Dewhurst's textbook of obstetrics & gynaecology / editor-in-chief, D. Keith Edmonds ; co-editors, Christoph Lees, Tom Bourne.

Format:

Book

Contributor:

Edmonds, D. Keith, editor.

Lees, Christoph, editor.

Bourne, Tom H., 1959- editor.

Language:

English

Subjects (All):

Gynecology.

Physical Description:

1 online resource (2,279 pages)

Edition:

Ninth edition.

Place of Publication:

Hoboken, New Jersey : Wiley, 2018.

Summary:

This classic textbook continues to provide the basic knowledge relevant to the practice of obstetrics and gynaecology. Comprehensive in scope, Dewhurst's Textbook of Obstetrics & Gynaecology offers contributions from a noted panel of experts and contains an integrated approach that is designed to help deliver the highest possible care to patients. Since the publication of the previous edition, there have been a number of obstetric breakthroughs that are addressed in this new edition. Written for both students and professionals, Dewhurst's Textbook of Obstetrics & Gynaecology is a straightforward, authoritative and practice-based guide to women's reproductive health.

Contents:

Intro

Table of Contents

Preface to the Ninth Edition

Preface to the First Edition

Section 1 Obstetrics

Part 1 Basic Science

1 Maternal Physiology

Maternal response to pregnancy

The uterus

The cardiovascular system

The respiratory system

Haematology

The renal system

The cerebral circulation

The gastrointestinal system

Energy requirements

Endocrine systems

Conclusion

References

Further reading

2 The Placenta and Fetal Membranes

Structural characteristics of the human placenta

Macroscopic features of the term placenta

Placental development

Basic structure of villi

Fetal membranes

Ultrasound

Part 2 Normal Pregnancy

3 Healthy Fetal Growth

Estimation of gestational age

Measurement of the fetus

Comparing the measurement to a standard or reference

International standards of fetal growth and newborn size

4 Pre-conception Counselling

Purpose of pre-conception counselling

Who needs pre-conception counselling?

Timing of pre-conception counselling

Healthcare professionals who should undertake pre-conception counselling

General pre-conception advice

Advice regarding medications

Advice related to maternal age

Genetic counselling

Advice regarding access to maternity care

Conditions where pregnancy is not recommended

Specific medical diseases

Previous poor obstetric history

5 Antenatal Care

Aims of antenatal care

Screening for maternal complications

Screening for fetal complications

Organization of antenatal care

6 First Trimester Antenatal Screening

First-trimester Down's syndrome screening

First-trimester screening of aneuploidies other than Down's syndrome

Diagnostic tests

Non-invasive prenatal testing.

First-trimester screening of fetal structural anomalies

First-trimester screening of late obstetric complications

First-trimester screening of single gene disorders

Part 3 Maternal Medicine

7 Hypertensive Disorders

Pathophysiology

Defining hypertensive disease in pregnancy

Measuring blood pressure and proteinuria in pregnancy and pre-eclampsia

Risk assessment and risk reduction

Chronic hypertension

Gestational hypertension

Pre-eclampsia

Postnatal management

8 Heart Disease in Pregnancy

Physiological adaptations to pregnancy, labour and delivery

Cardiac investigations in pregnancy

General considerations in pregnant women with heart disease

Specific cardiac conditions

Mechanical heart valves

Coronary artery disease

Hypertrophic cardiomyopathy

Peripartum cardiomyopathy

Arrhythmias

Cardiac arrest

Endocarditis prophylaxis

9 Diabetes in Pregnancy

Classification of diabetes in pregnancy

Diagnosing diabetes and gestational diabetes

The significance of maternal type of diabetes

The principles of maternal glycaemic control

Screening for diabetic complications

Screening for non-diabetic comorbidities

Risks to the fetus of a diabetic pregnancy

Managing diabetes in pregnancy

Birth

Postpartum care

The management of gestational diabetes

Neonatal and longer-term consequences of a diabetic pregnancy

10 Liver and Endocrine Diseases in Pregnancy

LIVER DISEASE IN PREGNANCY

Normal physiological changes in pregnancy

Investigation of liver disease in pregnancy

Approach to the patient with suspected liver disease in pregnancy

Pregnancy-related liver disease

Liver diseases incidental to pregnancy

Pregnancy following liver transplantation.

