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DC Dutta's Textbook of Obstetrics: Including Perinatology and Contraception

DC Dutta's Textbook of Obstetrics: Including Perinatology and Contraception

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About the Book

?Fully revised and updated new edition
?Comprehensive and highly illustrated textbook.
?Thoroughly revised and updated, the book spans 42 chapters, incorporating new material and the latest advances in the field of obstetrics.
?New chapters in this edition include prenatal genetic counselling, screening and diagnosis, whilst progress in technology is recognised with the inclusion of Doppler studies, MR images, microphotographs, data graphs and laparoscopic images.
?This highly detailed book is formatted for ease of reference, with expanded contents and index, and colour coded headings and
?Key points given at the end of every chapter, highlighting essential information.
?A list of questions at the end of the book allows the reader to assess their own understanding.
?A list of abbreviations, updated reviews, relevant websites.
?Contains more than 500 colour images for further enhancement of the text.
?The book also includes an interactive DVD-ROM.
?Features the latest guidelines from professional and academic organisations including RCOG, ACOG, WHO, FIGO, NICHD, CDC, NICE, ICOG and DIPSI, making this an authoritative guide to the field of obstetrics.

About the Author

DC Dutta MBBS, DGO, MO (CaL) Hiralal Konar (HONS; GOLD MEDALIST)MBBS (CaL), MD (PGI), DNB (INDIA)MNAMS, FACS (USA), FRCOG (LONDON)



Table of Contents:
Contents Preface............................................ vii-x acknowledgments ............................... xi 1 anatomy of Female reproductive Organs 1 ? External Genitalia 1 ? Internal Genital Organs 4 ? Muscles and Fascia in relation to the Pelvic Organs 11 ? Pelvic Floor 11 ? Perineum 12 ? Pelvic Fascia 14 ? Pelvic Cellular Tissue 14 ? Female Urethra 15 ? The Urinary Bladder 15 ? Pelvic Ureter 16 ? The Breast 16 2 Fundamentals of reproduction 19 ? Gametogenesis 19 ? Oogenesis 19 ? Spermatogenesis 20 ? Ovulation 22 ? Fertilization 23 ? Morula 24 ? Blastocyst 25 ? Implantation 25 ? Trophoblast 26 ? The Decidua 27 ? Chorion and Chorionic Villi 28 ? Development of Inner Cell Mass 29 ? Events following Fertilization 30 3 the Placenta and Fetal membranes 32 ? The Placenta 32 ? Development 32 ? The Placenta at Term 33 ? Structures 34 ? Placental Circulation 36 ? Placental Aging 39 ? Placental Function 39 ? The Fetal Membranes 41 ? Amniotic Cavity, Amnion and Amniotic Fluid 42 ? The Umbilical Cord 44 4 the Fetus 46 ? Fetal Physiology 47 ? The Fetal Circulation 49 ? Changes of the Fetal Circulation at Birth 50 5 Physiological Changes During Pregnancy 52 ? Genital Organs 52 ? Breasts 56 ? Cutaneous Changes 56 ? Weight Gain 57 ? Body Water Metabolism 58 ? Hematological Changes 58 ? Cardiovascular System 60 ? Metabolic Changes 61 ? Systemic Changes 62 6 endocrinology in relation to reproduction 65 ? Maturation of Graafian Follicles and Ovulation 65 ? Maintenance of Corpus Luteum after Fertilization 65 ? Placental Endocrinology 66 ? Protein Hormones 66 ? Steroidal