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E-raamat: Practical Obstetrics

  • Formaat: PDF+DRM
  • Ilmumisaeg: 09-Oct-2014
  • Kirjastus: De Gruyter
  • Keel: eng
  • ISBN-13: 9783110276114
  • Formaat - PDF+DRM
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  • Formaat: PDF+DRM
  • Ilmumisaeg: 09-Oct-2014
  • Kirjastus: De Gruyter
  • Keel: eng
  • ISBN-13: 9783110276114

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The 21st edition of this standard reference book now published in English for the first time provides indispensable, hands-on information for the delivery room, as well as before and after childbirth. The book combines proven facts and techniques with new insights through a consistent focus on practical and applied knowledge. All of those involved in the care of pregnant, laboring, and postnatal women and newborn can benefit from the established didactic concept of this book.
Preface VII
1 Physiology 1(16)
1.1 The mature placenta
5(5)
1.1.1 Structure, function
5(2)
1.1.2 The placenta as an endocrine organ: hCG, hPL, progesterone, and estrogen
7(3)
1.2 Amniotic fluid, liquor amnii
10(1)
1.3 Embryonic and fetal development
11(2)
1.4 The maternal organism
13(4)
2 Diagnosis of pregnancy 17(2)
2.1 Early pregnancy
17(1)
2.2 Diagnosis of late pregnancy
18(1)
3 Prenatal care 19(54)
3.1 Prenatal checkup
19(46)
3.1.1 History
19(3)
3.1.2 Obstetric examination
22(10)
3.1.3 General examination
32(3)
3.1.4 Examination of the woman at risk
35(26)
3.1.5 Prenatal diagnosis of genetic defects
61(4)
3.2 Antenatal counseling
65(8)
3.2.1 Lifestyle
68(1)
3.2.2 Common pregnancy complaints
69(4)
4 Maternal disorders in pregnancy 73(26)
4.1 Pregnancy-specific disorders
73(11)
4.1.1 Hyperemesis gravidarum
73(1)
4.1.2 Cholestasis
73(1)
4.1.3 Pregnancy-induced hypertension (PIH), preeclampsia, eclampsia, HELLP syndrome
74(10)
4.1.4 Dermatoses of pregnancy
84(1)
4.2 Disorders not specific to pregnancy
84(15)
4.2.1 Cardiac disease
84(2)
4.2.2 Pulmonary tuberculosis
86(1)
4.2.3 Pyelonephritis in pregnancy
86(1)
4.2.4 Diabetes mellitus
87(4)
4.2.5 Thrombophilia
91(1)
4.2.6 Thyroid disorders
92(1)
4.2.7 Acute abdomen
93(2)
4.2.8 Adnexal tumors
95(1)
4.2.9 Cervical cytology
96(3)
5 Problems in the second half of pregnancy 99(14)
5.1 Preterm birth (PTB)
99(6)
5.2 Premature rupture of membranes; chorioamnionitis
105(2)
5.3 Intrauterine growth restriction (IUGR)
107(1)
5.4 Postterm pregnancy
108(1)
5.5 Stillbirth
109(4)
6 Disorders of the fetus 113(28)
6.1 Hemolytic disease
113(5)
6.2 Fetal alloimmune thrombocytopenia
118(1)
6.3 Prenatal infections
118(18)
6.3.1 Prenatal rubella infection, congenital rubella syndrome
119(2)
6.3.2 Cytomegalovirus (CMV)
121(1)
6.3.3 Varicella-zoster-virus (VZV)
122(1)
6.3.4 Herpes simplex virus (HSV)
123(2)
6.3.5 Virus hepatitis
125(1)
6.3.6 Parvovirus B19
126(1)
6.3.7 AIDS, HIV seropositivity
127(2)
6.3.8 Pregnancy and neonatal listeriosis
129(1)
6.3.9 Toxoplasmosis
129(3)
6.3.10 Syphilis
132(2)
6.3.11 Gonorrhea
134(2)
6.3.12 Vaccination in pregnancy
136(1)
6.4 Malformations
136(5)
6.4.1 Hydrocephalus
136(5)
7 Normal labor 141(70)
7.1 Birth factors
141(9)
7.1.1 Fetus
141(2)
7.1.2 Birth route
143(4)
7.1.3 Force of labor, contractions
147(3)
