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Obstetrics and Gynaecology

ISBN: 9781119010791
ISBN: 9781119010791

Ημ. Έκδοσης







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Praise for the previous edition:

‘…this textbook is a useful resource for medical students … it will provide them with the basic information they need to survive clinics and to pass exams … Clear, concise and colourful; perfect for easy learning and revision – Times Higher Education


Obstetrics and Gynaecology by Impey and Child continues to be an invaluable and authoritative resource for healthcare and medical students. This comprehensive guide provides the perfect level of detail on history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics.

Fully updated in accordance with NICE and other national guidelines, this fifth edition now includes:

  • New sections on FGM and influenza
  • Expanded areas in medical disorders in pregnancy and mental illness
  • Improvements to the popular ‘management section along with a new section on sepsis
  • Colour coded sections on obstetrics and gynaecology for ease of use

This new edition of Obstetrics and Gynaecology will be an indispensable support to help not only students to revise for exams, especially OSCEs, but also healthcare practitioners and practising doctors to structure their knowledge and improve their practice.


Preface to the Fourth Edition, vii

Preface to the First Edition, vii

Acknowledgements, viii

List of Abbreviations, ix

List of Journal Abbreviations, xii

Gynaecology Section

1 The History and Examination in Gynaecology, 3

2 The Menstrual Cycle and its Disorders, 9
with Margaret Rees

3 The Uterus and its Abnormalities, 21

4 The Cervix and its Disorders, 31

5 The Ovary and its Disorders, 40

6 Disorders of the Vulva and Vagina, 49

7 Prolapse of the Uterus and Vagina, 54

8 Disorders of the Urinary Tract, 59

9 Endometriosis and Chronic Pelvic Pain, 67

10 Genital Tract Infections, 73
with Graz Luzzi

11 Fertility and Subfertility, 81

12 Contraception, 97

13 The Menopause and Post-reproductive Health, 109
with Margaret Rees

14 Disorders of Early Pregnancy, 118

15 Gynaecological Operations, 129

Obstetrics Section

16 The History and Examination in Obstetrics, 137

17 Antenatal Care, 146

18 Congenital Abnormalities and their Identification, 152

19 Infections in Pregnancy, 165

20 Hypertensive Disorders in Pregnancy, 173

21 Other Medical Disorders in Pregnancy, 183

22 Red Blood Cell Isoimmunization, 198

23 Preterm Delivery, 202

24 Antepartum Haemorrhage, 209

25 Fetal Growth, Compromise and Surveillance, 216

26 Abnormal Lie and Breech Presentation, 226

27 Multiple Pregnancy, 231

28 Labour 1: Mechanism?Anatomy and Physiology, 239

29 Labour 2: Management, 246

30 Labour 3: Special Circumstances, 265

31 Instrumental and Operative Delivery, 270

32 Obstetric Emergencies, 277

33 The Puerperium, 281

34 Birth Statistics and Audit, 288

35 Legal (UK) and Ethical Issues in Obstetrics and Gynaecology, 294

with Ingrid Granne

Gynaecology Management Section, 301

Obstetric Management Section, 315

Appendix 1: Common Drugs: Safety and Usage in Pregnancy and Breastfeeding, 331

Appendix 2: Normal Maternal Ranges in Pregnancy, 333

Index, 335

Companion website: www.impeyobgyn.com

Companion website

This book has an accompanying website at www.impeyobgyn.com


? MCQs and EMQs

? Chapter summary slides

? Figures from the book in PowerPoint format