目 錄

Section One Basic Sciences in Obstetrics and Gynecology

1　Anatomy… ……………………………… 3

2　Reproductive Physiology………………… 33

3　Conception, Fertilization and Implantation… …………………………………………………………………… 51

4　Fetal Growth, Placenta and Umbilical Cord……………………………………………………………………… 62

5　Embryology… …………………………… 78

Section Two Gynecology

6 Gynecological History and Clinical Examination………………………………………………………………… 91

7 Pediatric and Adolescent Gynecology… … 96

8 Gynecological Infection and STD………… 105

9 Amenorrhea… …………………………… 139

10 Abnormal Uterine Bleeding… ………… 148

11 Infertility………………………………… 158

12 Polycystic Ovarian Syndrome (PCOS)… ……………………………………………………………………… 174

13 Hirsutism………………………………… 180

14 Menopause……………………………… 184

15 Benign Lesions of the Vulva and Vagina… 192

16 Benign Disorders of the Uterine Cervix… 202

17 Benign Disorders of Uterine Corpus (Fibroids, Adenomyosis and Endometrial Polyp) ………………………… 206

18 Benign Adnexal Masses… ……………… 222

19 Premalignant and Malignant Disorders of the Vulva and Vagina… …………………………………………… 234

20 Premalignant and Malignant Disorders of the Uterine Cervix… ……………………………………………… 244

21 Premalignant and Malignant Disorders of the Uterine Corpus… ……………………………………………… 267

22 Premalignant and Malignant Disorders of Ovaries and Fallopian Tubes………………………………………… 278

23 Gestational Trophoblastic Diseases……… 291

24 Endometriosis…………………………… 299

25 Pelvic Organ Prolapse (POP)…………… 309

26 Urinary Incontinence…………………… 321

27 Genital Ambiguity and Intersexuality…… 333

28 Contraception…………………………… 341

Section Three Obstetrics

29 Preconceptional Counseling, Physiological Changes in Pregnancy and Antenatal Care………………………… 365

XIV

Contents

30 Normal Labor…………………………… 393

31 First Trimester Vaginal Bleeding………… 415

32 Recurrent Pregnancy Loss and Bad Obstetrical History………………………………………………………… 436

33 Late Pregnancy Complications… ……… 442

34 Third Trimester Bleeding… …………… 464

35 Disproportionate Fetal Growth… ……… 478

36 Multiple Pregnancy……………………… 485

37 Disorders of Amniotic Fluid… ………… 494

38 Special Cases in Obstetrics… …………… 499

39 Hypertensive Disorders in Pregnancy…… 502

40 Diabetes Mellitus and Pregnancy………… 514

41 Hematological Disorders in Pregnancy… ……………………………………………………………………… 521

42 Cardiac Disease in Pregnancy…………… 532

43 Thyroid Dysfunction with Pregnancy…… 539

44 Jaundice, Hepatitis and Gastrointestinal Disorders in Pregnancy………………………………………………… 544

45 Renal Disorders in Pregnancy…………… 551

46 Nervous System Disorders in Pregnancy… 556

47 Asthma in Pregnancy… ………………… 561

48 Local Abnormalities……………………… 565

49 Infection During Pregnancy… ………… 573

50 Malpresentation and Malposition……… 581

51 Dystocia and Cephalopelvic Disproportion……………………………………………………………………… 600

52 Postpartum Hemorrhage………………… 609

53 Puerperium……………………………… 621

54 Essential of Normal Newborn Assessment and Care… ………………………………………………………… 628

55 Special Topics in Obstetrics……………… 636

56 Critical Care Obstetric…………………… 657

Section Four Appendices

Appendix 1 Investigations in Gynecology… ……………………………………………………………………… 667

Appendix 2 Operative Obstetrics…………… 677

Appendix 3 Fetal Medicine………………… 699

Appendix 4 Drug Use in Pregnancy………… 701

Appendix 5 Psychological Aspects in Obstetrics and Gynecology… ……………………………………………… 703

Section Five Annexures

Annexure 1 Medical Eligibility Criteria for Initiation and Continuation of Intrauterine Devices (IUDs)… ……… 711

Annexure 2 Medical Eligibility Criteria for Initiation and Continuation of Combined OCs/Combined Injects/

Transdermal Patches and Vaginal Rings… …………………………………………………………… 714

Annexure 3 Medical Eligibility Criteria for Emergency Contraceptive Pills (ECPs)… …………………………… 717

Annexure 4 Normal Values in Pregnancy… ……………………………………………………………………… 718

Annexure 5 Indications and Risks of Common Vaccines During Pregnancy……………………………………… 720