Munro Kerr’s Operative Obstetrics 13th Edition by Sabaratnam Arulkumaran, Michael Robson ISBN 070207635X 978-0702076350

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ISBN 10: 070207635X
ISBN 13: 978-0702076350
Author: Sabaratnam Arulkumaran, Michael Robson 

This is a highly illustrated, practical book covering the obstetric and surgical procedures used in intrapartum care, including commonly used procedures and more rare techniques.

The authors take a step-by-step approach to each technique and includes ‘tips’ and ‘pointers’, whilst contextualising this with the history of obstetric practice.

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Munro Kerr’s Operative Obstetrics 13th Table of contents:

Part I. Antenatal

Chapter 1. Human Birth

Current Understanding

Biological Control of Labour – Triggering and Maintenance

Membrane Rupture

Chapter 2. Preterm Labour and Delivery

Introduction

Definition

Preterm Labour Versus Preterm Birth

Incidence of Preterm Birth

Aetiology and Mechanisms

Risk Factors

Outcomes

Prediction

Diagnosis

Management

Prevention of Preterm Labour

Minimizing the Complications of Preterm Delivery

Preterm Prelabour Rupture of Membranes

Mode of Delivery for Preterm Infants

Conclusion

Chapter 3. Cervical Cerclage

Introduction

Surgical Procedure

Discussion

Chapter 4. Antepartum Haemorrhage – an Overview

Clinical Assessment

Summary

Chapter 5. Vasa Praevia

Introduction

Definition

Incidence

Pathophysiology

Diagnosis

Investigations

Management

Chapter 6. Placental Abruption

Risk Factors for Placental Abruption

Pathophysiology

Presentation and Clinical Features

Management

Chapter 7. Induction of Labour

Introduction

History

Making the Decision

Incidence

Indications

Maternal Obesity

Special Circumstances

Methods of Induction

Pathway

Audit

Risk Management Issues

Part II. Labour and Delivery

Chapter 8. Assessment and Management of Labour

Introduction

General Principles of Labour

Normal and Abnormal Labour

Diagnosis and Management of Poor Progress in Labour

Risks of Treatment with Oxytocin and Assessment of Contractions

The Duration of Labour

Chapter 9. Fetal Surveillance in Labour

Intermittent Auscultation

High-Risk Pregnancy and Continuous Efm

Fetal Behavioural State in the Cardiotocograph – ‘Cycling’

Identification of Individual Features of Ctg Trace and Their Classification

Monitoring Uterine Contractions

Meconium-Stained Amniotic Fluid

Alternate or Adjunctive Methods of Assessing Fetal Health

Intrapartum Maternal Pyrexia and Neonatal Encephalopathy

Conclusions

Chapter 10. Fetal Asphyxia

Hypoxaemia, Hypoxia and Asphyxia

FHR Patterns Related to Hypoxia and Acidosis

Correlation of Ctg Patterns with Observed Brain Injury

Fetal Asphyxia and Medicolegal Implications

Reducing Adverse Outcomes

Conclusions

Chapter 11. Acute Tocolysis

Introduction

Definition

History

Pharmacological Agents for Acute Tocolytics

Clinical Indications for Acute Tocolysis

Which is the Ideal Tocolytic?

Risk Management and Medicolegal Issues

Chapter 12. Cord Prolapse

Predisposing Factors

Diagnosis

Management

Chapter 13. The Use of Oxytocin to Accelerate or Induce Labour

Oxytocin

Pharmacokinetics

High- and Low-Dose Oxytocin Regimens to Accelerate and Induce Labour

Current International Guidelines

Standardization of Terminology in Discussing The Use of Oxytocin

Development of Guidelines

Clinical Risks

Clinical Decision-Making and Audit

Key Clinical and Organizational Recommendations

Chapter 14. Malpresentations and Malpositions

Face Presentation

Brow Presentation

Transverse Lie

Compound Presentation

Chapter 15. Assisted Vaginal Delivery – an Overview

Introduction

Current Practice

Current Instruments for Assisted Vaginal Delivery and Associated Outcomes

Nonrotational Births

Rotational Births

Practical Aspects of Assisted Vaginal Delivery

Risk Management in Assisted Vaginal Delivery

The Role of Double Instrumentation and Abandoning Attempted Assisted Vaginal Delivery