ENDOCRINE DISORDERS IN PREGNANCY

Thyroid disease

Pituitary disease

Adrenal disease

Parathyroid disease

Acknowledgements

11 Renal Disease

Pre-pregnancy assessment

Normal pregnancy

Chronic kidney disease

Patients on dialysis

Kidney transplant recipients

Summary

12 Haematological Problems in Pregnancy

Physiological changes to the blood in pregnancy

Anaemia in pregnancy

Thrombocytopenia in pregnancy

Sickle cell disorders

Thalassaemia

Prevention of haemolytic disease of the fetus and newborn

Fetal/neonatal thrombocytopenia

Haemostatic measures in obstetric haemorrhage

Thrombosis and thromboembolism

Inherited bleeding disorders

Myeloproliferative disorders in pregnancy

Haematological malignancy during pregnancy

13 Maternal Infection During Pregnancy

Human immunodeficiency virus

Hepatitis B

Rubella

Syphilis

Toxoplasmosis

Cytomegalovirus

Parvovirus B19

Herpesvirus

Varicella-zoster virus

Zika virus

14 Psychiatric Problems in Pregnancy and Post Partum

Effects of untreated prenatal depression, anxiety and stress

Depression during pregnancy

Postpartum blues

Postpartum depression

Anxiety disorders

Antidepressant medications during pregnancy

Breastfeeding and antidepressants

Benzodiazepines

Non-pharmacological treatments

Bipolar disorder

Psychotic disorders and postpartum psychosis

Mood stabilizers

Antipsychotics

Breastfeeding and mood stabilizers and antipsychotics

15 Autoimmune Rheumatic Diseases and Other Medical Disorders in Pregnancy

Background

Systemic lupus erythematosus

Rheumatoid arthritis and other inflammatory arthritides

Scleroderma and other connective tissue diseases.

Ehlers-Danlos syndrome types III and IV

Vasculitides in pregnancy

Respiratory disorders

Neurological conditions

Acute abdominal complications

Malignant disease

Imaging in pregnancy

16 Obesity and Pregnancy

Contraception, fertility and conception

Pre-pregnancy consultation

Maternal complications: gestational diabetes, pre-eclampsia and pregnancy-induced hypertension

Fetal complications: ultrasound, anomalies and intrauterine demise

Delivery issues

Postnatal care

Interventions

Part 4 Fetal Medicine

17 Fetal Growth Restriction

Definition

Consequences of growth restriction

Regulation of fetal growth

Assessment and investigation

Monitoring SGA

Timing of delivery

18 Third Trimester Fetal Assessment

Predicting preterm birth

Identifying placenta praevia, placenta accreta, vasa praevia and uterine scar

Predicting intrauterine growth restriction and intrapartum fetal hypoxia

Predicting fetal macrosomia, risk of failure to progress and shoulder dystocia in labour

19 Fetal Medical Conditions

Fetal thyroid function

Congenital adrenal hyperplasia

Fetal dysrhythmias

Fetal and neonatal alloimmune thrombocytopenia

Fetal anaemia

20 Fetal Anomalies

Timing and development of fetal malformations

Selected fetal anomalies in specific organ systems

Fetal tumours

Fetal hydrops [37,38]

Conclusions

21 Multiple Pregnancy

Incidence

Perinatal loss

Chorionicity and zygosity

Miscarriage

Prenatal diagnosis

Maternal homeostatic responses

Intrauterine growth restriction

Preterm labour

Complications of monochorionic twinning

Labour and delivery of twins and multiple pregnancies

Higher-order multiples

References.

Part 5 Birth

22 Normal Mechanisms in Labour

Parturition

Mechanics of normal labour at term

Management of uncomplicated labour and delivery

23 Post-term Pregnancy

Definitions

Aetiology

Epidemiology

Risks associated with post-term pregnancy

Management

Women's views of induction for post-term pregnancy

Post-term pregnancy and home birth

Clinical guidelines for management of post-term pregnancy

Practical management of post-term pregnancy

24 Induction and Augmentation of Labour

Indications for induction of labour

Contraindications to induction of labour

Predicting success of induction of labour

Pharmacological and mechanical methods of induction of labour

Augmentation of labour

Complications of induction of labour

Monitoring and setting during induction of labour

Induction of labour at term (&gt

37 weeks' gestation): risks and benefits

25 Obstetric Emergencies

General principles for minimizing the risk of an emergency occurring

General principles for minimizing adverse consequences resulting from an emergency

Collapse

Haemorrhage

Obstetric causes of collapse

Emergency obstetric deliveries

26 Malpresentation, Malposition, Cephalopelvic Disproportion and Obstetric Procedures

Malpresentation, malposition and cephalopelvic disproportion

Instrumental vaginal deliveries

Caesarean section

Episiotomy and perineal lacerations

27 Fetal Monitoring During Labour

Fetal physiology

Labour

Detecting the fetus with hypoxia

The future

28 Preterm Labour

Neonatal outcomes after preterm birth.

Endocrinology and biochemistry of labour.

Notes:

Includes bibliographical references and index.

Description based on print version record.

ISBN:

9781119211440

1119211441

9781119211433

1119211433

9781119211457

111921145X

OCLC:

1054058789