Munro Kerr's Operative Obstetrics

Munro Kerr's Operative Obstetrics

13th Edition - October 2, 2019

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  • Editors: Sabaratnam Arulkumaran, Michael Robson
  • eBook ISBN: 9780702076367
  • Paperback ISBN: 9780702076350

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Description

Key Features

    • Authoritative, world-known editors and author team.
    • Presents a contemporary and pragmatic summary ofrecent developments in operative obstetrics.
    • Contextualises practice in the history of obstetric practice.
    • Accurate line drawings throughout clearly demonstrating relevant procedures and equipment.
    • Advice and management for obstetricians working in resource-limited areas

Table of Contents

  • Cover image
  • Title page
  • Table of Contents
  • Copyright
  • List of Contributors
  • Acknowledgement
  • Preface for the 13th Edition of Munro Kerr’s Operative Obstetrics
  • Part I. Antenatal
  • Chapter 1. Human Birth
  • Current Understanding
  • Biological Control of Labour – Triggering and Maintenance
  • Membrane Rupture
  • Chapter 2. Preterm Labour and Delivery
  • Introduction
  • Definition
  • Preterm Labour Versus Preterm Birth
  • Incidence of Preterm Birth
  • Aetiology and Mechanisms
  • Risk Factors
  • Outcomes
  • Prediction
  • Diagnosis
  • Management
  • Prevention of Preterm Labour
  • Minimizing the Complications of Preterm Delivery
  • Preterm Prelabour Rupture of Membranes
  • Mode of Delivery for Preterm Infants
  • Conclusion
  • Chapter 3. Cervical Cerclage
  • Introduction
  • Surgical Procedure
  • Discussion
  • Chapter 4. Antepartum Haemorrhage – an Overview
  • Clinical Assessment
  • Summary
  • Chapter 5. Vasa Praevia
  • Introduction
  • Definition
  • Incidence
  • Pathophysiology
  • Diagnosis
  • Investigations
  • Management
  • Chapter 6. Placental Abruption
  • Risk Factors for Placental Abruption
  • Pathophysiology
  • Presentation and Clinical Features
  • Management
  • Chapter 7. Induction of Labour
  • Introduction
  • History
  • Making the Decision
  • Incidence
  • Indications
  • Maternal Obesity
  • Special Circumstances
  • Methods of Induction
  • Pathway
  • Audit
  • Risk Management Issues
  • Part II. Labour and Delivery
  • Chapter 8. Assessment and Management of Labour
  • Introduction
  • General Principles of Labour
  • Normal and Abnormal Labour
  • Diagnosis and Management of Poor Progress in Labour
  • Risks of Treatment with Oxytocin and Assessment of Contractions
  • The Duration of Labour
  • Chapter 9. Fetal Surveillance in Labour
  • Intermittent Auscultation
  • High-Risk Pregnancy and Continuous Efm
  • Fetal Behavioural State in the Cardiotocograph – ‘Cycling’
  • Identification of Individual Features of Ctg Trace and Their Classification
  • Monitoring Uterine Contractions
  • Meconium-Stained Amniotic Fluid
  • Alternate or Adjunctive Methods of Assessing Fetal Health
  • Intrapartum Maternal Pyrexia and Neonatal Encephalopathy
  • Conclusions
  • Chapter 10. Fetal Asphyxia
  • Hypoxaemia, Hypoxia and Asphyxia
  • FHR Patterns Related to Hypoxia and Acidosis
  • Correlation of Ctg Patterns with Observed Brain Injury
  • Fetal Asphyxia and Medicolegal Implications
  • Reducing Adverse Outcomes
  • Conclusions
  • Chapter 11. Acute Tocolysis
  • Introduction
  • Definition
  • History
  • Pharmacological Agents for Acute Tocolytics
  • Clinical Indications for Acute Tocolysis
  • Which is the Ideal Tocolytic?
  • Risk Management and Medicolegal Issues
  • Chapter 12. Cord Prolapse
  • Predisposing Factors
  • Diagnosis
  • Management
  • Chapter 13. The Use of Oxytocin to Accelerate or Induce Labour
  • Oxytocin
  • Pharmacokinetics
  • High- and Low-Dose Oxytocin Regimens to Accelerate and Induce Labour
  • Current International Guidelines
  • Standardization of Terminology in Discussing The Use of Oxytocin
  • Development of Guidelines
  • Clinical Risks
  • Clinical Decision-Making and Audit
  • Key Clinical and Organizational Recommendations
  • Chapter 14. Malpresentations and Malpositions
  • Face Presentation
  • Brow Presentation
  • Transverse Lie
  • Compound Presentation
  • Chapter 15. Assisted Vaginal Delivery – an Overview
  • Introduction
  • Current Practice
  • Current Instruments for Assisted Vaginal Delivery and Associated Outcomes
  • Nonrotational Births
  • Rotational Births
  • Practical Aspects of Assisted Vaginal Delivery
  • Risk Management in Assisted Vaginal Delivery
  • The Role of Double Instrumentation and Abandoning Attempted Assisted Vaginal Delivery
