Contents
- Front matter
- Chapter 1 Normal pregnancy
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- Obstetric history: current pregnancy
- Obstetric history: other relevant features
- Obstetric physical examination
- Engagement of the fetal head
- The female pelvis
- Diameters of the female pelvis
- Fetal head
- Diameters and presenting parts of the fetal head
- Placenta: early development
- Placenta: later development
- Placenta: circulation
- Placenta: endocrine functions
- Physiology of pregnancy: endocrine
- Physiology of pregnancy: haemodynamics
- Physiology of pregnancy: cardio-respiratory
- Physiology of pregnancy: genital tract and breast
- Physiology of pregnancy: other changes
- Preparing for pregnancy
- Supplements and lifestyle advice
- General health check
- Diagnosis of pregnancy
- Dating of pregnancy
- Ultrasound assessment of fetal growth
- Booking visit
- Antenatal care: planning
- Antenatal care: routine blood tests
- Antenatal care: specific blood tests
- Antenatal care: preparing for delivery
- Chapter 2 Pregnancy complications
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- Minor symptoms of pregnancy: gastrointestinal
- Minor symptoms of pregnancy: musculoskeletal and vascular
- Minor symptoms of pregnancy: genitourinary and others
- Antepartum haemorrhage: overview
- Antepartum haemorrhage: assessment
- Antepartum haemorrhage: management
- Blood pressure in pregnancy: physiology
- Blood pressure in pregnancy: hypertension
- Pre-eclampsia: overview
- Pre-eclampsia: clinical features and investigations
- Pre-eclampsia: management
- Severe pre-eclampsia: management
- Eclampsia and HELLP syndrome
- Multiple pregnancy: overview
- Multiple pregnancy: types
- Multiple pregnancy: antenatal care
- Twin-to-twin transfusion syndrome (TTTS)
- Multiple pregnancy: labour
- Breech presentation: overview
- External cephalic version (ECV)
- Breech presentation: delivery
- Transverse, oblique, and unstable lie
- Abdominal pain in pregnancy: pregnancy related (<24 weeks)
- Abdominal pain in pregnancy: pregnancy related (>24 weeks)
- Abdominal pain in pregnancy: bowel related
- Abdominal pain in pregnancy: other causes
- Preterm labour: overview
- Preterm labour: prediction and prevention
- Preterm prelabour rupture of membranes (PPROM)
- Preterm prelabour rupture of membranes (PPROM): management
- Prolonged pregnancy: overview
- Prolonged pregnancy: management
- Chapter 3 Fetal medicine
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- Prenatal diagnosis: overview
- Trisomy 21 (Down's syndrome)
- Other types of aneuploidy
- Screening for chromosomal abnormalities
- Combined and serum integrated tests
- Integrated and other tests
- Diagnosis of structural abnormalities
- Neural tube defects
- Cardiac defects (congenital heart disease)
- Urinary tract defects
- Lung defects
- Gastrointestinal defects
- Soft markers on ultrasound scan
- Diagnostic tests
- Fetal hydropes: overview
- Non-immune hydrops: treatment
- Rhesus isoimmunisation (immune hydrops)
- Rhesus disease: management
- Oligohydramnios
- Polyhydramnios
- Intrauterine growth restriction (IUGR): overview
- Intrauterine growth restriction (IUGR): causes
- Intrauterine growth restriction (IUGR): management and outcome
- Antenatal fetal surveillance: overview
- Identifying the high-risk fetus
- Monitoring the high-risk fetus: Doppler ultrasound
- Monitoring the high-risk fetus: cardiotocography (CTG)
- Chapter 4 Infectious diseases in pregnancy
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- Rubella (German measles)
- Cytomegalovirus (CMV)
- Varicella (chickenpox)
- Parvovirus B19
- Toxoplasmosis
- Herpes simplex
- Hepatitis B
- Group B streptococcus (GBS)
- Other infections
- HIV and pregnancy
- HIV: antenatal care
- HIV: mother-to-child transmission
- HIV: perinatal and postnatal concerns
- Vaccination and travel
- Chapter 5 Medical disorders in pregnancy
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- Epilepsy
- Epilepsy: management in pregnancy
- Cerebrovascular accident (CVA)
- Cardiac disease: management in pregnancy
- Artificial heart valves
- Acquired heart disease
- Myocardial infarction and cardiomyopathy