Hormones 68 ? Diagnostic Value of Placental Hormones 69 ? Changes of Endocrine Glands during Pregnancy 70 ? Maintenance of Lactation 72 Prelim.indd 13 2/16/2015 10:54:49 AM xiv Textbook of Obstetrics 7 Diagnosis of Pregnancy 73 ? First Trimester (First 12 Weeks) 73 ? Second Trimester (13–28 Weeks) 78 ? Last Trimester (29–40 Weeks) 80 ? Differential Diagnosis of Pregnancy 81 ? Summary of Diagnosis of Pregnancy 82 ? Chronological Appearance of Specific Symptoms and Signs of Pregnancy 82 ? Signs of Previous Child Birth 83 ? Estimation of Gestational Age and Prediction of Expected Date of Delivery 83 ? Estimation of Fetal Weight 84 8 The Fetus-in-Utero 85 ? Methods of Obstetrical Examination 87 9 Fetal Skull and Maternal Pelvis 94 ? Fetal Skull 94 ? Maternal Pelvis 98 ? Physiological Enlargement of Pelvis 105 10 Antenatal Care, Preconceptional Counseling and Care 106 ? Procedure at the First Visit 106 ? Procedure at the Subsequent Visits 111 ? Antenatal Advice 112 ? Minor Ailments in Pregnancy 114 ? Values of Antenatal Care 116 ? Preconceptional Counseling and Care 116 11 Antenatal Assessment of Fetal Well-Being 119 ? Clinical Evaluation of Fetal Well-Being 119 ? Special Investigations 120 ? Early Pregnancy 121 ? Antepartum Fetal Surveillance (Late Pregnancy) 121 ? Other Investigations in Late Pregnancy 124 12 Prenatal Genetic Counseling, Screening and Diagnosis 127 ? Prenatal Genetic Screening 127 ? Prenatal Diagnosis 129 ? Noninvasive Method of Prenatal Testing 131 13 Normal Labor 134 ? Causes of Onset of Labor 134 ? Contractile System of the Myometrium 136 ? Physiology of Normal Labor 138 ? Events in First Stage of Labor 140 ? Events in Second Stage of Labor 143 ? Events in Third Stage of Labor 143 ? Mechanism of Normal Labor 145 ? Anatomy of Labor 149 ? Clinical Course of First Stage of Labor 151 ? Second Stage of Labor 153 ? Third Stage of Labor 154 ? Place of Delivery 154 ? Management of Normal Labor 155 ? First Stage 157 ? Second Stage 158 ? Immediate Care of the Newborn 161 ? Third Stage 162 ? Active Management of Third Stage of Labor 164 14 Normal Puerperium 168 ? Involution of the Uterus 168 ? Involution of Other Pelvic Structures 170 ? Lochia 170 ? General Physiological Changes 171 ? Lactation 172 ? Physiology of Lactation 173 ? Management of Normal Puerperium 174 ? Management of Ailments 176 ? Postnatal Care 178 15 Vomiting in Pregnancy 180 ? Vomiting in Pregnancy 180 ? Hyperemesis Gravidarum 181 16 Hemorrhage in Early Pregnancy 185 ? Spontaneous Abortion (Miscarriage) 185 ? Threatened Miscarriage 187 ? Inevitable 189 ? Complete 189 ? Incomplete 190 ? Missed 190 ? Septic Abortion 191 ? Recurrent 195 ? Cervical Incompetence 197 ? Induction of Abortion 202 ? Medical Termination of Pregnancy (Mtp) 202 ? Methods of Termination of Pregnancy 203 ? First Trimester 203 ? Mid Trimester 204 ? Medical Methods 204 ? Surgical Methods 205 ? Complications of Mtp 206 Prelim.indd 14 2/16/2015 10:54:49 AM Contents xv ? Ectopic Pregnancy 207 ? Tubal 208 ? Unruptured Tubal Ectopic Pregnancy 211 ? Chronic or Old Ectopic 212 ? Interstitial Pregnancy 214 ? Abdominal Pregnancy 218 ? Ovarian Pregnancy 220 ? Cornual Pregnancy 220 ? Cervical Pregnancy 220 ? Gestational