  • Communication and Debriefing
  • The Way Forward for Assisted Vaginal Delivery
  • Good Practice Points
  • Suggested Audit Topics
  • Chapter 16. Assisted Vaginal Delivery – Nonrotational Forceps and Manual Rotation
  • Background
  • Preparation and Technique for Nonrotational Forceps
  • Key aspects of preparation:
  • Nonrotational Forceps for Direct Op Position
  • Nonrotational Forceps for Face Presentation
  • Digital and Manual Rotation
  • Conclusion
  • Good Practice Points
  • Chapter 17. Assisted Vaginal Delivery – Vacuum
  • Background
  • Preparation and Technique for Vacuum Delivery
  • Cup Detachment
  • Neonatal Complications
  • Good Practice Points
  • Chapter 18. Assisted Vaginal Delivery – Rotational Forceps
  • Background
  • Preparation and Technique for Rotational Forceps
  • Conclusion
  • Good Practice Points
  • Chapter 19. Shoulder Dystocia
  • Definition
  • Pathophysiology of Shoulder Dystocia
  • Incidence
  • Risk Factors for Shoulder Dystocia
  • Prediction of Shoulder Dystocia
  • Prevention
  • Management
  • Evaluate the Need for Episiotomy
  • Management After a Shoulder Dystocia
  • Brachial Plexus Injury
  • Documentation
  • Recommendations and Requirements for Shoulder Dystocia Training
  • Chapter 20. Breech Presentation
  • Epidemiology
  • Clinical Features, Diagnosis and Investigations
  • Prevention of Breech Presentation: External Cephalic Version
  • Mode of Birth for the Breech Baby
  • Criteria for Safest Vaginal Breech Birth
  • Counselling, Decision-Making and Consenting Regarding Mode of Birth
  • Conduct of Vaginal Breech Labour
  • Interventions at All-Fours Birth
  • The Mauriceau–Smellie–Veit Manoeuvre
  • The Bracht Manoeuvre
  • Emergency Interventions at Assisted Breech Birth
  • Breech Extraction
  • The Preterm Breech
  • Risk Management
  • Chapter 21. Twin and Triplet Delivery
  • Obstetric Factors
  • Anaesthetic Factors
  • First Stage of Labour
  • Second Stage of Labour
  • Delivery of the Second Twin
  • Third Stage of Labour
  • Locked Twins
  • Conjoined Twins
  • Triplets and Higher-Order Multiple Pregnancy
  • Chapter 22. Labour and Delivery After Previous Caesarean
  • Once a Caesarean Always a Caesarean
  • Selection Criteria for Vaginal Birth After Caesarean Section (Vbac)
  • Management of Trial for Vaginal Delivery
  • Conclusions
  • Chapter 23. Uterine Rupture
  • Introduction
  • Pathophysiology
  • Aetiology
  • Risk Factors
  • Clinical Features
  • Management
  • Prevention of Uterine Rupture
  • Pregnancy After Rupture
  • Chapter 24. Caesarean Section: Controversies, Audit, Classification and Indications
  • Controversies
  • Caesarean Section Audit
  • Ten Group Classification System
  • Indications for Caesarean Sections
  • Classification of Indications for Caesarean Sections
  • Analysis and Interpretation of Indications for Caesarean Sections
  • Conclusion
  • Chapter 25. Caesarean Section: Procedure
  • Classification of Urgency
  • Preoperative Preparation
  • Anaesthesia
  • Surgical Techniques
  • Uterine Incisions
  • Delivery
  • Closure
  • Documentation and Patient Information
  • Postoperative Care
  • Postoperative Complications
  • Chapter 26. Clinical Challenges at Caesarean Section: Uterine Rotation, Transverse Lie and Caesarean at Full Dilatation
  • Introduction
  • Crucial Points of Uterine Anatomy at Cs
  • Surgical Precision at Cs
  • Uterine Rotation
  • Cs for Transverse Lie
  • Caesarean Section at Full Dilatation
  • Pathophysiology
  • Clinical History
  • Clinical Examination
  • Proceeding to Cs
  • Difficulties Encountered/Special Circumstances
  • Complications
  • Conclusions
  • Audit
  • Chapter 27. Additional Procedures at Caesarean Section − Salpingectomy, Myomectomy, Ovarian Surgery and Hysterectomy
  • Salpingectomy
  • Myomectomy
  • Ovarian Surgery
  • Obstetric Hysterectomy
  • Surgical Considerations
  • Postoperative Considerations
  • Chapter 28. Placenta Praevia and the Placenta Accreta Spectrum
  • Placenta Praevia
  • Diagnosis
  • Antepartum Management
  • Caesarean Section for Uncomplicated Placenta Praevia
  • Vaginal Delivery in Placenta Praevia
  • Placental Accreta Syndrome
  • Management of Caesarean Scar Ectopic Pregnancy
  • Management of Pas Cases
  • Conservative Treatments
  • Complications
  • Possibility of Prevention
  • Future Developments
  • Chapter 29. Haemorrhagic Shock, Disseminated Intravascular Coagulation and Obstetric Resuscitation
  • Haemorrhagic Shock
  • Disseminated Intravascular Coagulation