- Congenital heart disease
- Anaemia
- Sickle cell disease
- Thalassaemia
- Haemophilia
- Autoimmune idiopathic thrombocytopenic purpura (ITP)
- Asthma
- Cystic fibrosis (CF)
- Respiratory infections
- Inflammatory bowel disease (IBD)
- Obstetric cholestasis
- Acute fatty liver of pregnancy (AFLP)
- Renal tract infections
- Chronic renal disease
- Pregnancy after renal transplantation
- Acute renal failure
- Systemic lupus erythematosus (SLE)
- Anti-phospholipid antibody syndrome
- Rheumatoid arthritis
- Myasthenia gravis
- Diabetes: established disease in pregnancy
- Diabetes: antenatal management
- Diabetes: labour and postpartum care
- Gestational diabetes
- Thyrotoxicosis
- Hypothyroidism
- Other thyroid diseases
- Phaeochromocytoma
- Congenital adrenal hyperplasia (CAH)
- Addison's, Conn's, and Cushing's syndromes
- Hyperprolactinaemia
- Hypopituitarism
- Obesity in pregnancy: maternal risks
- Obesity in pregnancy: fetal risks
- Drugs in pregnancy
- Chapter 6 Labour and delivery
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- Labour: overview
- Labour: 1st stage
- Labour: 2nd stage
- Labour: 3rd stage
- Induction of labour: indications
- Cervical ripening
- Induction of labour: methods
- Induction of labour: special circumstances
- Fetal surveillance in labour: overview
- Fetal surveillance: CTG
- Fetal surveillance: CTG abnormalities
- Fetal surveillance: CTG classification
- Meconium-stained liquor
- Operative vaginal delivery: overview
- Operative vaginal delivery: instruments
- Operative vaginal delivery: criteria
- Operative vaginal delivery: trial
- Episiotomy
- Perineal tears
- Third- and fourth-degree tears
- Caesarean section: overview
- Caesarean section: indications
- Caesarean section: types
- Caesarean section: complications
- Prelabour rupture of membranes (PROM) at term
- Prelabour rupture of membranes (PROM): management
- Abnormal lie: transverse and oblique
- Malpresentations in labour: overview
- Malpresentations: brow and face
- Retained placenta and placenta accreta
- Postpartum haemorrhage (PPH)
- Home birth: overview
- Home birth: risks and GP involvement
- Home birth: the evidence
- Chapter 7 Obstetric anaesthesia
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- Pain relief in labour
- Epidural analgesia: overview
- Epidural analgesia: advantages and disadvantages
- Anaesthetic techniques for Caesarean section: spinal
- Anaesthetic techniques for Caesarean section: epidural
- Anaesthetic techniques for Caesarean section: combined spinal epidural (CSE)
- Anaesthetic techniques for Caesarean section: general anaesthesia
- Chapter 8 Neonatal resuscitation
- Chapter 9 Postnatal care
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- Normal changes in the puerperium
- Major postnatal problems
- Puerperal pyrexia: genital causes
- Puerperal pyrexia: non-genital causes
- Puerperal pyrexia: management
- Other postnatal problems
- Other postnatal care issues
- Breastfeeding: overview
- Breastfeeding: benefits
- Breastfeeding: potential problems
- Drugs and breastfeeding
- Viruses and breastfeeding
- Chapter 10 Obstetric emergencies
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- Sudden maternal collapse
- Cord prolapse
- Shoulder dystocia: overview
- Shoulder dystocia: management
- Fetal distress of second twin
- Massive obstetric haemorrhage: causes
- Massive obstetric haemorrhage: pathophysiology
- Massive obstetric haemorrhage: resuscitation
- Massive obstetric haemorrhage: medical management
- Massive obstetric haemorrhage: surgical management
- Venous thromboembolism: overview
- Venous thromboembolism: prevention
- Venous thromboembolism: diagnosis
- Venous thromboembolism: treatment
- Amniotic fluid embolism: overview
- Amniotic fluid embolism: diagnosis and management
- Uterine inversion
- Chapter 11 Miscellaneous obstetric issues
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- Fibroids in pregnancy
- Ovarian cysts in pregnancy
- Malignancy and premalignancy of the genital tract in pregnancy: overview
- Cervical carcinoma in pregnancy: diagnosis
- Cervical carcinoma in pregnancy: management and prognosis
- Ovarian cancer