Trophoblastic Diseases (Gtd) 221 ? Hydatidiform Mole 222 ? Partial or Incomplete Mole 230 ? Placental Site Trophoblastic Tumor (Pstt) 231 ? Persistent Gestational Trophoblastic Disease 231 17 Multiple Pregnancy, Amniotic Fluid Disorders, Abnormalities of Placenta and Cord 233 ? Twins 233 ? Triplets, Quadruplets 244 ? Amniotic Fluid Disorders 246 ? Polyhydramnios 246 ? Oligohydramnios 250 ? Abnormalities of Placenta and Cord 251 18 Hypertensive Disorders in Pregnancy 255 ? Preeclampsia 256 ? Etiopathogenesis 257 ? Pathophysiology 258 ? Clinical Types 260 ? Clinical Features 261 ? Complications 263 ? Prophylactic Measures 264 ? Management 264 ? Acute Fulminant Preeclampsia 267 ? Eclampsia 268 ? Clinical Features of Eclampsia 270 ? Management 271 ? Gestational Hypertension 276 ? Chronic Hypertension 277 ? Essential Hypertension 277 ? Chronic Renal Diseases in Pregnancy 278 19 Antepartum Hemorrhage 282 ? Placenta Previa 282 ? Clinical Features 284 ? Placentography 286 ? Differential Diagnosis 287 ? Complications 288 ? Management 289 ? Practical Guideline for Cesarean Delivery 291 ? Practical Guide to Lower Segment Approach for Placenta Previa 293 ? Practical Guidelines to Lower Segment Approach for Placenta Previa Accreta 293 ? Abruptio Placentae 294 ? Clinical Features 297 ? Complications 297 ? Treatment 299 ? Indeterminate Bleeding 301 20 Medical and Surgical Illness Complicating Pregnancy 303 ? Hematological Disorders in Pregnancy 303 ? Anemia in Pregnancy 303 ? Hemoglobinopathies 316 ? Sickle Cell Hemoglobinopathies 316 ? Thalassemia Syndromes 317 ? Platelet Disorders 318 ? Heart Disease in Pregnancy 319 ? Diabetes Mellitus and Pregnancy 325 ? Gestational Diabetes Mellitus (Gdm) 326 ? Overt Diabetes 327 ? Thyroid Dysfunction and Pregnancy 334 ? Jaundice in Pregnancy 335 ? Cholestasis 336 ? Viral Hepatitis 336 ? Epilepsy in Pregnancy 338 ? Asthma in Pregnancy 339 ? Systemic Lupus Erythematosus (Sle) 340 ? Tuberculosis in Pregnancy 341 ? Syphilis in Pregnancy 342 ? Parasitic and Protozoal Infestations in Pregnancy 344 ? Malaria 344 ? Toxoplasmosis 345 ? Listeriosis 346 ? Intestinal Worms 346 ? Pyelonephritis in Pregnancy 346 ? Asymptomatic Bacteriuria (Asb) 347 ? Viral Infections in Pregnancy 348 ? Rubella 348 ? Measles 349 ? Influenza 349 ? Chickenpox (Varicella) 349 ? Cytomegalovirus (CMV) 349 ? Parvoviruses 349 ? Mumps (RNA) 350 ? Herpes Simplex (DNA) Virus (HSV) 350 ? Dengue 350 ? Human Immunodeficiency Virus Infection (Hiv) and Acquired Immunodeficiency Syndrome (AidS) 350 ? Surgical Illness during Pregnancy 353 ? Acute Pain in Abdomen during Pregnancy 355 21 Gynecological Disorders in Pregnancy 356 ? Abdominal Vaginal Discharge 356 ? Congenital Malformation 356 ? Carcinoma Cervix with Pregnancy 357 ? Leiomyomas with Pregnancy 359 ? Ovarian Tumor in Pregnancy 360 ? Retroverted Gravid Uterus 361 ? Morbid Anatomic Changes if Left Uncared for 362 ? Genital Prolapse in Pregnancy 363 Prelim.indd 15 2/16/2015 10:54:50 AM xvi Textbook of Obstetrics 22 Preterm Labor, Preterm Rupture of the Membranes, Postmaturity, 365 Intrauterine Fetal Death ? Preterm Labor 365 ? Prelabor Rupture of the Membrane (PROM) 369 ? Management 369 ? Prolonged and Post-term