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DC Dutta’s Textbook of Obstetrics DC Dutta

CHAPTER 1: Anatomy of Female Reproductive Organs
- EXTERNAL GENITALIA (SYNONYMS: VULVA, PUDENDUM)
- INTERNAL GENITAL ORGANS
- VAGINA
- THE UTERUS
- FALLOPIAN TUBE (SYNONYMS: UTERINE TUBE, OVIDUCT)
- THE OVARY
- MUSCLES AND FASCIA IN RELATION TO THE PELVIC ORGANS
- PELVIC FLOOR (SYNONYM: PELVIC DIAPHRAGM)
- PERINEUM
- PELVIC FASCIA
- PELVIC CELLULAR TISSUE
- FEMALE URETHRA
- THE URINARY BLADDER
- PELVIC URETER
- THE BREAST
CHAPTER 2: Fundamentals of Reproduction
- GAMETOGENESIS
- FERTILIZATION
CHAPTER 3: The Placenta and Fetal Membranes
- THE PLACENTA
  - DEVELOPMENT
- THE PLACENTA AT TERM
  - STRUCTURES
- PLACENTAL CIRCULATION
- PLACENTAL AGING
- PLACENTAL FUNCTION
- THE FETAL MEMBRANES
- AMNIOTIC CAVITY, AMNION AND AMNIOTIC FLUID
  - AMNIOTIC FLUID
- THE UMBILICAL CORD
CHAPTER 4: The Fetus
- FETAL PHYSIOLOGY
- THE FETAL CIRCULATION
  - CHANGES OF THE FETAL CIRCULATION AT BIRTH
CHAPTER 5: Physiological Changes During Ppregnancy
- GENITAL ORGANS
- UTERUS
- BREASTS
- CUTANEOUS CHANGES
- WEIGHT GAIN
- BODY WATER METABOLISM
- HEMATOLOGICAL CHANGES
- CARDIOVASCULAR SYSTEM
- METABOLIC CHANGES
- SYSTEMIC CHANGES
CHAPTER 6: Endocrinology in Relation to Reproduction
- PLACENTAL ENDOCRINOLOGY
- DIAGNOSTIC VALUE OF PLACENTAL HORMONES
- CHANGES OF ENDOCRINE GLANDS DURING PREGNANCY
- PITUITARY GLAND
- THYROID
- ADRENAL CORTEX
- PARATHYROID GLAND
- PANCREAS
- HORMONAL INFLUENCES NECESSARY FOR MAINTENANCE OF LACTATION
CHAPTER 7: Diagnosis of Ppregnancy
- FIRST TRIMESTER (FIRST 12 WEEKS)
- SECOND TRIMESTER (13–28 WEEKS)
- LAST TRIMESTER (29-40 WEEKS)
- DIFFERENTIAL DIAGNOSIS OF PREGNANCY
- SUMMARY OF DIAGNOSIS OF PREGNANCY
- CHRONOLOGICAL APPEARANCE OF SPECIFIC SYMPTOMS AND SIGNS OF PREGNANCY
- SIGNS OF PREVIOUS CHILD BIRTH
- ESTIMATION OF GESTATIONAL AGE AND PREDICTION OF EXPECTED DATE OF DELIVERY
- ESTIMATION OF FETAL WEIGHT
CHAPTER 8: The Fetus-in-Utero
- METHODS OF OBSTETRICAL EXAMINATION
CHAPTER 9: Fetal Skull and Maternal Pelvis
- FETAL SKULL
- PELVIS
- FALSE PELVIS
- TRUE PELVIS
- INLET
- CAVITY
- OUTLET
- MIDPELVIS
CHAPTER 10: Antenatal Care, Preconceptional Counseling and Care
- PROCEDURE AT THE FIRST VISIT
  - HISTORY TAKING
  - EXAMINATION
- PROCEDURE AT THE SUBSEQUENT VISITS
- ANTENATAL ADVICE
- MINOR AILMENTS IN PREGNANCY
- VALUES OF ANTENATAL CARE
- PRECONCEPTIONAL COUNSELING AND CARE
CHAPTER 11: Antenatal Assessment of Fetal Well-Being
- CLINICAL EVALUATION OF FETAL WELL-BEING AT ANTENATAL CLINIC
- ANTEPARTUM FETAL SURVEILLANCE (LATE PREGNANCY)
- OTHER INVESTIGATIONS IN LATE PREGNANCY
CHAPTER 12: Prenatal Genetic Counseling, Screening and Diagnosis
