Dutta Gynaecology

• Abdomen acute pain I 305 palpation (grips) I 78 Abdominal pregnancy 1191 Abnormal uterine contraction I 357 ABO incompatibility I 481 Abortion I 159 anatomic factors 1160 cervical circlage inl 171 cervical incompetence causing 1160 complete/163 criminal I 165 evacuation of retained products I 561 etiology of /159 fibromyomata causing 1160 genetic factors I 160, 168 immunological factors/160, 169 incomplete 1164 induction of! 173 inevitable 1163 missed I 164 recurrent 1168 septic I 165 threatened I 161 unsafe I 168 Abruptio placentae I 254, 628 Acquired immune deficiency syndrome (AIDS) I 300-302 intrapartum care I 301 pathogenesis I 300 Active management of laboUl 1527 Acute fulminant pre-eclampsia I 231 Acute renal failure I 621 Adrenal cortex I 62 After pains/152 Alpha-fetoprotein, 107, 494 Amnioinfusion/614 ~mniocentesis/111, 217, 336, 642 Amnion I 37 Amniotic ca¥ity I 37 INDEX Amniotic fluid/37 assessment of gestational maturity from I 111 index I 39, 215, 464 lecithin I sphingomyelin ratio 1111 shake test I 112 Amniotic fluid embolism (AFE) I 628 -Amniotomy, (i) for induction of labour I 523 Anaemia in pregnancy 1262-276 aplastic I 273 blood values, normal/263 complications I 266 treatment I 267 dimorphic I 272 erythropoiesis I 263 haemoglobinopathies I 273 iron deficiency I 265 megaloblastic I 271 nutritional megaloblastic I 271 in newboni I 482 physiological I 262 sickle cell disease I 273 total dose infusion (TDI) I 269 thalassaemia I 275 Analgesia and anaesthesia in obstetrics I 513 for Caesarean section I 518 complications I 518 regional I 515 TENS/518 pudendal block I 517 epidural I 516 spinal/517 • Anencephaly I 408 Angiographic embolisatiqnl 418 Antenatal care I 95 advices/l00 aims and objectives/95 diet/100 examination I 98 history taking 195 investigations I 99 immunisation 1102 procedures at visits I 95, 99 values I 103 , • n•• contd. from previous page Antenatal assessement of fetal well being/l05-113 amniocentesis/107, 111, 217, 336, 642 biochemical! 107 chorion villus biopsy /108 cordocentesis / 108 fetoscopy / 494 intrapartum/609-614 kick count/ 109 non stress test/110 cardiotocography /110 pulmonary maturity /111 radiology /111 shake test / 112 • ultrasonography / 110, 464, 643 Antepartum haemorrhage / 243 abruptio placentae / 254 placenta praevia/243 complications/248 degrees / 244 diagnosis / 246 differential /248 indeterminate bleeding / 260 management/250 Anthropoid pelvis/346 Antibiotic prophylaxis / 640 see also under specific diseases for newborn/ 489 Antibodies blocking / 635 Anti-cardiolipin antibody /169,343, 636 Anticoagulant therapy / 442, 509 Anticonvulsant drugs / 509 Anti-D immunoglobulin/334 Anti-emetics / 158 Antihypertensive drugs/230, 237, 506 Antiphospholipid syndrome/298, 343, 636 Antisepsis and asepsis in vaginal examination/l34 Anuria in obstetrics / 621 Anus, imperforate/ 495 . . Aortic coarctation, in pregnancy / 282 stenosis / 281 Apgar scoring/ 471 Apnoea, secondary / 472 Arias-Stella reaction/ 183 • • TEXT BOOK OF OBSTETRICS Artificial feeding / 455 Asphyxia, fetal blood analysis/613 Asphyxia, neonatorum/469 complications/472 management/471,473 perinatal/470 RDS, newborn/474 Asthma, in pregnal1cy / 302-303 Asymmetrical IUGR, 463, 648 Asymptomatic bacteriuria / 297 Asynclitism / 1~5 Atosiban/508 Attitude and lie of fetus/76 Audit in obstetrics / 638 Auscultation FHS / 70 Auto-immune thyroiditis / 290 ASD/281 Axis, pelvic / 94 anatomic/94 obstetric / 94 Baby friendly hospital initiative/ 452 Backache /102 . in puerperium/154 Bacteraemic (endotoxic) shock /620 Bacteriuria, asymptomatic / 297 Bad obstetric history / 343 Bag of membranes /119 Bag of waters, formation/ 117 B-Lynch/418 Ballottement external/70 internal/70 Bandl's ring / 362, 363 Battledore placenta / 220 Bearing down efforts /123, 132 Bereavement/444 Betarnimetics / 508 Biochemical assessment/ 107 Biophysical profile of fetus/109, 110,464 Biparietal diameter / 85 Birth canal injuries/ 423-432 • • • INDEX B contd. from previous page Birth injury, new born/ 483-488 Birth weight, low, see Low birthweight baby percentile values/ 457-468 Bishop's score / 522 Bladder, urinary anatomy/14 care during labour /135 changes in pregnancy / 56 changes in puerperium/ 151 injury/432 retention of urine/311 Blastocyst /22 development of /22 implantation of/23 penetration/23 Bleeding, new born/ 481 Blighted ovum/ 162 Blood coagulation disorders / 626 normal/626 pathological factors / 628 management/629 • Blood flow velocity, wavefoIIll/ 111 Blood gas analysis, fetal! 