Medstudyeasyai / notes /DC Dutta Obstetrics 10th Edition_20.txt
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Epidural analgesia 263,271,378,482, 483f, 486
complications of 483 contraindications of 483
Epidural anesthesia 225,256,263, 264,271, 279, 362, 388
Epidural blood patch 484 Epidural morphine 264 Epigastric artery,inferior 15 Epigastric pain 150,214,250,293 Epigastric vessels, deep 15 Epilepsy 277
effects of 2 77 Epinephrine 444
Episiotomy 11,303,358,362,387,527,533, 552,611
complications of 529 deep mediolateral 536 indications of 527b policy 137
repair of 529f scissors 616f
suture materials for 361 timing of 527
types of 529f wound,care of 145
Epithelialization 400 Epithelium 45 Epoxides 477
Epulis gravidarum 46 Erb's palsy 359, 421, 458f Erectile tissue 2 Ergometrine 352,470
place of 4 71t uses of 470
Ergonovine 470
Ergot derivatives 470,471
Ergot preparations diuretics 413 Erythema toxicum 420 Erythrocyte
destruction 213 sedimentation rate 49
Erythromycin 460 Erythropoiesis 247 Erythropoietic cells 247 Erythropoietin 247 Escherichia coli 407, 573 Escutcheon 2
Esophageal atresia 202, 463 Esophageal tear 151 Esophagus 92
Estradiol 55 Estriol 57
low 57
Estrogen 46, SO, 58, 57, 92, 108, 113, 143, 488,507
effect 53
low levels of 148 production 57
Ethambutol 281 Etonogestrel 51 O Etoposide 189 Euploid
abortions 153 cells 106
Eutocia 108 Evisceration 552
Excessive bilirubin production,causes of 449 Excessive heat loss,consequences of 421 Exchange transfusion 326, 452
complications of 452 indications of 452b
Exercise 146 contraindications of 93b
Exocytosis 33 Exomphalos 36,463,464 Extension 120
Extensive tongue bite injury 222f
External cephalic version 199,359,374,540,601 steps of 541 f
Extra-amniotic saline infusion 492, 493f Extracorporeal membrane oxygenation 262
Extraembryonic coelom 24 cavity,enlargement of 24f
Extraperitoneal cesarean section 550 Extrapulmonary sequestration 46Sf Extravillous trophoblast 29
Extreme extension,causes of 367 Extremities 421,601
Eye 422 ball 604
Eyelids 369
F
Face 46,76
presentation 367, 367b,370f Facial anomalies 479
Facial clefts 202 Facial flushing 288
Facial nerve injury 420 Facial palsy 458f
Facial rash 287 Facial structure 368
Factor V Leiden mutation 155, 161,328 Faecalibacterium 53
Fallopian tube 6, 7f, 17, 19, 46 segment of 516f
Fa I lot's tetra logy 263 False knots 36, 208 Faix cerebri 351 Family planning 496
guidance 147 purposes 515 services 560
Fascia 10f
transversalis 14,15 Fat 423
globules 427 metabolism 51 oxidation of 1 SO storage 50
Fatigue 61 Fatty acids 33
Fatty liver,acute 293, 578 Fatty tissue,extraperitoneal 14 Faulty pelvic architecture 353 Febrile illness,acute 288
Fecal incontinence 540 Feed,duration of 424 Feeding 448
artificial 423 difficulties 426 formula 427 frequency of 424 types of 423
Female pelvis 331,339 midsagittal section of 4f variations of 331
Female sterilization 515,518, 518t methods of 515,517
Femidom 519
Femur length 6Sf, 436, 626f Fentanyl 481
Ferguson reflex 124,491 Ferric carboxy maltose 252 Ferric iron 250
Ferritin 39 Ferroprotein 247
Index ED
Ferrous
fumarate 251 gluconate 251 sucrose 252 sulfate 91,251
Fersolate 91 Fertility
awareness method 520,520t,522 control 496
benefits of 496 preservation of 297 prospect of 181 return of 507
Fertilization 19, 21f,61,200 in vitro 18
Fetal abdomen circumference 601f enlargement of 385,38Sf
Fetal abnormality 356 congenital 205
Fetal adrenals 40,384
Fetal adrenergic activity 342 Fetal affection
classic history of 323 severity of 326
Fetal alcohol syndrome 479
Fetal anatomical ultrasound 601t Fetal anatomy 599
Fetal anemia 105,323, 568 assessment of 323 moderate to severe 324
Fetal aneuploidy 586 screening 106
Fetal anomalies 195,202,378,386,599 early detection of 269
Fetal ascites 38Sf
Fetal axis pressure 113 Fetal behavior states 567 Fetal biophysical profile 97 Fetal blood 31, 33,39
entering,volume of 320 gas 105
sugar 202 vessels 188
Fetal bradycardia 224 causes of 566,566t
Fetal brain 604
Fetal breathing movements 97 Fetal bulk 193
Fetal cardiac accelerations 100 Fetal cardiotocography 98 Fetal cells 102
intact 106,107
Fetal central nervous system 40 Fetal circulation 40, 41, 41f, 439b
Fetal complications 268,305,306,593b, 606 Fetal condition 570
Fetal congenital abnormalities 36, 96,356 cardiac disease 260
malformation 95,206,272,563 Fetal cotyledon 28
Fetal death 95,100,172,269,305,310 Fetal defence 39
mechanism 565
Fetal distress 305,327,338,343,421, 468, 541, 550,570
evacuation of 128
Index
Fetal echocardiography 263, 385 Fetal effect 124,125
Fetal electrocardiogram 570 Fetal endocrinology 40
Fetal enlargement,generalized 382 Fetal erythrocytes 39, 188
Fetal factors 347, 379,435,442 Fetal fibronectin
presence of 304, 488 testing 301
Fetal gender 57
Fetal genotype,noninvasive 319 Fetal gestational age 86, 591 Fetal growth 95,171,601
classification 429,429t dynamics 429 monitoring 437 normal 38
restriction 234,294,434,438fc, 439,487,593 etiology of 439
predictive factors for 435 velocity 67
Fetal hazards 338 prevention of 359
Fetal head 336,532 descent of 338 parts of 120
progressive descent of 136 Fetal heart rate 128, 306, 342
categorization of 567t normal 565
Fetal heart sound 64, 73f, 193, 232, 311, 569 absence of 183
Fetal hemodynamics 31t Fetal hemoglobin 39, 255
Fetal hydantoin syndrome 478 Fetal hydration 206
Fetal hyperglycemia 269 Fetal hyperthyroidism 273
Fetal hypothalamic-pituitary-adrenal axis 108 Fetal hypoxia 96,154, 447
effects of 96 progressive 439b
Fetal infection 1 OS, 202 risk of 287
Fetal inflammatory response syndrome 301 Feta I loss 287
causes of 154
marked increase of 374 Fetal lung
maturation 300 maturity 100,243
Fetal macrophages 32 Fetal macrosomia 266,268
risk factors for 382
Fetal malformation 255, 329 congenital 202, 370
Fetal maturation 295 Fetal maturity
assessment of 99,307fc tests lOOt
Fetal membranes 22, 23, 26, 34 Fetal monitoring 198, 271,291
methods of 565 Fetal morbidity 233 Fetal mortality,high 205 Fetal movement
active 63, 64
count 65, 97, 100, 311
loss of 97
maternal perception of 97 Fetal muscle tone 97
Fetal nutrition, stages of 39 Fetal organ anatomy 64
Fetal pancreas secretes insulin 40 Fetal parameters 602
Fetal parts 64, 183,193, 203, 242 palpation of 65, 67, 90
Fetal period 38 Fetal physiology 39 Fetal pole 372, 599
Fetal presentation 601
Fetal prognosis 240, 369, 404 Fetal pulmonary
hypoplasia 305 maturity 101
tests for 99
Fetal pulse oximetry 570 Fetal red cells 322
detection of 607 Fetal respiration 441 Fetal salvage 237 Fetal scalp 532
blood sampling 569 stimulation 569
Fetal skin 311
Fetal skull 76, 76f, 77f, 384f, 532 Fetal sleep 568
Fetal status 361 Fetal stem cells 596
Fetal stimulation,induced 569 Fetal structures 599
Fetal surface 27, 622 features on 622
Fetal surveillance 197,310,326 Fetal syndrome 213
Fetal tachycardia,causes of 566, 566t Fetal therapy 59, 60,105,106, 601, 603
direct 465 Fetal tissues 597