- Vulval carcinoma
- Perinatal mortality: overview
- Perinatal mortality: key findings
- Maternal mortality: definition
- The Confidential Enquiry into Maternal Deaths (CEMACH)
- CEMACH: direct deaths I
- CEMACH: direct deaths II
- CEMACH: indirect causes of death
- CEMACH: psychiatric illness and domestic abuse
- Chapter 12 Substance abuse and psychiatric disorders
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- Substance abuse in pregnancy
- Morbidity and mortality in substance abusers
- Substance misuse in pregnancy: management
- Alcohol abuse
- Drugs of abuse: opiates
- Drugs of abuse: cocaine
- Drugs of abuse: other stimulants
- Drugs of abuse: sedatives and cannabis
- Other drugs of abuse
- Antenatal psychiatric disorders: overview
- Antenatal psychiatric disorders: specific disorders
- Psychiatric medications
- Postnatal depression
- Puerperal psychosis
- Chapter 13 Gynaecological anatomy and development
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- Gynaecological history: overview
- Gynaecological history: other relevant details
- Gynaecological examination
- Anatomy: female reproductive organs
- Anatomy: blood supply and relationship to other structures
- Anatomy: external genitalia
- Malformations of the genital tract: overview
- Malformations of the genital tract: management
- Disorders of sex development (DSD)
- Ambiguous genitalia at birth
- Congenital adrenal hyperplasia (CAH)
- Androgen insensitivity syndrome (AIS)
- Disorders of growth and puberty
- Delayed puberty and 1° amenorrhoea
- Vaginal discharge: in childhood
- Vaginal discharge: in adolescence
- Dermatological conditions in children and adolescents
- Gynaecological disorders: in adolescence
- Gynaecological cancers: in childhood
- Fertility implications of childhood cancer
- Chapter 14 Normal menstruation and its disorders
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- Physiology of the menstrual cycle
- Menstrual disorders: amenorrhoea
- Menstrual disorders: oligomenorrhoea
- Menstrual disorders: dysmenorrhoea
- Dysfunctional uterine bleeding (DUB): aetiology
- Dysfunctional uterine bleeding (DUB): diagnosis and investigations
- Dysfunctional uterine bleeding (DUB): medical management
- Dysfunctional uterine bleeding (DUB): surgical management
- Premenstrual syndrome (PMS): overview
- Premenstrual syndrome (PMS): management
- Chapter 15 Early pregnancy problems
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- Termination of pregnancy (TOP): overview
- Termination of pregnancy (TOP): methods
- Termination of pregnancy (TOP): management
- Bleeding in early pregnancy and miscarriage
- Miscarriage: management
- Ectopic pregnancy: diagnosis
- Ectopic pregnancy: management
- Pregnancy of unknown location (PUL)
- Recurrent miscarriage: overview
- Recurrent miscarriage: management
- Hyperemesis gravidarum
- Chapter 16 Genital tract infections, and pelvic pain
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- Vaginal discharge
- Sexually transmitted infections (STIs)
- Chlamydia
- Herpes simplex
- Gonorrhoea
- Syphilis
- Trichomonas
- Human papillomavirus (HPV)
- Bacterial vaginosis (BV)
- Candidiasis (thrush)
- Pelvic inflammatory disease (PID): overview
- Pelvic inflammatory disease (PID): diagnosis and treatment
- Acute pelvic pain
- Chronic pelvic pain (CPP): gynaecological causes
- Chronic pelvic pain (CPP): non-gynaecological causes
- Chronic pelvic pain (CPP): diagnosis
- Chronic pelvic pain (CPP): treatment
- Chapter 17 Subfertility and reproductive medicine
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- Polycystic ovarian syndrome (PCOS): overview
- Polycystic ovarian syndrome (PCOS): management
- Hirsutism and virilization: overview
- Hirsutism and virilization: clinical appearance and investigations
- Hirsutism: first-line treatment
- Hirsutism: second-line treatment
- Endometriosis: overview
- Endometriosis: diagnosis
- Endometriosis: treatment
- Gonadotrophin releasing hormone (GnRH) in health and disease
- Gonadotrophin releasing hormone (GnRH) agonists and antagonists
- Female subfertility: overview
- Female subfertility: diagnosis
- Female subfertility: management