- PRENATAL GENETIC SCREENING
  - PRENATAL DIAGNOSIS
- Invasive Procedures for Prenatal Diagnosis:
  - FETAL BLOOD SAMPLING
- NONINVASIVE METHOD OF PRENATAL TESTING FROM MATERNAL PLASMA/BLOOD
CHAPTER 13: Normal Labor
- CAUSES OF ONSET OF LABOR
  - CONTRACTILE SYSTEM OF THE MYOMETRIUM
- PHYSIOLOGY OF NORMAL LABOR
- EVENTS IN FIRST STAGE OF LABOR
- EVENTS IN SECOND STAGE OF LABOR
- EVENTS IN THIRD STAGE OF LABOR
- MECHANISM OF NORMAL LABOR
  - ANATOMY OF LABOR
- CLINICAL COURSE OF FIRST STAGE OF LABOR
- CLINICAL COURSE OF SECOND STAGE OF LABOR
- CLINICAL COURSE OF THIRD STAGE OF LABOR
  - PLACE OF DELIVERY
- MANAGEMENT OF NORMAL LABOR
- MANAGEMENT OF THE FIRST STAGE
- MANAGEMENT OF THE SECOND STAGE
- IMMEDIATE CARE OF THE NEWBORN
- MANAGEMENT OF THE THIRD STAGE
CHAPTER 14: Normal Puerperium
- INVOLUTION OF THE UTERUS
- INVOLUTION OF OTHER PELVIC STRUCTURES
  - LOCHIA
- GENERAL PHYSIOLOGICAL CHANGES
- LACTATION
  - PHYSIOLOGY OF LACTATION
- MANAGEMENT OF NORMAL PUERPERIUM
- MANAGEMENT OF AILMENTS
- POSTNATAL CARE
CHAPTER 15: Vomiting in Pregnancy
- VOMITING IN PREGNANCY
- HYPEREMESIS GRAVIDARUM
  - CLINICAL COURSE
  - MANAGEMENT
CHAPTER 16: Hemorrhage in Early Pregnancy
- SPONTANEOUS ABORTION (MISCARRIAGE)
  - ETIOLOGY
- THREATENED MISCARRIAGE
- INEVITABLE MISCARRIAGE
- COMPLETE MISCARRIAGE
- INCOMPLETE MISCARRIAGE
- MISSED MISCARRIAGE
- SEPTIC ABORTION
  - MANAGEMENT
- RECURRENT MISCARRIAGE
  - ETIOLOGY
  - CERVICAL INCOMPETENCE (CERVICAL INSUFFICIENCY)—20%
  - INVESTIGATIONS FOR RECURRENT MISCARRIAGE
  - TREATMENT
  - MANAGEMENT OF CERVICAL INCOMPETENCE
  - PROGNOSIS OF RECURRENT MISCARRIAGE
- INDUCTION OF ABORTION
- MEDICAL TERMINATION OF PREGNANCY (MTP)
  - RECOMMENDATIONS
  - METHODS OF TERMINATION OF PREGNANCY
  - FIRST TRIMESTER TERMINATION OF PREGNANCY
  - MIDTRIMESTER TERMINATION OF PREGNANCY
  - COMPLICATIONS OF MTP
- ECTOPIC PREGNANCY
- TUBAL PREGNANCY
  - MORBID ANATOMY
  - MODE OF TERMINATION
  - CLINICAL FEATURES OF ECTOPIC PREGNANCY
- UNRUPTURED TUBAL ECTOPIC PREGNANCY
- CHRONIC OR OLD ECTOPIC
- DIAGNOSIS OF ECTOPIC PREGNANCY
- INTERSTITIAL PREGNANCY (FIG. 16.10)
- MANAGEMENT OF ECTOPIC PREGNANCY
- MANAGEMENT OF UNRUPTURED TUBAL PREGNANCY
- ABDOMINAL PREGNANCY
- OVARIAN PREGNANCY
- CORNUAL PREGNANCY
- CERVICAL PREGNANCY
  - GESTATIONAL TROPHOBLASTIC DISEASES (GTD)
  - Pathology OF HYDATIDIFORM MOLE
  - CLINICAL FEATURES
  - COMPLICATIONS OF MOLAR PREGNANCY
  - MANAGEMENT
- PARTIAL OR INCOMPLETE MOLE
- PLACENTAL SITE TROPHOBLASTIC TUMOR (PSTT)
- PERSISTENT GESTATIONAL TROPHOBLASTIC DISEASE
CHAPTER 17: Multiple Pregnancy, Amniotic Fluid Disorders, Abnormalities of Placenta and Cord
- TWINS
- TRIPLETS, QUADRUPLETS, ETC.