Fetal transfusion 465 Fetal trisomy 21 103
Fetal venous Doppler 598 Fetal viability 64
Fetal weight 602 estimation 67, 434
Fetal wellbeing 128,218,227,437,541,586,587 antenatal assessment of 95, 324 assessment of 308, 312, 601
clinical evaluation of 95 Fetomaternal bleed 321 Fetomaternal hemorrhage 105,319
causes of 322f Fetoplacental blood volume 39 Fetoplacental circulation 30 Fetoplacental contribution 108 Fetoplacental factors 562 Fetotoxic agents 477
Fetus 38,108,188,192,321,404 acardiacus 192
attitude of 70 back of 353
birth injury of 455 Buddha' position of 321 compressus 192f,195
congenital anomalies of 378 degree of affection of 329 delivery of 11 5
descent of 124 development of 38 disease of 441 effects on 151,382 female 200 growth of 38
hemolytic disease of 320 intrauterine death of 195,487 in-utero 69
length of 38 maturity of 308,481
papyraceous 192{, 195 parts of 70 presentation of 70,192
selective termination of 201 size of 67
viability of 193, 375 Fever 285,288
high 283
Fibrin degradation products 607 level of 583
Fibrinogen 49, 213 concentrate 584 estimation of 312,607 level 141
Fibrinolysis 583 Fibrinolytic activity 49 Fibrinolytic agents 415
Fibrinolytic inhibitors 584, 585 Fibroid 66, 154, 184, 296, 299 Fibronectin 301
Filshie clip 517f Fimbrial expression 177 Finger tips 72
First trimester abortion 160 medical methods of 167 spontaneous 319 surgical methods of 167
First trimester screening 103,107, 586 First trimester ultrasonography 599
indications of 599b Fits 225
onset of 221
Fitz-Hugh-Curtis syndrome 282 Flat sacrum predisposes 406 Flexion 119, 349
point 537 Floppiness 421
Flow velocity waveform 599 Fluid 272,410,547
accumulate 45 administration 576 balance 224, 432 electrolyte balance 382 loss 141
Fluorescence
in situ hybridization 1 OS polarization test 100
Fluoxetine 425
Foam stability index 99 FOGSI gestosis score 218t Folate deficiency 253
Foley's catheter 299, 318, 489, 493{, 495, 552, 610
Folic acid 39, 91, 242, 247, 254, 327, 587 deficiency 241,246,327,477
causes of 254 supplementation 384
Follicle 19
Follicular fluid, amount of 19
Follicular maturation 55
Gastrectomy 254
Gastric acid suppression 292
Index ll correction of 602t
estimation of 67
Fontanel 76 posterior 77
Food
amount of 424 volume 433
Footling presentation 355 Foramen ovale,closure of 42 Force' theory,couple of 120 Forced expiratory volume 279 Forceps 530
application of 354,402 axis traction devices 616f extraction 353
functions of 530b
over ventouse,advantages of 538 rotation 353
sponge-holding 400,613 traction 535
trial 536
Forceps blades 533f application of 531
Forceps delivery 144,199, 363,398,405 trial of 536b
Forceps operation 535 choice of 531
complications of 537, 537t types of 532f
Formanine glutamic acid 254 Fossa navicularis 2
Fracture 358,456,458 Fragilis 158,414 Frank breech 355,362
extraction 365 Free fatty acids SO
Free oxygen radical excess 268 Fresh frozen plasma 212, 584 Friedman's work 379
Fronto-occipital circumference 421 Fruitful coitus, date of 67 Frusemide 473
Fulminant pre-eclampsia, acute 220, 229 Functional iron deficiency 258 Functional residual capacity 52{, 608 Fundal dominance 343
Fundal grip 71,372 Fundal height 64, 65 Fundal placement 501
Fundal pressure 132, 134{, 137,383{, 396 Fundus 501
uteri, level of 64{
G
Galactogogues 144 Galactokinesis 59,143 Galactokinetic hormone 143 Galactopoiesis 59, 143
Galactose-1-phosphate uridyl transferase 450
Galactosemia 422,450 Gallbladder 52 Gametes
contact of 19 fusion of 19
Gametogenesis 16, 16fc
Gammaglobulin 182
Gastric contents,aspiration of 485,549 Gastric decompression 444
Gastric irritation 250 Gastric motility 150 Gastric suction 160 Gastric washings 280 Gastritis 248, 254 Gastroenteritis 284, 407 Gastroenterocolitis 147
Gastrointestinal disorders 252 Gastrointestinal system 203 Gastrointestinal tract 40,52,141,509
injury 549 Gastroschisis 602 Gastrulation 24 Gelatin sponge 392
Gene disorders, single 102,107
General anesthesia 366,388,390,402,405, 484,484t, 486, 568
complications of 485, 486 Genetic 307
abnormalities 102, 204,593 amniocentesis 105 counseling 102,463,562 damage 462
diagnosis, preimplantation 163 disorders, diagnosis of 104 expression 319
factors 153 locus 319 syndromes 206
Genital anomalies 208
Genital herpes simplex virus infection 288 Genital organs 43,122f,139
internal 3 Genital prolapse 298
management for 299 Genital sepsis 381, 409
Genital tract 351, 380, 381, 407 infection 163, 300
injury 386 lower 372
nerve supply of 479 Genitalia 421
external 3 internal 3
Genitourinary fistula 381 Genitourinary tract infection 141 Genotypes 318, 319,323 Gentamicin 160,417,460
Germ cell layers 25
maturation 7 tumor 296
Germ disk
endodermal layer of 24 side of 23
Gestation
period of 87, 96, 179,488 sac 177f
confirms pregnancy 599
Gestational age 38,61,63t, 64, 67,87t, 479{, 599,601
advances 99
assessment of 420t, 428, 601
chart 96f
small for 429
Gestational diabetes mellitus 89, 265, 266t, 267,272,327,329,593
complications of 267t risk factors for 266 screening for 272
screening strategy for 266 treatment of 266, 272
Gestational hypertension 209, 218, 220, 229, 593
management of 217 pathology for 229
Gestational hyperthyroidism 273 Gestational proteinuria 220 Gestational sac 156,599, 624f
Gestational thrombocytopenia 49, 257, 258 Gestational thyrotoxicosis 59
Gestational trophoblastic disease 182
neoplasia 182,189,506 persistent 188
Giant vulsellum 618 Glabellar reflex 421 Glands
group of 12 suprarenal 359
Glisson's capsule 212 Globin fraction 255
Glomerular endotheliosis 212 Glomerular filtration rate 52, 141 Glossitis 254
Glucocorticoids 143
antenatal administration of 441 Glucokinase gene 265
Glucose 33,606f concentration of 608 supply of SO
tolerance test 265, 266, 608 Glucose-6-phosphate dehydrogenase
deficiency 477 screening 451
Glucuronyl transferase,congenital deficiency of 450
Glutamic acid 256
Gluteal arteries,superior 13 Glycemic control, procedure of 271 Glycerine 299
Glycosuria 265
Glycosylated hemoglobin A,estimation of 269
Goiter,congenital 368 Gold standard method 511 Gonorrhea 282, 285 Goodell's sign 45,62 Graafian follicle 8,19,55
maturation of 55 mature 17f
Gradual retrogression 311 Graft rejection,acute 228 Gram-negative septicemia 578 Gram-positive organisms 159
Grand multipara 87, 327, 386,468 Grandmother theory 319 Granulocyte transfusion 255
Granulosa cells 55
Index
Grasp reflex 421 Graves' disease 273 Gravid uterus 93
torsion of 295 Gravida 86
Green-Armytage hemostatic forceps 617 Growth 429
hormone 58,143 profile 602
restricted babies 285 restriction 269,310,479
Gums 52, 88
Gut microbiome 53 Gynecological disorders 294 Gynecological problems 147
Hl-Nl infection 286 Hadlock's formula 67,601 Hairs,colorless 39
Half-hand method 354,354f Hansen disease 282
Hart's rule 119
Hashimoto thyroiditis 274 Haultain's operation 397 Head 125,358,420
assisted delivery of 130f attitude of 356, 370 brim relation 117 circumference 65f, 435
