic Disease
  • Chapter 16 Disorders of the Vulva
  • Chapter Outline
  • Introduction
  • Points to Note in the History
  • Examination of the Vulva
  • Simple Vulval Conditions
  • Infection
  • Dermatoses
  • Pruritus
  • Vulvodynia
  • Vulval Intraepithelial Neoplasia
  • Vulval Carcinoma
  • Female Genital Mutilation
  • Chapter 17 Gynaecological Surgery
  • Chapter Outline
  • Introduction
  • Preoperative Care
  • Safer Surgery Principles
  • Gynaecological Operations
  • Laparoscopic Hysterectomy
  • Postoperative Care
  • Section 3 Reproductive Health
  • Chapter 18 Sexually Transmitted Infections
  • Chapter Outline
  • Introduction
  • Principles of Sexually Transmitted Infection Management
  • Sexual History
  • Examination for Genital Infections
  • Taking Samples for Genital Infections
  • Syndromes Associated With Genital Infections
  • Infections of the Vagina
  • Infections of the Cervix
  • Systemic Presentations of Sexually Transmitted Infections
  • Chapter 19 Sexual Problems
  • Chapter Outline
  • Introduction
  • Normal Sexual Response
  • The Effect of Age
  • The Functions of Sex
  • History Taking
  • Female Sexual Dysfunction
  • Male Sexual Dysfunction
  • Care of People With Sexual Problems
  • Conclusion
  • Chapter 20 Abortion
  • Chapter Outline
  • Introduction
  • Worldwide Perspectives
  • United Kingdom (Uk) Legal and Ethical Issues
  • UK Perspectives
  • Personal Beliefs
  • Consultation and Counselling Before Abortion
  • Pre-abortion Investigations
  • Methods of abortion
  • Complications of Abortion
  • Abortion Aftercare
  • Conclusion
  • Chapter 21 Contraception
  • Chapter Outline
  • Introduction
  • Methods of Contraception
  • Hormonal Contraception
  • Non-Hormonal Contraception
  • Fertility-Awareness Methods
  • Emergency Contraception (EC)
  • Sterilization
  • Chapter 22 Ethical Issues
  • Chapter Outline
  • Introduction
  • Conception
  • Contraception
  • De-Conception Issues – Abortion
  • Assisted Conception
  • Pregnancy and Birth
  • Gender
  • Surgical Manipulation for Non-Medical Reasons
  • Conclusion
  • Section 4 Obstetrics
  • Chapter 23 Antenatal and Postnatal Care
  • Chapter Outline
  • The Aim of Antenatal Care
  • Models of Antenatal Care
  • The First Trimester
  • The Second Trimester (12–26 Weeks)
  • The Third Trimester (26 Weeks–Term)
  • Antenatal Summary
  • Postnatal Care
  • Models of Postnatal Care
  • Immediate Post-Birth Care
  • Postnatal Follow-Up in the First 10 Days
  • Late Postnatal Examination
  • Postnatal Problems
  • Chapter 24 Maternal Medicine
  • Chapter Outline
  • Introduction
  • Diabetes Mellitus
  • Venous Thromboembolic Disease
  • Cardiac Disease
  • Connective Tissue Disease
  • Epilepsy
  • Hepatic Disorders
  • Renal Disorders
  • Respiratory Disorders
  • Thrombocytopenia
  • Thyroid Disorders
  • Chapter 25 Fetal Medicine
  • Chapter Outline
  • Introduction
  • Principles of Screening
  • Assessing the Chance of Anomalies
  • Screening for Chromosomal Anomalies
  • Screening for Structural Anomalies
  • Diagnosis of Chromosomal and Genetic Anomalies
  • Chromosomal Abnormalities
  • Single-Gene Disorders
  • Structural Anomalies
  • Haemolytic Disease of the Fetus and Newborn (HDFN)
  • Advances in Fetal Therapy
  • Ethical Considerations and Parental Support
  • Termination of Pregnancy for Fetal Abnormality
  • Chapter 26 Obstetric Haemorrhage
  • Chapter Outline
  • Introduction
  • Definitions
  • Antepartum Haemorrhage
  • Intrapartum Haemorrhage
  • Postpartum Haemorrhage
  • Chapter 27 Fetal Growth and Surveillance
  • Chapter Outline
  • Introduction
  • Accuracy of Dating
  • Small for Gestational Age
  • Fetal Growth Restriction
  • Aetiology
  • Screening and Diagnosis
  • Management
  • Long-Term Implications of Fetal Growth Restriction
  • Chapter 28 Hypertension in Pregnancy
  • Chapter Outline
  • Definitions
  • Pathophysiology
  • Epidemiology of Hypertensive Disorders in Pregnancy
  • Chronic Hypertension
  • Gestational Hypertension and Pre-Eclampsia
  • Global Challenges
  • Long-Term Implications of Hypertension in Pregnancy
  • Chapter 29 Pre-Term Birth
  • Chapter Outline
  • Introduction
  • Definitions
  • Aetiology and Predisposing Factors
  • Identifying Women at Increased Risk of Pre-Term Birth
  • Prevention of Pre-Term Labour
  • Inhibition of Pre-Term Labour
  • Pre-Term Pre-Labour Rupture of the Membranes
  • Diagnosis and Management of Pre-Term Labour
  • Mode of Birth
  • Chapter 30 Multiple Pregnancy
  • Chapter Outline
  • Introduction
  • The Nature of Twinning and Chorionicity
  • Maternal Complications
  • Fetal Complications
