Preface

vii

Acknowledgements

viii

1

Gynaecological and Obstetric History and Examination

1

2

Ovulation and the Menstrual Cycle

9

3

Conception and Placental Development

17

4

Embryo and Fetus

27

5

Physiological and Anatomical Changes in Pregnancy

31

6

Antenatal Care

37

7

Physiological and Anatomical Changes in Childbirth

53

8

Course and Management of Childbirth

65

9

The Puerperium

85

10

Minor Complications of Pregnancy

95

11

Miscarriage and Abortion

99

12

Extra-Uterine Pregnancy/Ectopic Gestation

107

13

Antepartum Haemorrhage

113

14

Hypertensive Diseases in Pregnancy

117

15

Cardiovascular, Respiratory, Haematological, Neurological and Gastrointestinal Disorders in Pregnancy

123

16

Endocrine Disorders in Pregnancy

132

17

Infections during Pregnancy

136

18

Diseases of the Placenta and Membranes

141

19

Variations in the Duration of Pregnancy

147

20

The At-Risk Fetus

152

21

Abnormal Fetal Presentations

160

22

Abnormal Labour (Dystocia) and Prolonged Labour

173

23

Disorders in the Puerperium

183

24

Obstetric Operations

189

25

The Epidemiology of Obstetrics

200

26

The Newborn Infant

205

27

The Low-Birthweight Infant

215

28

Disorders of Menstruation

219

29

Psychological and Physical Disorders of the Menstrual Cycle

229

30

Human Sexuality

235

31

Conception Control

241

32

Infertility

251

33

Infections of the Genital Tract

257

34

Atrophic and Dystrophic Conditions

267

35

Endometriosis and Adenomyosis

271

36

Benign Tumours, Cysts and Malformations of the Genital Tract

278

37

Premalignant and Malignant Conditions of the Female Genital Tract

289

38

Uterovaginal Displacements, Damage and Prolapse

302

39

The Urinary Tract and its Relationship to Gynaecology

308

40

The Breast

314

41

Gynaecological Problems in Childhood and Adolescence

318

42

The Menopause

322

43

Anatomy of the Female Genital Tract

328

Index

345