Read e-book online Obstetrics illustrated PDF

By Kevin P. Hanretty MD FRCOG

ISBN-10: 070203066X

ISBN-13: 9780702030666

ISBN-10: 0702030783

ISBN-13: 9780702030789

This renowned consultant makes use of illustrations and concise, built-in textual content to explain the necessities of obstetric perform at the present time. From the body structure of copy via antenatal care and issues in being pregnant to labour and the puerperium interval, readers will locate an easy-to-grasp presentation of the field's most crucial issues.

  • Features approximately 20 new line drawings to teach the newest in obstetric practice.
  • All different illustrations and content material completely revised and updated.
  • New fabric comprises: present makes use of and kinds of IUCDs (including the Mirena IUS); administration of early being pregnant together with ectopic being pregnant; Preterm labour; and Ventouse (to comprise Kiwi-style Ventouse Cup).

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Example text

In many cases the pelvis is of mixed type. GYNAECOID or female type ANTHROPOID or ape type The brim is a transverse ellipse – almost like a circle. P. ellipse (= Gynaecoid turned round 90°) The transverse diameter (widest part of brim) and the available transverse diameter (at mid-point of antero-posterior diameter of brim) coincide in the gynaecoid and anthropoid pelves. The hind pelvis is the area behind the transverse diameter and the fore pelvis the area in front. These areas are roughly equal in both the gynaecoid and anthropoid pelves.

The mean value in early pregnancy is 275 000/mm3 to 260 000/mm3 beyond 35 weeks. Mean platelet size increases slightly and the lifespan of platelets is shortened. Coagulation System Pregnancy is said to be a hypercoagulable state. Fibrinogen and Factors VII to X rise progressively. Factors II, V and XI to XIII are unaltered or slightly lower. It seems likely that the increased risk of thrombo-embolism associated with pregnancy results more from venous stasis and vessel wall injury than changes in the coagulation factors themselves.

Sugar which passes out in the renal glomerular filtrate is never in excess of the amount which can be reabsorbed by the tubules, and none appears in the urine. A marked alteration in carbohydrate metabolism occurs in pregnancy. There is a demand on the part of the fetus for an easily convertible source of energy. At the same time there is a need to store energy for future demands such as lactation and the steadily increasing growth of the pregnancy and also to provide a more steady source of energy in the form of a high energy fuel.

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Obstetrics illustrated by Kevin P. Hanretty MD FRCOG


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