  • Obstetric Resuscitation: Mobilize, Act and Think
  • Chapter 30. Thromboprophylaxis in Labour and Delivery
  • Introduction
  • Incidence
  • Risks of Thromboprophylaxis in Labour and Delivery
  • Management of Thromboprophylaxis for Labour and Delivery
  • Audit and Risk Management
  • Chapter 31. Amniotic Fluid Embolism
  • Pathophysiology
  • Diagnosis
  • Management
  • Chapter 32. Analgesia and Anaesthesia in Labour and Delivery
  • Introduction
  • Pain Pathways and Labour
  • Methods of Pain Relief
  • Chapter 33. Labour and Delivery in Women With a High Body Mass Index
  • Introduction
  • Definition
  • Incidence
  • History and Examination
  • Obstetrical Management
  • Anaesthesia Management
  • Postoperative Analgesia
  • Thromboprophylaxis
  • Summary
  • Part III. Postpartum
  • Chapter 34. Postpartum Haemorrhage
  • Introduction
  • Definition
  • The Normal Third Stage of Labour
  • Clinical Signs of Placental Separation
  • Routine Management to Prevent PPH
  • Pathophysiology of Postpartum Haemorrhage
  • Management of Primary Pph
  • Secondary PPH
  • Appendix 1. Oxytocic drugs
  • Chapter 35. Retained Placenta
  • Introduction
  • Routine Management of the Third Stage
  • Incidence of Retained Placenta
  • Pathophysiology (FIG. 35.2)
  • History
  • Examination and Investigations
  • Management
  • Medical Management to Deliver the Retained Placenta
  • Chapter 36. Uterine and Vaginal Tamponade
  • Uterine Tamponade
  • Vaginal Tamponade
  • Chapter 37. Uterine Compression Sutures
  • B-Lynch Suture
  • Modified B-Lynch Suture
  • Vertical Uterine Suture
  • Square Compression Sutures
  • Complications and Outcomes
  • Chapter 38. Pelvic Vessel Ligation and Embolization: Obstetric and Radiological Perspective
  • Historical Perspective
  • Anatomy and Haemodynamics
  • Radiological Perspective
  • Embolization
  • Balloon Occlusion
  • Future
  • Chapter 39. Lower Genital Tract Trauma
  • Anatomy
  • Perineal Trauma
  • Episiotomy
  • First Description of Episiotomy
  • Repair of Perineal Trauma
  • Obstetric Anal Sphincter Trauma (Third and Fourth Degree Tears)
  • Lacerations
  • Haematomas
  • Chapter 40. Acute Uterine Inversion
  • Types
  • Causes
  • Clinical Presentation
  • Management
  • Recurrent Uterine Inversion
  • Chapter 41. Symphysiotomy
  • Indications
  • Postdelivery Care
  • Immediate Complications
  • Conclusion
  • Chapter 42. Destructive Operations on the Fetus
  • General Principles
  • Operative Procedures
  • Postdelivery Care
  • Destructive Operations Versus Caesarean Section in low-Resource Settings
  • Conclusion
  • PART IV. Organizational Aspects
  • Chapter 43. Perinatal Audit in Labour and Delivery: Safety, Quality and Consistency
  • Introduction
  • Multidisciplinary Quality Assurance Programme
  • Audit
  • Information Collection
  • Principles of an Electronic Patient Record for Labour and Delivery
  • Labour Events and Outcome
  • Indications for Events and Outcomes
  • Information Retrieval, Presentation and Dissemination
  • Classification of Information
  • Ten Group Classification
  • The Ten Group Classification and the Advantage of Classification
  • Assessment of Management − Interpretation of Information
  • Chapter 44. Competence and Skills Training
  • Introduction and Historical Context
  • Preventable Harm
  • Skills Training
  • Key Elements for Skills Training
  • How to Organize Skills Training
  • Conclusion
  • Index

Product details

  • No. of pages: 320
  • Language: English
  • Copyright: © Elsevier 2019
  • Published: October 2, 2019
  • Imprint: Elsevier
  • eBook ISBN: 9780702076367
  • Paperback ISBN: 9780702076350

About the Editors

Sabaratnam Arulkumaran

Sabaratnam Arulkumaran
Sir Sabaratnam Arulkumaran, PhD, DSc, FRCOG, FRCS, FACOG, Emeritus Professor of Obstetrics and Gynaecology (O&G) of St. George’s University, London; Foundation Professor of O&G, University of Nicosia, Visiting Professor, Institute of Global Health Innovation, Imperial College, London; Past President of the Royal College of Obstetricians and Gynaecologists (2007-2010); President: International Federation of Obstetrics & Gynaecology (FIGO) 2012-2015; Head, Dept. of Obstetrics & Gynaecology, St George’s University Hospital, London, UK (1997-2013). National award recipient of Knight Bachelor in the UK and Sri Lanka Ranjana in Sri Lanka for services to Medicine.

Affiliations and Expertise

Professor Emeritus, Division of Obstetrics and Gynaecology, St George’s University of London, London, UK

Michael Robson

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