- AMNIOTIC FLUID DISORDERS
- MANAGEMENT
  - ACUTE POLYHYDRAMNIOS
  - OLIGOHYDRAMNIOS (SYN: OLIGOAMNIOS)
- ABNORMALITIES OF PLACENTA AND CORD
- CORD ABNORMALITIES
CHAPTER 18: Hypertensive Disorders in Pregnancy
- PREECLAMPSIA
- ACUTE FULMINANT PREECLAMPSIA (Synonym: Preeclamptic State)
- ECLAMPSIA
- GESTATIONAL HYPERTENSION
- CHRONIC HYPERTENSION IN PREGNANCY
- ESSENTIAL HYPERTENSION IN PREGNANCY
- CHRONIC RENAL DISEASES IN PREGNANCY
CHAPTER 19: Antepartum Hemorrhage
- PLACENTA PREVIA
- PRACTICAL GUIDELINES FOR CESAREAN DELIVERY
- PRACTICAL GUIDE TO LOWER SEGMENT APPROACH FOR PLACENTA PREVIA
- PRACTICAL GUIDELINES TO LOWER SEGMENT APPROACH FOR PLACENTA PREVIA ACCRETA
- ABRUPTIO PLACENTAE (Syn: Accidental Hemorrhage. Premature Separation of Placenta)
CHAPTER 20: Medical and Surgical Illness Complicating Pregnancy
- HEMATOLOGICAL DISORDERS IN PREGNANCY
- HEART DISEASE IN PREGNANCY
- DIABETES MELLITUS AND PREGNANCY
- THYROID DYSFUNCTION AND PREGNANCY
- JAUNDICE IN PREGNANCY
- VIRAL HEPATITIS
- EPILEPSY IN PREGNANCY
- ASTHMA IN PREGNANCY
- SYSTEMIC LUPUS ERYTHEMATOSUS (SLE)
- TUBERCULOSIS IN PREGNANCY
- MANAGEMENT
- SYPHILIS IN PREGNANCY
- PARASITIC AND PROTOZOAL INFESTATIONS IN PREGNANCY
- PYELONEPHRITIS IN PREGNANCY
  - ASYMPTOMATIC BACTERIURIA (ASB)
- VIRAL INFECTIONS IN PREGNANCY
- HUMAN IMMUNODEFICIENCY VIRUS INFECTION (HIV) AND ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)
  - MANAGEMENT
- SURGICAL ILLNESS DURING PREGNANCY
- ACUTE PAIN IN ABDOMEN DURING PREGNANCY
CHAPTER 21: Gynecological Disorders in Pregnancy
- CARCINOMA CERVIX WITH PREGNANCY
  - TREATMENT
- LEIOMYOMAS WITH PREGNANCY
  - TREATMENT
- OVARIAN TUMOR IN PREGNANCY
- RETROVERTED GRAVID UTERUS
  - MORBID ANATOMIC CHANGES IF LEFT UNCARED FOR
  - TREATMENT
- GENITAL PROLAPSE IN PREGNANCY
  - TREATMENT
CHAPTER 22: Preterm Labor, Preterm Rupture of the Membranes, Postmaturity, Intrauterine Fetal Death
- PRETERM LABOR (Syn: Premature Labor)
- MANAGEMENT IN LABOR
- PRELABOR RUPTURE OF THE MEMBRANES (PROM) (Syn: Premature Rupture of Membranes)
  - MANAGEMENT
- PROLONGED AND POST-TERM PREGNANCY (Syn: Postmaturity)
  - DIAGNOSIS
  - MANAGEMENT
- INTRAUTERINE FETAL DEATH (IUFD)
CHAPTER 23: Complicated Pregnancy
- PREGNANCY WITH PRIOR CESAREAN DELIVERY
