Essential Obstetrics And Gynaecology (4th Edition)
Zee Badoni
This is the sixth edition of a popular, highly readable primer in obstetrics and gynaecology. It has been thoroughly updated and aligns with the undergraduate curriculum in O&G devised by the Royal College of Obstetrics and Gynaecology.
This is the fifth edition of a popular, highly readable primer in obstetrics and gynaecology. It has been thoroughly updated and reconfigured to key into the new undergraduate curriculum n O&G devised by the Royal College of Obstetrics and Gynaecology.
'This is the O&G textbook to get! It is divided into three sections: a concise description of the basic science, then separate sections on obstetrics and gynaecology. The level of detail is spot on. The pages are colourful and friendly with clinical scenarios, essential points, pictures and tables throughout. The text is broken up by lots of headings for ease of reading and each chapter ends with a brief summary of the essential points - perfect for revision. Information is easy to find via the index and all the main subjects are covered. Marvellous.'
'A very attractive text for undergraduates in medicine, midwives and SHOs in obstetrics and gynaecology preparing for the DRCOG. The text is comprehensive but clear and concise...the graphics are outstanding. This is definitely a textbook to inspire students...and is aesthetically a very pleasing book to handle and read.'"
A social contract exists between medicine and society. In fulfilling the social contract to our patients and society, physicians have an obligation to provide the evidence-based care that patients want and need. What do the data regarding knowledge, judgment, and skills required to practice obstetrics and gynecology show? Obstetrics and gynecology job task analyses assess the importance of knowledge, judgment, and skills through surveys asking practicing physicians about the criticality and frequency of a variety of task statements to create an importance score. Excerpts from a 2018 practice analysis survey clearly indicate that reproductive health care and abortion are important components of the knowledge, judgment, and skills to practice obstetrics and gynecology in the United States. These standards help to assure the knowledge, judgment, and skills of current and future generations of ob-gyns, so their patients and the public can be provided the comprehensive reproductive health care they want and need. It is sometimes important to restate principles and standards that have become ingrained in thoughts and practices that guide physicians and serve to protect our patients. This concept is important now, as our country, health care professionals, and patients examine the future of reproductive health care, including abortion.
The prevention of fistula requires significant social and economic attention. Investing in medical facilities that are able to provide adequate prenatal care as well as healthy deliveries needs to be a priority. Prenatal care, with early identification of at-risk pregnancies coupled with early referral to delivery centers capable of operative delivery, is essential for prevention. The cost of prenatal care varies by country, as well as by government-provided insurance plan, but all costs for these preventive strategies are significantly lower than the cost of later treatment.
Maximizing the exposure of the defect is necessary to identify the location and size of the fistula, the extent of the tissue loss, the involved organs and tissues, and the amount of scar tissue in the vagina. The patient should be positioned in exaggerated lithotomy with a Trendelenburg tilt and the buttocks protruding on an adjustable operating table, if available. The use of bright and well-focused light over the field of surgery is essential.
Good nursing care for patients with fistula is essential to the surgical outcome. Nurses often receive special training onsite; the training includes presurgery and postsurgery care, psychological support, and counseling and communication skills.
Training facilities should be developed in districts with large numbers of untreated patients. The size of the health facility is determined by the magnitude of the problem in the area. Being part of a larger health institution provides access to and use of essential facilities, such as pharmacies, laboratories, laundries, sterilization services, and kitchens. Being part of a hospital offers other advantages as well, such as access to other aspects of health care, including prenatal health care services and emergency obstetric services.
Pregnant women who were sedentary before pregnancy should follow a more gradual progression of exercise. Although an upper level of safe exercise intensity has not been established, women who were regular exercisers before pregnancy and who have uncomplicated, healthy pregnancies should be able to engage in high-intensity exercise programs, such as jogging and aerobics, with no adverse effects. High-intensity or prolonged exercise in excess of 45 minutes can lead to hypoglycemia; therefore, adequate caloric intake before exercise, or limiting the intensity or length of the exercise session, is essential to minimize this risk 55.
The first edition of this textbook was designed, according to the editors in the preface, for the core clerkship in obstetrics and gynecology taught in medical schools. Since its publication in 1986, the text -- including the 1992 second edition -- has done just that. A comprehensive, "cost-effective" introduction to the ever-expanding discipline of obstetrics and gynecology, Essentials of Obstetrics and Gynecology has found its way into the recommended or required reading assignments of many medical schools. The third edition continues to fill that important niche, with rewritten and revised chapters covering advances in laparoscopic surgery, advances in medical management of gynecologic diseases (eg, endometriosis and uterine leiomyomata), and even such topics as managed care and the human genome. Far-ranging and heady stuff for the third-year medical student!
The third edition, like its 2 progenitors, is divided into 5 parts -- Introduction (6 chapters, covering a range of basics from the obstetrics and gynecologic evaluation to ethics and economic issues); Maternal-Fetal Medicine (25 chapters); Gynecology (17 chapters); Reproductive Endocrinology (5 chapters); and Gynecologic Oncology (6 chapters). The Maternal-Fetal section is longer than the others, as the editors did not separate the general obstetrics section from perinatology topics. The usual reader will not be distracted by this lack of parallel to the gynecology sections.
As in previous editions, the various contributors represent a global perspective. The more than 50 contributors include ob-gyn leaders from the universities of California at Los Angeles, Colorado, Illinois at Chicago, Kentucky, Michigan, and Wisconsin, as well as the Royal Hospital for Women in Randwick, New South Wales, the University of Tasmania in Australia, and McGill University in Montreal. The chapter authors are expert; many are nationally and internationally recognized in their fields. There can be no criticism of the contributors to this text. The editors, Neville F. Hacker in Australia and J. George Moore in Los Angeles, have demonstrated an extraordinary facility for picking "who's who" and "who knows what" in obstetrics and gynecology.
The necessarily lengthy Maternal-Fetal-Medicine section, covering as it does both normal and complicated obstetrics, appropriately addresses its topics at the medical student level. The chapter "Immunology of Pregnancy" is mildly mislabeled in that it contains both general immunologic principles (which could have been a general chapter in the Introduction section covering both obstetrics and gynecology), and a discussion of immunologic diseases in pregnancy (eg, lupus). In fact, particularly at the medical student level, Rh isoimmunization is studied as an immunologic disease. Thus, the immunology principles could have been a general chapter in the Introduction section, and the discussion of immunologic disease, including Rh disease, could have been contained in the Maternal-Fetal-Medicine section.
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