Obstetrics Contents Normal Pregnancy • Fertilization, Implantation and Early Development 1 • Placenta and placental function 4 • Amniotic Fluid 10 • Fetal. Circulation 13 • Maternal Physiological Changes During Pregnancy 15 • Diagnosis of Pregnancy 23 • Antenatal Care 30 Abnormal Pregnancy • Vomiting During Pregnancy 36 • Urinary Tract Disorders with Pregnancy 39 • Bleeding in Early Pregnancy o Abortion 44 o Ectopic Pregnancy 54 o Gestational Trophoblastic Diseases 63 • Antepartum Hemorrhage o Placenta previa 69 o Accidental Hemorrhage 75 • Hypertensive Disorders in Pregnancy 81 • Medical disorders in pregnancy o Diabetes in pregnancy 95 o Cardiovascular Disease 102 o Anemias during pregnancy 109 • High risk pregnancy 118 • Teratology 123 • Amniotic Fluid Abnormalities 129 • Fetal disorders o Fetal Growth Abnormalities 134 o 1UGR 137 o Rh Isoimmunisation 139 o Common Fetal Anomalies 146 • Antepartum Assessment of Fetal Well-being 149 Normal Labor • Female Pelvis and Fetal Skull 155 • Normal labor 168 • Episiotomy 185 • Obstetric Analgesia and Anesthesia 187
Abnormal Labor • Abnormal Presentations and Positions o Fetopelvic Relationships 195 o Occiptopsterior position 204 o Face Presentation 211 o Brow Presentation 219 o Breech Presentation 218 o Shoulder Presentation 238 o Complex Presentation 241 o Cord Presentation 243 • Multiple Pregnancy 246 • Normal and Abnormal Uterine Action 258 • Dystocia and Obstructed Labor o Contracted Pelvis and Cephalopelvic Disproportion 269 o Trial Labor 281 o Soft Tissue Obstruction 282 o Obstructed Labor 286 • Uterine Rupture 289 • Genital Tract Injuries During Labor 297 • Third Stage Complications o Abnormal Third Stage 302 o Postpartum Hemorrhage 311 Perinatal Problems • Fetal Birth Injuries 316 • Fetal Asphyxia 321 • Prematurity and Preterm Labor 330 • Premature Rupture of Membranes 327 • Post Maturity 337 • Intrauterine Fetal Death 339 Puerperium • Puerperium and Postnatal Care 341 • Puerperal Pyrexia 345 Operative obstetrics • Induction of Labor and Abortion 349 • Ecbolics 354 • Instrumental Deliveries in Modern Obstetric Practice 359 • Cesarean Section 369 • Version 377 Ultrasound in Obstetrics 381 Maternal and Perinatal Mortality 386