measurement of 601 f crowning of 120, 129,129f deflexion of 353
delivery of 120,1 29,130, 368,545 engaging diameter of 368 internal rotation of 349 progressive descent of 124 rotation of 530
slow delivery of 130 station of 127
Headache 214,288,293,507 causes of 293b
postdural 483,484 Health sector actions 559 Heart 89,150,420,574
block 568
failure 225,249,431 transplantation 262 Heart disease 259,259t congenital 263,446
diagnosis of 49, 259b specific 262
Heart lesion 259 congenital 264 effects of 259 organic 327
Heart rate 49, 443, 577 maternal 128
Heartburn 92
Heat and acetic acid test 606t Heat loss,mechanism of 421 Hegar's dilator 612
Hegar's dilators 612 Hegar's sign 62 Helicobacter pylori 248, 292 Helli n's rules 191
HELLP syndrome 209,212,215,229,293, 578,583
hallmark of 213
Hematinics,supplementary 236 Hematocrit 150,246 Hematologic malignancy 247 Hematological disorders 246,587 Hematological indices 248 Hematology 591
Hematoma 358,401 infralevator 400,401f larger 401 retroplacental 116,239 subdural 457
Hematometra 66, 525 Hematuria 285 Hemodialysis 580 Hemodilution 258
effects of 247 state of 48
Hemodynamic resuscitation,goal of 576 Hemoglobin 48, 51, 63, 89, 147, 247, 250,
257,296 Bart 257
concentration 246,247 electrophoresis 451
H disease 257 level 254
normal adult 255 oxidizes 420 solutions,artificial 585 types of 39
Hemoglobinopathies 246, 255, 597 Hemolysis 283
Hemolytic anemia 451,453,454 drug-induced 255
Hemolytic crisis 256
Hemolytic disease 320,449,452 Hemolytic uremic syndrome 578 Hemorrhage 93,105,153,180,181{, 184,
185,244,245,255,303,358,380,389, 396,456,549,559,587,593
accidental 203, 205, 239,404 acute 578
amount of internal 171 causes of 184
cerebral 215, 222,431 clinical manifestations of 240 concealed accidental 71 control of 575
decidual 239 epidural 456 excessive 525 internal 401
intracranial 382, 448, 456 intracystic 297 intrapartum 234
intra peritoneal 172,178 intraventricular 442,448 massive 234,578
intra peritoneal 172 mild 242
minute 358 moderate 242 periventricular 442
primary postpartum 386 recurrent marginal 206
secondary 393 postpartum 393,549
severe 242 subarachnoid 456 subdural 456
subperitoneal petechial 240 third-stage 386,389fc transplacental 322 traumatic 387
Hemorrhagic anemia 453 Hemorrhagic disorders 561 Hemorrhagic patches 254 Hemorrhagic shock 244,574,575
basic management of 575 classification of 575t
Hemorrhoids 92,254 Hemostasis 388
Hemostatic forceps,long straight 611 Hemostatic pressure,direct 392 Heparin 217,264,415,476,584,585
contraindications of 476 therapy 261, 262
contraindications of 416 Hepatic abnormality 213 Hepatic dysfunction 150 Hepatic sinusoids 240
Hepatitis 275, 310 A 93, 276, 277 B 93,275
core antigen 276 infection 276t
B virus 89,276,519 management of 277
C 275,276 D 275,276 E 275,276
fulminant 276 G 275,276 viral 275
Hepatocellular adenomas 508 Hepatocellular injury 221 Hepatorenal syndrome 276 Hepcidin 247
Hernia,diaphragmatic 421,463 Herpes simplex 460
labialis 287 virus 287
Hesselback triangle 15 Heterotopic pregnancy 181 Hiatus hernia 92
Hiatus rectalis 9 Hiatus urogenitalis 9
High-density lipoprotein 508 Hilus cells 8
Hind milk 424 calorie-rich 424
Hingorani sign 297 Hirschsprung disease 464 Hissing murmur,continuous 49 Histocompatibility complex 588 Hofbauer cells 29, 32 Homeobox genes 477
Homogeneous eosinophilic membrane 446 Hookworms 284
infestation 248 Horiodecidual space 28 Hormonal contraception 513 Hormonal control 479
Hormonal ectopy 294 Hormonal influences 59 Hormonal stimulation,high 46 Hormone 33,213,471,511,513
action of 113 pituitary-like 56
replacement therapy 503
Hour-glass contraction 343, 389,394 Human albumin solutions 575 Human blastocyst 22
Human breast milk 148 Human chorionic
gonadotropin 56, 506 somatomammotropin 56
Human hemochorial placenta 27
Human immunodeficiency virus 89, 288, 506 infection, stages of 289
perinatal transmission of 288 Human infection 287
Human leukocyte antigens 588 Human milk, composition of 427t Human placenta 26,34,37
lactogen 56,60 Hyaline membrane atelectasis 447f
disease 445 Hyaluronic acid 113,488
Hydatidiform mole 63,71,151,182,183f, 184f, 185, 18Sf, 189, 192,401,602,623f
histological section of 184f management of 186fc pathology of 182
Hydralazine 217,221,227,262,474,475 Hydramnios 194,202, 372,375, 411
complications of 203 management of 204
Hydramniotic sac 194 Hydration 303 Hydrocele 463
Hydrocephalus 75, 383,384f, 402,551 Hydrochloric acid 1 SO
loss of 149
Hydrocortisone 152,279
Hydrops fetalis 202,204,320,321,321 f, 602 Hydrostatic balloon catheter,types of 392 Hydrostatic method 397 Hydroxychloroquine 280
Hygroscopic osmotic dilators 168 Hymen 2
Hyperalimentation,maternal 437 Hyperaminoacidemia 144 Hyperandrogenemia 161 Hyperbilirubinemia 270,432,450,451
management of 450 neurotoxicity risk factors 451 f
Hyperchromatic nuclei 172 Hypercoagulable state 54 Hypercontractility 344 Hyperemesis 414
gravidarum 149, 152 progress chart 152
Hyperglycemia 265, 268 maternal 268,272
Hyperhomocysteinemia 241,328 Hyperinsulinemia 51, 161,265,269 Hypermagnesemia,life-threatening 621 Hyperosmolar glucose 181
Hyperoxygenation,maternal 437
Hyperplacentosis 231
Hyperplasia 43, 45,58,111,294,429 Hyperplastic cells 182 Hyperprolactinemia 148, 161 Hyperpyrexia 223,225,310 Hyperresponsiveness 278
Hypertension 86,93,95,144,145,183, 209, 210,224,228,240,293,300,410,508, 559,587
chronic 95, 209,226,434f classification of 209t essential 226, 227t
long-term treatment of 475 management of severe 217t severe 229, 303
treatment of severe 475
Hypertensive disorders 205, 206,209,226, 310,543,561,587
Hyperthyroidism 154,273 causes of 273
clinical diagnosis of 273 Hypertonia 421,468 Hypertonic contractions 342f Hypertrophy 43,45,111,429
cervix 299f Hyperuricemia 293 Hyperventilation,state of 51 Hypervolemia 47,194 Hypocalcemia 270 Hypochromic anemia
causes of 249 microcytic 249f
Hypogastric artery, dissection of 393f Hypoglycemia 269,283,293,308,431
causes of neonatal 466 fasting 51
Hypokalemia 1 SO Hypomagnesemia 270 Hypomenorrhea 154,508 Hyponatremia 1 SO Hypoplastic anemia 453 Hypoproteinemia 88,321 Hypoprothrombinemia 151 Hyporeflexia 151 Hypospadias 463 Hypotension 96,468,489
postural SO Hypothalamopituitary axis 508 Hypothermia 430,432
consequences of 421 Hypothyroidism 154, 161,274
maternal 218 Hypotonia 421,463
Hypotonic uterine dysfunction 341 Hypovolemia 244
correction of 447 shock 401,572,574
Hypoxemia 101
Hypoxia 97, 269,565,568 chronic 210 persistent 571
Hysterectomy 186,237,392,394,405,410,627f quick subtotal 405
Hysterography 315 Hysteroscopy 503
Hysterotomy 169,315,316,402,468, 526 scar 314,315, 315t,402
rupture 404
Index Ei
Iatrogenic rupture 404 Ibuprofen 144,426
lcterus gravis neonatorum 320, 321 Idiopathic thrombocytopenic purpura 258 lieus pelvic abscess 408
Iliac artery
anterior division of internal 392 ligation of internal 393f
Iliac fossa 291 Iliac lymph nodes
external 12 internal 12