Pregnancy 371 ? Intrauterine Fetal Death (Iufd) 375 23 Complicated Pregnancy 381 ? Pregnancy with Prior Cesarean Delivery 381 ? Integrity of the Scar 381 ? Evidences of Scar Rupture (or Scar Dehiscence) during Labor 383 ? Management of a Pregnancy with Prior Cesarean Delivery 383 ? Vaginal Birth After Previous Cesarean (Vbac) 384 ? Pregnancy in a Rh-negative Woman 386 ? Red Cell Alloimmunization 387 ? Fetal Affection by the Rh-antibody 388 ? Manifestations of the Hemolytic Disease of the Fetus and Newborn (Hdfn) 388 ? Prevention of Rh-immunization 389 ? Antenatal Investigation Protocol of Rh-negative Mothers 391 ? Plan of Delivery 393 ? Exchange Transfusion in the Newborn 396 ? Prognosis 397 ? Elderly Primigravida 398 ? Grand Multipara 398 ? Bad Obstetric History (Boh) 399 ? Obesity in Pregnancy 400 24 Contracted Pelvis 402 ? Valiation of Female Pelvis 402 ? Asymmetrical or Obliquely Contracted Pelvis 405 ? Mechanism of Labor in Contracted Pelvis with Vertex Presentation 405 ? Diagnosis of Contracted Pelvis 406 ? Disproportion 409 ? Diagnosis of Cephalopelvic Disproportion (Cpd) 410 ? Effects of Contracted Pelvis on Pregnancy and Labor 412 ? Management 412 ? Trial Labor 412 ? Midpelvic and Outlet Disproportion 414 25 Abnormal Uterine Action 415 ? Types 415 ? Uterine Inertia 416 ? Incoordinate Uterine Action 417 ? Spastic Lower Segment 418 ? Constriction Ring 419 ? Cervical Dystocia 419 ? Generalized Tonic Contraction 419 ? Precipitate Labor 420 ? Tonic Uterine Contraction and Retraction 420 ? Summary 423 26 Complicated Labor: Malposition, Malpresentation and Cord Prolapse 424 ? Occiput-Posterior Position (Op) 424 ? Arrested Occipitoposterior Position 430 ? Deep Transverse Arrest (Dta) 431 ? Manual Rotation for Occipitoposterior Position 431 ? Breech Presentation 434 ? Antenatal Management 439 ? Management of Vaginal Breech Delivery 441 ? Assisted Breech Delivery 442 ? Management of Complicated Breech 446 ? Face Presentation 449 ? Brow Presentation 453 ? Transverse Lie 454 ? Unstable Lie 459 ? Compound Presentation 459 ? Cord Prolapse 460 27 Prolonged Labor, Obstructed Labor, Dystocia Caused by Fetal Anomalies 463 ? Prolonged Labor 463 ? Obstructed Labor 467 ? Dystocia Caused by Fetal Anomalies 468 ? Shoulder Dystocia 469 ? Hydrocephalus 470 ? Neural Tube Defects 471 ? Enlargement of Fetal Abdomen 472 ? Monsters 472 ? Conjoined Twins 473 28 Complications of the Third Stage of Labor 474 ? Postpartum Hemorrhage (Pph) 474 ? Primary Postpartum Hemorrhage 475 ? Management of Third Stage Bleeding 477 ? Steps of Manual Removal of Placenta 478 ? Secondary Postpartum Hemorrhage 483 ? Retained Placenta 484 ? Placenta Accreta 486 ? Inversion of the Uterus 487 29 Injuries to the Birth Canal 489 ? Vulva 489 ? Perineum 489 ? Vagina 491 ? Cervix 491 ? Pelvic Hematoma 492 ? Rupture of the Uterus 493 ? Visceral Injuries 499 Prelim.indd 16 2/16/2015 10:54:50 AM Contents xvii 30 Abnormalities of the Puerperium 500 ? Puerperal Pyrexia 500 ? Puerperal Sepsis 500 ? Subinvolution 505 ? Urinary Complications 505 ? Breast Complications 506 ? Puerperal Venous Thrombosis and Pulmonary Embolism 508 ? Pulmonary Embolism (Pe) 510 ? Obstetric Palsies 511 ? Puerperal Emergencies 