109, 613 Blood group systems, iso-immunization/332 Blood pressure, measurement, 222 hypertension, PIH/221 Blood sugar estimations, during pregnancy/284,653 Blood tests coagulation profile / 651 • blood sample collection/652 Blood transfusion, exchange, in neonatal haemolytic disease, jaundice / 339, 480 intrauterine / 338 Body mass index/344 Body water / 51 Brace suture / 418 Bradycardia, fetal, during labour /609 Brandt-Andrew method/141 Braxton Hick's contraction/47 Breaking the wind (Burping) / 452 Breast abscess / 440 anatomy /15, 49 changes/69 cracked nipple/ 439 engorgement/438 feeding, advantages/451 artificial / 455 attachment/452 difficulties / 453 technique / 452 • time, frequency / 451 under feeding / 454 mastitis/439 pain/440 Breast milk, composition/149,455 Breathing,fetal/469 Breech presentation/374 Burn-Marshall technique/384 diagnosis / 376 extended arms / 386 external cephalic version in/ 380 fetal prognosis / 379 Lovset's manoeuvre / 387 managementof/381 Mauriceau-Smellie-Veit technique / 384 mechanism, labour / 377 Pinard's manoeuvre / 386 varieties /375 . Bregrna/84 Bromocriptine, in suppression of lactation/150 Bronchopulmonary dysplasia, neonatal/474 Brow presentation/392 Caesarean section/ 588-598 classical / 327, 594 complications / 596 extraperitoneal/598 '; • •w•• • IV C contd. hom previous page hysterectomy / 598 in placenta praevia/252 incidence / 588 indications/588 LSCS/590 lovversegment/327 maternal mortality and morbidity / 597 measures to reduce/ 597 previous/327 scar/327 types/589 Calcium, channelblocker/508 requirement in pregnancy / 56, 101 Candida albicans infection / 306 Caputsuccedaneum/87 Carbamazepine / 298 Carbohydrate metabolism, maternal/54 changes in pregnancy / 286 Carcinoma cervix vvith pregnancy / 307 -Cardiac output/53 Cardiomyopathy / 282 Cardiotocography, antenatal/110 during labour / 610 Carneous mole/l64 Carpal tunnel syndrome/56 Cervical smears / 308 ectopy (erosion) / 306 Centchroman/558 Central tear of perineum/ 423 Cephalhaematoma/483 Cephalocentesis/408 Cephalo pelvic disproportion/ 352 degree/354 diagnOSis / 352 management/354 trial labour / 355 Cervical dystocia / 361 Cervical pregnancy /193 Cervical tear / 425 Cervicograph/404,529 Cervix, cytology / 308, 653 dilatation/119 detachment/425 • • • TEXT BOOK OF OBSTETRlCS effacement/120 incompetence /169 Chadvvick's sign/65 Chickenpox / 299 Chlamydia trachoma tis infection / 294 Cholecystitis, during pregnancy / 305 Chorio-carcinoma/193 Chorio-decid ual space / 30 Chorion/25 Chorion villus biopsy /108 Chorionic gonadotrophin/58 Chorionic somatomarnrnotrophin/59 Chorionic villi! 25 Choroid plexus cysts/649 Chromosomal abnormalities, fetal, diagnOSiS of! 493, 649 grovvth retardation and/ 463 Circulation, . fetal! 43 Cleft lip and palate / 453, 649, 496 Cleidotomy / 407, 587 Clot observation test /629 Coagulopathy, obstetrics / 626 Colostrum / 69 Colporrhexis/424 Complete perineal tear / 423 Compound presentation (complex presentation)/398 Congenital malformations in nevv born and Prenatal diagnosis/ 107,492 rubella causing/299 screening tests in the nevvborn/494 causes/492 diagnOSiS / 493 indications/493 procedures/493 surgical emergencies / 495 uterus / vagina / 306 Constipation/102 • Constriction ring/360, 363 Contraception/531-560 barrier methods / 532 biodegradable/559 breast feeding / 535 centchroman(saheli)/558 COC/543 emergency / 549 11'11 U t:.lI. C contd. from previous page gossypol / 558 injectables/548, 558, 559 injectable steroids / 542, 548 IUCDs/535,559 LNG-IUS / 537 methods / 532 natural/534 pearl index/531 prescription/557 ring/558 sterilisation/550 steroidal / 542 vaginal / 534 vasectomy / 551 tubectomy / 552 Contracted pelvis / 345-356 diagnosis of! 349 . kyphotic pelvis/348 mechanism of labour in flat pelvis / 348 generally contracted pelvis / 349 rnidpelvic and outlet contraction/356 . Naegele's pelvis/ 347 osteomalacic pelvis / 347 rachitic flat pelvis / 347 Robert's pelvis/348 varieties / 347 Contraction uterus/ 47 Convulsions, newborn/482 Coombs' test/335, 338,652 Cord abnormalities/220 single umbilical artery / 220 Cord blood tests / 338, 652 Cord presentation/ 399 Cord prolapse / 398 Cord, umbilical / 39 Cordocentesis/108 Cornual pregnancy /192 Corticosteroids / 470 in pretellll labour / 316 • in treatment of shock / 620 Counselling, preconceptional/ 103 Couvelaire uterus/256 Craniotomy / 585 Crown-rump length/ 41 Crowning/127,137 Cullen's sign/ 185 Cutaneous changes/50 CVS/108 Cytogenetic /107 Cryoprecipitate / 630 Cytology, vaginal/cervical • evaluation of abnormal/307, 308 indica tions / 653 Cytomegalovirus / 299 Day-care in obstetrics / 639 Dead fetus Syndrome/209, 629 Death fetal/322 maternal! 