Iliac vein 50 external 7 internal 6
lliofemoral veins 414 lliohypogastric nerves 15 llioinguinal nerves 15
lliopectineal line 79f, 335 lliopubic eminence 79f Ilium 85
Immune cells 588
factors 1 54,161 globulin,intravenous 452 response 320
system 48
thrombocytopenic purpura 258 tolerance 589
Immunization 89,145,319 lmmunoglobulin
A 142 G
level of 45
maternal 39 Immunological diseases 63 Immunological disorders 154,155 Immunological factor,maternal 21 Immunological function 32,33 Immunological test 58,62,66 lmmunomodulation 588 lmmunomodulatory role 163 lmmunoprophylaxis 360 lmmunosuppressive agents 212 lmmunosuppressive drugs 280 lmmunosuppressive effect 33 lmmunosuppressive factors 589 lmmunotherapy 164
Impaired glucose tolerance,diagnosis of 267t
Imperfect retraction 234 lmperforate anus 463 Implantation 21
In vitro fertilization 63 Incarceration
causes of 298 chance of 298
Incision, extension of 529, 546 Inclination,angle of 80 lndomethacin 204,279, 475 Induction
methods of 495 place of 261
Infant feeding 147,422
DD Index
Infection 95,144,154, 155, 161,172, 248, 254,256,267,268,288,297,301,310, 382,389,431,432,540,559,563,568
active 281 acute 284 anemia of 246 congenital 439
consequences of 287 control 411 disseminated 282 intercurrent 249,257 local 181,408,409 maternal 276,310
mode of 158, 408,412, 458 multiple opportunistic 289 primary 288
sites of 408 severe 578 sites of 459 sources of 408
spread of 159, 408, 409 viral 105,286
Infectious diseases 94 Infertility 86,154,525 Inflammatory cytokines 239 Influenza 286,310
vaccine 93, 428 lnfundibulopelvic ligament 6, 46 lnfundibulum 7, 171
Infusion,flow of 469 Inguinal hernia 463
direct 15 indirect 15
Inhalation methods 481
Inherited thrombophilias 154,161,164,328,414 Injury 369,389,455, 457, 525, 537
Inlet contraction 338 Innate immune system 588 Inner cell mass 21, 22
development of 23 lnspiratory reserve volume 52f Insulin 143,266
antagonism 268 deficiency 265 inhibits 265
receptors,sensitivity of 50 requirement 268, 272 resistance 265,413 secretion SO
therapy 270 indication of 270
lnsulinopenia, absolute 265 Integrated test 103 lntegrins 23
Intelligence quotient,reduced 423 Intelligent anticipation 388 Intense vasospasm 212
Intensity 112
Intensive antibiotic therapy 411 Intensive care
monitoring 225 protocol 432
unit management, indications of 410 Intensive insulin therapy 577 lnterconceptional period 163
lntercostal retractions 420 Interferon 423
lnterglandular stromal cells 140
Interstitial cells 8
Interstitial extravillous cytotrophoblast 22 Interstitial implantation 22, 23, 26, 171 Interstitial line sign 178
lntertwin membrane 193f lnterventional radiology,place of 395 lntervillous
circulation 30f, 212 hemodynamics 30t space 27-29,32f, 32, 37 thrombosis 210
Intestinal obstruction 404, 549 Intestinal worms 284
Intra-abdominal pressure augments 116f Intra-amniotic pressure,generalized 124f lntracardiac injection 201
lntracranial calcification 287 lntracranial pressure,raised 420 lntracranial stress 380 lntrahepatic cholestasis 275 Intramuscular implantation 171 Intramuscular therapy 252 lntranatal care 557
lntranatal detection,early 380 lntranatal prophylaxis 409
lntraparenchymal hemorrhage,management of 457
lntrapartum care 136,290 lntrapartum complications 587
lntrapartum cord prolapse,prognosis for 376 lntrapartum fetal
evaluation 565 monitoring 571
lntrapartum management 586 lntrapartum monitoring 302 lntrapartum sonography 200
lntrapartum ultrasonography 335, 336{, 339, 603,603{
lntrapelvic adhesions 170 lntraperitoneal rupture 171 lntraperitoneal transfusion 326 Intrauterine adhesions 154
Intrauterine contraceptive device 497,502f, 504
types of 497
Intrauterine death 195,234,372,462,487,584 Intrauterine devices 262,498, 499{, SOS
complications of 504 nonhormonal 498
Intrauterine fetal death 71, 300, 310,593 causes of 310b, 313
management of 313
maternal complications of 313 Intrauterine fetal transfusion 324, 326 Intrauterine gestational sac 599 Intrauterine growth restriction 95, 434,
562,587 Intrauterine hypoxia 40
continuation of 442 risk of 99
Intrauterine infection 205, 380 Intrauterine inflammation 301 Intrauterine packing, tight 238, 392 Intrauterine pregnancy 171,599 Intrauterine pressure 112
Intrauterine stem cell transplantation 597 lntravascular extravillous cytotrophoblast 22
lntravascular transfusion 326
Intravenous fluid 576 therapy 156, 433
Intravenous heparin 415
Intravenous immunoglobulin, high-dose 326 Intravenous infusion, controlled 468 lntroitus 66, 298
Intubation 485 indications of 225
Invasive hemodynamic monitoring, indications of 591
Invasive procedures 104,107 Iodine 91
excess 274 Iris 420
Iron 91,247 absorbable 91
balance,negative 247 carboxymaltose 252 cord blood level of 39 deficiency 246,258,327
deficiency anemia 247-249,249b, 254,258 causes of 258
dextran 252
diminished intake of 248 hydroxide sucrose 252 isomaltose 252
loss 248 metabolism 51 poloymaltose 250
restricted erythropoiesis 258 salt 251
sucrose 252, 258 therapy 197, 250, 254
intravenous 258 supplementary 145,250
Irradiation 462 Irving method 515
Irving procedure 516f lsabgol tents 614 lschemic injury 457f
lschial spines 127f, 332, 335, 353 level of 365
lschiopubic ramus 10 lschiorectal fossa 10 lschium 200
lsoniazid 281 prophylaxis 281
Isotonic drinks reduce ketosis 380 lsotretinoin 478
lsoxsuprine 165
lsthmic cervical apposition suture 238 lsthmic implantation 171
lsthmic rupture 171 Isthmus 5,7,45
J
J incision 545 Jacquemier's sign 43, 62
Japanese encephalitis vaccine 428 Jaundice 88, 151, 275, 283, 286,321,420,
431,449
causes of 275, 275t management of 451
Jejunum 51 Joint 421
consultation, frequent 560
ligament laxity 92
K
late 348,374
latent phase of 123
Index :g}
Lecithin 100
Leg
Kala-azar 246 Kanamycin 281
Kangaroo mother care 422 Kaposi's sarcoma 289 Karyotype 188
Kelly's long forceps 614 Kernicterus 451, 466 Ketamine 279
Ketoacidosis 150, 152, 268, 382, 407 correction of 344,345,380
Ketones 606{
body excess 268 Ketonuria 150 Ketostix 606
Kidney 52,150,212,240,256,359,574 injury, causes of acute 578, 578t
Kielland's forceps 530,531,536,536f,616f Klebsiel/a pneumoniae 285
Kleihauer-Betke
acid elution test,modified 322f,608 test 311,322, 329
Klumpke's palsy 359,458 Knee presentation 355
Knee-chest position 377 Kocher's forceps 130,491 f, 611 Korsakoff's psychosis 151
Kroener method 515 Kyphotic pelvis 333
L
Labetalol 217,227,474,475 Labia majora 2, 3
Labia minora 2,3, 43
Labor 55, 108, 135, 195, 203, 205,243,256, 257,278,279,294,296,318,337,373, 419,446,449,468,480,468,550,609
abnormal 108,310,379,379t acceleration of 473
active management of 132,378,379,492, 493,493t, 495
active phase of 135 anatomy of 120 arrest of 378, 379
augmentation of 318,469,473,492 care guide 123,379,495
clinical course of 372, 373f companion 380
presence of 136 complications of 587 course of 340,351 crucial stage of 132 date of onset of 108 delay of 369 diagnosis of 136 disorder 379 duration of 303