- PREGNANCY IN A RH-NEGATIVE WOMAN
- RED CELL ALLOIMMUNIZATION
  - FETAL AFFECTION BY THE RH ANTIBODY
- MANIFESTATIONS OF THE HEMOLYTIC DISEASE OF THE FETUS AND NEWBORN (HDFN)
  - PREVENTION OF RH-IMMUNIZATION
- ANTENATAL INVESTIGATION PROTOCOL OF RH-NEGATIVE MOTHERS
- PLAN OF DELIVERY
- EXCHANGE TRANSFUSION IN THE NEWBORN
  - PROGNOSIS
- ELDERLY PRIMIGRAVIDA
- GRAND MULTIPARA
- BAD OBSTETRIC HISTORY (BOH)
  - INVESTIGATIONS AND MANAGEMENT
- OBESITY IN PREGNANCY
CHAPTER 24: Contracted Pelvis
- MECHANISM OF LABOR IN CONTRACTED PELVIS WITH VERTEX PRESENTATION
- DIAGNOSIS OF CONTRACTED PELVIS
- DISPROPORTION
  - DIAGNOSIS OF CEPHALOPELVIC DISPROPORTION (CPD) AT THE BRIM
- EFFECTS OF CONTRACTED PELVIS ON PREGNANCY AND LABOR
- MANAGEMENT OF CONTRACTED PELVIS (INLET CONTRACTION)
- TRIAL LABOR
- MIDPELVIC AND OUTLET DISPROPORTION
CHAPTER 25: Abnormal Uterine Action
- UTERINE INERTIA (HYPOTONIC UTERINE DYSFUNCTION)
- INCOORDINATE UTERINE ACTION
- PRECIPITATE LABOR
- TONIC UTERINE CONTRACTION AND RETRACTION (Syn: Bandl’s ring, Pathological retraction ring)
- SUMMARY
CHAPTER 26: Complicated LABOR-Malposition, Malpresentation and Cord Prolapse
- OCCIPUT-POSTERIOR POSITION (OP)
- DEEP TRANSVERSE ARREST (DTA)
- MANUAL ROTATION FOR OCCIPITOPOSTERIOR POSITION
- BREECH PRESENTATION
- ASSISTED BREECH DELIVERY
- MANAGEMENT OF COMPLICATED BREECH DELIVERY
- FACE PRESENTATION
- BROW PRESENTATION
- TRANSVERSE LIE
  - DIAGNOSIS
  - CLINICAL COURSE OF LABOR
- MANAGEMENT OF SHOULDER PRESENTATION
- UNSTABLE LIE
- COMPOUND PRESENTATION (Syn: Complex presentation)
- CORD PROLAPSE
  - MANAGEMENT
CHAPTER 27: Prolonged Labor, Obstructed Labor, Dystocia Caused by Fetal Anomalies
- PROLONGED LABOR
  - TREATMENT
- OBSTRUCTED LABOR
- DYSTOCIA CAUSED BY FETAL ANOMALIES
- SHOULDER DYSTOCIA
CHAPTER 28: Complications of the Third Stage of Labor
- POSTPARTUM HEMORRHAGE (PPH)
- PRIMARY POSTPARTUM HEMORRHAGE
- SECONDARY POSTPARTUM HEMORRHAGE
- RETAINED PLACENTA
  - MANAGEMENT
  - MANAGEMENT OF UNFORESEEN COMPLICATIONS DURING MANUAL REMOVAL
- PLACENTA ACCRETA (SYN: MORBID ADHERENT PLACENTA)
- INVERSION OF THE UTERUS
CHAPTER 29: Injuries to the Birth Canal
- VULVA
- PERINEUM
  - MANAGEMENT
- VAGINA
- CERVIX
- PELVIC HEMATOMA