602 neonatal/608 perinatal/605 stillbirth/607 Decapitation/587 Decidua/24 Deep transverse arrest / 372 Deep vein thrombosis/ 441 Dehiscence, uterine scar / 328, 429 Depression/444 Dermoid cysts of ovary / 310 Diabetes mellitus / 284 . care of neonates / 289 classification of / 284, 285 congenital malformations and/287 contraception/290 dietary treatment /288 effect of pregnancy on / 286 effects on pregnancy and fetus / 286 gestational! 284 insulin therapy / 288 ketoacidosis / 289 macrosomia and/287 management/287 Diagonal conjugate / 89 Diaphragmatic hernia, newborn/ 496 Diet in pregnancy /100 Digoxin, use in pregnancy / 281 • v • • • • • • r • •• • • • • • VI D contd. from previous page Dilatation and evacuation operation I 561 Dilatation of cervix in labour I 119 Discharge, vaginal I 103 Disproportion cephalopelvic I 352 midpelvic, outlet I 356 Disseminated intravascular coagulation I 628 "- (Defibrination syndrome) I 256 Distress, in labour fetal! 136, 609 • maternal 1136 Diuretics I 507 DNA probes /107 Doppler flow velocity 1110, 648 Doppler I 666 Down's syndrome (Trisomy-21) I 495 Doyen's retractor I 658 Draught reflex 1150 Drugs, anti-coagulants I 509 anti-convulsants I 509 anti-hypertensives I 230, 237, 506 diuretics I 507 during lactation I 510 during pregnancy I 512 FDA/512 Methergin/502 oxycocin/498 prostaglandins I 503 teratogenic effedsl 511-513 teratology I 511 tocolytics/507,508 Ductus arteriosus patent/281 Duodenal atresia, newborn I 497 Dysmaturity I 462 Dystocia/402 shoulder I 406 Dystrophia dystocia syndrome I 349 Dysuria, in puerperium I 151 in pyelonephritis I 296 • E trisomy, (Edwards' syndrome) I 464, 649 Eclampsia I 233 management/235 Ectopic pregnancy 1179 abdominal I 191 cervical I 193 cornual I 192 diagnosis 1185 etiology 1179 heterotypic I 193 interstitial 1187 management I 188 ovarian I 192 termination I 181 tubal I 179 types I 179 TEXT BOOK OF OBSTETRICS unruptured 1184, 185, 189 Effacement of cervix I 120 Eisenmenger's syndrome I 282 Elderly primigravidae I 342 Electrolyte balance, in pregnancy hypertension I 225 in shock I 620 in tubular necrosis I 622 Electronic fetal monitoring I 619 ELISA I 67, 301 Embolisation/418 Embolism, pulmonary, 442 amniotic fluid embolism I 628 Embryo/41 . drugs affecting I 511 endoderm and ectoderm I 26 implantation of! 23 primitive streak I 26 Embryobiopsy/494 Embryotomy scissors I 664 Encirclage operation I 171 Endocrinology in Pregnancy I 57-63 Endothelin-l 1223 • Endothelium derived relaxing factor 1223 Endotoxaemia I 628 Endotoxic shock I 620 Endotracheal intubation I 472, 518 Engagement I 81 Enterocolitis I 491 Epidural blockl 516 Epilepsy in pregnancy I 298 , • INDEX E contd. from previous page Episiotomy / 567 complications/570 steps/568 types/567 Erb's palsy / 486 Ergot derivatives/ 502 Erythroblastosis fetalis / 333 Erythropoiesis / 263 Esophageal atresia in new born/ 495 Evisceration/587 Examination, obstetrical abdominal/77 vaginal/98 Examination, laboratory biochemical / 649 blood coagulation profile/ 651 blood sample collection/ 652 blood sugar / 653 urine/649 Exchange transfusion/339 Exercise, postpartum /152 Exomphalos / 496 fetoscopy in/ 494 raised alpha-fetoprotein in/ 494 External version breech/582 transverse lie / 397 Face presentation/388 Facial palsy in newborn/ 486 Fallopian tube / 7 Fallot's tetralogy /282 False labour pain /116 • Family planning / 530-560 see contraception FDP/629 . Ferritin / 263 Fertilization/21 Fetal alcohol syndrome/ 512 Fetal death/ 322, 629 Fetal distress, 613 Fetal haemoglobin/ 42 , • • • Fetoplacental circulation/ 33 Fetoscopy / 494 Fetus/41-45 • • acardius/205,209 acid base status/ 109,613 ascites/409 blood/42 blood flow measurements/110 breathing movements / 43, 469 changes at birth/ 44 circulation/43 ductus arteriosus/ 45 development/41 endocrinology / 43 foramen ovale / 45 growth/41 growth restriction/ 462 asymmetrical / 463 causing / 299 • chromosomal disorders and congenital malformations / 463 cytomegalovirus infection symmetrical! 