early 348,374
effects on 296, 314,329 elective induction of 487
first stage of 35,113,121, 122,127, 135, 136,261,351,379
fourth stage of 135
induction of 243,271,310,313,360,468,
473,487, 487b, 488,489b, 490t, 491 b, 492fc,495, 550
management of 318,351,587 mechanism of 77, 117,118fc, 333,334f,
349, 349fc,356,357f,368,371,372 medical induction of 489t
mini 155
obstructed 115,294,328,378,381,382, 385,407,559
onset of 127, 135 pain 111,262
false 111 true 110
partographic analysis of 380f
monitoring of 493
primary dysfunctional 341,346,380 procedure of induction of 271 progress of 128,352,361,405,469,495 prophylactic induction of 382
second stage of 115, 123,124,129, 135, 137,261,263,351,379,398,550
secondary arrest of 383 spontaneous onset of 271 spurious 110
stages of 111,375,386 stress of 480fc
third stage of 116, 125,132,133fc,135, 137,202,261,386,387,394
trial of 317,339,367, 371 ward 198
Labyrinthine 34 Lactation 55,142, 509
amenorrhea 521 failure 144,412
physiological basis of 143 physiology of 143
postpartum suppression of 313 reflex arc 143f
stimulation of 144 suppression 144
Lactic acidemia 269
Lactiferous duct 13 Lactobacillus 43,46,53
acidophilus 43 Lactoferrin 142, 423
Lactogenesis 59,143 Lactoperoxidase 142,423 Lactose concentration,high 427 Lag period 569
Lambda sign 600 Lambdoid sutures 76 Lamellar body 99 Lamina propria 5 Laminaria tent 524f,614 Lamotrigine 278 Langer's lines 14 Langhans' layer 22
Laparoscope,removal of 517 Laparoscopic linear salpingostomy 177f Laparoscopic sterilization 516,517 Laparoscopic surgery,guidelines of 292 Laparoscopic tubal sterilization 517f Laparoscopy 174,180,292
Laparotomy 160,174,176, 179,180,240, 405,410,515
Laser photocoagulation 196
Latent syphilis 282
cramps 92,507 edema of 88
Leiomyomas 296 Lemon sign 601
Leopold maneuvers 71,72f Leprosy 282
Leptin 57,150 Leukemias 247
Leukocytes 39, 49,413,423 Leukocytosis 141,291 Leukomalacia, periventricular 431 Leukopenia 254
Leukorrhea 508
Leukotriene receptor antagonist 279 Levator ani 9
muscles 9f origin of 82
Levetiracetam 278,425 Levonorgestrel 505, 511
intrauterine system 498, 499,SOS pill 512f
Levorotation 44
Liberal mediolateral episiotomy 370 Libido 508
Ligament hematoma 400 Ligamentum venosum 41 Light solid diet 548 Lignocaine 482
Limb
hypoplasia of 287 reduction deformity 104
Linea alba 66
Linea nigra 46,64, 73f, 90 Linear salpingostomy 177 Lipid 33, 508
metabolism 51,Slt abnormal 210
peroxidation 268 peroxides 21O
Liquid antacids 92
Liquor amnii 34,115,308,566 amount of 70
embolism 491 production of 202
Liquor volume 601
assessment of 356 Listeria monocytogenes 284 Listeriosis 162,284
prevention of 284 Lithium 274,417,478
Lithotomy position 398,400 Live births 430
Live vaccine 93
Liver 52, 89, 150, 212, 229, 240, 359, 574, 577 biopsy 293
disease of 506 enlarged 254
enzymes, elevated 226, 293 function tests 212,275,451,608t
Living ligature 43,139 Lizman obliquity 118
LNG-IUD 498,499,501,503,513 LNG-IUS insertion
device SOlf method of SOOf
Lobes 27
.. ··il Index
Lobule 28 Lochia 141,148
alba 141,148 discharge 409 rubra 141 serosa 141,148
Lovset's maneuver 366, 366f
Low birth weight 425,429, 439,562,593 babies, two-thirds of 430
Low forceps operation 532 steps of 534f
Low-density lipoprotein 508 Lower limb 604
Lower segment scar 315,316,402,403 rupture 402,403(, 404
Lower segment transverse scar 314,546 Lower uterine segment 111, 114, 135,140,
230,231
Low-molecular-weight heparin 217,476 Lumbar epidural analgesia,continuous 482 Lumbosacral trunk 416
Lung 89,159,359,409,445,574 capacity,total 52(, 608 cells,types of 300
disease,chronic 448 injury,causes of acute 591 maturation 446
maturity, assessment of 447 scans 415
volumes 52f
Lupus antibodies, maternal 280 Lupus anticoagulant 163
Luteal phase defect 154, 161 Luteal placental shift 55 Lymphatic system 34 Lymphomas 247,289 Lysine,substitution of 256 Lysozyme 423
MacKenrodt's ligament 5, 11 Macroglossia 420 Macrophages 148,499
Macrosomia 308, 329, 382, 383, 429 Macrosomic baby 269f
Madlener technique 515 Magnesium 621
Magnesium sulfate 219,224, 225,302,439, 475,476,621
side effects of 621 toxicity of 621
Magnesium toxicity 224,621 detection of 224b management of 224b, 621
Ma/absorption syndrome 254 Mala-D SOS
Malaise 288 Mala-N 505
Malar eminences 368 Malar flexion 364f Malaria 154, 246, 283,31 O
congenital 283 effects of 283 t parasites 33, 409
Malformations,types of 295 Malignant disease 106
Mallory-Weiss syndrome 151
Malmstrom device 538f Malnutrition 387
maternal 463 Ma/position 347
Ma/presentation 347, 468,543 persistence of 232
Ma/rotation 350
Mammary gland,basic unit of 13f Mammary murmur 49 Mammogenesis 59,143
Manual rotation,half-hand method of 354f Manual vacuum aspiration 526
cannula 526f syringe 526(, 61Sf
Marfan's syndrome 264 Massage 388
uterus 390
Massive hypertrophy 14
Massive transfusion protocols 585 Mastalgia 507
Mastitis 407,412,412 acute 412
risk factors for 412 types of 412
Maternal autoimmune disease 590 Maternal circulation 29
Maternal circulatory volume expansion 437 Maternal complications 96, 201, 245, 268,
283,306,593b,606
Maternal death 292,554,558,564,621 causes of 222, 415, 556(, 559,564 clinical causes of 555
indirect 260 reduction of 235
Maternal disease 477
Maternal distress 205, 268,327 evacuation of 129
Maternal fetal
cell trafficking 589 medicine 205
Maternal free fatty acid, elevation of 268 Maternal hypotension,correction of 570 Maternal illness, chronic 162
Maternal injuries 337, 398, 594
Maternal morbidity 233,327,537,358,561, 564
severe acute 561
Maternal mortality 177,196,215,239,259, 409,558,559
conferences 560 estimates 558t rate 558
ratio 555, 558
Maternal near miss 561, 564 Maternal osmoregulation 61 Maternal serum 56
alpha fetoprotein level 103,269 chorionic gonadotropin 194 iodine 58
levels 60
Maternal supine position 381 Maternal surface 27, 134, 622 Maternal syndrome 213
Maternal toxoplasmosis, chronic 284 Maternal vitals, period 111
Maternal weight gain 95,435
Maternal wellbeing,assessment of 587
Maternity care,respectful 126
Mathews-Duncan method 117f Matrix metalloproteinases 239 Mature ovum 17
development of 16 structure of 17
Maturity, suspected 317
Maturity-onset diabetes of youth 265 Mauriceau-Smellie-Veit technique,modified
364 McBurney's point 291
McDonald's operation 165 McDonald's technique 164f McRoberts maneuver 383
Mean corpuscular hemoglobin 247 concentration 247
Measles 33, 93, 286
mumps-rubella vaccine 287 Mechanical dilators 489, 492 Mechanical distress 195 Mechanical valves 264 Mechanical ventilation 279
indications of 432, 575 Meckel's diverticulum 36 Meconium 566
aspiration 308 syndrome 40,448
composition of 40 ileus 463, 464
Median nerve, compression of 53 Medical disorders 327,416,562
detection of 562 management of 562
Medical eligibility criteria 497,512 Medical illness,maternal 154 Medical induction 488
Medical termination of pregnancy 153,166, 515,517