- RUPTURE OF THE UTERUS
- VISCERAL INJURIES
CHAPTER 30: Abnormalities of the Puerperium
- PUERPERAL PYREXIA
- PUERPERAL SEPSIS (Syn: Puerperal infection)
- SUBINVOLUTION
- URINARY COMPLICATIONS IN PUERPERIUM
- BREAST COMPLICATIONS
- PUERPERAL VENOUS THROMBOSIS AND PULMONARY EMBOLISM
  - PROPHYLAXIS AND MANAGEMENT FOR VENOUS THROMBOEMBOLISM (VTE) IN PREGNANCY AND PUERPERIUM
  - PULMONARY EMBOLISM (PE)
- OBSTETRIC PALSIES (Syn: Postpartum traumatic neuritis)
- PUERPERAL EMERGENCIES
- PSYCHIATRIC DISORDERS DURING PUERPERIUM
- PSYCHOLOGICAL RESPONSE TO PERINATAL DEATHS AND MANAGEMENT
CHAPTER 31: The Term Newborn Infant
- PHYSICAL FEATURES OF THE NEWBORN
- IMMEDIATE CARE OF THE NEWBORN
- INFANT FEEDING
  - BREASTFEEDING
  - ARTIFICIAL FEEDING
- CHILDHOOD IMMUNIZATION PROGRAM
CHAPTER 32: Low Birth Weight Baby
- PRETERM BABY (Syn. Prematurity, premature baby)
- FETAL GROWTH RESTRICTION (FGR) Syn: Intrauterine Growth Restriction (IUGR), Chronic placental insufficiency
  - MANAGEMENT
CHAPTER 33: Disease of the Fetus and the Newborn
- PERINATAL ASPHYXIA
- RESPIRATORY DISTRESS IN THE NEWBORN
  - IDIOPATHIC RESPIRATORY DISTRESS SYNDROME Syn: Hyaline Membrane Disease, Respiratory Distress Syndrome (RDS)
  - MECONIUM ASPIRATION SYNDROME (MAS)
- JAUNDICE OF THE NEWBORN
- HEMOLYTIC DISEASE OF THE NEWBORN
  - ABO GROUP INCOMPATIBILITY
- BLEEDING DISORDERS IN THE NEWBORN
- ANEMIA IN THE NEWBORN
- SEIZURES IN NEWBORN
- BIRTH INJURIES OF THE NEWBORN
- PERINATAL INFECTIONS
- CONGENITAL MALFORMATIONS AND PRENATAL DIAGNOSIS
  - DOWN’S SYNDROME (TRISOMY 21)
- CONGENITAL MALFORMATIONS IN NEWBORN AND THE SURGICAL EMERGENCIES
- NONIMMUNE FETAL HYDROPS (NIFH)
CHAPTER 34: Pharmacotherapeutics in Obstetrics
- OXYTOCICS IN OBSTETRICS
- ANTIHYPERTENSIVE THERAPY
- DIURETICS
- TOCOLYTIC AGENTS
- ANTICONVULSANTS
- ANTICOAGULANTS
- MATERNAL DRUG INTAKE AND BREASTFEEDING
  - FETAL HAZARDS ON MATERNAL MEDICATION DURING PREGNANCY
  - TERATOLOGY AND PRESCRIBING IN PREGNANCY
- ANALGESIA AND ANESTHESIA IN OBSTETRICS
CHAPTER 35: Induction of Labor
- METHODS OF INDUCTION OF LABOR
- ACTIVE MANAGEMENT OF LABOR (SYN: AUGMENTATION OF LABOR)
- PARTOGRAPH
CHAPTER 36: Population Dynamics and Control of Conception
- POPULATION DYNAMICS
- CONTROL OF CONCEPTION
