The thirteenth edition of Mudaliar and Menon’s Clinical Obstetrics has been thoroughly revised in keeping with the recent advances in the fields of obstetrics and gynecology as well as the new Competency-Based Medical Education (CBME) curriculum introduced by the National Medical Council (NMC).
While topics such as prenatal diagnosis, abnormal labour, hypertensive disorders and MTP have been thoroughly updated in keeping with the most recent international guidelines, this edition also features new topics such as Zika and COVID infections. Epilepsy and asthma, shoulder dystocia and bronchial asthma have been covered in newly added chapters. A new chapter has also been added on medical ethics and medicolegal issues, as these are important aspects of medicine that should be taught to students of the subject so that they may learn to ethically practice medicine.
Each chapter opens with a mention of the CMBE competencies covered therein as well as a list of learning objectives that outline the knowledge and skills a student would acquire from that chapter. Evidence-based information is provided in accordance with the latest guidelines recommended by national and international bodies. A number of clinical photographs and USG images have been added to aid in the visualisation of concepts.
Examination is the most difficult challenge faced by a medical student. Keeping this in mind, essential points are presented in boxes, tables and algorithms for better comprehension and ease of memorisation. In most chapters, discussions on clinical scenarios have been added to help students to understand the clinical aspects and problem-based approach to various ailments. To encourage students to self-learn, the essay questions, short answer questions and MCQs at the end of each chapter have been extensively updated.
This book is a handy resource for undergraduate and postgraduate medical students as well as teachers.
Editor
T Radha Bai Prabhu was the former Director and Superintendent of the Institute of Obstetrics and Gynaecology and Government Hospital for Women and Children, Chennai. Currently, she is Professor and HOD of the Department of Obstetrics and Gynaecology at Sri Muthu Kumaran Medical College Hospital and Research Institute, Chennai.
Section I: Anatomy and Physiology 1. The Pelvis 2. Anatomy of the Female Genital Organs 3. Physiology of Ovulation and Menstruation 4. Fertilisation of the Ovum and Development of the Placenta, Embryo and Fetus
Section II: Physiology of Pregnancy 5. Maternal Changes During Pregnancy 6. Diagnosis of Pregnancy 7. The Fetus in Normal Pregnancy 8. Preconceptional and Antenatal Care 9. Drugs in Pregnancy 10. Imaging Techniques 11. Antepartum Fetal Surveillance: Tests of Fetal Well-Being
Section III: Physiology of Labour and the Puerperium 12. Causation and Stages of Labour 13. The Mechanism of Labour 14. Conduct of Normal Labour 15. Intrapartum Fetal Surveillance 16. Induction of Labour 17. Normal Puerperium
Section IV: Complications of Pregnancy 18. Hyperemesis Gravidarum 19. Miscarriage (Abortion) 188 20. Ectopic Pregnancy 200 21. Hydatidiform Mole (Vesicular Mole) 214 22. Antepartum Hemorrhage—Abruptio Placentae 224 23. Placenta Previa 233 24. Preterm Labour 242 25. Fetal Growth Restriction 253 26. Prolonged Pregnancy (Post-Term Pregnancy) 265 27. Multiple Pregnancy 270 28. Rh-Isoimmunisation 283
Section V: Diseases Complicating Pregnancy 29. Anemia Complicating Pregnancy 295 30. Hypertensive Disorders of Pregnancy 310 31. Diabetes Complicating Pregnancy 331 32. Diseases of the Cardiovascular System 344 33. Liver and Gastrointestinal Disorders Complicating Pregnancy 354 34. Respiratory Diseases Complicating Pregnancy—Tuberculosis and Bronchial Asthma 361 35. Maternal Infections During Pregnancy 367 36. Diseases of the Urinary System Complicating Pregnancy 387 37. Epilepsy Complicating Pregnancy 393 38. Tumours of the Uterus and Adnexae Complicating Pregnancy 396 39. Surgical Emergencies Complicating Pregnancy 403
Section VI: Abnormal Labour 40. Abnormal Fetal Position and Presentations (Occipitoposterior Position, Face and Brow Presentations) 41. Transverse Lie/Oblique Lie/Unstable Lie 42. Breech Presentation and Compound Presentation 43. Shoulder Dystocia and Umbilical Cord Prolapse 44. Abnormal Labour and Dystocia Due to Anomalies of the Expulsive Force 45. Cephalopelvic Disproportion (CPD) and Obstructed Labour 46. Abnormalities of the Reproductive Tract 47. Complications of the Third Stage of Labour 48. Injuries to the Parturient Canal
Section VII: Postpartum Management 49. Puerperal Infection and Other Postpartum Complications
Section VIII: The Newborn and Neonatal Problems 50. Resuscitation and Examination of the Newborn 51. Feeding of the Newborn and Immunisation 52. Respiratory Distress and Neonatal Sepsis 53. Neonatal Jaundice 54. Neonatal Problems and Their Management
Section IX: Obstetric Operations and procedures 55. The Forceps and the Vacuum Extractor 56. Version and Destructive Operations 57. Cesarean Section
Section X: Miscellaneous 58. Maternal Mortality 59. Perinatal Mortality 60. Coagulation Disorders 61. Use of Blood and Blood Products in the Obstetric Practice 62. Prenatal Diagnosis 63. Medical Termination of Pregnancy 64. Contraception 65. Ethics and Medicolegal Issues in Obstetrics 66. Maternal and Newborn Health: Initiatives and Programmes by the Government of India
Annexure I: Normal Blood Values Annexure 2: Obstetric Instruments