Holland and Brews: Manual of Obstetrics

DescriptionThis 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.Key FeaturesEvery chapter has been thoroughly revised and updated with recent advances in ObstetricsThe book has been made comprehensive with addition of new content, algorithms, figures, drug regimens and tablesSeveral new chapters, Decision Making in Obstetrics, Management of Post-caesarean Pregnancy, Obstetric History Taking, Obstetric Examination, Labour Care – Ready Reckoner addedChapters on Specimens and Instruments in Obstetrics have been added to aid students to prepare for viva voceThe format is modified to help not only students in obstetrics but also the practicing obstetriciansTable of ContentsPreface to the Fourth Edition vPreface to the First Edition viHistorical Landmarks and Evolution of the Art and Science of Obstetrics viiSECTION I BASICS OF REPRODUCTION 1Reproductive Anatomy 1Fundamentals of Reproduction 15The Fetus 28Birth Defects, Genetics, Teratology and Counselling 34Maternal Physiologic Changes in Pregnancy 37Endocrinology of Pregnancy 44SECTION II NORMAL PREGNANCY 49Diagnosis of Pregnancy 49The Fetus In Utero and Fetopelvic Relationship 54Prenatal (Antenatal) Care 59Fetus at Risk: Identifi cation and Assessment 80SECTION III MEDICAL, SURGICAL ANDGYNAECOLOGICAL DISORDERS IN PREGNANCY 85Hypertensive Disorders in Pregnancy 85Epilepsy in Pregnancy/Seizure Disorders 100Anaemia in Pregnancy 104Heart Diseases in Pregnancy 116Diabetes in Pregnancy 126Thyroid Disorders in Pregnancy 138Urinary Infections and Pyelonephritis in Pregnancy 142Malaria in Pregnancy 146Dengue Fever Complicating Pregnancy 151Hepatic Disorders in Pregnancy 153Bronchial Asthma in Pregnancy 159Tuberculosis Complicating Pregnancy 162Rh Isoimmunization 166HIV Infection Complicating Pregnancy 175Perinatal Infectious Diseases (TORCH) 180Surgical Disorders in Pregnancy 187Gynaecological Disorders in Pregnancy 192SECTION IV OBSTETRIC DISORDERS IN PREGNANCY 197Early Pregnancy Loss 197Ectopic Pregnancy 206Fetal Growth Restriction 213Multifetal Pregnancy 220Antepartum Haemorrhage 228Placenta Praevia 230Accidental Haemorrhage (Placental Abruption) 236Amniotic Fluid Abnormalities 241Post-term Pregnancy 245Intrauterine Fetal Death 247Gestational Trophoblastic Disease 250SECTION V NORMAL LABOUR 257Onset of Labour 257Uterine Activity in Labour 262Effects of Labour on Mother and Fetus 267Clinical Course of Labour 269Mechanism of Labour 273Documentation of Labour (Partogram) 278Management of Labour 283SECTION VI ABNORMAL LABOUR 291Abnormal Fetal Positions and Presentations 291Prolonged Labour 319nAbnormal Uterine Action 325Contracted Pelvis and Cephalopelvic Disproportion 330Obstructed Labour 336Rupture of the Uterus 340Other Maternal Soft-Tissue Traumas 344Postpartum Haemorrhage 347Preterm Labour 355Prelabour Rupture of Membranes 362Induction of Labour 364Fetal Surveillance in Labour 372Fetal Distress (Non-Reassuring Fetal Status) 378Obstetric Shock 381Amniotic Fluid Embolism (Pulmonary Embolism) in Obstetrics 388Coagulation Disorders and Thrombocytopenia 391SECTION VII PUERPERIUM 395Normal Puerperium 395Disorders of the Puerperium 403SECTION VIII DRUGS IN OBSTETRICS 427Obstetric Analgesia and Anaesthesia 427Drugs in Pregnancy and Lactation 434SECTION IX INVESTIGATIONSIN OBSTETRIC PRACTICE AND ASSESSMENT OF FETAL WELL BEING 451Ultrasonography in Fetal HealthAssessment 451Antenatal Detection of Abnormal Fetal Development 463Antenatal Testing for Fetal Well-being: Cardiotocography 468SECTION X OBSTETRIC INTERVENTIONS AND SURGERIES 475Surgical Procedures in Early Pregnancy 475Versions 482Episiotomy 486Obstetric Forceps 489Vacuum Extraction (Ventouse) 493Caesarean Delivery 497Surgical Management of Obstetric Haemorrhage 502Decompression Procedures 507SECTION XI SAFE MOTHERHOOD 511The Safe Motherhood Initiative 511Maternal Mortality 516Perinatal Mortality 521SECTION XII THE NEWBORN INFANT 525Care and Examination of the Newborn 525Adaptation and Resuscitation of the Newborn 531Problems of the Newborn 534Infections in the Newborn 541Congenital Fetal Malformations 546Neurological Presentations in the Newborn 558The Small Newborn (Low Birthweight) 561SECTION XIII CONTRACEPTION AND TERMINATION OF PREGNANCY 563Contraception 563Induced Abortions and Medical Termination of Pregnancy 580SECTION XIV CONTEMPORARY OBSTETRIC PRACTICE 583Immunology and Pregnancy 583Trauma in Pregnancy 588Sexually Transmitted Diseases in Pregnancy 592Substance Abuse in Pregnancy 595Medicolegal Issues and Risk Management 598Special Cases in Obstetric Practice 602Evolution of Obstetric Practice 606SECTION XV CLINICAL ASPECTS IN OBSTETRICS AND GYNAECOLOGY 613Obstetric History Taking 613Obstetric Examination 615Labour Care – A Ready Reckoner 620Obstetric Management – Decision Making 630Management in Postcaesarean Pregnancy 632Specimens in Obstetrics 638Obstetric Instruments 643Index 657