  • Antenatal Problems Specific to Monochorionic Twin Pregnancies
  • Care of Women With Multiple Pregnancy
  • Management of Twin Birth
  • Triplets and Higher-Order Multiples
  • Chapter 31 Labour and Analgesia
  • Chapter Outline
  • Introduction
  • Evolution and Human Labour
  • Primigravid Compared With Multigravid Labour
  • The Uterus During Pregnancy
  • The Initiation of Labour
  • Pro-Pregnancy Factors
  • Pro-Labour Factors
  • The Mechanism of Normal Labour and Birth (See Also Chapter 1)
  • Clinical Progress in Labour
  • Episiotomies and Perineal Tears
  • Analgesia in Labour
  • Methods of Pain Relief
  • Chapter 32 Monitoring of the Fetus in Labour
  • Chapter Outline
  • Introduction
  • Fetal Physiology
  • Risk Assessment
  • Fetal Heart Rate Recording
  • Fetal Blood Sampling
  • Fetal Monitoring Scenarios
  • Long-Term Prognosis Following Delivery
  • Chapter 33 Induction of Labour
  • Chapter Outline
  • Introduction
  • Indications
  • Contraindications
  • Methods
  • Unfavourable Cervix
  • Favourable Cervix
  • Other Methods of Induction of Labour
  • Complications
  • Unsuccessful Induction
  • Chapter 34 Malpresentation and Slow Labour
  • Chapter Outline
  • Introduction
  • Precipitate Labour
  • Slow Labour
  • Malpresentation
  • Chapter 35 Obstetric Emergencies
  • Chapter Outline
  • Introduction
  • General Principles
  • Shoulder Dystocia
  • Cord Prolapse
  • Impacted Fetal Head at Caesarean Section
  • Maternal collapse
  • Maternal cardiac arrest
  • Amniotic Fluid Embolism
  • Sepsis
  • Uterine Inversion
  • Uterine Rupture
  • Chapter 36 Operative Birth
  • Chapter Outline
  • Introduction
  • Instrumental Vaginal Delivery
  • Caesarean Section
  • Chapter 37 Stillbirth and Neonatal Mortality
  • Chapter Outline
  • Introduction
  • Definitions
  • Stillbirth
  • Neonatal Death
  • Global Perspective
  • Chapter 38 Neonatal Resuscitation
  • Chapter Outline
  • Physiology
  • Practical Aspects of Neonatal Resuscitation
  • Discontinuation of Resuscitation
  • Debrief and Parental Communication
  • Chapter 39 Global Maternal and Neonatal Health
  • Chapter Outline
  • Estimates of Global Maternal and Neonatal Mortality
  • Obstetric Causes of Maternal Mortality
  • Medical Conditions Contributing to Maternal Mortality and Morbidity
  • Strategies to Improve Global Maternal and Newborn Health
  • Availability and Quality of Care
  • Epidemics and Pandemics
  • Section 5 Online-Only Chapters
  • Chapter 40 Human Embryology
  • Chapter Outline
  • Introduction
  • Nomenclature
  • Fertilization to Implantation (0–6 GD)
  • Implantation and Formation of the Germ Layers (7–18 GD)
  • Organogenesis (19–56+ GD)
  • Chapter 41 Imaging in Obstetrics and Gynaecology
  • Chapter Outline
  • Introduction
  • Obstetrics
  • Gynaecology
  • Chapter 42 The Physiology of Pregnancy
  • Chapter Outline
  • Introduction
  • Respiratory System
  • Cardiovascular System
  • Blood, Plasma and Extracellular Fluid Volume
  • Blood Constituents and Anaemia
  • Haemostasis in Pregnancy
  • Renal System
  • Endocrine System
  • Gastrointestinal System
  • Liver and Bile Ducts
  • Skin and Appendages
  • Metabolic Changes
  • Calcium Homeostasis
  • Placental Transfer
  • Immunology
  • Summary
  • Chapter 43 Neonatal Care
  • Chapter Outline
  • Introduction
  • The Transition at Birth
  • Routine Care at Birth
  • Perinatal Asphyxia
  • Neonatal Examination
  • Feeding
  • Signs of Illness
  • Infection
  • Jaundice
  • Low Birth Weight (LBW) Babies
  • Family Centred Care
  • Organ Donation
  • Chapter 44 Practical Obstetrics and Gynaecology
  • Chapter Outline
  • General Advice
  • Common Pitfalls
  • Acute Lower Abdominal Pain for the Gynaecologist
  • Bleeding in early pregnancy
  • Nausea and vomiting in pregnancy (NVP) and hyperemesis gravidarum (HG)
  • Termination of Pregnancy (TOP)
  • General principles when caring for antenatal women
  • Sepsis in pregnancy
  • Shortness of breath in pregnancy
  • Antepartum haemorrhage
  • Induction of labour
  • Labour ward: general principles
  • Chapter 45 UK Medicolegal Issues
  • Chapter Outline
  • Introduction
  • UK Legal Framework
  • Dissatisfaction, Complaints and Litigation
  • What Is Medical Negligence?
  • Consent
  • Shared Decision-Making
  • The Process and Consequences of Litigation
  • Avoiding Litigation
  • Section 6 Self-Assessment
  • Single Best Answer (SBA) Questions – Part One
  • Single Best Answer (SBA) Questions – Part Two
  • Objective Structured Clinical Examination (OSCE) Practice Cases
  • Answers to Single Best Answer (SBA) questions – part one
  • Answers to Single Best Answer (SBA) questions – part two
  • Index

