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  • Clinical obstetrics - a South African perspective 4/e
  • Cronjé HS, Cilliers JBF, du Toit MA (Editors)
  • ISBN: 9780627032752
  • eISBN: 9780627033124
  • ePub ISBN: N/A
  • 852 Pages | Published: 2016

Obstetrics is a unique field of medical care because, in its uncomplicated or natural form, pregnancy, labour and delivery are not diseases, but normal physiological events constituting an integral part of human life. Three equally important facets form the basis of obstetrics: the needs of the pregnant woman, the wellbeing of the baby, and the ability to perform a medical intervention should either of these be threatened — before, during and after birth. Clinical obstetrics is an authoritative and up-to-date textbook dealing with current obstetric practice and focusing specifically on conditions and problems prevailing in South Africa.


Clinical obstetrics covers a wide range of topics from physiological adaptations, diagnosis and management of normal pregnancy and delivery, to teratogenesis, red cell allo-immunisation, congenital abnormalities and pre-term labour. It also discusses the risks involved in poor progress in labour, abnormal fetal lie and presentation, viral infections and multiple pregnancies. There are separate sections for medical and surgical conditions, as well as diagnostic procedures. Clinical obstetrics is aimed primarily at medical students, but will also be of great value to nurses, registrars in obstetrics and gynaecology, general practitioners and specialists in this field.

Part One Scientific foundation of obstetrics

1.   Development of the embryo and fetus

2.   Physiological adaptations in pregnancy

3.   The physiology of labour and delivery

4.   The mature fetus

5.   Mechanism of labour


Part Two Normal obstetrics

6.   Pre-pregnancy counselling and health information

7.   Diagnosis of pregnancy

8.   Antenatal care

9.   Management of normal labour

10. Pain relief during labour

11. Natural birth

12. Management of the newborn baby

13. Postpartum care and breastfeeding

14. Postpartum contraception and sterilisation


Part Three Abnormal obstetrics

15. Teratogenesis

16. Congenital abnormalities

17. Red cell allo-immunisation

18. Maternal weight in pregnancy

19. Inadequate fundal growth

20. Excessive fundal growth

21. Prolonged pregnancy

22. Absent fetal movements and intrauterine fetal death

23. Pre-term labour

24. Pre-term rupture of membranes

25. Antepartum haemorrhage

26. Postpartum haemorrhage

27. Uterine rupture and trauma of the lower genital tract

28. Acute puerperal uterine inversion

29. Drugs acting on the uterus and cervix

30. Termination of pregnancy in the mid-trimester

31. Induction of labour

32. Occipito-posterior position

33. Abnormal fetal lie and presentation

34. Shoulder dystocia

35. Acute intrapartum fetal compromise

36. Umbilical cord prolapse

37. Abnormalities of the placenta, umbilical cord, membranes and amniotic fluid

38. Poor progress in labour

39. Forceps and ventouse delivery

40. Caesarean section

41. Symphysiotomy and destructive procedures

42. Breech presentation

43. Multiple pregnancies

44. Advanced extrauterine pregnancy

45. Abnormalities of the puerperium


Part Four Medical and surgical conditions

46. Drugs in pregnancy and lactation

47. Drug abuse

48. Immunisation during pregnancy

49. Minor ailments in pregnancy

50. Human immunodeficiency virus infection in pregnancy

51. Viral infections in pregnancy (excluding HIV)

52. Infection during pregnancy (excluding viral infection)

53. Intra-amniotic infection

54. Respiratory disease in pregnancy

55. Liver disease in pregnancy

56. Diseases of the urinary tract

57. Hypertensive disorders of pregnancy

58. Cardiac disease in pregnancy

59. Diabetes mellitus in pregnancy

60. Thyroid disease in pregnancy

61. Blood disorders in pregnancy

62. Autoimmune diseases during pregnancy

63. Epilepsy in pregnancy

64. Psychiatric disorders in pregnancy

65. Skin diseases in pregnancy

66. Acute abdominal pain in pregnancy

67. Gynaecological neoplasia in pregnancy


Part Five Diagnostic procedures in obstetrics

68. Antepartum assessment methods for fetal wellbeing

69. Ultrasound

70. Imaging of a pregnant patient

71. Diagnostic procedures


Part Six Critical care obstetrics

72. The critically ill obstetric patient

73. Acute renal failure

74. Disseminated intravascular coagulation


Part Seven General topics

75. The effect of age, parity and socioeconomic status on pregnancy outcome

76. Cultural aspects in obstetrics

77. Obstetrics in the community

78. Labour room policy

79. Quality control in obstetrics

80. Perinatal mortality

81. Maternal mortality

82. Female genital tract mutilation

All source material (excluding figures and tables) has been supplied in an editable format (Microsoft Office) and you can fully customise it to your needs.

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