511 ? Psychiatric Disorders during Puerperium 512 ? Psychological Response to Perinatal Deaths and Management 513 31 The Term Newborn Infant 514 ? Physical Features of the Newborn 514 ? Immediate Care of the Newborn 517 ? Infant Feeding 519 ? Breastfeeding 519 ? Artificial Feeding 524 ? Childhood Immunization Program 526 32 Low Birth Weight Baby 527 ? Preterm Baby 528 ? Fetal Growth Restriction (Fgr) 533 33 Disease of the Fetus and the Newborn 541 ? Perinatal Asphyxia 541 ? Fetal Respiration 541 ? Respiratory Distress in the Newborn 547 ? Idiopathic Respiratory Distress Syndrome 547 ? Meconium Aspiration Syndrome (Mas) 550 ? Jaundice of the Newborn 551 ? Hyperbilirubinemia of the Newborn 552 ? Kernicterus 553 ? Hemolytic Disease of the Newborn 554 ? Abo Group Incompatibility 555 ? Bleeding Disorders in the Newborn 555 ? Anemia in the Newborn 556 ? Seizures in Newborn 557 ? Birth Injuries of the Newborn 558 ? Intracranial Hemorrhage (ICH) 559 ? Other Injuries 561 ? Perinatal Infections 563 ? Ophthalmia Neonatorum (Conjunctivitis) 564 ? Skin Infections 565 ? Necrotizing Enterocolitis 566 ? Mucocutaneous Candidiasis 567 ? Congenital Malformations and Prenatal Diagnosis 567 ? Down’s Syndrome (Trisomy 21) 568 ? Congenital Malformations in Newborn and the Surgical Emergencies 569 ? Nonimmune Fetal Hydrops (Nifh) 571 34 Pharmacotherapeutics in Obstetrics 573 ? Oxytocics in Obstetrics 573 ? Oxytocin 573 ? Ergot Derivatives 577 ? Prostaglandins (Pgs) 578 ? Antihypertensive Therapy 581 ? Diuretics 582 ? Tocolytic Agents 583 ? Anticonvulsants 584 ? Anticoagulants 585 ? Maternal Drug Intake and Breastfeeding 586 ? Fetal Hazards on Maternal Medication during Pregnancy 587 ? Analgesia and Anesthesia in Obstetrics 590 ? Anatomical and Physiological Considerations 590 ? Analgesia during Labor and Delivery 591 ? Sedatives and Analgesics 592 ? Inhalation Methods 592 ? Regional (Neuraxial) Anesthesia 593 ? Infiltration Analgesia 595 ? General Anesthesia for Cesarean Section 596 35 Induction of Labor 598 ? Indications and Contraindications 598 ? Parameters to Assess Prior to Induction 599 ? Methods of Cervical Ripening 599 ? Methods of Induction of Labor 600 ? Medical 600 ? Surgical 601 ? Combined 604 ? Active Management of Labor 605 ? Partograph 607 36 Population Dynamics and Control of Conception 609 ? Population Dynamics 609 ? Control of Conception 610 ? Contraception 610 ? Method 611 ? Barrier Methods 611 ? Natural Contraception 614 ? Intrauterine Contraceptive Devices (Iucds) 615 ? Steroidal Contraceptions 621 ? Combined Oral Contraceptives (Pills) 622 ? Injectable Progestins 628 ? Implant 628 ? Emergency Contraception (Ec) 629 ? Sterilization 631 ? Vasectomy 631 ? Female Sterilization 632 ? Laparoscopic Sterilization 635 ? Contraceptive 637 ? Contraceptive Counseling and Prescription 637 ? Ongoing Trials and Selective Availability 638 ? Centchroman Prescription 638 ? Combined Injectable Contraceptives 639 ? Biodegradable Implants 639 ? Newer IUDs 639 Prelim.indd 17 2/16/2015 10:54:50 AM xviii Textbook of Obstetrics 37 Operative Obstetrics 642 ? Dilatation and Evacuation 642 ? Management Protocol of Uterine Perforation 645 ? Suction Evacuation 645 ? Menstrual