7.2 Mechanism of labor
150(17)
7.2.1 Signs, onset of labor, preparation for labor
151(1)
7.2.2 History taking, examination, spontaneous vaginal delivery
152(3)
7.2.3 Passage of the head through the birth canal
155(7)
7.2.4 Station. Level of the head in the pelvis
162(5)
7.3 Examination of the fetus during labor
167(13)
7.3.1 Auscultation, amniotic fluid color
167(1)
7.3.2 Cardiotocography (CTG), electronic fetal monitoring (EFM)
168(9)
7.3.3 Fetal blood sampling (FBS)
177(3)
7.4 Management of labor
180(19)
7.4.1 Management of first stage
180(9)
7.4.2 Management of second stage
189(10)
7.5 Management of third stage
199(5)
7.6 Postplacental period
204(4)
7.7 Duration of labor
208(3)
8 Pathological labor 211(104)
8.1 Malpresentations and malpositions of the occiput
211(22)
8.1.1 Persistent occipitotransverse position (POT)
211(3)
8.1.2 High anteroposterior head
214(1)
8.1.3 Occipitoposterior position
215(5)
8.1.4 Extended presentations
220(13)
8.2 Breech presentation
233(31)
8.2.1 Classification, diagnosis, differential diagnosis
234(2)
8.2.2 Mechanism of labor
236(8)
8.2.3 Antenatal counseling
244(1)
8.2.4 Mode and management of delivery
245(19)
8.3 Transverse lie/shoulder presentation
264(6)
8.3.1 Course of labor in transverse lie
266(2)
8.3.2 Management of transverse lie
268(2)
8.4 Multifetal gestations
270(8)
8.4.1 Antenatal care
272(3)
8.4.2 Birth complications, mode
275(3)
8.5 Pathological contractions, uterine dystocia
278(2)
8.6 Arrested labor
280(2)
8.7 Cervical priming and induction of labor
282(2)
8.8 Intrauterine (perinatal) hypoxia
284(4)
8.9 Cord complications: presentation, prolapse
288(2)
8.9.1 Cord presentation
288(1)
8.9.2 Cord prolapse
288(2)
8.10 Arm complications: Compound presentation, arm presentation, prolapse
290(2)
8.11 Shoulder dystocia
292(2)
8.12 Cephalopelvic disproportion (CPD)
294(12)
8.12.1 Generally contracted pelvis
296(6)
8.12.2 Funnel-shaped pelvis
302(1)
8.12.3 Long pelvis
303(3)
8.13 Uterine rupture
306(5)
8.14 Management of birth after prior cesarean section
311(1)
8.15 Amniotic fluid embolism (AFE)
312(3)
9 Obstetrical operations 315(36)
9.1 Indication
315(1)
9.2 Preparation for the operation
316(1)
9.3 Episiotomy, perineotomy
316(4)
9.4 Laceration of the vagina, perineum, clitoris, labia
320(2)
9.5 Forceps operation
322(10)
9.6 Vacuum extraction, ventouse extraction (VE)
332(3)
9.7 Cesarean section
335(5)
9.8 Combined version
340(3)
9.8.1 Version from transverse lie
340(3)
9.8.2 Version from cephalic presentation
343(1)
9.9 Dismembering operations: perforation, craniociasm
343(8)
10 Antepartum and postpartum hemorrhage 351(40)
10.1 Miscarriage, spontaneous abortion
351(9)
10.1.1 Induced abortion
351(1)
10.1.2 Spontaneous abortion
352(8)
10.2 Gestational trophoblastic disease (GTD)
360(3)
10.3 Ectopic pregnancy
363(6)
10.4 Placenta previa
369(5)
10.5 Placental abruption
374(5)
10.6 Velamentous insertion
379(1)
10.7 Postpartum hemorrhage (PPH)
380(11)
10.7.1 Separation hemorrhage, atonic PPH
380(8)
10.7.2 Hemorrhage from a laceration
388(3)
11 Normal puerperium 391(14)
11.1 Process of involution
391(2)
11.1.1 Position and attitude of the uterus in the puerperium
392(1)
11.1.2 Closure of the cervix
392(1)
11.1.3 Fundal height in the first days postpartum
