Contents -- Preface -- Acknowledgements -- Symbols and abbreviations -- 1 Normal pregnancy: history, examination, anatomy and physiology -- Introduction and obstetric history -- Physical examination -- Abdominal examination: palpation -- Abdominal examination and reporting findings -- Anatomy of the bony pelvis -- Adequacy of the pelvis to achieve vaginal delivery -- The fetal head -- Placental development -- The placenta at term -- Placental circulation -- Functions of the placenta -- Preparing for pregnancy -- Nutritional preparation for pregnancy -- Exacerbation of illness during pregnancy -- Hormonal and hemodynamic changes in pregnancy -- Cardiovascular and renal changes in pregnancy -- Further physiological changes during pregnancy -- Diagnosis and dating of pregnancy -- Ultrasound verification of dates -- Booking visit -- Inspection, palpation, and presentation -- Engagement and fetal position -- Plan for antenatal care -- Routine blood tests -- Special blood tests -- Serum screening for fetal anomalies -- 2 Pregnancy complications -- First trimester symptoms of pregnancy -- Second trimester symptoms of pregnancy -- Third trimester symptoms of pregnancy -- Miscarriage -- Bleeding and/or pain in early pregnancy -- Hyperemesis gravidarum -- Etiology, incidence, and prevention of preeclampsia and eclampsia -- Clinical features of preeclampsia and eclampsia -- Management of mild preeclampsia -- Management of severe preeclampsia -- Management of eclampsia -- Multiple pregnancies -- Diagnosis of multiple pregnancies -- Management of multiple pregnancies -- Breech presentation -- Management of breech presentation -- Intrapartum and preterm breech management -- Antepartum hemorrhage -- Placenta previa -- Management of placenta previa -- Placental abruption ('accidental hemorrhage') -- Acute abdominal pain related to pregnancy.

Acute abdominal pain unrelated to pregnancy -- Miscellaneous causes of abdominal pain unrelated to pregnancy -- Preterm labor -- Diagnosis and management of preterm labor -- Tocolysis and preterm labor -- Diagnosis of preterm premature rupture of membranes -- Management of preterm premature rupture of membranes -- Drug treatment for preterm premature rupture of membranes -- Intrauterine growth restriction and diagnosis -- Fetal growth restriction -- Causes of intrauterine growth restrictrion -- Fetal syndromes -- 3 Fetal medicine -- Prenatal diagnosis and counseling -- Screening -- Ultrasonography -- Abnormalities detected -- Mid-trimester markers -- First trimester scanning -- Diagnostic tests -- Fetal sampling -- Future trends -- Rhesus isoimmunization -- Monitoring the pregnancy -- Fetal surveillance and blood transfusion -- Hydrops fetalis: causes and clinical presentation -- Diagnosis of hydrops -- Management and prognosis of hydrops -- Origin, composition, and volume of the amniotic fluid -- Oligohydramnios -- Polyhydramnios -- Methods for antenatal surveillance of the fetus -- Ultrasound assessment of fetal growth -- Fetal biophysical profile and biochemical markers -- 4 Infectious diseases in pregnancy -- Syphilis -- Rubella -- Hepatits B -- Toxoplasmosis -- Cytomegalovirus -- Chickenpox/herpes zoster infection -- Parvovirus infection -- Measles -- Listeriosis -- Herpes simplex infection -- Human papillomavirus (HPV) infection -- Chlamydia trachomatis -- Gonorrhea -- Group B streptococcal infection -- Bacterial vaginosis -- Candidiasis -- HIV in gynecology -- HIV in obstetrics -- Immunization in pregnancy -- Tetanus and travel vaccination -- 5 Medical disorders -- Anemia -- Epilepsy -- Management of epilepsy -- Heart disease: general management -- Endocarditis prophylaxis.

Conditions associated with minimal/moderate risk of maternal complications -- Conditions associated with high risk of maternal complications and mortality -- Asthma -- Cystic fibrosis -- Sarcoidosis and tuberculosis -- Pneumonia -- Inflammatory bowel disease -- Thyrotoxicosis -- Other thyroid complications of pregnancy -- Jaundice -- Systemic lupus erythematosus -- Antiphospholipid antibody syndrome -- Rheumatoid arthritis -- Myasthenia gravis -- Autoimmune thrombocytopenia (idiopathic thrombocytopenia) -- Prenatal diagnosis and pregnancy care in autoimmune diseases -- Sickle cell disease -- Thalassemias -- Renal disease -- Chronic renal disease -- Adrenal diseases I -- Adrenal diseases II -- Diabetes insipidus and acromegaly -- Diagnosis of diabetic pregnancies -- Effects of diabetes on pregnancy -- Management of diabetic pregnancies -- Gestational diabetes -- Drug use in pregnancy -- Management of pregnancy and potential teratogenesis -- 6 Labor and delivery -- Term premature rupture of membranes -- Prolonged pregnancy -- Management of prolonged pregnancy -- Fetal surveillance -- Induction of labor -- Factors influencing the outcome of induced labor -- Methods of cervical priming -- Methods of induction of labor -- Induction of labor in special circumstances -- Labor -- The first stage of labor -- Failure to progress in the first stage -- The second and third stages of labor -- Fetal surveillance in labor -- Definitions of terms used in EFM -- Action with non-reassuring CTGs -- Meconium-stained amniotic fluid -- Pain relief in labor -- Episiotomy and tears -- Principles of perineal repair -- Postpartum hemorrhage management I -- Postpartum hemorrhage management II -- Other causes of postpartum hemorrhage -- Retained placenta -- Uterine inversion -- Forceps delivery -- Techniques for forceps delivery -- Ventouse delivery -- Malpresentations in labor.