Communication and Debriefing

The Way Forward for Assisted Vaginal Delivery

Good Practice Points

Suggested Audit Topics

Chapter 16. Assisted Vaginal Delivery – Nonrotational Forceps and Manual Rotation

Background

Preparation and Technique for Nonrotational Forceps

Key aspects of preparation:

Nonrotational Forceps for Direct Op Position

Nonrotational Forceps for Face Presentation

Digital and Manual Rotation

Conclusion

Good Practice Points

Chapter 17. Assisted Vaginal Delivery – Vacuum

Background

Preparation and Technique for Vacuum Delivery

Cup Detachment

Neonatal Complications

Good Practice Points

Chapter 18. Assisted Vaginal Delivery – Rotational Forceps

Background

Preparation and Technique for Rotational Forceps

Conclusion

Good Practice Points

Chapter 19. Shoulder Dystocia

Definition

Pathophysiology of Shoulder Dystocia

Incidence

Risk Factors for Shoulder Dystocia

Prediction of Shoulder Dystocia

Prevention

Management

Evaluate the Need for Episiotomy

Management After a Shoulder Dystocia

Brachial Plexus Injury

Documentation

Recommendations and Requirements for Shoulder Dystocia Training

Chapter 20. Breech Presentation

Epidemiology

Clinical Features, Diagnosis and Investigations

Prevention of Breech Presentation: External Cephalic Version

Mode of Birth for the Breech Baby

Criteria for Safest Vaginal Breech Birth

Counselling, Decision-Making and Consenting Regarding Mode of Birth

Conduct of Vaginal Breech Labour

Interventions at All-Fours Birth

The Mauriceau–Smellie–Veit Manoeuvre

The Bracht Manoeuvre

Emergency Interventions at Assisted Breech Birth

Breech Extraction

The Preterm Breech

Risk Management

Chapter 21. Twin and Triplet Delivery

Obstetric Factors

Anaesthetic Factors

First Stage of Labour

Second Stage of Labour

Delivery of the Second Twin

Third Stage of Labour

Locked Twins

Conjoined Twins

Triplets and Higher-Order Multiple Pregnancy

Chapter 22. Labour and Delivery After Previous Caesarean

Once a Caesarean Always a Caesarean

Selection Criteria for Vaginal Birth After Caesarean Section (Vbac)

Management of Trial for Vaginal Delivery

Conclusions

Chapter 23. Uterine Rupture

Introduction

Pathophysiology

Aetiology

Risk Factors

Clinical Features

Management

Prevention of Uterine Rupture

Pregnancy After Rupture

Chapter 24. Caesarean Section: Controversies, Audit, Classification and Indications

Controversies

Caesarean Section Audit

Ten Group Classification System

Indications for Caesarean Sections

Classification of Indications for Caesarean Sections

Analysis and Interpretation of Indications for Caesarean Sections

Conclusion

Chapter 25. Caesarean Section: Procedure

Classification of Urgency

Preoperative Preparation

Anaesthesia

Surgical Techniques

Uterine Incisions

Delivery

Closure

Documentation and Patient Information

Postoperative Care

Postoperative Complications

Chapter 26. Clinical Challenges at Caesarean Section: Uterine Rotation, Transverse Lie and Caesarean at Full Dilatation

Introduction

Crucial Points of Uterine Anatomy at Cs

Surgical Precision at Cs

Uterine Rotation

Cs for Transverse Lie

Caesarean Section at Full Dilatation

Pathophysiology

Clinical History

Clinical Examination

Proceeding to Cs

Difficulties Encountered/Special Circumstances

Complications

Conclusions

Audit

Chapter 27. Additional Procedures at Caesarean Section − Salpingectomy, Myomectomy, Ovarian Surgery and Hysterectomy

