THE guide to women’s reproductive health. The knowledge needed for careful and effective practice of obstetrics & gynaecology continues to grow. Dewhurst’s Textbook of Obstetrics & Gynaecology distils evidence and experience into a straightforward, practice-based guide to women’s reproductive health. This 8th edition has been comprehensively updated to reflect modern clinical needs. Summary boxes throughout enable rapid assimilation of key information for effective clinical practice. The two main parts, obstetrics and gynaecology, have been further divided into thematic sections: The basics of obstetrics and of gynaecology, The phases of pregnancy from preconception to postnatal care, Maternal medicine and fetal medicine, Menstruation, Infertility, Urogynaecology, Gynaecologic oncology. Designed for trainees and to support experienced practitioners, Dewhurst’s Textbook of Obstetrics & Gynaecology is your ideal clinical companion.
Preface to the Eighth Edition, xiv
Preface to the First Edition, xv
Section 1 Obstetrics
Part 1 Basic Science
1 Maternal Physiology, 5
Fiona Broughton Pipkin
2 The Placenta and Fetal Membranes, 16
Berthold Huppertz and John C.P. Kingdom
3 Normal Fetal Growth, 26
Jason Gardosi
Part 2 Normal Pregnancy
4 Pre-conception Counselling, 35
Mandish K. Dhanjal
5 Antenatal Care, 42
George Attilakos and Timothy G. Overton
Part 3 Early Pregnancy Problems
6 Spontaneous Miscarriage, 53
Catriona M. Stalder
7 Recurrent Miscarriage, 60
Siobhan Quenby
8 Gestational Trophoblast Tumours, 66
Philip Savage and Michael Seckl
9 Ectopic Pregnancy, 76
Davor Jurkovic
10 Induced Abortion, 88
Gillian Flett and Allan Templeton
Part 4 Maternal Medicine
11 Hypertensive Disorders, 101
Jason J.S. Waugh and Maria C. Smith
12 Heart Disease in Pregnancy, 111
Catherine Nelson-Piercy
13 Diabetes and Endocrine Disease in Pregnancy, 121
Anne Dornhorst and Catherine Williamson
14 Renal Disease, 137
Sarah Winfi eld and John M. Davison
15 Haematological Problems in Pregnancy, 151
Peter Clark, Andrew J. Thomson and Ian A. Greer
16 Miscellaneous Medical Disorders, 173
Andrew McCarthy
Part 5 Fetal Medicine
17 Antenatal Screening, 185
Ruwan C. Wimalasundera
18 Disorders of Fetal Growth and Assessment of Fetal Well-being, 200
Gordon C.S. Smith and Christoph C. Lees
19 Fetal Medical Conditions, 208
Janet Brennand
20 Fetal Anomalies, 219
Sailesh Kumar
21 Multiple Pregnancy, 230
Mark D. Kilby and Dick Oepkes
Part 6 Birth
22 The Normal Mechanisms of Labour, 247
Andrés López Bernal and Errol R. Norwitz
23 Post-term Pregnancy, 269
Aaron B. Caughey
24 Induction and Augmentation of Labour, 287
Jane E. Norman
25 Obstetric Emergencies, 296
Sara Paterson-Brown
26 Malpresentation, Malposition, Cephalopelvic Disproportion and Obstetric Procedures, 311
Sabaratnam Arulkumaran
27 Fetal Monitoring During Labour, 326
Sara Paterson-Brown
28 Preterm Labour, 338
Phillip Bennett
29 Analgesia, Anaesthesia and Resuscitation, 356
Felicity Plaat
Part 7 Postnatal Care
30 Puerperium and Lactation, 365
D. Keith Edmonds
31 Neonatal Care for Obstetricians, 377
Glynn Russell
32 Obstetric Statistics, 394
James J. Walker
Section 2 Gynaecology
Part 8 Gynaecology
33 Clinical Anatomy of the Pelvis and Reproductive Tract, 413
Alan Farthing
34 Normal and Abnormal Development of the Genital Tract, 421
D. Keith Edmonds
35 The Role of Ultrasound in Gynaecology, 435
Tom Bourne
36 Hysteroscopy and Laparoscopy, 448
Adam Magos
Part 9 Childhood and Adolescence
37 Puberty and Its Disorders, 471
D. Keith Edmonds
38 Gynaecological Disorders of Childhood and Adolescence, 480
D. Keith Edmonds
Part 10 Menstruation
39 The Menstrual Cycle, 487
William L. Ledger
40 Contraception and Sterilization, 495
Sharon T. Cameron and Anna Glasier
41 Polycystic Ovary Syndrome and Secondary Amenorrhoea, 513
Adam Balen
42 Menstrual Problems: Heavy Menstrual Bleeding and Primary Dysmenorrhoea, 534
Andrew W. Horne and Hilary O.D. Critchley
43 Premenstrual Syndrome, 544
P.M. Shaughn O’Brien
44 Menopause and the Postmenopausal Woman, 553
Nick Panay
Part 11 Inability to Conceive
45 Infertility, 567
Mark Hamilton
46 Assisted Reproduction, 580
Geoffrey Trew and Stuart Lavery
Part 12 Pelvic Pain
47 Pelvic Infection, 597
Jonathan D.C. Ross
48 Chronic Pelvic Pain, 607
R. William Stones
49 Endometriosis, 615
Stephen Kennedy and Philippe Koninckx
Part 13 Urogynaecology
50 Uterovaginal Prolapse, 627
Anthony R.B. Smith
51 Urinary Incontinence, 635
Dudley Robinson and Linda Cardozo
Part 14 Benign Gynaecological Disease
52 Benign Diseases of the Vulva, 695
Fiona M. Lewis and Sallie M. Neill
53 Benign Diseases of the Vagina, Cervix and Ovary, 706
D. Keith Edmonds
54 Benign Disease of the Uterus, 715
Aradhana Khaund and Mary Ann Lumsden
Part 15 Gynaecological Oncology
55 Malignant Disease of the Vulva and the Vagina, 729
David M. Luesley
56 Premalignant and Malignant Disease of the Cervix, 747
Mahmood I. Shafi
57 Epithelial Ovarian Cancer, 760
Hani Gabra and Sarah Blagden
58 Endometrial Cancer, 776
Sean Kehoe
Part 16 Miscellaneous Topics
59 Sexual Dysfunction, 785
Claudine Domoney
60 Domestic Violence and Sexual Assault, 798
Maureen Dalton
61 Ethical Dilemmas in Obstetrics and Gynaecology, 805
Sheila McLean
62 The Law and the Obstetrician and Gynaecologist, 815
Bertie Leigh
Index, 823
Colour plate sections can be found facing pages 432