  - FAMILY PLANNING
  - CONTRACEPTION
- METHODS OF CONTRACEPTION
- CONTRACEPTIVE COUNSELING AND PRESCRIPTION
- ONGOING TRIALS AND SELECTIVE AVAILABILITY
CHAPTER 37: Operative Obstetrics
- DILATATION AND EVACUATION (D&E)
- SUCTION EVACUATION
- MENSTRUAL REGULATION (SYN: INDUCTION, ASPIRATION)
- VACUUM ASPIRATION
- HYSTEROTOMY
- EPISIOTOMY
- OPERATIVE VAGINAL DELIVERY
- VERSION
  - EXTERNAL CEPHALIC VERSION
  - INTERNAL VERSION
- DESTRUCTIVE OPERATIONS
- CESAREAN SECTION (CS)
- SYMPHYSIOTOMY
CHAPTER 38: Safe Motherhood, Epidemiology of Obstetrics
- SAFE MOTHERHOOD
- REPRODUCTIVE AND CHILD HEALTH (RCH) CARE
  - RCH INTERVENTIONS
- EPIDEMIOLOGY OF OBSTETRICS
CHAPTER 39: Special Topics in Obstetrics
- INTRAPARTUM FETAL MONITORING
  - METHODS OF FETAL MONITORING
- NONREASSURING FETAL STATUS (NRFS)
  - MANAGEMENT OF NONREASSURING FETAL STATUS (NRFS)
- SHOCK IN OBSTETRICS
- ACUTE KIDNEY INJURY (AKI) (SYN: ACUTE RENAL FAILURE IN OBSTETRICS)
  - CAUSES OF ACUTE KIDNEY INJURY (AKI)
  - MANAGEMENT OF AKI IN OBSTETRICS (PRERENAL)
- BLOOD COAGULATION DISORDERS IN OBSTETRICS
- HIGH-RISK PREGNANCY
- IMMUNOLOGY IN OBSTETRICS
- CRITICAL CARE IN OBSTETRICS
- OBJECTIVE PARAMETERS (SELECTED) FOR ADMISSION OF A PATIENT (NONPREGNANT) IN AN ICU
CHAPTER 40: Current Topics in Obstetrics
- ANTIBIOTIC PROPHYLAXIS IN CESAREAN SECTION
- DAY CARE OBSTETRICS
- LEGAL AND ETHICAL ISSUES IN OBSTETRIC PRACTICE
- AUDIT IN OBSTETRICS
- THE PRECONCEPTION AND PRENATAL DIAGNOSTIC TECHNIQUES PROHIBITION OF SEX SELECTION ACT, 1994 AMENDED UP TO FEB. 2003
  - UMBILICAL CORD BLOOD BANKING
  - STEM CELLS AND THERAPIES IN OBSTETRICS
CHAPTER 41: Imaging in Obstetrics (USG, MRI, CT, Radiology), Amniocentesis and Guides to Clinical Tests
- ULTRASOUND IN OBSTETRICS
- MAGNETIC RESONANCE IMAGING (MRI) AND COMPUTED TOMOGRAPHY (CT) IN OBSTETRICS
- RADIOLOGY IN OBSTETRICS
- AMNIOCENTESIS
- GUIDES TO CLINICAL TESTS
  - EXAMINATION OF URINE
- TESTS FOR BLOOD COAGULATION DISORDERS
CHAPTER 42: Practical Obstetrics
- • INSTRUMENTS • SPECIMENS • IMAGING STUDIES (USG, MRI) AND DRUGS
- OBSTETRIC INSTRUMENTS
  - SPECIMENS
- IMAGING STUDIES (USG PLATES)
- Processing of Instruments

INDEX

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Chapter Notes