complications of 169 Medical therapy 176
Medical-gynecological disorders 543 Medication,preoperative 485 Mediolateral episiotomy 383,528t
steps of 527(, 528 Medroxyprogesteroneacetate 478, 51 O Medulla 8
Megaloblastic anemia 253-255, 258,283 Meiotic division,first 19
Melanocyte stimulating hormone 47 Membrane 108, 113,125,374,390
artificial rupture of 490, 490f bag of 113
early rupture of 195
low rupture of 205, 243,325, 490t, 491 prelabor rupture of 304
premature rupture of 154, 203, 304, 340, 407,487,601
preterm rupture of 562 prolonged rupture of 304,407 removal of 547
rupture of 71, 127, 403 separation of 116
spontaneous rupture of 205, 304 stabilizer 224
status 124, 351 sweeping of 489
Mende/son's syndrome 485,486,574 Meningitis 282, 284
Meningococcal vaccine 428
Menopause 8 early 594
Menorrhagia 508
Menstrual abnormalities 507 Menstrual age 61,599
Menstrual bleeding,abnormal 501 Menstrual loss 501
Menstrual period first 142
last 61, 71,87 Menstruation 19, 142 Mental health 417 Meperidine 481 Mesoderm 21, 25
Mesosalpinx,attachment of 7 Metabolic acidemia 96,568
Metabolic acidosis 96, 144,149,283,321, 381,421,575
Metabolic disorders 416,450 Metabolic disturbances 144 Metabolic syndrome 215,437 Metallic taste 250 Metanephric kidney 39 Metarteriole shunt 572 Metastatic disease 182 Metastatic infection
signs of 409 symptoms of 409
Metformin 254 Methemoglobinemia 420 Methergine 132,390,470,473
place of 471f uses of 470
Methimazole embryopathy 273 Methotrexate 167,176,181,187,189,478
therapy,contraindications of 177 Methyldopa 474
Methylergonovine 470 Metoclopramide 151,152,544
Metronidazole 160, 292,399,417,425, 478 Metroplasty 163
Microangiopathic hemolytic anemia 212 Microbicide 520, 522
Microbiome 53 role of 53
Microchimerism 589 Microinvasive disease 295 Micromuscles,contraction of 19
Microvascular circulation,anatomy of 572 Micturition,frequency of 61, 65
Midforceps 531 operation 535
Mid-pelvic
contraction 351,353 plane 83
Midpelvis 83
Mifepristone 167,168,313,489,621 Milia 420
Milk
ejection 143 reflex 143
expression,methods of 426 formula 427
production 144
causes of inadequate 413 secretion 143, 425
transfer 424 Minerals 90,247,423
Mini-lap vis-a-vis laparoscopic sterilization 517t
Minilaparotomy 516,517 Minipill 509,512,513
Miscarriage 153,156, 255,298,327,329 causes of 155,161
complete 156,157f etiology of 153 incomplete 157,157{ inevitable 1 SSf, 156 late 313
mechanism of 155 missed 157,158{
prognosis of recurrent 165 rate 195
recurrent 160, 162, 165, 589 risk of 286
silent 156 threatened 155,157{ types of 161t
Misoprostol 132,157,158,167,168,313, 472,473,488,489,620,621
administration 166f Mitochondria 11 O Mitogenic glycoprotein 210 Mitral stenosis 259, 262 Mitral valve
normal 262 prolapse 263
Mixed infection 158 M-mode 598
Molar pregnancy 155, 623{ complications of 184 suspected 599
Mole
incomplete 187 invasive 182
partial 187, 188{, 188t Mongolian spots 420 Monilia vaginitis 294 Monilial vulvovaginitis 285 Monoamniocity 196 Monochorionic diamniotic
placentas 191 f twins gestations 196
Monochorionic twins 196,197 complications of 196,201 discordant growth of 195 f post-laser ablation 196
Monochorionic-monoamniotic twins, placenta of 197f
Monofilament sutures 399 Monosomy X 105, 153, 1 54
Monozygotic twins 190-192, 194-195, 202 pregnancy 190t
Mons pubis 2 Mons veneris 2
Montgomery's glands 13 Montgomery's tubercles 46 Moral principles 592
Morbid adherent placenta 115,239,388, 389,394,405,549
types of 237 Morning sickness 61 Moro reflex 421 Morphine 415
Mortality following tubal sterilization 518 Morula 20
Index am· Mosquito bites 283
Mouth 46,420
Mucocutaneous candidiasis 461 Mucopolysaccharidoses 597 Mucous coat 6, 12
Mucous membrane 7, 12,50,171 Mucus rhythm 520
users of 520
Mucus sucker 363, 617f Mullerian ducts 4, 6,7,162 Mullerian fusion,defective 162
Multichorionic multiple pregnancy 201 Multidisciplinary team 394
Multidose methotrexate 176 Multifetal pregnancy
complications of 194t reduction of 201
Multigravida 87
Multiload cu-375 498,501
Multiload intrauterine contraceptive devices, insertion of SOOf
Multilobed placenta 207 Multipara 87,114,373 Multiple birth 190, 192 Multiple gestation 192 Multiple organ failure 574
Multiple pregnancy 151, 184,190,201,202, 248,273,359,375,414,562,587,593, 599,600
incidence of 191 suspected 601
Multiple toothed vulsellum 611 Multisystem abnormalities 286 Mumps 33,93,287
Muscle 9,43, 140,457 apposition 546 coat 5,12
fibers,arrangement of 43 incision 545
layer 12 longitudinal 15 relaxants 485 superficial 399 tone 52,421,443 transverse 14
Muscular coat 36 Muscular contraction 580 Muscular spasm 92
Musculoskeletal system 203 Mutigravidae 543
Myalgia 285,288 Mycoplasma 300,418
Myocardial function, inhibition of 474 Myocardial infarction 265,574 Myocarditis,treatment of 577 Myoepithelial cells 13,46
Myofasciitis 41Of Myomectomy
partial 396 place of 296
Myometrial mantle 1 78 Myometrial oxytocin receptors 109 Myometrial segments 210 Myometrium 5,171,179,401
contractile system of 109 layer of 181,181 f
Myosin 109
light chain kinase 110
ea Index
N
Naegele's formula 67,88 Naegele's pelvis 332,333 Naked eye
appearance 182, 296 features 240
Nalbuphin 481 Naloxone 481
Narcotics 97, 477,478,485 antagonists 481
Narrow pelvic plane 82 Nasal bone,absence of 106
National Diabetes Data Group 266 National Digital Health Mission 563 National Health Mission SSSt,560 National Health Policy 560
National Institute of Child and Human Development 566
National Population Policy SSSt National Sociodemographic Goals SSSt Natural birth 126
Natural killer cells 33,154, 588 Nausea 61,92,149,194,250,468,507
vicious cycle of 150 Navicular cells 43
Neck 12,88,420 masses 202 nape of 363 torsion of 120
Necrotizing enterocolitis 147,442,461 Necrotizing fasciitis 410,41 Of
Needle puncture 241,242 Negative sliding organ sign 179 Negele's obliquity 118 Neoadjuvant chemotherapy 295
Neonatal complications 268,269,306,593b Neonatal deaths 563
Neonatal hyperbilirubinemia 466 causes of severe 449 diagnosis of 450
Neonatal infection 283, 288 prevention of 459
Neonatal jaundice 275 causes of 449
Neonatal lupus syndrome 280 Neonatal resuscitation 444 Neonatal seizures 454t Neonatal sepsis 305, 460t Nephritis 300
Nephrotic syndrome 88 Nerve 359
injury 457,537 Nervous system 53,421
Neural tube defects 102,107,384 Neuraxial analgesia 482, 486 Neuraxial anesthesia 482,482t,483 Neuritis,peripheral 151
Neurological damage,long-term 359 Neuropathy,post-traumatic 416 Neuroprotection 303
Neuroprotector 224
Neutral protamine Hagedorn 271 Neutrophilic leukocytosis 48
Neutrophils,hypersegmentation of 253,254 Nexplanon 510
efficacy of 511
Nicardipine 475 Niche scar 181 Nicotine 478
products 94 Nicotinic acid 91 Nidation 21
Nifedipine 217, 227,474,475 Nile blue sulfate staining 304 Nipple 13,46
abnormalities 426 accessory 14 cracked 412
flat 412,426 inflamed 412 inverted 426 long 426 retracted 412 shields 412 short 426 soreness 145
