Obstetrics & Gynaecology

Mark D Kilby, MD, DSc, FRCOG, FRCPI, FHKCOGEmeritus Professor in Fetal Medicine, University of Birmingham, and Consultant in Fetal Medicine at the Fetal Medicine Centre, Birmingham Women’s and Children’s NHS Foundation Trust, UKDavid M Luesley, MD, FRCOGEmeritus Professor of Gynaecological Oncology, University of Birmingham, UKSection Editors:James Castleman MD, MRCOGConsultant in Maternal & Fetal Medicine at the Fetal Medicine Centre, Birmingham Women’s and Children’s NHS FoundationTrust, UKArri Coomarasamy OBE, MBChB, MD, FRCOG, FMedSciProfessor of Gynaecology and Reproductive Medicine, University of Birmingham, UKJessica Davison MD, MRCOG Consultant in Obstetrics, Birmingham Women’s and Children’s NHS Foundation Trust, UKJames Owen Drife MD, FRCOG, FRCPEd, FRCSEd, FCOGSA, FFSRHEmeritus Professor of Obstetrics and Gynaecology, University of Leeds, UKLeo Gurney MD, MRCOG Consultant in Maternal & Fetal Medicine at the Fetal Medicine Centre, Birmingham Women’s and Children’s NHS Foundation Trust, UKPierre Martin-Hirsch MD, FRCOGConsultant Gynaecological Oncologist and Research Director, Lancashire Teaching Hospitals NHS Foundation Trust, UKAsh Monga FRCOGConsultant Gynaecologist and Subspecialist Urogynaecologist, University Hospital Southampton NHS Foundation Trust, UKJason Yap MRCOG, PhDAssociate Clinical Professor of Gynaecological Oncology, University of Birmingham, and Consultant Gynaecological Cancer Surgeon, Pan-Birmingham Gynaecological Cancer Centre, UK

• Preface.List of contributors.List of abbreviations.I: General1.1. Evidence-based Medicine and medical informatics. 1.2. General principles in surgery. 1.3. Communication and counselling skills in obstetrics and gynaecology. 1.4. The Law, Medicine, and Women’s Rights. 1.5. The management of clinical risk. 1.6. Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. 1.7. The MRCOG examination. 1.8. Non-operative Technical Skills for Surgeons.II: Antenatal2.1. Routine Antenatal Care: An Overview. 2.2. Chronic Hypertension. 2.3. Diabetes Mellitus, including Gestational diabetes. 2.4. Cardiac Diseases in pregnancy. 2.5. Thyroid Disease in pregnancy. 2.6. Haematology in Obstetrics. 2.7. Kidney Disease in pregnancy. 2.8. Autoimmune mediated Rheumatological diseases in Pregnancy. 2.9. Liver and Gastrointestinal Disease in Pregnancy. 2.10. Respiratory Disease in Pregnancy. 2.11. Neurological Conditions in pregnancy. 2.12. Substance Abuse. 2.13. Skin Disease in Pregnancy. 2.14. Malignancy in pregnancy. 2.15. Maternal Infection in Pregnancy. 2.16. Pre-eclampsia. 2.17. Psychiatric Disease and Pregnancy. 2.18. Antenatal care: Medication and Pregnancy. 2.19. Maternal collapse.III: Fetal conditions3.1. Screening in Pregnancy. 3.2. Ultrasound Screening. 3.3. Invasive and Non-Invasive Prenatal Diagnosis. 3.4. Understanding Genetics and Genetic Testing. 3.5. Multiple Pregnancy. 3.6. Fetal infection for MRCOG. 3.7. Tests of Fetal Wellbeing and Preventing Stillbirth. 3.8. Screening and Management of Fetal Growth Disorders. 3.9. Aberrant liquor volume. 3.10. Malpresentation. 3.11. Diagnosis of and Care in Labour. 3.12. Preterm Birth. 3.13. Premature rupture of membranes. 3.14. Antepartum haemorrhage. 3.15. Intrauterine Fetal Death and Stillbirth. 3.16. The Induction of Labour. 3.17. Management of abnormal progress in labour. 3.18. Fetal compromise in the first stage of labour. 3.19. Caesarean Section. 3.20. Placenta Accreta Syndrome.IV: Second stage of labour4.1. Fetal Compromise in the Second Stage of Labour. 4.2. Shoulder Dystocia. 4.3. Instrumental Vaginal Delivery. 4.4. Breech. 4.5. Perineal Trauma for MRCOG. 4.6. Perinatal Asphyxia. 4.7. Neonatal Resuscitation. 4.8. Perinatal Mortality.V: Puerperium5.1. Problems with Breastfeeding. 5.2. Maternal Pyrexia. 5.3. Postpartum Haemorrhage.VI: Reproductive Gynaecology6.1. Normal and abnormal development of the genitalia. 6.2. Karyotypic abnormalities. 6.3. Menarche and adolescent gynaecology. 6.4. Ovarian and menstrual cycles. 6.5. Contraception and termination of pregnancy. 6.6. Endometrial function. 6.7. Uterine fibroids and Heavy menstrual bleeding. 6.8. Abnormal uterine bleeding. 6.9. Dysmenorrhoea and pelvic pain. 6.10. Endometriosis. 6.11. Adenomyosis. 6.12. Premenstrual syndrome. 6.13. Normal conception. 6.14. Female infertility. 6.15. Male infertility. 6.16. Unexplained infertility. 6.17. Assisted reproduction. 6.18. Polycystic ovarian syndrome. 6.19. Hirsutism and Virilisation. 6.20. Amenorrhoea and oligomenorrhoea. 6.21. Menopause. 6.22. Miscarriage. 6.23. Ectopic pregnancy - Lucrezia Viola de Braud, Sarah Solangon, and Davor Jurkovic. 6.24. Premature ovarian insufficiency n. 6.25. Fertility preservation. 6.26. Psychosexual medicine.VII: Urogynaecology and Sexual Health and Wellbeing 7.1. Assessment of lower urinary tract function. 7.2. Urinary incontinence. 7.3. Other lower urinary tract disorders. 7.4. Lower urinary tract infections. 7.5. Urogenital prolapse. 7.6. Pelvic Infection and sexual health. 7.7. Dyspareunia and other psychosexual problems. 7.8. Child sexual abuse. 7.9. Rape and sexual assault. 7.10. Female Genital Mutilation.VIII: Lower Genital Tract 8.1. Benign vulval problems. 8.2. Vulvodynia. 8.3. Management of Vulval intraepithelial Neoplasia. 8.4. Cervical Intraepithelial Neoplasia and Screening.IX: Gynaecological Oncology 9.1. Endometrial cancer. 9.2. Cervical cancer. 9.3. Ovarian Cancer. 9.4. Vulval and vaginal cancers. 9.5. Gestational trophoblastic disease. 9.6. Rare Gynaecological Cancers.Index.