463 transfusion/338 growth velocity / 74 heart rate, 609 accelerations / 611 baseline variations/ 611 bradycardia/609 decelerations / 611 interpretation of patterns / 610 tachycardia/609 sinusoidal/612 in-utero / 75-82 lie, presentation, position /75, 76 macrosomia / 287, 406 maturity, diagnosis / 320 . membranes/37 monitoring/609 . movements, kick count/l09 papyraceous / 205 physiology / 42 pulmonary maturity /111 . respiration/43 toxoplasmOSiS infection/ 296 scalp blood sampling/612 skull/83 diameters/84 weight, estimation of/74 , , .. "111 f contd. from previous page well being assessement antepartum/l05-113 intrapartum / 609 Fibrinogen replacement/ 630 Fibrinolysis, in pregnancy / 52, 628 Fibromyomata in pregnancy / 309 effect of pregnancy on/309 effect on pregnancy / 309 red degeneration/309 Fifth formula (Crichton) /132 FISH/I07 Fistula bladder / 432 Flying squad/134 Folic acid / 101, 104, 209, 255, 263, 343, 409, 467 Fontanelles / 84 Foramen ovale / 45 Forceps / 571-579 classification / 572 dangers / 578 failed/579 function / 573 indication/573 Kielland / 578 prophylactic/579 trial/579 Wrigley / 577 Fresh frozen plasma/630 Frusemide / 507 Fundal height/ 69,70,71, 106,464 Funic souffle / 70 Galactosaemia/478 Gametogenesis /17 Gastric contents, inhalation of / 518 Gastroschisis / 647 General anesthesia / 518 General surgery during pregnancy / 304 Generalised tonic uterine contraction/361 Genetic counselling / 492 Genetics, abnormalities / 492 autosomal dominant inheritance / 492 autosomal recessive inheritance / 492 prenatal diagnosis / 493 X-linked inheritance / 492 /,, TEXT BOOK OF OBSTETRlCS Genital organs changes in, pregnancy / 46 puerperium/146 Genital prolapse in pregnancy / 312 Gestational diabetes / 284 Gestational ~ypertension/ 239 Gestational sac/ 68 pseudo/68 - Gestational trophoblastic neoplasia / 193-202 , (see Hydatidiform mole also) classification / 193 persistent gestational trophoblastkc neoplaSia / 201 placental site trophoblastic tumour /201 Glomerular filtration rate, in pregnancy / 55 Glucocorticoids/316,470 Glucose metabolism, changes in pregnancy / 54 Glucose tolerance tests / 284 Glycosylated haemoglobin/287 Glycosuria in pregnancy / 284 Gonadotrophins, chorionic/58, 186 Gonorrhoea in pregnancy / 294 Goodell's sign/65 Grand multipara/342 ' Grips,obstetrics/78 Growth retardation, intrauterine / 462 Guides to clinical tests / 649 examination of urine / 649 tests for blood coagulation/651 Gynaecoid pelvis/346 Gynaecological disorders in pregnancy / 306-313 Haemaccel, in shock/ 619 Haematological • changes in pregnancy / 51 disorders in pregnancy /262 Haematoma pelvic/426 sternomastoid, newborn/486 Haematuria in pregnancy / 303 Haemodialysis / 625 Haemoglobinopathies / 273-276 Haemolytic disease in newborn/ 480 • • INDEX H contd. from previous page Haemorrhage, antepartum 1 243 early pregnancy 1159 intracranial, newborn/ 484 IVH/485 postpartum / 411 third stage/441 Haemorrhagic disease in newborn 1 481 Haemostasis/619 Hart's rule 1 126 Heart disease in pregnancy 1277-282 congenital 1 281 diagnosis 1 278 managemen~/280 rheumatic 1 277, 281 specific heart diseases 1 281 Heartburn, during pregnancy 1103 Hegar's sign 1 65 HELLP syndrome 1 224 Heparin therapy 1 343, 442, 510, 631 low molecular 1 442 . Hepatitis, viral 1 291 immunization 1 292 Hernia, diaphragmatic 1 496 Herpes simplex virus infection 1 299 High risk pregnancy 1 631 management 1 633 risk approach 1 632 screening 1 631 High rupture of the membranes 1 523 History taking in obstetrics 1 95 HIV infection /300 Hormonal contraceptives 1 542 Hormones in pregnancy 1 57, 637 HPL/59 Hour-glass contraction 1 360,414 Humanisation of cow's milk 1 455 Hyaline membrane atelectasit;/ 475 Hydatidiform molel 193-202 contraception advice 1 200 complications 1 197 diagnosis 1 194 follow up 1 200 management 1 197 partial mole 1 200, 201 pathology /194 prophylactic chemotherapy 1 200 • Hydralazine/230, 506 Hydramnios/213 acute 1 217 complications 1 215 etiology 1 214 management 1 216 oligo/218 Hydrocephalus 1 407 • Hydrops fetalis/ 333,497 Hydrorrhoea gravidarum 1 317 Hyperbilirubinaemia in newborn 1 479 Hyperemesis gravidarum / 1.55 Hypertension/221 chronic / 239 essential, in pregnancy / 240 gestational/239 (see also pre-eclampsia) Hyperthyroidism / 290 Hypocalcaemia, in babies of diabetic mothers/289, 482 H ypofibrinogenaemia / 256 Hypoglycaemia/287,482 Hypomagnesaemia, in babies of /287, 482 Hypotension in shock/620 after epidural block/517 Hypothermia / 448 Hypothyroidism /290 Hypoxia, cerebral damage from / 485 fetal, see Asphyxia/ 484 Hysterectomy, Caesarean / 598 for uterine rupture/ 431 Hysteria/234 Hysterotomy / 565 Icterus gravis neonatorum/333 Imaging in obstetrics / 641 Immediate care, newborn / 139, 448 Immunisation, childhood / 456 Immunisation, mother /102 Immunological test, pregnancy / 66 Immunology in obstetrics / 634 • IX • x I contd. from previous page Imperforate anus, newborn/495 Implant, norplant/ 549,559 Implantation/23 Inborn errors of metablism, prenatal diagnosis/ 493 Incoordinate uterine action / 359 • Indeterminate bleeding / 260 Induction of, abortion / 173 labour/520 indications/520 methods / 522 LRM/524 stripping membranes / 