supernumerary 14 trauma 425
Nirodh 519
Nitabuch's layer 28,32,395 Nitabuch's membrane 23 Nitrazine test 304
Nitric oxide 50,110,210,476 Nitrofurantoin 285, 425,477,478 Nitroglycerin 474
sodium nitroprusside 217 Nitrous oxide,premixed 481 No scalpel vasectomy 518
No touch insertion method 500 Non-ciliated columnar epithelium 5 Noncommunicable disease 562
Noncontraceptive benefits 503,507,510 Noncontraceptive use 509
Non-gestational trophoblastic disease 182 Non-hematopoietic stem cells 596 Nonimmune fetal hydrops 465
causes of 466
Nonimmune hydrops 310, 465f Noninfective mastitis 412
Non-lactating breasts 13 Nonmetastatic disease 182 Nonmolar pregnancy 189
Non-nucleoside reverse transcriptase inhibitors 289
Nonobstructive rupture 402 spontaneous 403,404
Nonpharmacologic analgesics 481
Non physiologic jaundice, absolute features of 450b
Non-pneumatic antishock garment 392 Nonreassuring fetal status 570,570b
management of 570 Nonstress test 97, 308, 359 Noradvenaline 576 Norethindrone 167 Norethisterone enanthate 505
Normal labor 108,113,117,122,340 management of 126
mechanism of 117,135 physiology of 111
Normal puerperium 139 management of 144
No-scalpel vasectomy 514
operation,methods of 514f
Nosocomial infections 459
No-touch insertion technique 501 Nuchal displacement 366
Nuchal translucency 1 OSf,106,600,600f Nucleoside reverse transcriptase inhibitors
289 Nulligravida 87 Nullipara 87 Nulliparous cervix 66
Numerous lymphatic channels 44 Nutrients 423
transfer of 429 Nutrition 39,432,433,461 Nutritional deficit 426
• Nutritional supplementation 152 Nutritional support 577
Nutritional therapy,supplementary 90 Nutritive function 33
Nutritive villi 28 Nuva ring 522
Nystatin oral suspension 461
0
Obesity 329,408,410 childhood 147,423
Obliterative endarteritis 282 Obsessions 417
Obsessive-compulsive disorder 417 Obstetric
cholestasis 275
complications 276,278,284,359,416 conjugate 81
day-care 594 deaths,direct 558 emergency 406 epidemiology of 558 examination 89 grips 71
indications 200 instruments 609
management 221,225,227,263,266, 270,281,382
morbidity 561,564 operative 523 palpation 307 palsy 416
practical 609 sepsis 583
Obstetric forceps 530,552 long-curved 530,61 Sf pair of 361
varieties of 530 Obstetric hemorrhage 394
classification of 575t Obstetrical perineum 11 Obstetrical transverse 81 Obstructive renal failure 580 Obstructive rupture 402
spontaneous 404 Obstructive sleep apnea 46 Occipital bone 76
Occipital lobe 221 Occipitosacral arrest 350,353 Occiput mental plane 531
Occiput-spine angle,measurement of 603 Occult prolapse 375
Olanzapine 417
Oldham's perforator 551 Oligoamnios 205
Oligohydramnios 35,39,194,196,205,206, 308,311,355,449,487,587,601
complications of 206
Oliguria 214,215,221,431,411,576 Omega-3 fatty acids,long-chain 423 Omeprazole 478
Omphalitis 460
Omphalocele 200(, 421,464,602 Omphalopagus fetuses 200f Oncogenicity 462
Ondansetron 151,152
Onset of labor, mechanism of 490 Oocyte 19
fertilizable life span of 19 maturation of 17 primary 17
second meiotic division of 19 secondary 17
Oogenesis 16 Oophoropexy 295 Operation
destructive 385,550,552 time of 515, 543
Operative delivery 203,380,387,527 incidence of 493
Operative vaginal delivery 147,529, 532t,538
benefits of 540 classification for 532t contraindications of 539b risk of 540
Ophthalmia neonatorum 459 Ophthalmoplegia 151 Ophthalmoscopic examination 151,214 Opiate analgesics 279,481,486
Opioids 94
Oral azithromycin 282
Oral contraceptive 280,281,294,SOS(, 505t, 512
formulations,types of 509 Oral corticosteroids 279
Oral drugs 218
Oral feeding 338,548
Oral glucose tolerance test 51 Oral hydration 452
Oral hypoglycemic drugs 270
Oral iron therapy,side effects of 250 Oral mifepristone 167
Oral nifedipine 264 Oral pill 274,477
combined 187 Oral therapy 250
contraindications of 252 Oral thrush 420,461
Organ 509 damage 244
Organ dysfunction features of 160b
pathophysiology of 211 Oropharynx 131
Ortolani and Barlow maneuvers 421 Osiander's sign 62
Osmotic fragility tests 451 Osteogenesis imperfecta 597 Osteomalacic pelvis 333
Osteonecrosis 256
Ostium secundum type 263 Otitis media 147
Outlet forceps 531 operation 535
Ovarian arteries 178 Ovarian cancer 297 Ovarian changes 183 Ovarian cycles 46 Ovarian cyst 203, 292 Ovarian fimbria 7 Ovarian fossa Bf Ovarian function 142 Ovarian masses 297 Ovarian pregnancy 179
diagnosis of 179
Ovarian tumor 184,296,297f, 299 malignant 297
Ovarian veins 8 Ovary 7, 46, 508
histological structure of Bf Overactive bladder 286 Overflow incontinence 41 1 Ovulation 18,55,21f,142
causes of 55 inhibition of 505,51O resumption of 176
Ovum
forceps 613
transperitoneal migration of 170 Oxybutynin immediate release 286 Oxygen 481
administration of 575 consumption 422 delivery 429 deprivation 96 inhalation 279 reserve,maternal 51 saturation 185 supply 33,96 therapy 415
humidified 447 Oxygenation 432,448
Oxytocics 199, 340,344,467,473,547 agents 525
selection of 473 use of 404
Oxytocin 109,143, 143(, 148,158,168,169, 243,346,362,388,390,426,467,471, 473,488,489,489 490
administration of 468 analogue 475 antagonists 475 augmentation 290, 383 challenge test 469 concentrated 167 contraindications of 468t diagnostic use of 469 dose of 469
high-dose 469
infusion 185,225,309,313,344,377,489 observation during 469
intravenous 546 long-acting 388 parenteral 397 sensitivity test 469 side effects of 468 stoppage of 570
titration technique 468
Index ma p
Pacemaker 112,340 Packed cell volume 247
Pain 121,124,125,155,297,501,502,528 acute 292
causes of 292t cramp-like 501 mechanism of 145 probable causes of 112 relief 128,344, 345,479
methods of 481 spasmodic 145 suprapubic 315 weak 352
Pallor 88, 419
Pal mar erythema 47 Palmar grasp 421 Palmer's sign 62 Palpation 71 Pancreas 59
Pancreatic function tests 608t Pancreatitis,acute 292
Pap smear,abnormal 295 Para-aminosalicylic acid 281 Paracervical lymph nodes 6 Paracervical nerve block 482 Paracetamol 256
Paragard 500 Paralytic ileus 549
Parametrial phlegmon 409 Parametritis 408, 409 Parametrium 5,1 1 Paraplegia 416
Pararectal fascia 399 Parasitemia 284 Parasites 283
Parasitic infestation 283 Parathormone nor calcitonin 33 Parathyroid
gland 59 hormone 59,60
Paraurethral glands 12 Paraurethral tear 398 Paravaginal hematomas 400
Paravaginal venous plexus, rupture of 400 Parenchyma 14
Parenteral therapy 252,258 advantages of 252 indications of 252
Parietal presentation, posterior 1 18 Parity 86, 481
Partograph 122,493,494f, 495 advantages of 495 components of 494 plotting of 495
Parturition,initiation of 109f Parvoviruses 287
Patella 311
Patent ductus arteriosus 263,431,463 Pathological coagulation,initiation of 581,
582
Pawlik's grip 72,72f,85
Peak intrauterine pressure 469 Peak systolic velocity 324f Pectineal line 79f
Pedal edema 214f
ml Index
Pedicle,torsion of 297 Peg cells 7
Pelvic
abscess 159, 408-410 adequacy 351,370,375 application 532
axis 84, 8Sf