Cesarean delivery -- Elective and emergency cesarean deliveries -- Complications of cesarean delivery -- Obstetric analgesia -- Obstetric anesthesia: emergency -- Obstetric anesthesia: elective -- Physiological changes of pregnancy affecting anesthesia -- Neonatal resuscitation -- ABC of resuscitation -- Resuscitation of the infant -- Home birth -- 7 Postnatal care -- Care in the puerperium -- Problems in the puerperium I -- Problems in the puerperium II -- Puerperal pyrexia -- Breast-feeding -- Initiating breast-feeding and expressing breast milk -- Problems associated with breast-feeding -- 8 Obstetric emergencies -- Maternal collapse -- Shoulder dystocia -- Diagnosis of shoulder dystocia -- Cord prolapse -- Massive obstetric hemorrhage -- Management of massive obstetric hemorrhage -- Amniotic fluid embolism -- Venous thromboembolism in pregnancy -- Deep vein thrombosis and pulmonary embolism -- Counseling and prophylaxis -- Treatment of venous thromboembolism -- 9 Miscellaneous obstetrics -- Fibroids in pregnancy -- Ovarian cysts in pregnancy -- Malignancy and premalignancy: cervix -- Ovarian carcinoma -- Vulval malignancy -- Perinatal mortality -- Maternal mortality -- Causes of maternal mortality -- Indirect causes of maternal mortality -- 10 Psychiatric disorders and substance abuse -- Substance abuse in pregnancy -- Drugs I -- Drugs II -- Management of opiate addiction -- Psychiatric disorders in pregnancy -- Postpartum disorders -- 11 Gynecological history, examination, anatomy, and development -- History of the gynecological patient -- Physical examination -- The pelvic examination -- Summary of the clinical problem -- The pelvic walls and cavity -- Perineum -- Malformations of the genital tract -- Malformations of the vagina -- Basic concepts in sex differentiation -- Management of intersex -- Treatment of intersex.

Common childhood conditions -- Puberty -- 12 Normal menstruation and its disorders -- Physiology of normal menstruation -- Endometrial hemostasis and regeneration -- The ovarian and pituitary cycle -- Menstrual problems -- Pituitary dysfunction -- Gonadal failures -- Investigations of amenorrhea and oligomenorrhea -- Dysfunctional uterine bleeding: diagnosis -- Medical management of dysfunctional uterine bleeding -- Surgical management of dysfunctional uterine bleeding -- Premenstrual syndrome -- Treatment of premenstrual syndrome -- Surgery for premenstrual syndrome -- 13 Early pregnancy problems -- Termination of pregnancy -- Management prior to termination of pregnancy -- Complications I -- Complications II -- Ectopic pregnancy -- Diagnosis of ectopic pregnancy -- Management and prognosis of ectopic pregnancy -- Recurrent miscarriage: causes I -- Recurrent miscarriage: causes II -- Investigation and treatment of miscarriage -- 14 Genital tract infections, vaginal discharge, and pelvic pain -- Lower genital tract infections: introduction -- Lower genital tract infections I -- Lower genital tract infections II -- Causes and diagnosis of vaginal discharge -- Treatment of the common conditions -- Vaginal discharge in obstetrics -- Causes, presentation, and diagnosis of pelvic inflammatory disease -- Sequelae, treatment, and prevention of pelvic inflammatory disease -- Acute pelvic pain -- Chronic pelvic pain -- Diagnosis of pelvic pain -- 15 Subfertility and reproductive medicine -- Primary care management of female subfertility -- Management in secondary care I -- Management in secondary care II -- Male subfertility -- Diagnosis of male infertility -- Treatment of male subfertility -- Polycystic ovarian syndrome -- Management of polycystic ovarian syndrome -- Subfertility therapies I -- Subfertility therapies II -- Hirsutism and virilization.

Clinical evaluation of hirsutism.