525 Inertia, uterine / 358 Infant feeding/ 450 artificial / 455 breast / 450 Infection, new-born/488 breast/439 thrush/491 umbilicus, skin / 490 urinary / 438 uterine / 435 Infiltration, perineum/516 Influenza/299 Inhalation, anaesthetics / 515 Injuries haematoma / 486 haemorrhage / 484 intracranial IYH/ 485 new born/ 483 Inner cell mass, development/26 Instruments, obstetrics / 655 Insulin, in diabetes / 288 Intensive care/237, 507, 619 Interlocking, twins / 212 Internal examination pregnancy/98,100 labour/134 Interstitial pregnancy /187 • • • • TEXT BOOK OF OBSTETRICS Intervillous space / 31 Intracranial haemorrhage, new born/ 485 Intrauterine contraceptive devices / 535, 559 Intrauterine fetal death / 322 complications/325 management/325 Intrauterine growth restriction / 462 complications / 465 diagnosis / 464 management/ 466 types/463 Inversion, uterus / 421 Involution, uterus / 145 sub-involution/437 Iron, absorption/54 deficiency / 264 parenteral therapy / 269 oral/268 Irradiation ionizing, in pregnancy / 642 Ischial spines/91, 134 Iso-immunisation Rhesus/332 Isthmus/48 Jaundice breast millk/ 478 in newborn/ 477 in pregnancy / 291 intrahepatic cholestasis / 291 neonatal, hyperbilirubinaemia / 479 phototherapy in, 480 viral/291-293 Jacquimier's sign/65 Jaw-flexion-shoulder-traction in breech/ 384 Johnson's formula / 74 J~in!s, pelvic / 94 • Kangaroo method / 448 . Kernicterus/479 Keto-acidosis in diabetes / 289 in labour / 405 vomiting causing/156 • • INDEX K contd. from previous page Kidney, see also Renal acute failure / 621 function during pregnancy / 55 Kielland forceps/ 578 Kleihauer acid elution test / 334, 652 Klumpke's palsy / 487 Kocher's forceps / 660 Korotkoff sounds / 222 Kyphotic pelvis/348 Labour acceleration phase / 130 active phase/ 131 anatomy off 129 antiseptics and asepsis /134 bag of membranes /119 bearjng down efforts /132 causes of onset/114 events of labour /119, 122, 123 clinical course of, first stage /130 second stage /131 third stage / 133 contracted pelvis / 354 contractile system in/ 116 deep transverse arrest/372 definition of! 114 dilatation of cervix in/ 119 expulsion of placenta in/ 124, 141 false pain/ 116 fetal distress in /609 fourth stage/142 induction of! 520 latent phase/ 130,402 lightening /117 management of /134 active/527 first stage /135 second stage /136 show/117 station / 134 third stage /140 • maternal distress in/ 136 mechanism,normal/125 mechanism in flat pelvis / 348 • • • • XI mechanism in generally contracted pelvis/348 normal/114 abnormal! 114 obstructed/404 oxytocin, augmentation of / 500, 520 partograph/ 131,403,404,528,529 physiology of! 118 place of delivery /133 placental separation during /123 precipitate / 361 prelabour /116 pretenn /314 prolonged/402 retraction of uterus in/118 stages of/117 station/134 third stage, complications / 411-422 Lactation anovulation /148, 535 amenorrhoea /148 failure / 440 hormones / 63 reflex/150 physiology /149 stimulation /150 suppression/150 Lactoferrin/451 Lamellar body / 112 Laminaria tent/ 562,660 Lamivudine / 301 Laparoscopic sterilisation/ 554 Leg vein thrombosis in puerperium/ 440 Length, age, growth of fetus/ 41 Leprosy in pregnancy / 294 Levonorgestrel rueD / 537 Lie, transverse / 393 longitudinal! 75 oblique unstable/397 Ligation tubes/ 552 internaliliac/418 uterine arteries/ 418 Liley's chart / 336 Lipid metabolism, in pregnancy / 54 Litigation, malpractice / 639 Lochia/147 Lovsetmanoeuvre/387 Low birth-weight baby / 457-468 preterm baby / 458 dysmature / 462 •• II L contd. from previous page Low forceps /572 Lower segment Caesarean section I 590 Lower uterine segment I 120 Lupus in pregnancy 1298,637 Macrosomia I 287, 406 Magnesium sulphate I 236, 508, 509 Malabsorption, anaemia I 271 Malaria in pregnancy I 295 Malpresentation I 374-401 breech I 374 brow/392 compound I 398 cord/398 deep transverse arrest I 372 face/388 shoulder / 393 Maneuver, Lovset/387 McRoberts / 407 Pinard/386 Ritzen/138 Wood/407 Zavanelli/407 Manning score/lIO Manual removal, placenta/414 Manual vacuum aspiration I 565 Marfan's syndrome I 282 Markers of chromosomal abnormality I 649 Maternal mortality I 602 morbidity I 605 reproductive morbidity I 605 reproductive mortality I 602 Maternal nutrition I 100 Mauriceau-Smellie-Viet procedure / 384 McDonald operation I 172 • Mean corpuscular haemoglobin concentration/263 Mean corpuscular volume I 263 Measles / 299 Meconium aspiration syndrome I 477 Meconium ileus / 496 Medical Termination of Pregnancy (MTP Act)1 173 complications 1178 first trimester /.175 • TEXT BOOK OF OBSTETRlCS MTP/173 methods / 174 mid trimester /176 recommenda tions I 174 Medico-legal aspects of obstetrics I 639 Membranes artificial rupture of 1523 Mendelson's syndrome I 518 Menstruation regulation (MR) I 565 Mesoderm / 26 Metabolic change!