Salpingectomy

Myomectomy

Ovarian Surgery

Obstetric Hysterectomy

Surgical Considerations

Postoperative Considerations

Chapter 28. Placenta Praevia and the Placenta Accreta Spectrum

Placenta Praevia

Diagnosis

Antepartum Management

Caesarean Section for Uncomplicated Placenta Praevia

Vaginal Delivery in Placenta Praevia

Placental Accreta Syndrome

Management of Caesarean Scar Ectopic Pregnancy

Management of Pas Cases

Conservative Treatments

Complications

Possibility of Prevention

Future Developments

Chapter 29. Haemorrhagic Shock, Disseminated Intravascular Coagulation and Obstetric Resuscitation

Haemorrhagic Shock

Disseminated Intravascular Coagulation

Obstetric Resuscitation: Mobilize, Act and Think

Chapter 30. Thromboprophylaxis in Labour and Delivery

Introduction

Incidence

Risks of Thromboprophylaxis in Labour and Delivery

Management of Thromboprophylaxis for Labour and Delivery

Audit and Risk Management

Chapter 31. Amniotic Fluid Embolism

Pathophysiology

Diagnosis

Management

Chapter 32. Analgesia and Anaesthesia in Labour and Delivery

Introduction

Pain Pathways and Labour

Methods of Pain Relief

Chapter 33. Labour and Delivery in Women With a High Body Mass Index

Introduction

Definition

Incidence

History and Examination

Obstetrical Management

Anaesthesia Management

Postoperative Analgesia

Thromboprophylaxis

Summary

Part III. Postpartum

Chapter 34. Postpartum Haemorrhage

Introduction

Definition

The Normal Third Stage of Labour

Clinical Signs of Placental Separation

Routine Management to Prevent PPH

Pathophysiology of Postpartum Haemorrhage

Management of Primary Pph

Secondary PPH

Appendix 1. Oxytocic drugs

Chapter 35. Retained Placenta

Introduction

Routine Management of the Third Stage

Incidence of Retained Placenta

Pathophysiology (FIG. 35.2)

History

Examination and Investigations

Management

Medical Management to Deliver the Retained Placenta

Chapter 36. Uterine and Vaginal Tamponade

Uterine Tamponade

Vaginal Tamponade

Chapter 37. Uterine Compression Sutures

B-Lynch Suture

Modified B-Lynch Suture

Vertical Uterine Suture

Square Compression Sutures

Complications and Outcomes

Chapter 38. Pelvic Vessel Ligation and Embolization: Obstetric and Radiological Perspective

Historical Perspective

Anatomy and Haemodynamics

Radiological Perspective

Embolization

Balloon Occlusion

Future

Chapter 39. Lower Genital Tract Trauma

Anatomy

Perineal Trauma

Episiotomy

First Description of Episiotomy

Repair of Perineal Trauma

Obstetric Anal Sphincter Trauma (Third and Fourth Degree Tears)

Lacerations

Haematomas

Chapter 40. Acute Uterine Inversion

Types

Causes

Clinical Presentation

Management

Recurrent Uterine Inversion

Chapter 41. Symphysiotomy

Indications

Postdelivery Care

Immediate Complications

Conclusion

Chapter 42. Destructive Operations on the Fetus

General Principles

Operative Procedures

Postdelivery Care

Destructive Operations Versus Caesarean Section in low-Resource Settings

Conclusion

PART IV. Organizational Aspects

Chapter 43. Perinatal Audit in Labour and Delivery: Safety, Quality and Consistency

Introduction

Multidisciplinary Quality Assurance Programme

Audit

Information Collection

Principles of an Electronic Patient Record for Labour and Delivery

Labour Events and Outcome

Indications for Events and Outcomes

Information Retrieval, Presentation and Dissemination

Classification of Information

Ten Group Classification

The Ten Group Classification and the Advantage of Classification

Assessment of Management − Interpretation of Information

Chapter 44. Competence and Skills Training

Introduction and Historical Context

Preventable Harm

Skills Training

Key Elements for Skills Training

How to Organize Skills Training

Conclusion

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Tags: Sabaratnam Arulkumaran, Michael Robson, Munro Kerr’s, Operative Obstetrics