Regulation 646 ? Manual Vacuum Aspiration 646 ? Hysterotomy 647 ? Episiotomy 647 ? Operative Vaginal Delivery 651 ? Forceps 651 ? Ventouse 660 ? Version 663 ? External Cephalic Version 663 ? Internal Version 665 ? Bipolar Version 666 ? Destructive Operations 666 ? Craniotomy 666 ? Decapitation 668 ? Evisceration 668 ? Cleidotomy 668 ? Postoperative Care Following Destructive Operations 669 ? Cesarean Section (Cs) 669 ? Lower Segment 671 ? Classical 676 ? Complication of Cesarean Section 677 ? Measures to Reduce Cesarean Births 679 ? Symphysiotomy 679 38 Safe Motherhood, Epidemiology of Obstetrics 680 ? Safe Motherhood 680 ? Obstetric Care and the Society 681 ? Reproductive and Child Health (Rch) Care 681 ? Epidemiology of Obstetrics 683 ? Maternal Mortality 683 ? Maternal Near Miss 687 ? Maternal Morbidity 687 ? Perinatal Mortality 687 ? Stillbirths 690 ? Neonatal Deaths 690 ? Women’s Health (MDGs) Beyond 2015; 690 39 Special Topics in Obstetrics 692 ? Intrapartum Fetal Monitoring 692 ? Electronic Fetal Monitoring 693 ? Nonreassuring Fetal Status (Nrfs) 697 ? Shock in Obstetrics 699 ? Classification 702 ? Hemorrhagic Shock 704 ? Endotoxic Shock 705 ? Acute Kidney Injury (Aki) 706 ? Blood Coagulation Disorders in Obstetrics 711 ? High-risk Pregnancy 716 ? Immunology in Obstetrics 719 ? Critical Care in Obstetrics 722 ? Icu 723 40 Current Topics in Obstetrics 726 ? Antibiotic Prophylaxis in Cesarean Section 726 ? Day Care Obstetrics 726 ? Legal and Ethical Issues in Obstetric Practice 727 ? Audit In Obstetrics 728 ? The Preconception and Prenatal Diagnostic Techniques and PNDT Act 729 ? Umbilical Cord Blood Banking 729 ? Stem Cells and Therapies in Obstetrics 730 41 Imaging in Obstetrics (USG, MRI, CT, Radiology), Amniocentesis and 732 Guides to Clinical Tests ? Ultrasound In Obstetrics 732 ? Three-dimensional Ultrasonography (3D Scanning) 733 ? First Trimester 734 ? Midtrimester 735 ? Doppler 737 ? Third Trimester 739 ? Magnetic Resonance Imaging (Mri) in Obstetrics 739 ? Computed Tomography (CT) 740 ? Radiology in Obstetrics 740 ? Amniocentesis 741 ? Guides to Clinical Tests 742 ? Urine 742 ? Tests for Blood Coagulation Disorders 743 ? Collection of Blood Sample 744 ? Cervical and Vaginal Cytology 746 42 Practical Obstetrics 747 ? Clinical Thermometer 747 ? Obstetric Instruments 747 ? Specimens 758 ? Imaging Studies (Usg Plates) 759 ? Processing of Instruments 763 ? Oxytocics: Oxytocin, Methergin, Misoprostol (PGE1 ); Carboprost (PGF2a), Prostin (PGE2 ) 764 ? Doppler (Ultrasound) Fetal Monitor 764 Index ....................................................................................................................................................................................... 765


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Product Details
  • ISBN-13: 9789351527237
  • Publisher: Jaypee Brothers Medical Pub
  • Binding: PAPERBACK
  • Edition: 8 INA PAP/
  • Language: English
  • Sub Title: Including Perinatology and Contraception
  • Width: 184 mm
  • ISBN-10: 9351527239
  • Publisher Date: 31 Jan 2016
  • Depth: 32
  • Height: 241 mm
  • No of Pages: 782
  • Weight: 1474 gr


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