- Male subfertility
- Assisted reproduction: IVF and ICSI
- Assisted reproduction: other techniques
- Ovarian hyperstimulation syndrome (OHSS)
- Sexual dysfunction: overview
- Sexual dysfunction: classification of disorders
- Sexual dysfunction: treatment
- Sexual dysfunction: male disorders
- Chapter 18 Sexual assault
- Chapter 19 Contraception
- Chapter 20 Menopause
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- Menopause: overview
- Menopause: short-term consequences
- Menopause: long-term consequences
- Menopause: history taking and investigations
- Premature menopause
- Hormone replacement therapy(HRT): overview
- Hormone replacement therapy (HRT): benefits
- Hormone replacement therapy (HRT): risks
- Hormone replacement therapy (HRT): uncertainties
- Chapter 21 Urogynaecology
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- Classification of urinary incontinence
- Urinary symptoms
- Assessment of the lower urinary tract: history and examination
- Assessment of the lower urinary tract: investigations
- Assessment of the lower urinary tract: imaging
- Assessment of the lower urinary tract: urodynamic investigations
- Stress urinary incontinence: overview
- Stress urinary incontinence: conservative management
- Stress urinary incontinence: surgical management
- Overactive bladder syndrome (OAB): overview
- Overactive bladder syndrome (OAB): management
- Anatomy of the pelvic floor
- Prolapse: classification
- Prolapse: clinical assessment
- Prolapse: conservative management
- Prolapse: surgical management; anterior and posterior compartments
- Prolapse: surgical management; uterovaginal and vault
- Chapter 22 Benign and malignant gynaecological conditions
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- Benign neoplasms of the lower genital tract
- Benign neoplasms of the uterus
- Benign ovarian tumours: diagnosis
- Benign ovarian tumours: histology
- Benign ovarian tumours: management
- Vulval dermatoses: lichen sclerosus
- Other vulval dermatoses
- Idiopathic vulval itch and pain
- Cancer screening in gynaecology: overview
- Ovarian and endometrial cancer screening
- Cervical cancer:pathology and screening
- Cervical cancer: cytology, colposcopy, and histology
- Management of cervical intraepithelial neoplasia (CIN)
- Management of cGIN and HPV
- Gynaecological cancer: a multidisciplinary approach
- Cervical cancer: aetiology and presentation
- Cervical cancer: diagnosis
- Cervical cancer: treatment
- Ovarian cancer: aetiology
- Ovarian cancer:presentation and investigation
- Ovarian cancer: treatment
- Ovarian cancer:chemotherapy and follow-up
- Rare ovarian tumours: germ cell
- Rare ovarian tumours: other
- Borderline ovarian tumours
- Endometrial hyperplasia
- Endometrial cancer: aetiology and histology
- Endometrial cancer: presentation and investigation
- Endometrial cancer: treatment
- Rare uterine malignancies
- Vulval intraepithelial neoplasia (VIN)
- Vulval intraepithelial neoplasia (VIN): management
- Vulval cancer: aetiology and investigation
- Vulval cancer: treatment
- Vaginal cancer
- Gestational trophoblastic disease (GTD): hydatidiform mole
- Hydatidiform mole: management
- Gestational trophoblastic disease: choriocarcinoma
- Principles of chemotherapy
- Side effects of chemotherapy: haematological and gastrointestinal
- Side effects of chemotherapy: other
- Chemotherapy for gynaecological cancer
- Radiotherapy: principles
- Radiotherapy: side effects
- Radiotherapy: gynaecological cancers
- Pain and its management
- Symptoms of advanced gynaecological cancer
- Principles of palliative care
- Chapter 23 Miscellaneous gynaecology
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- Imaging: pregnancy, postmenopausal bleeding, and menstrual disorders
- Imaging: pain and subfertility
- Imaging: masses and urogynaecology
- Injuries in obstetric and gynaecological practice: overview
- Ureteric injury
- Bladder injury
- Communication and record keeping
- Medico-legal aspects of obstetrics and gynaecology: overview
- Consent to treatment
- Consent: other issues
- Clinical risk management: identifying and analysing risks
- Clinical risk management: risk reduction




