Preface to the fifth edition vii Preface to the first edition vii Acknowledgements ix List of abbreviations x About the companion website xiii Gynaecology 1 The history and examination in gynaecology 3 2 The menstrual cycle and its disorders 9with Margaret Rees 3 The uterus and its abnormalities 22 4 The cervix and its disorders 33 5 The ovary and its disorders 42 6 Disorders of the vulva and vagina 51 7 Prolapse of the uterus and vagina 57 8 Disorders of the urinary tract 62 9 Endometriosis and chronic pelvic pain 70 10 Genital tract infections 76with Graz Luzzi and Jackie Sherrard 11 Fertility and subfertility 85 12 Contraception 102 13 The menopause and postreproductive health 114with Margaret Rees 14 Disorders of early pregnancy 123 15 Gynaecological operations 135 Obstetrics 16 The history and examination in obstetrics 143 17 Antenatal care 152 18 Congenital abnormalities and their identification 158 19 Infections in pregnancy 171 20 Hypertensive disorders in pregnancy 180 21 Other medical disorders in pregnancy 189 22 Red blood cell isoimmunization 209 23 Delivery before term 213 24 Antepartum haemorrhage 221 25 Fetal growth, health and surveillance 228 26 Abnormal lie and breech presentation 240 27 Multiple pregnancy 245 28 Labour 1: Mechanism – anatomy and physiology 253 29 Labour 2: Management 260 30 Labour 3: Special circumstances 279 31 Instrumental and operative delivery 284 32 Obstetric emergencies 291 33 The puerperium 295 34 Birth statistics and audit 302 35 Legal (UK) and ethical issues in obstetrics and gynaecology 308with Ingrid Granne Gynaecology management 315 Obstetric management 329Lawrence Impey and Catharine Greenwood Appendix 1: Common drugs: safety and usage in pregnancy and breastfeeding 345 Appendix 2: Normal maternal ranges in pregnancy 349 Index 351

Praise for the previous edition: "… this textbook is a useful resource for medical students … it will provide them with the basic information they need to survive clinics and to pass exams … Clear, concise and colourful; perfect for easy learning and revision."—Times Higher Education Obstetrics & 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. Fully updated in accordance with NICE and other national guidelines, this fifth edition now includes: New sections on FGM, influenza and sepsisExpanded areas in medical disorders in pregnancy and mental illnessImprovements to the popular ‘management’ sectionColour-coded sections on obstetrics and gynaecology for ease of use This new edition of Obstetrics & Gynaecology will be an indispensable support to help not only students to revise for exams, especially OSCEs, but also healthcare practitioners and practising doctors to structure their knowledge and improve their practice. Obstetrics & Gynaecology is also supported by a companion website at www.impeyobgyn.com featuring: Downloadable illustrations from the bookInteractive MCQs and EMQsDownloadable revision notes to facilitate learning For more information on the complete range of Wiley medical student and junior doctor publishing, please visit: www.wileymedicaleducation.com To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email All content reviewed by students for students Wiley Medical Education books are designed exactly for their intended audience. All of our books are developed in collaboration with students. This means that our books are always published with you, the student, in mind. If you would like to be one of our student reviewers, go to www.reviewmedicalbooks.com to find out more. This title is also available as an e-book. For more details, please see www.wiley.com/buy/9781119010791