> / 54 carbohydrate I 54 calcium/56 iron I 54 Methotrexate I 174, 189, 200, 421 Methyldopa I 230, 506 Mid pelvic contraction I 356 Mid pelvis I 92 Midforceps/572,573 Mifepristone 1175, 550 Milia/446 Milk, cows I 455 Minipill / 548 Minor ailments in pregnancy 1102 Misoprostol 1175, 505 Missed abortion / 164 Mitral stenosis I 281 MMR/602 Mongolian spots/ 446 Monsters I 409 Montogomery's tubereles I 49 Morbidity I 605 reproductive I 605 maternal! 605 • Morning sickness (emesis gravidarum)I 64 Moro reflex I 449 Morris, waste space /92 Mortality . causes I 603 • maternal I 602 neonatal! 608 perinatal I 605 steps to reduce I 604 Morula I 22 Moulding I 86 MRI/146,352 MSAFP /107, 494 , Muller munro-Kerr method/353 • • INDEX 1\1 .untd. from previous page Multiple pregnancy / 203-213 complications/207-209 diagnosis / 206 etiology / 205 managemen t / 209-213 triplets, quardruplets/213 varieties / 203 zygosity / 203, 204 Mumps/299 Myocardial infarction/282 Naegele's formula / 97 Naegele's ,p elvis/347 Narcotic drugs, antagonists / 472, 473 Nausea/102 Neisseria gonorrhoeae / 294 Neonatal death, definition/608 Nephritis, chronic with pregnancy / 241 Nephritis, maternal, glomerulonephirits / 242 nephrotic syndrome /242 pyelonephritis / 296 Nerve supply of genital tract/513 Neural tUbe defects, prenatal diagnosis/ 107,492 Newborn infant, term/445 anaemia/482 • and prenatal diagnosis/ 107,492-494 Apgar scores/471 asphyxia in/ 469 baby friendly hospital initiative / 452 breaking the wind (burping)/452 breast feeding / 450 congenital malformatiops convulsion in/ 482 demand feeding/451 diseases of /469-497 examination of! 445 gestational age / 447 immediate care of /139, 448 immUnisation/456 infant feeding / 450 infection/488 injuries in/ 483 minor disorders / 450 NTD/408 necrotizing enterocolitis/ 491 physical fea tures / 445 respiration/469, 470 resuscitation/473 screening tests/ 493 surgical procedures/ 495 weaning / 456 Nipple, cracked, retracted / 439,454 confusion/lSI soreness/lSI Nitric oxide / 223 donors/507 Nitroglycerine / 507 Nitroprusside / 507 Nitrous oxide, in pain relief! 515 Non-immune fetal hydrops/ 497 Non-stress test/110 Norplant / 549, 560 Nuchal translucency / 645 Obesity /344 Oblique lie / 75 Obstetric grips / 78 fundal/78 lateral/78 pelvic/78 Pawlik/79 Obstetric pa Isies / 443 Obstetrical conjugate / 89 Obstructed labour / 404 OCcipito-posterior /365 arrested / 371 deep-transverse arrest / 372 manual rotation/372 mechanismlabour/367 persistent / 369 Oedema/98,226 Oesophageal atresia, new born/ 495 Oestriol / 60, 109 Oestrogens / 60 Oligohydramnios / 218 Oliguria/621 • Omphalocele/647 ••• XUI • XlV o contd. from previous page Oogenesis /17 Ophthalmia neonatorum/ 489 Opioid analgesics/SIS Oral contraceptives/ 543 • Oral glucose tolerance test/284 Oral thrush, newborn/491 Orange cells 1 112 Organogenesis/41,511 Osiander's sign 1 65 Osteomalacic pelvis/347 O'Sullivan method/ 422 Outlet anatomical / 91 obstetrical / 91 Ovarian pregnancy /192 Ovarian tumour in pregnancy 1310 Ovary/8 Ovulation 1 20, 57 Ovum, blighted/162 Oxygen saturation in fetus/ 44 Oxytocics in obstetrics/ 498 Oxytocin/115, 498 in augmentation of labour /500 dangers/499 Oxytocin antagonists / 508 Oxytocin challenge test (OCT) / 501 Contraction stress test (CST) / 501 Oxytocin sensitivity test (OST)/ 501 Pain, after /152 Pain relief in labour /136, 514 Palmer's sign /66 Palsy nerve, in neonate / 486 Palsy nerve, obstetric/443 Pancreas / 63 Paracervical nerve block/ 516 Parathyroid glands / 63 Partograph/ 131,403,404,528,529 Parvo viruses/299 PCA/518 PDA/281 Pearl index/ 531 Pelvic cellular tissue /12 Pelvic cellulitis 1 434 Pelvic haematoma/ 426 " • TEXT BOOK OF OBSTETRICS Pelvic floor /10 Pelvic part of ureter /14 Pelvimetry, clinical/349 CT/352 MRI/352 x-ray/351 Pelvis 1 87-94 android/346 anthropoid/346 assessement/349 axis/94 cavity/90 • false/87 flat/348 gynaecoid / 346 inlet/88 joints/94 mid/92 Naegele / 347 Osteomalacia affecting / 347 outlet/91 platypeloid / 346 Robert/348 true/88 variations in/345 Pemphigus neonatorum/ 490 Perforator /663 • • Peri-implantation genetic diagnosis/ 494 Perinatal morbidity / 607 Perinatal mortality / 605 Perineal infiltration/516 Perineal tear, complete/423 degrees / 423 management/424 Perineum/2,11 Peritoneal dialysis/ 625 Pethidine/SIS PhlegmaSia alba dolens/ 441 Phosphatidyl glycerol/ 112,469 Phototherapy / 341, 480 Physiological changes, in pregnancy / 46-57 Pinard's manoeuvre/386 Pinard's stethoscope / 666 Pituitary gland 1 62 • INDEX P contd. from previous page Placenta abruption/254,628 accreta/420 aging 1 34 at term/29 circulation/32 development 1 28 endocrinology 1 57 expulsion 1 124, 141 function 1 35 hormones 1 58 HPL/59 manual removal 1 414 multifetal/648 praevia 1 243 protein 1 58 retained 1 419 separation, in third stage of labour /123 steroids 1 60 structures 130 Placental abnormalities 1 218-220 battledore / 220 circumvallate 1 219 marginata/219 membranacae/219 succenturiata 1 218 velamentous 1 220 Placentography 1 246 Plasma proteins, pregnancy associated 1 52 Plasmin 1 627 Plasminogen 1 627 Platelet concentrate 1 630 Platelet count 1 52 Platelet disorders / 276 PNDT/640 Podalic version/ 583 Polyhydramnios 1 213, see abohydramnias Polymerase chain reaction /107 Population dynamics 1 530 • Post-Caesarean pregnancy 1327-331 Post-partum haemorrhage 1 411-422 bimanual compression 1 416 causes/411 . management/413-419 prevention 1 413 secondary 1 418 surgical methods 1 418 true/415 • • • Postmaturity 1 318 complications / 320 management/322 Post pill amenorrhoea 1 546 Postnatal 1 153 contraception 1 153 Pre-eclampsia 1 221, 636 acute fulminant eclampSia / 233 pre-eclampsia 1 231 etiopathogenesis 1 222 HELLP Syndrome 1 224 complications 1 227 types/225 management 1 229 pathophysiology 1 223 prediction & prevention 1 228 Precipitate labour 1 361 Pre-conceptional counselling and care 1103 Pregnancy diagnosis 1 64-74 differential diagnosis / 72 post-term 1 318 previous caesarean section 1 327 in Rh-negative women/331-341 Rh-factor 1 331 signs of previous 1 73 Pregnancy induced hypertension 1 221 Pre-labour rupture of the membranes/317 Prenatal diagnosis, congenital malformation 1 493 Prerenal failure 1 621 Presentation, breech 1 374 brow 1392 compound 1398 cord/399 face/388 shoulder 1393 Preterm baby 1 458 complications 1 459 management 1 460 Pre term labour 1 314-317 • etiopathogenesis 1315 glucocorticoid/316,507 rnanagement/316 prevention 1 315 tocolytics/316 Prevention of injuries, newborn 1 487 Progestasert / 537 • xv • contd. from previous page Progesterone 161 Prolapse in pregnancy 1312 cord 1400 Prolonged labour I 402 cervicograph/404 dangers/403 diagnosis I 403 Prophylaxis antibiotics/640 forceps I 579 Prostacyclin I 224, 343, 615 Prostaglandins I 115, 503 Proteinuria in pregnancy 1303 Prothombin time I 627 Protozoal and parasitic infestation in pregnancy I 295 Psychoprophylaxis/518 blue/444 depression I 444 psychiatric disorders I 443, 444 psychosis I 444 Pudendal nerve block I 517 Puerperal emergencies I 443 Puerperal pyrexia I 433 Puerperal sepsisl 433 Puerperal venous thrombosis I 440 Puerperium, normal I 145-154 contraception/153 management 1151 post-natal care 1153 Pulmonary embolism I 442 • Pulmonary tuberculosis in pregnancy 1282 Pulse oxymetry I 612 Pyelonephritis in pregnancy 1296 Quickening 168 Quick's prothrombin time 1651 Radiation hazardsl 642 Radiology, in obstetrics 1641 RADIUS study I 648 • • TEXT BOO1< OF OBSTETRTCS Recurrent abortion I 168, 636 Red degeneration I 309 Reflex, newborn Moro/449 rooting I 449 Regional anaesthesia I 515 Renal changes in PIH I 223 Renal disease, chronic I 241 Renal failure I 621 acute I 621 haemodial ysis I 625 management I 623 peritoneal I 625 post partuml 626 Renin-angiotensin system in PIH/223 Reproductive health I 600 Reproductive mortality I 602 morbidity I 605 RCH/600 Respiration fetall 469 Respiratory distress, newborn I 474 sequelae I 476 Respiratory distress syndrome, adult/617 Respiratory system I 55 Retained placenta/419 Retention of urine I 304 Retinal changes in PIH I 227 Retinopathy of prematurity I 459 Retraction ring (Band!' s ring) I 362 Retrolental fibroplasia I 459 Retroplacental haematoma/254 Retroverted gravid uterus I 311 Rhesus isoimmunisationl 332,636 Rh factor I 331 RIA/67 Ricket/347 Risk approach to MCH carel 632 Robert's pelvis I 348 Robert's sign I 324 • Roll-over test/229 Rubella infection in pregnancy I 299 Rupture of the membranes high/523 low/523 prelabour I 317 Rupture uterus I 427 diagnosis I 430 scar I 427 INDEX Safe motherhood I 599 Sagittal suture I 84 Scalp blood sampling I 612 Scar, LSCS I 328 Scar rupture I 328 Schizophrenia I 444 Sellheim, Moir I 126 Secondary post-partum haemorrhage I 418 Septic abortion I 165 . shock I 617,618 Shake test/l12 Shirodkar operationl 172 Shock in obstetrics I 614 classification I 617 haemorrhagic 1618 neurogenic 1621' pathology I 614 septic I 617, 618 Short cord I 220 . Shoulder dystOcial 406 Sickle cell, Haemoglobinopathies I 273 Singer's testl 652 Single