Algorithms in Obstetrics and Gynaecology presents the core knowledge needed to tackle all situations in obstetrics and gynaecology, in a structured fashion. All algorithms are designed to support rapid decision making in the most clinically relevant situations to minimise the risks of a poor outcome. A range of clinical problems are covered from common non-life-threatening emergencies such as hyperemesis in pregnancy, to life-threatening acute events such as ectopic pregnancy, acute fetal distress or maternal collapse.
Each topic is presented as either an algorithm, a care pathway, or table of key information and has been carefully structured to ensure a logical progression of thought to aid anticipation, early diagnosis and prompt and appropriate management. Accompanying key learning points highlight the essential information from the topic. Based on current national guidelines and clinical evidence, the algorithms and care pathways can be used as a reliable and practical resource for day to day practice in obstetrics and gynaecology.
Arvustused
This is an excellent, clear, and concise book. . . It is both easy to read and to navigate. It provides a clear picture of all aspects of obstetrics and gynaecology and would be a good revision guide in addition to a useful pocket reference guide. * Frances Hodge, MBBS, MRCOG, DFSRH, Singleton Hospital and Swansea University, in The Obstetrician & Gynaecologist, Vol. 18, Issue 1, January 2016 *
| Contributors |
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xiii | |
| Symbols and abbreviations |
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xv | |
|
SECTION 1 Non-urgent obstetrics |
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|
1 | (98) |
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3 | (3) |
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Antenatal screening tests |
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6 | (3) |
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Infections and vaccinations in pregnancy |
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9 | (6) |
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15 | (3) |
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Substance misuse in pregnancy |
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18 | (4) |
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|
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22 | (3) |
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Vaginal discharge in pregnancy |
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25 | (3) |
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Pregnancy-related pelvic girdle pain (PGP) and low back pain (LBP) |
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28 | (3) |
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|
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31 | (3) |
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34 | (3) |
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Management of constipation |
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37 | (3) |
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Urinary tract symptoms in pregnancy |
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40 | (3) |
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43 | (3) |
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Thyroid disease and pregnancy |
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46 | (4) |
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Diabetes mellitus and pregnancy |
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50 | (3) |
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Renal disease in pregnancy |
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53 | (2) |
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Cardiac disease and pregnancy |
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55 | (3) |
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|
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58 | (3) |
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61 | (3) |
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Hypertension in pregnancy |
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64 | (3) |
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67 | (3) |
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|
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70 | (5) |
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Liquor volume and fetal growth |
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75 | (5) |
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Prolonged pregnancy and induction of labour |
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80 | (4) |
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Birth after Caesarean section |
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84 | (4) |
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88 | (3) |
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Management of the third stage of labour |
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91 | (3) |
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94 | (5) |
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SECTION 2 Obstetric emergency presentations |
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99 | (80) |
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101 | (3) |
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Abdominal pain in pregnancy |
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104 | (3) |
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Bleeding in late pregnancy (antepartum haemorrhage) |
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107 | (3) |
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Leakage of amniotic fluid |
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110 | (3) |
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113 | (3) |
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116 | (4) |
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120 | (3) |
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|
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123 | (3) |
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|
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126 | (3) |
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|
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129 | (4) |
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|
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133 | (4) |
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Abnormal fetal heart rate in labour |
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137 | (3) |
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|
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140 | (3) |
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Post-partum haemorrhage (PPH) |
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143 | (3) |
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|
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146 | (3) |
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Post-partum bladder problems |
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149 | (6) |
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Management of perineal tears |
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155 | (3) |
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Puerperal abdominal distension |
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158 | (1) |
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Leg pain and swelling in pregnancy and puerperium |
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159 | (4) |
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|
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163 | (4) |
|
|
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167 | (3) |
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Emergency Caesarean section |
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170 | (3) |
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Post-operative care after a Caesarean section |
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173 | (3) |
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Post-partum pyrexia and puerperal sepsis |
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176 | (3) |
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SECTION 3 Non-urgent gynaecology |
|
|
179 | (80) |
|
|
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181 | (3) |
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Irregular vaginal bleeding |
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184 | (3) |
|
|
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187 | (5) |
|
|
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192 | (4) |
|
|
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196 | (3) |
|
|
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199 | (3) |
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|
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202 | (2) |
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|
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204 | (3) |
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|
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207 | (4) |
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|
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211 | (5) |
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Management of the infertile couple |
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216 | (6) |
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|
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222 | (4) |
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|
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226 | (4) |
|
|
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230 | (4) |
|
|
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234 | (4) |
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Urinary urgency, frequency, and urinary incontinence |
|
|
238 | (4) |
|
|
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242 | (3) |
|
|
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245 | (3) |
|
|
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248 | (3) |
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Management of vulval irritation and vulvodynia |
|
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251 | (4) |
|
|
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255 | (4) |
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SECTION 4 Gynaecology emergency presentations |
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|
259 | (42) |
|
|
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261 | (3) |
|
|
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264 | (3) |
|
|
|
267 | (4) |
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Management of ovarian masses in premenopausal women |
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271 | (4) |
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Management of ovarian masses in post-menopausal women |
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|
275 | (4) |
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Management of vaginal discharge |
|
|
279 | (3) |
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Management of acute pelvic infection/pelvic inflammatory disease |
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282 | (3) |
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Ovarian hyperstimulation syndrome (OHSS) |
|
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285 | (4) |
|
|
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289 | (3) |
|
|
|
292 | (4) |
|
|
|
296 | (5) |
| Index |
|
301 | |
Dr Sambit Mukhopadhyay is a consultant gynaecologist and Honorary Senior Lecturer at Norwich Medical School, University of East Anglia, Norwich. His work involves advanced pelvic floor surgery, medical education and research into urogynaecology.
Sir Sabaratnam Arulkmaran is Professor Emeritus of Obstetrics & Gynaecology at St Georges, University of London, and Visiting Professor, International Health, Imperial College, London. He is president of the International Federation of Obstetrics & Gynaecology (FIGO) and past president of the British Medical Association (2013-2014) & Royal College of Obstetricians & Gynaecologists (2007-2010). In 2009 he was made a Knight Bachelor in recognition of Services to Medicine & Health Services by Her Majesty the Queen.
Dr Edward Morris is a consultant gynacologist at the Norfolk & Norwich University Hospital and Honorary Senior Lecturer, University of East Anglia Medical School. He is Chairman of the British Menopause Society, past Chair of the RCOG Safety and Quality committee, current member of the RCOG Clinical Quality Board, and Fellows Representative for the East of England, RCOG Council. His work involves measuring patient outcomes, safety and quality measures, research into menopause, endometriosis, leiomyomata, endometrial cancer and risk prediction, postgraduate education and minimal access surgery.
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