Obstetrics and gynaecology: an illustrated colour text by Joan Pitkin BSc MRCOG FRCS, Alison Peattie, Brian A. PDF

By Joan Pitkin BSc MRCOG FRCS, Alison Peattie, Brian A. Magowan MB CHB FRCOG DIPFETMED

ISBN-10: 044305035X

ISBN-13: 9780443050350

A hugely illustrated, brief, atlas-style textual content of obstetrics and gynaecology. info is split into brief themes that may be coated in a single or double-page spreads--with the utmost use of illustrations and minimum textual content.

* makes use of over 330 illustrations, line drawings, photographs, and boxes-134 in complete color-to display the whole diversity of illnesses and problems. * provides all the key info obstetrics and gynecology in a brief, succinct, and easy-to-access structure. * Covers over 70 center issues within the box, with every one subject awarded in 1 or 2 double-page spreads.

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Sample text

A normal chest X-ray and physical examination virtually excludes a pathological problem in the absence of other symptoms. Asthma is common. In most, the disease is unchanged, but it may improve, or less commonly, deteriorate. Treatment is similar to that in the non-pregnant patient. Inhaled B-sympathomimetics and inhaled steroids are safe. Oral steroids may be indicated. Thrombocytopenia Maternal thrombocytopenia in pregnancy In the second half of 8% of normal pregnancies there is a mild thrombocytopenia (platelet count 100-150 x 109/1) which is not associated with any risk to the mother or fetus.

1), frequent pregnancies or haemoglobinopathies (see p. 34). Maternal anaemia does not seem to pose substantial problems for the fetus but it is dangerous to both mother and fetus if there is superimposed haemorrhage (Fig. 2). It may also predispose the mother to thromboembolic problems and is associated with puerpural infection. The proportion of maternal deaths due to anaemia has been reported as India 16%, Kenya 11%, Nigeria 9% and Malawi 8%. Whether the anaemia is directly responsible for death or acts as an underlying factor in other causes is not clear.

Improved diabetic control has encouraged many centres to allow their mothers to go into spontaneous labour if the pregnancy is uncomplicated. This has reduced the incidence of both RDS and caesarean sections for failed induction. It has not been accompanied by a rise in unexplained intrauterine deaths but it remains common practice to induce at 40 weeks. If insulin requirements start to fall it is prudent to deliver the infant as this may indicate placental failure. Premature labour If the pregnancy has reached 34 weeks, no attempt should be made to stop labour.

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Obstetrics and gynaecology: an illustrated colour text by Joan Pitkin BSc MRCOG FRCS, Alison Peattie, Brian A. Magowan MB CHB FRCOG DIPFETMED

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