Obstetrics and Gynaecology by Impey and Child continues to be an invaluable and authoritative resource for healthcare and medical students. This comprehensive guide provides the perfect level of detail on history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics.

Table of Contents

• Preface to the fifth edition
• Preface to the first edition
• Acknowledgements
• List of abbreviations
• Gynaecology
• Chapter 1: The history and examination in gynaecology
• The gynaecological history
• The gynaecological examination
• Chapter 2: The menstrual cycle and its disorders
• Physiology
• Abnormal uterine bleeding (AUB)
• Heavy menstrual bleeding (HMB)
• Irregular menstruation and intermenstrual bleeding
• Absent and infrequent menstrual bleeding (amenorrhoea and oligomenorrhoea)
• Postcoital bleeding
• Dysmenorrhoea
• Precocious puberty
• Ambiguous development and intersex
• Premenstrual syndrome
• Chapter 3: The uterus and its abnormalities
• Anatomy and physiology of the uterus
• Fibroids
• Adenomyosis
• Other benign conditions of the uterus
• Endometrial carcinoma
• Uterine sarcomas
• Chapter 4: The cervix and its disorders
• Anatomy and function of the cervix
• Benign conditions of the cervix
• Premalignant conditions of the cervix: cervical intraepithelial neoplasia
• Malignant disease of the cervix
• Chapter 5: The ovary and its disorders
• Anatomy and function of the ovaries
• Ovarian symptoms
• Disorders of ovarian function
• Classification of ovarian tumours
• Ovarian cancer
• Palliative care
• Chapter 6: Disorders of the vulva and vagina
• Anatomy
• Vulval symptoms
• Miscellaneous benign disorders of the vulva and vagina
• Premalignant disease of the vulva: vulval intraepithelial neoplasia
• Carcinoma of the vulva
• Malignancies of the vagina
• Chapter 7: Prolapse of the uterus and vagina
• Anatomy and physiology of the pelvic supports
• Prolapse
• Chapter 8: Disorders of the urinary tract
• Anatomy and function of the female lower urinary tract system
• Investigation of the urinary tract
• Urinary stress incontinence
• Overactive bladder
• Other urinary disorders
• Chapter 9: Endometriosis and chronic pelvic pain
• Endometriosis
• Management
• Chronic pelvic pain
• Chapter 10: Genital tract infections
• Infections of the vulva and vagina
• Infections of the uterus and pelvis
• Vaginal discharge: causes and treatment
• Chapter 11: Fertility and subfertility
• Definitions
• Disorders of ovulation
• Male subfertility
• Disorders of fertilization
• Assisted conception
• Chapter 12: Contraception
• Hormonal contraception
• Emergency contraception
• Barrier contraception
• Intrauterine contraceptive devices (‘the coil’)
• Female sterilization
• Male sterilization
• Male hormonal contraception
• Natural contraception
• Chapter 13: The menopause and postreproductive health
• Postmenopausal bleeding
• Symptoms and consequences of the menopause (Fig. 13.2)
• Investigations of the menopause
• Treatment: hormone replacement therapy
• Other treatments for the menopause
• Chapter 14: Disorders of early pregnancy
• Physiology of early pregnancy
• Spontaneous miscarriage
• Recurrent miscarriage
• Unwanted pregnancy and therapeutic abortion
• Ectopic pregnancy
• Hyperemesis gravidarum
• Gestational trophoblastic disease
• Chapter 15: Gynaecological operations
• Endoscopy and endoscopic surgery
• Hysterectomy
• Other common gynaecological problems
• Precautions in major gynaecological surgery
• Obstetrics
• Chapter 16: The history and examination in obstetrics
• The obstetric history
• The obstetric examination
• The postnatal history and examination
• Basic neonatal assessment
• Chapter 17: Antenatal care
• Preconceptual care and counselling
• The booking visit
• Routine later pregnancy tests
• Continuing antenatal care
• ‘Minor’ conditions of pregnancy
• Chapter 18: Congenital abnormalities and their identification
• Methods of prenatal testing for congenital abnormalities
• Chromosomal abnormalities
• Structural abnormalities
• Single gene disorders
• Chapter 19: Infections in pregnancy
• Viruses
• Bacteria, parasites and others
• Chapter 20: Hypertensive disorders in pregnancy
• Normal blood pressure changes in pregnancy
• Classification of hypertensive disorders in pregnancy
• Pre-eclampsia
• Pre-existing hypertension in pregnancy
• Chapter 21: Other medical disorders in pregnancy
• Diabetes and gestational diabetes
• Cardiac disease
• Respiratory disease
• Epilepsy
• Thyroid disease in pregnancy
• Liver disease
• Renal disease
• Thrombophilias and the antiphospholipid syndrome
• Venous thromboembolic disease
• Obesity in pregnancy
• Mental illness in pregnancy
• ‘Recreational’ drugs in pregnancy
• Anaemias
• Influenza
• Haemoglobinopathies
• Female genital mutilation (FGM)
• Chapter 22: Red blood cell isoimmunization
• Definition
• Pathophysiology
• Prevention: using anti-D
• Epidemiology
• Manifestations of Rhesus disease
• Management of isoimmunization
• Chapter 23: Delivery before term
• Preterm prelabour rupture of the membranes
• Chapter 24: Antepartum haemorrhage
• Placenta praevia
• Placental abruption
• Other causes of antepartum haemorrhage
• Further reading
• Chapter 25: Fetal growth, health and surveillance
• Fetal health and growth: terminology
• Fetal surveillance
• Methods of fetal surveillance
• The small for gestational age fetus and the IUGR fetus
• Stillbirth
• The prolonged pregnancy
• Chapter 26: Abnormal lie and breech presentation
• Abnormal (transverse and oblique) lie
• Breech presentation
• Chapter 27: Multiple pregnancy
• Chapter 28: Labour 1: Mechanism – anatomy and physiology
• Mechanical factors of labour
• Cervical dilatation: the ‘stages’ of labour
• Chapter 29: Labour 2: Management
• General care of the woman in labour
• Progress in labour: problems and their treatment
• Care of the fetus
• Care of the mother
• Conduct of labour
• Different approaches to delivery
• Chapter 30: Labour 3: Special circumstances
• Induction of labour
• Labour/vaginal birth after a previous caesarean section
• Prelabour, term rupture of the membranes
• Chapter 31: Instrumental and operative delivery
• Forceps or ventouse delivery
• Caesarean section
• Chapter 32: Obstetric emergencies
• Shoulder dystocia
• Cord prolapse
• Amniotic fluid embolism
• Uterine rupture
• Other obstetric emergencies
• Chapter 33: The puerperium
• Physiological changes in the puerperium
• General postnatal care
• Lactation
• Primary postpartum haemorrhage
• Other problems of the puerperium
• Chapter 34: Birth statistics and audit
• Audit
• Perinatal mortality
• Maternal mortality
• Intervention in pregnancy and labour
• Chapter 35: Legal (UK) and ethical issues in obstetrics and gynaecology
• Consent
• Clinical negligence
• Clinical governance
• Risk management
• Complaints procedure
• Confidentiality
• Regulation of fertility treatment
• Regulation of abortion
• Some ethical issues in obstetrics and gynaecology
• Gynaecology management
• Obstetric management
• Appendix 1: Common drugs: safety and usage in pregnancy and breastfeeding
• Appendix 2: Normal maternal ranges in pregnancy