1 Basic anatomy and examination Basic anatomy General examination Obstetric examination Gynaecology examination 2 Taking a history The patient’s details Presenting complaint History of presenting complaint Gynaecological history Obstetric history Medical history Drug history and allergies Systems enquiry Family history Social history Further reading 3 Common investigations Introduction Gynaecology bedside tests Gynaecology procedures 4 Abnormal uterine bleeding Background Menorrhagia Diagnosis Investigations Treatment Intermenstrual bleeding and postcoital bleeding Postmenopausal bleeding Diagnosis 5 Fibroids Background Diagnosis Investigations Treatment 6 Endometriosis Background Diagnosis Investigations Complications Treatment 7 Pelvic pain and dyspareunia Background Diagnosis Investigations Treatment 8 Vaginal discharge and sexually transmitted infections Background Diagnosis Investigations Treatment Sexually transmitted infections Gonorrhoea Chlamydia Trichomonas vaginalis Complications 9 Pelvic inflammatory disease Background Diagnosis Investigations Treatment Complications 10 Contraception and termination of pregnancy Indications Natural methods Barrier contraception Hormonal contraception Intrauterine and implanted contraception Sterilization Postnatal contraception Post abortion/miscarriage Breastfeeding Emergency contraception Termination of pregnancy 11 Benign gynaecological tumours Background Diagnosis Types of tumour Management 12 Gynaecological malignancies Background History Examination Ovarian cancer Endometrial cancer Uterine sarcoma (nonendometrioid cancer) Cervical cancer Vulval cancer Vaginal cancer Investigations 13 Benign vulval disease Background Diagnosis Investigations Types Female genital mutilation 14 Urogynaecology Pelvic floor prolapse Urinary incontinence Recurrent UTIs 15 Gynaecological endocrinology Background Amenorrhea Precocious puberty and delayed puberty Virilism 16 Subfertility Background Diagnosis Investigations Treatment Assisted reproduction Complications Prognosis 17 Menopause Background Diagnosis Investigations Management Premature ovarian failure 18 Early pregnancy complications Miscarriage Ectopic pregnancy Pregnancy of unknown location Molar pregnancy 19 Antenatal booking and prenatal diagnosis Antenatal booking history Examination Booking investigations Antenatal education Ongoing antenatal care Screening for chromosomal abnormalities Ultrasound scanning for fetal abnormalities Prenatal diagnosis Further reading 20 Antepartum haemorrhage Definition Incidence Aetiology History Examination Investigations Placenta praevia Placental abruption Vasa praevia Circumvallate placenta Unexplained antepartum haemorrhage Further reading 21 Hypertension in pregnancy Introduction History Examination Investigations Treatment Postnatal care Further reading 22 Medical disorders in pregnancy Introduction Haematology Respiratory Endocrine Cardiology Neurology Gastrointestinal disorders Infectious diseases Psychiatric illness Further reading 23 Common presentations in pregnancy Abdominal pain in pregnancy Large for dates or small for dates Reduced fetal movements Further reading 24 Multiple pregnancy Incidence Diagnosis Aetiology of twins Complications Intrapartum management of a twin pregnancy Higher-order multiple pregnancies Further reading 25 Preterm labour Preterm labour Incidence History Examination Investigations Management Preterm prelabour rupture of membranes Further reading 26 Labour Introduction Onset of labour Normal progress in labour Delivery of the fetus Management of labour Lactation Induction of labour Further reading 27 Fetal monitoring in labour Fetal monitoring in labour Features of the cardiotocograph Physiology Monitoring uterine contractions History of the patient who presents with an abnormal cardiotocograph in labour Examination of the patient who presents with an abnormal cardiotocograph in labour Investigating the abnormal cardiotocograph Further reading 28 Operative interventions in labour Introduction Ventouse delivery Forceps delivery Episiotomy Perineal repair Caesarean section Further reading 29 Complications of labour Malpresentation Management Failure to progress in labour Management of failure to progress Shoulder dystocia Further reading 30 Stillbirth Introduction Definitions Incidence Diagnosis Telling the parents History Examination Investigations Management After delivery Further reading 31 Postnatal complications Postpartum haemorrhage Primary postpartum haemorrhage Secondary postpartum haemorrhage Postnatal infection Postnatal mental illness Thromboembolic disease Further reading 32 Maternal collapse and maternal death Introduction The collapsed patient Causes of maternal collapse Maternal death Further reading
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