Manual of Obstetrics

This book is based on the classic ‘Holland and Brews Manual of Obstetrics’. The fourth edition is comprehensive with clear concepts, concrete up-to-date knowledge and student friendly "one stop obstetrics textbook". Basic principles, investigations, management options as well as the recent advances have all been explained in a simple and systematic manner. The information given is evidence based and as per international guidelines and management protocols.

Salient Features

• Every chapter has been thoroughly revised and updated with recent advances in Obstetrics
• The book has been made comprehensive with addition of new content, algorithms, figures, drug regimens and tables
• Several new chapters, Decision Making in Obstetrics, Management of Post-caesarean Pregnancy, Obstetric History Taking, Obstetric Examination, Labour Care – Ready Reckoner added
• Chapters on Specimens and Instruments in Obstetrics have been added to aid students to prepare for viva voce
• The format is modified to help not only students in obstetrics but also the practicing obstetricians

Points to Remember added with each chapter highlighting important information

Preface to the Fourth Edition v

Preface to the First Edition vi

Historical Landmarks and Evolution

of the Art and Science of Obstetrics vii

SECTION I BASICS OF REPRODUCTION 1

1 Reproductive Anatomy 1

2 Fundamentals of Reproduction 15

3 The Fetus 28

4 Birth Defects, Genetics, Teratology and

Counselling 34

5 Maternal Physiologic Changes in Pregnancy 37

6 Endocrinology of Pregnancy 44

SECTION II NORMAL PREGNANCY 49

7 Diagnosis of Pregnancy 49

8 The Fetus In Utero and Fetopelvic

Relationship 54

9 Prenatal (Antenatal) Care 59

10 Fetus at Risk: Identifi cation and Assessment 80

SECTION III MEDICAL, SURGICAL AND

GYNAECOLOGICAL DISORDERS IN

PREGNANCY 85

11 Hypertensive Disorders in Pregnancy 85

12 Epilepsy in Pregnancy/Seizure Disorders 100

13 Anaemia in Pregnancy 104

14 Heart Diseases in Pregnancy 116

15 Diabetes in Pregnancy 126

16 Thyroid Disorders in Pregnancy 138

17 Urinary Infections and Pyelonephritis in

Pregnancy 142

18 Malaria in Pregnancy 146

19 Dengue Fever Complicating Pregnancy 151

20 Hepatic Disorders in Pregnancy 153

21 Bronchial Asthma in Pregnancy 159

22 Tuberculosis Complicating Pregnancy 162

23 Rh Isoimmunization 166

24 HIV Infection Complicating Pregnancy 175

25 Perinatal Infectious Diseases (TORCH) 180

26 Surgical Disorders in Pregnancy 187

27 Gynaecological Disorders in Pregnancy 192

SECTION IV OBSTETRIC DISORDERS

IN PREGNANCY 197

28 Early Pregnancy Loss 197

29 Ectopic Pregnancy 206

30 Fetal Growth Restriction 213

31 Multifetal Pregnancy 220

32 Antepartum Haemorrhage 228

33 Placenta Praevia 230

34 Accidental Haemorrhage (Placental

Abruption) 236

35 Amniotic Fluid Abnormalities 241

36 Post-term Pregnancy 245

37 Intrauterine Fetal Death 247

38 Gestational Trophoblastic Disease 250

SECTION V NORMAL LABOUR 257

39 Onset of Labour 257

40 Uterine Activity in Labour 262

 

41 Effects of Labour on Mother and Fetus 267

42 Clinical Course of Labour 269

43 Mechanism of Labour 273

44 Documentation of Labour (Partogram) 278

45 Management of Labour 283

SECTION VI ABNORMAL LABOUR 291

46 Abnormal Fetal Positions

and Presentations 291

47 Prolonged Labour 319

48 Abnormal Uterine Action 325

49 Contracted Pelvis and Cephalopelvic

Disproportion 330

50 Obstructed Labour 336

51 Rupture of the Uterus 340

52 Other Maternal Soft-Tissue Traumas 344

53 Postpartum Haemorrhage 347

54 Preterm Labour 355

55 Prelabour Rupture of Membranes 362

56 Induction of Labour 364

57 Fetal Surveillance in Labour 372

58 Fetal Distress (Non-Reassuring Fetal Status) 378

59 Obstetric Shock 381

60 Amniotic Fluid Embolism (Pulmonary Embolism)

in Obstetrics 388

61 Coagulation Disorders and

Thrombocytopenia 391

SECTION VII PUERPERIUM 395

62 Normal Puerperium 395

63 Disorders of the Puerperium 403

SECTION VIII DRUGS IN OBSTETRICS 427

64 Obstetric Analgesia and Anaesthesia 427

65 Drugs in Pregnancy and Lactation 434

SECTION IX INVESTIGATIONS

IN OBSTETRIC PRACTICE AND ASSESSMENT

OF FETAL WELL BEING 451

66 Ultrasonography in Fetal Health

Assessment 451

67 Antenatal Detection of Abnormal Fetal

Development 463

68 Antenatal Testing for Fetal

Well-being: Cardiotocography 468

SECTION X OBSTETRIC INTERVENTIONS

AND SURGERIES 475

69 Surgical Procedures in Early Pregnancy 475

70 Versions 482

71 Episiotomy 486

72 Obstetric Forceps 489

73 Vacuum Extraction (Ventouse) 493

74 Caesarean Delivery 497

75 Surgical Management of Obstetric

Haemorrhage 502

76 Decompression Procedures 507

SECTION XI SAFE MOTHERHOOD 511

77 The Safe Motherhood Initiative 511

78 Maternal Mortality 516

79 Perinatal Mortality 521

SECTION XII THE NEWBORN INFANT 525

80 Care and Examination of the Newborn 525

81 Adaptation and Resuscitation of the

Newborn 531

82 Problems of the Newborn 534

83 Infections in the Newborn 541

84 Congenital Fetal Malformations 546

85 Neurological Presentations in the

Newborn 558

86 The Small Newborn (Low Birthweight) 561

SECTION XIII CONTRACEPTION

AND TERMINATION OF PREGNANCY 563

87 Contraception 563

88 Induced Abortions and Medical Termination

of Pregnancy 580

SECTION XIV CONTEMPORARY OBSTETRIC

PRACTICE 583

89 Immunology and Pregnancy 583

90 Trauma in Pregnancy 588

91 Sexually Transmitted

Diseases in Pregnancy 592

92 Substance Abuse in Pregnancy 595

93 Medicolegal Issues and Risk

Management 598

94 Special Cases in Obstetric

Practice 602

95 Evolution of Obstetric Practice 606

SECTION XV CLINICAL ASPECTS

IN OBSTETRICS AND GYNAECOLOGY 613

96 Obstetric History Taking 613

97 Obstetric Examination 615

98 Labour Care – A Ready Reckoner 620

99 Obstetric Management – Decision Making 630

100 Management in Postcaesarean Pregnancy 632

101 Specimens in Obstetrics 638

102 Obstetric Instruments 643

Index 657