Table of Contents

 

 

 

 

Contributors

xi

 

Preface

xv

 

Acknowledgments

xvii

PART I

CLINICAL ANATOMY

1

1

Pelvis: Bones, Joints, and Ligaments

3

2

The Pelvic Floor

9

3

Perineum

15

4

Uterus and Vagina

21

5

Obstetric Pelvis

37

6

The Passenger: Fetus

53

7

Fetopelvic Relationships

65

8

Engagement, Synclitism, Asynclitism

77

PART II

FIRST STAGE OF LABOR

87

9

Examination of the Patient

89

10

Normal Mechanisms of Labor

101

11

Clinical Course of Normal Labor

119

12

Fetal Health Surveillance in Labor

143

13

Induction of Labor

173

14

Labor Dystocia

193

15

Abnormal Cephalic Presentations

211

PART III

SECOND STAGE OF LABOR

263

16

The Second Stage of Labor

265

17

Operative Vaginal Delivery

283

18

Shoulder Dystocia

333

PART IV

THIRD STAGE OF LABOR

351

19

Delivery of the Placenta, Retained Placenta, and Placenta Accreta

353

20

Postpartum Hemorrhage

367

21

Episiotomy, Lacerations, Uterine Rupture, and Inversion

389

PART V

COMPLICATED LABOR

431

22

Cesarean Section

433

23

Trial of Labor After Previous Cesarean Section

457

24

Obesity in Pregnancy

463

25

Breech Presentation

471

26

Transverse Lie

515

27

Compound Presentations

523

28

The Umbilical Cord

529

29

Multiple Pregnancy

537

PART VI

OTHER ISSUES

567

30

Preterm Labor

569

31

Antepartum Hemorrhage

587

32

Maternal Complications in Labor

601

33

Labor in the Presence of Fetal Complications

635

34

Intrapartum Infections

647

35

Postterm Pregnancy

663

36

Obstetric Anesthesia and Analgesia

671

37

Intrapartum Imaging

695

38

The Puerperium

707

39

The Newborn Infant

725

 

Index

747