umbilical artery I 220 Skin changes, pregnancy I 50 Skull (fetal}/83 SLE in pregnancy I 297 Small for gestational age I 457 Social obstetrics I 600 Spalding sign/324 Spastic lower segment I 360 Spermatogenesis 118 Spermatozoon, structure 119 Spinal anaesthesia I 517 Spondylotomy I 587 Station, 134 Sterilisation I 550-557 • • Sternomastoid haematoma, newborn I 486 Steroidal contraceptives I 542 Still births I 607 Streptococcus Croup B infection I 295 Stress test 1111, 501 Striae gravidaruml 50,69 Subinvolution I 437 Suction evacuation I 564 • , Superfecunda tion I 205 Super~etation/205 . Supine hypotension I 53 Surfactant I 469,476 Surgical induction I 523-526 Symmetrical lUCRI 463 Symphysiotomy I 406, 598 Symphysis pubis I 94 Syncytiotrophoblast I 30 Syphilis in pregnancy I 293 Tachycardia, fetal I 609 TENS/518 Teratogens/511,512 Tests for pregnancy I 66 USCI68 Thalassaernia I 275 Thiopentone, in eclampsia I 237 in general anaesthesia I 518 Thrombocytopenia I 276 Thrombo-embolism I 440 Thrombophilia 1171, 277, 323 Thro~bophlebitisl 441 Thrombosis, vein/441 Thromboxane/223,343 Thrush oral/491 skin I 450, 491 ThyrOid dysfunction in pregnancy 1290 hyper I 290 hypo/290 Thyroid gland, function, assessement in pregnancy I 62 Thyroiditis, auto-immune I 291 Thyrotoxicosis, abortion I 290 Thyrotrophin, chorionic / 58 Tocolytic agents/ 507 Tonic uterine contraction/ 362 Toxoplasmosis I 296 Tracheo-oesophageal fistula / 495 Transfusion, fetal / 338 Transverse lie / 393 course of labour /395 favourable / 395 unfavourable / 395 - xvii • ••• • XVIIl T contd. from previous page Travelling in pregnancy 1102 Trial of forceps 1 579 Trial labour 1 355 Trichomona 1 306 Trimester 1 64 Triple testl 107 • Triplets and quadruplets/213 Triploidy 1 200, 649 Trisomy 1160, 464, 649 Trophoblastic neoplasia I 193-202 Trophoblasts 1 24, 635 Tubal pregnancy 1179-191 Tuberculosis 1 282 • • • Twin pregnancy 1 203-213, see also multiple pregnancy chorionicity 1 207 conjoint /213,410 Twin transfusion syndrome 1 209 . Ultrasound in obstetrics 1 68, 70, 71, 74, 464, 643-649 banana signl 647 3-D 1 644 Doppler 1648 first trimester 1645 indications 1 645 lemon signl 647 mid trimester 1646 nuchal translucency 1 648 omphalocele 1 647 safety I 644 -- third trimester 1 649 USC markers 1 649 Ultrasound cardiography of fetus during labour I 610 Ultrasound markers of chromosomal Umbilical arteries 1 40, 45 (, flow Doppler 1110, 648 flow velocity 1110, 648 veins 1 43, 45 Umbilical cord abnormalities 1 220 abnormality 1 645, 649 blood flow in pregnancy 1111, 648 TEXT BOOK OF OBSTETRICS development 139 long I 220 prolapse, 400 sepsis, newborn (omphalitis) 1 490 short I 220 single artery 1 220 structure 1 39 true knot I 220, 401 velamentous insertion of! 220 Wharton's jelly inl 40 Uniovular twins 1 203 Units, international system I 654 Unstable lie/397 Urethra, female 1 14 Urethral valves, posterior 1 218 Urinary fistulae 1 432 Urinary tract, anatomical changes in pregnancy 1 55,147 Uterine inertia 1 358 Uterine souffle 1 70 Uterus, action abnormal I 357-364 ~normalitiesl 169 anatomy 1 5, 46 blood flow, in pregnancy 1 53 contractions normal, abnormal I 359 Caesarean section scar and I 327, 328 Couvelaire 1 256 inversion of! 421 rupture of 1 427 torsion of 1307 Vaginal 3 cytology 1 653 • discharge, abnormal I 306 monilia 1 306 lacerations, during delivery 1 424 from forceps delivery 1 578 trichomonal 306 - Vaginal examination, labour I 134 pregnancy 1 98 • • INDEX V contd. from previous page Vaginal birth after CS /329 VBAC - TOL/330 Vanishing twin syndrome / 205 Varicella-zoster / 299 Vasa praevia / 220, 260 Vasectomy / 551 Velamentous insertion, cord / 220 Venous pressure, in pregnancy / 53 Venous thrombosis / 441 Ventouse / 579-582 Version/582 bipolar / 585 external/582 internal / 584 Very low birth weight baby (VLBW) / 457 Vibroacoustic stimulation test/ 612 Viral hepatitis in pregnancy /291 Viral infection in pregnancy / 299 Visceral injuries in .labour / 432 Vomiting in pregnancy / 102, 155-158 VSD/281 Vulva/l,423 Vulval haematoma/ 426 Wandering method for forceps delivery / 578 Warfarin/510 • • • • • • • • • • • • • • • • Waste space of Morris / 92 Weaning /456 Weight gain, pregnancy / 50 Wharton's Jelly / 39 Willet's scalp traction forceps / 665 Wrigley's forceps/577, 661 Wood's manoeuvre/407 • X-linked disorders / 107, 492 X-ray /641 • XIX Pelvimetry in cephalopelvic disproportion/351 Yolk sac/26 • Z technique, intramuscular iron injection/270 Zalcitabine / 301 Zavanelli manoeuvre/ 407 Zidovudine / 301 Zona hatching / 22 Zona pellucida/21, 637 Zygosity / 203 Zygote/20,22 ( • • • • • , • •