Product details

  • No. of pages: 560
  • Language: English
  • Copyright: © Elsevier 2022
  • Published: April 30, 2022
  • Imprint: Elsevier
  • eBook ISBN: 9780702085147

About the Editors

Elizabeth A. Layden

Elizabeth A. Layden, MBChB, DLM, MRCOG, Clinical Research Fellow, University of Edinburgh, Edinburgh, Great Britain; Specialty Registrar, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, Great Britain

Affiliations and Expertise

Clinical Research Fellow, University of Edinburgh, Edinburgh, Great Britain; Specialty Registrar, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, Great Britain

Andrew Thomson

Andrew Thomson, BSc, MBChB, MRCOG, MD, Consultant in Obstetrics & Gynaecology, Obstetrics & Gynaecology, Royal Alexandra Hospital, Paisley, Great Britain

Affiliations and Expertise

Consultant in Obstetrics & Gynaecology, Obstetrics & Gynaecology, Royal Alexandra Hospital, Paisley, Great Britain

Philip Owen

Philip Owen, MB BCh MD FRCOG, Consultant Obstetrician and Gynaecologist, Princess Royal Maternity Hospital and Stobhill Hospital, Glasgow, Great Britain

Affiliations and Expertise

Consultant Obstetrician and Gynaecologist, Princess Royal Maternity Hospital and Stobhill Hospital, Glasgow, Great Britain

Mayank Madhra

Mayank Madhra, MBChB, MRCOG, Consultant Obstetrician and Gynaecologist, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, Great Britain

Affiliations and Expertise

Consultant Obstetrician and Gynaecologist, Simpson Centre for Reproductive Health, Royal Infirmary of Edinburgh, Edinburgh, Great Britain

Brian A. Magowan

Brian A. Magowan, FRCOG, Consultant Obstetrician/Gynaecologist, Borders General Hosptial, Melrose, Scottish Borders, Great Britain

Affiliations and Expertise

Consultant Obstetrician/Gynaecologist, Borders General Hospital, Melrose, Scottish Borders, Great Britain

Ratings and Reviews

Write a review

There are currently no reviews for "Clinical Obstetrics and Gynaecology"