CONTENTS
Chapter 1 Anatomy of the Female Reproductive System 1
Section 1 Vulva and Perineum 1
Section 2 Pelvic Viscera 10
Section 3 Pelvic Anatomy 20
Chapter 2 Physiology of Reproduction in Women 25
Section 1 Physiology Characteristics of Women��s Growth and Development Across the Life Span 26
Section 2 Hormones and Receptors 26
Section 3 Hypothalamic-Pituitary-Ovarian Axis 35
Section 4 Reproductive Neuroendocrinology 43
Section 5 Menstrual Cycle 45
Chapter 3 Maternal and Fetal Anatomy and Physiology 49
Section 1 Implantation 49
Section 2 Embryogenesis 50
Section 3 Fetal Development 50
Section 4 Placental Development and Function 55
Section 5 Fetal Membrane Development and Function 59
Section 6 Maternal Physiology 60
Chapter 4 Antepartum Assessment 66
Section 1 Preconceptional Counseling 66
Section 2 Prenatal Care 67
Section 3 Genetics 67
Section 4 Teratology and Medications That Affect the Fetus 71
Section 5 Antepartum Assessment 74
Chapter 5 Prenatal Diagnosis and Fetal Therapy 78
Section 1 Prenatal Diagnosis and Fetal Therapy 78
Section 2 Fetal Imaging 81
Chapter 6 Obstetrical Complications 84
Section 1 Pregnancy Hypertension 84
Section 2 Obstetrical Hemorrhage 90
Section 3 Abortion 102
Section 4 Preterm Birth 103
Section 5 Postterm Pregnancy 107
Section 6 Fetal Growth Disorders 109
Section 7 Multifetal Gestation 111
Section 8 Disorders of Amnionic Fluid Volume 115
Chapter 7 Medical and Surgical Complications 118
Section 1 Cardiovascular Disease 118
Section 2 Chronic Hypertension 125
Section 3 Thromboembolic Disorders 127
Section 4 Hepatic�� Pancreatic and Appendic Disorders 133
Section 5 Hematological Disorders 138
Section 6 Diabetes 141
Section 7 Thyroid Disorders 146
Section 8 Infectious Diseases 150
Section 9 Sexually Transmitted Diseases 154
Chapter 8 Normal Labor and Delivery 161
Section 1 Mechanisms of Labor 161
Section 2 Characteristics of Normal Labor 163
Section 3 Management of Normal Labor and Delivery 165
Chapter 9 Abnormal Labor 169
Section 1 Overview of Dystocia 169
Section 2 Abnormalities of the Expulsive Forces 169
Section 3 Fetopelvic Disproportion 171
Section 4 Precipitous Labor and Delivery 176
Section 5 Shoulder Dystocia 176
Section 6 Maternal and Fetal Complications with Dystocia 178
Section 7 Breech Presentation 178
Section 8 Forceps Delivery and Cesarean Delivery 180
Section 9 Prior Cesarean Delivery 181
Chapter 10 Obstetrical Anesthesia 185
Section 1 General Principles 185
Section 2 Analgesia and Sedation During Labor 185
Section 3 Regional Analgesia 186
Section 4 Combined Spinal-Epidural Techniques 189
Section 5 Local Infiltration for Cesarean Delivery 189
Section 6 General Anesthesia 189
Chapter 11 Fetus and Newborn 190
Section 1 The Newborn Infant 190
Section 2 Diseases and Injuries of the Fetus and Newborn 192
Chapter 12 Puerperium and Complications of Puerperium 196
Section 1 Puerperium 196
Section 2 Puerperal Infection 198
Chapter 13 Benign General Gynecology 203
Section 1 Gynaecological Examination 203
Section 2 Gynecologic Infection 206
Section 3 Benign Disorders of the Lower Reproductive Tract 214
Section 4 First-Trimester Abortion 217
Section 5 Ectopic Pregnancy 223
Section 6 Abnormal Uterine Bleeding 230
Section 7 Endometriosis 239
Section 8 Pelvic Mass 245
Section 9 Pelvic Pain 254
Chapter 14 Reproductive Endocrine Disease 260
Section 1 Amenorrhea 260
Section 2 Menopausal Transition 266
Section 3 Polycystic Ovary Syndrome 272
Section 4 Hyperprolactinemia 277
Chapter 15 Infertility and Assisted Reproductive Techniques 278
Section 1 Evaluation of the Infertile Couple 278
Section 2 Treatment of the Infertile Couple 285
Chapter 16 Pelvic Floor Dysfunction and Injuries of Reproductive Organs 290
Section 1 Urinary Incontinence 290
Section 2 Pelvic Organ Prolapse 299
Section 3 Anal Incontinence and Functional Anorectal Disorders 307
Section 4 Genitourinary Fistula and Urethral Diverticulum 311
Chapter 17 Gynecology Oncology 316
Section 1 Principles of Chemotherapy 316
Section 2 Principles of Radiotherapy 319
Section 3 Preinvasive Lesions of the Lower Genital Tract 323
Section 4 Cervical Cancer 327
Section 5 Invasive Cancer of the Vulva 332
Section 6 Vaginal Cancer 334
Section 7 Endometrial Cancer 339
Section 8 Uterine Sarcoma 343
Section 9 Epithelial Ovarian Cancer 347
Section 10 Ovarian Germ Cell and Sex Cord-Stromal Tumors 356
Section 11 Gestational Trophoblastic Disease 360
Chapter 18 Minimal Invasive Surgery 364
Section 1 Hysteroscopy 364
Section 2 Laparoscopy 367
Chapter 19 Family Planning 371
Section 1 Contraception 371
Section 2 Induced Abortions 378
Chapter 20 Techniques Used for Imaging in Gynecology 381
Section 1 Sonography 381