| Preface |
|
VII | |
| 1 Physiology |
|
1 | (16) |
|
|
|
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) |
|
|
|
17 | (1) |
|
2.2 Diagnosis of late pregnancy |
|
|
18 | (1) |
| 3 Prenatal care |
|
19 | (54) |
|
|
|
19 | (46) |
|
|
|
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) |
|
|
|
65 | (8) |
|
|
|
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) |
|
|
|
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) |
|
|
|
84 | (2) |
|
4.2.2 Pulmonary tuberculosis |
|
|
86 | (1) |
|
4.2.3 Pyelonephritis in pregnancy |
|
|
86 | (1) |
|
|
|
87 | (4) |
|
|
|
91 | (1) |
|
|
|
92 | (1) |
|
|
|
93 | (2) |
|
|
|
95 | (1) |
|
|
|
96 | (3) |
| 5 Problems in the second half of pregnancy |
|
99 | (14) |
|
|
|
99 | (6) |
|
5.2 Premature rupture of membranes; chorioamnionitis |
|
|
105 | (2) |
|
5.3 Intrauterine growth restriction (IUGR) |
|
|
107 | (1) |
|
|
|
108 | (1) |
|
|
|
109 | (4) |
| 6 Disorders of the fetus |
|
113 | (28) |
|
|
|
113 | (5) |
|
6.2 Fetal alloimmune thrombocytopenia |
|
|
118 | (1) |
|
|
|
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) |
|
|
|
125 | (1) |
|
|
|
126 | (1) |
|
6.3.7 AIDS, HIV seropositivity |
|
|
127 | (2) |
|
6.3.8 Pregnancy and neonatal listeriosis |
|
|
129 | (1) |
|
|
|
129 | (3) |
|
|
|
132 | (2) |
|
|
|
134 | (2) |
|
6.3.12 Vaccination in pregnancy |
|
|
136 | (1) |
|
|
|
136 | (5) |
|
|
|
136 | (5) |
| 7 Normal labor |
|
141 | (70) |
|
|
|
141 | (9) |
|
|
|
141 | (2) |
|
|
|
143 | (4) |
|
7.1.3 Force of labor, contractions |
|
|
147 | (3) |
|
|
|
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) |
|
|
|
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) |
|
|
|
204 | (4) |
|
|
|
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) |
|
|
|
233 | (31) |
|
8.2.1 Classification, diagnosis, differential diagnosis |
|
|
234 | (2) |
|
|
|
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) |
|
|
|
272 | (3) |
|
8.4.2 Birth complications, mode |
|
|
275 | (3) |
|
8.5 Pathological contractions, uterine dystocia |
|
|
278 | (2) |
|
|
|
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) |
|
|
|
288 | (1) |
|
|
|
288 | (2) |
|
8.10 Arm complications: Compound presentation, arm presentation, prolapse |
|
|
290 | (2) |
|
|
|
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) |
|
|
|
303 | (3) |
|
|
|
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) |
|
|
|
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) |
|
|
|
322 | (10) |
|
9.6 Vacuum extraction, ventouse extraction (VE) |
|
|
332 | (3) |
|
|
|
335 | (5) |
|
|
|
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) |
|
|
|
351 | (1) |
|
10.1.2 Spontaneous abortion |
|
|
352 | (8) |
|
10.2 Gestational trophoblastic disease (GTD) |
|
|
360 | (3) |
|
|
|
363 | (6) |
|
|
|
369 | (5) |
|
|
|
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) |
|
|
|
394 | (1) |
|
|
|
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) |
|
|
|
398 | (1) |
|
11.5.5 Micturition in early puerperium |
|
|
399 | (1) |
|
|
|
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) |
|
|
|
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) |
|
|
|
|
|
425 | (50) |
|
|
|
425 | (4) |
|
13.1.1 The baby and its parents |
|
|
425 | (1) |
|
|
|
425 | (1) |
|
|
|
426 | (2) |
|
|
|
428 | (1) |
|
13.1.5 Other preventative measures |
|
|
429 | (1) |
|
|
|
429 | (4) |
|
13.2.1 Lactation, breastfeeding, medication in breast milk |
|
|
429 | (2) |
|
13.2.2 Dietary plan for artificial feeding |
|
|
431 | (1) |
|
|
|
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) |
|
|
|
443 | (3) |
|
|
|
446 | (5) |
|
|
|
446 | (1) |
|
|
|
446 | (1) |
|
13.5.3 Diseases of preterm babies |
|
|
447 | (4) |
|
|
|
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) |
|
|
|
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) |
|
|
|
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 | |