393(1)
11.2 Wound-healing processes in the puerperium
393(2)
11.2.1 Lochia
394(1)
11.3 Lactation
395(1)
11.4 Resumption of ovarian function
396(1)
11.5 Clinical picture of the puerperal period
397(8)
11.5.1 The postpartum pulse
397(1)
11.5.2 Temperature postpartum
398(1)
11.5.3 Monitoring fundal height
398(1)
11.5.4 Monitoring lochia
398(1)
11.5.5 Micturition in early puerperium
399(1)
11.5.6 Bowel movements
400(1)
11.5.7 Postpartum exercises
400(1)
11.5.8 Ambulation postpartum — early ambulation
400(1)
11.5.9 Discharge from hospital and the end of the clinical puerperium
400(1)
11.5.10 Breastfeeding
401(4)
12 Pathological puerperium 405(20)
12.1 Puerperal fever = childbed fever
405(7)
12.1.1 Localized puerperal infections
406(1)
12.1.2 Disseminated puerperal infection
407(5)
12.2 Hemorrhage in the puerperal period
412(2)
12.2.1 Retained placental tissue and placental polyp
412(1)
12.2.2 Puerperal endometritis
413(1)
12.2.3 Functional hemorrhage in the puerperium
414(1)
12.2.4 Bleeding from birth traumas in the puerperium
414(1)
12.3 Injury to the symphysis pubis
414(2)
12.4 Mastitis puerperalis
416(4)
12.5 Pelvic vein thrombosis
420(2)
12.6 Postpartum thyroiditis
422(1)
12.7 Psychiatric disorders
422(3)
M. Obladen
13 The newborn
425(50)
13.1 The healthy newborn
425(4)
13.1.1 The baby and its parents
425(1)
13.1.2 Initial care
425(1)
13.1.3 Examination
426(2)
13.1.4 Screening program
428(1)
13.1.5 Other preventative measures
429(1)
13.2 Diet and care
429(4)
13.2.1 Lactation, breastfeeding, medication in breast milk
429(2)
13.2.2 Dietary plan for artificial feeding
431(1)
13.2.3 Dietary disorders
432(1)
13.2.4 Care of the healthy newborn
432(1)
13.3 Postnatal adaptation
433(10)
13.3.1 Physiological adaptation
433(5)
13.3.2 Pathological adaptation
438(5)
13.4 Birth trauma
443(3)
13.5 The preterm baby
446(5)
13.5.1 Gestational age
446(1)
13.5.2 Complications
446(1)
13.5.3 Diseases of preterm babies
447(4)
13.6 Hypotrophic newborn
451(1)
13.7 The infant of the diabetic mother (IDM)
452(2)
13.7.1 Glucose metabolism and hypoglycemia
452(1)
13.7.2 Fetopathia diabetica and complications
453(1)
13.8 Common newborn diseases
454(5)
13.8.1 Respiratory disorders
454(1)
13.8.2 Anemia, polycythemia, hyperviscosity
455(1)
13.8.3 Hyperbilirubinemia, icterus, phototherapy
456(1)
13.8.4 Hemolytic disease (HD)
457(2)
13.8.5 Drug addiction, drug withdrawal
459(1)
13.8.6 Neonatal seizures
459(1)
13.9 Common congenital abnormalities
459(9)
13.9.1 Gastrointestinal tract
460(3)
13.9.2 Congenital cardiac malformations
463(1)
13.9.3 Skeletal malformations
463(3)
13.9.4 Down syndrome
466(1)
13.9.5 Alcohol embryopathy, -fetopathy (fetal alcohol syndrome; FAS)
467(1)
13.10 Neonatal infections
468(2)
13.10.1 Immune status of the neonate
468(1)
13.10.2 Sepsis and GBS infection
468(1)
13.10.3 Other vertical infections
469(1)
13.11 Level of Care and Regionalization
470(5)
13.11.1 Prenatal transfer to a perinatal center
470(1)
13.11.2 Neonatal consultation
470(1)
13.11.3 Indications for transfer to neonatal intensive care unit (NICU)
471(1)
13.11.4 Transfer to NICU not indicated
471(1)
13.11.5 Postnatal transport
471(4)
Index 475
Joachim W. Dudenhausen, Charité Universitätsmedizin Berlin, Germany.