brim 70,81, 114,124,354 cellular tis ue 4, 9, 11 cellulitis 407-409 changes 62
contraction 365 diaphragm 9 dimensions 82, b3 examination 155, 158 fascia 11, 141 fractures 333 hematocele 171 hematoma 400, 406 inflammation 525
inflammatory disease 170,501, 519 inlet,shape of 347
joints 84 lymphadenectomy 295 mass 543
muscles 10f, 401f nerves 9, 11 pathology 147 peritonitis 408, 409 plexus 12
portion 12 rest 236 shape 119
structures 140
tenderness,presence of 409 thrombophlebitis 414 tumors 71, 75,372,375 ultrasound 409
ureter 12
vein thrombosis 409 viscera 11
wall,fascia on 11
Pelvic floor 9-11, 115,141, 298, 368,378 exercises 399
fascia on 11 law of 119
muscle 146,353 tone of 353 training 286
slope of 119
Pelvic grip 72,72{, 73, 348, 372 first 73
Pelvic organs 4f, 9-11, 140 prolapse 286
Pelvimetry 334
Pelvis 79,127, 130, 332, 348 assessment of 127, 334, 339,353 clinical assessment of 334f depth of 80f
false 79 flat 333
generally contracted 333 inclination of 80f
management of contracted 338 maternal 70, 76
normal 371 part of 80
physiological enlargement of 85
plain X-ray of 502f quadrants of 70 secondary contracted 381 true 80,110 ultrasonography of 159
Penalities 595 Penicillin 282
penicillinase-resistant 413 prophylaxis 256
Peptic ulcer 292 disease,risk of 52
Peptides, local 23
Percutaneous transluminal coronary angioplasty 265
Percutaneous umbilical blood sampling 1 OS Perforation,sites of 551
Perihepatitis 282
Peri-implantation genetic diagnosis 106 Perimortem cesarean delivery 550
place of 591
Perimortem cesarean section 544 Perinatal asphyxia 441, 466
etiology of 442 management of 443 sequelae of 448t
Perinatal death 241, 358, 418 reduction in 235
Perinatal grieving, management of 418 Perinatal infections 458
Perinatal injury 594 Perinatal loss 382
procedure-related 326 Perinatal mood disorder 417
Perinatal morbidity 245, 305, 308,563 risk of 98
Perinatal mortality 215,245,270,308,327, 376,561,564
causes of 239,563 predisposing factors of 562 risk of 98
Perinatal nomenclature 563f Perineal arteries 400
Perineal damage, chance of 369 Perinea! infiltration 527f Perineal injury 144,351,398 Perinea! laceration
chance of 529 prevention of 130
Perinea I muscles,repair of 529f Perineal pouch
deep 10 superficial 2,3f
Perinea! scar 398 Perineal surgery 527 Perineal tear 399f
complete 351, 398 fourth degree 406 third-degree 398b
Perineal trauma 137, 540 Perinea! wound 410 Perineum 3, 10,66,134,398
Peripartum cardiomyopathy 264 Peripartum hysterectomy 550 Peripheral smear, abnormal 212 Periportal hemorrhagic necrosis 212 Peritoneal coat 403
Peritoneal incision 545
Peritonitis 408, 410
Personal hygiene 294 Pethidine 568
Pfannenstiel incision,modified 545t pH rises 51
Pharmacological agents 575 Pharyngitis 407
Phenytoin 476,478 Phlegmasia alba dolens 414 Phosphatase levels 53 Phosphatidylcholine 100 Phosphatidylglycerol 100 Phospholipid
degradation 96 release of 581
Phototherapy 452 adverse effects of 452
Phrenic nerve injury 458 Phyalism 46
Physiological anemia 246,421 concept of 247
criteria of 247 Physiological edema 50,88,89
Physiological retraction ring 114 Pill
low dose 521 missed 506 withdrawal of 507
Pinard's maneuver 365,365f Pinard's stethoscope 618 Pinocytosis 33
Pinopods 21
Piper forceps 364,536,536f Piperacillin 160
Piskacek's sign 62 Pituitary failure 244 Pituitary gland 58, 60, 384
maternal 58
Pituitary growth hormone 56 Pituitary-ovarian axis,function of 55
Placenta 22, 26,27,29,37,40,59,108,132, 202,155,182,205,210,208,231,238, 239, 240, 282, 284,296, 308, 311, 343, 387,389(, 390,394,395,404, 604, 622
abnormalities of 190,206,216 adherent 395, 627f angiogenesis 210
anomaly 241 appearance of 240f barrier 31, 37 bilobate 207
blood flow 41 chorioangioma of 202 chorionicity of 193 circulation 29, 35, 37 circumvallate 206, 207f, 233 delivery of 132
detachment of 116 endocrinology 33, 55 examination of 191,233,271,388 expulsion of 117,126,134, 134f extrachorialis 206
factor 307, 375, 435 fenestrata 208
fetal surface of 27f, 34,622f function 32, 37,57
glucose transport 265 implantation of 115, 230,233,408
increta 237f, 395f
localization of 232t
low-lying 231,237,245,627 manual removal of 322, 388,389 margin of 208
marginata 206, 207 maternal
portion of 23 surface of 622f
membranecea 207 microbiomes 53 migration 231 mosaics 104 parasitization 283 perfusion 227 polyp 393
posteriorly situated 232 premature separation of 239 removal of 126, 547 retention of 386
sending 313
separation of 116, 117f, 239,394 sign 61
situated 194 spuria 206 structure of 28f
succenturiata 206, 207,207f, 622f tissue, hyperplasia of 321
transfer 32, 37 villi 193f
Placenta accreta 29,32, 237, 238,245, 395, 549,602,627
partial 395
risk factors for 237 risk of 245,395
spectrum 237,314,395, 627f total 395
Placenta growth factor 210,211 hormone 58
Placenta membrane 31,190 examination of 133
Placenta previa 75, 91, 115, 194, 230-234, 234t,235,238,244,245,303,315,355, 359,387,400,593,601,627,627f
accreta 234, 238 risk of 245
anterior 238 complete 233 degree of 231f
fetal complications of 245 high-risk factors for 231b incidence of 318 management of 236fc,245 marginal 233
maternal complications of 245 neonatal complications of 234 symptom of 232
types of 231
Placental abruption 96,215,241,243,245, 274,291,296,327
complications of 243 etiology of 240 management of 245 risk factors for 245
Placental hormones 55,56t, 57f, 60 diagnostic value of 58
Placental insufficiency 310,442 chronic 434
risk of 308
Placental separation, premature 239 Placental site 408
bleeding 388 contracts 139
trophoblastic tumor 182,188 Placentation,abnormal 210,589 Placentography 232t,234 Placentome 28
Planned delivery,timing for 197,202 Plantar deep creases 430
Plasma 48, 608 cells 148
concentration 56 creatinine 579 fibrinolytic system 582 glucagon 51
glucose, fasting 266, 270 insulin level SO
lower levels 56 magnesium level 621 maternal 106 membrane 18f potassium 579
progesterone decreases 57 protein 48, 54
A, pregnancy associated 57 vasopressin 58
volume 48 Plasmapheresis 326 Plasmin, activation of 583 Plasminogen inhibitors 582
Plasmodium falciparum infection 283 Plastic suction cannula 615
Platelet 49, 607 concentrates 584 consumption 49 count 141 disorders 257 functions 580 problems 453 reduction of 213
Platypelloid 80,332 Plethora 420
Pliable tabular bones 76 Plummer Vinson syndrome 249 Plumpy face 269f
Pneumococcal polysaccharide vaccine 428 Pneumonia 147,286,380,407
neonatal 562 Pneumoperitoneum 517 Pneumothorax 420,448 Podalic version
external 542 internal 540
place of 405 steps of 542f
Poikilocytosis 248 Polar body 18
biopsy 106 Poliomyelitis 33
Polycyclic hydrocarbons 478 Polycystic ovary syndrome 161, 163 Polycythemia 269f,270,308,451 Polydioxanone 399
Polyglactin 399
Polyhydramnios 35, 71, 74, 194, 202, 206, 267,268,487,587,601
acute 205 causes of 206
Index -
complications of 206 mild 204
severe 204 treatment of 204
Polymerase chain reaction 105, 282 Polymicrobial infection 158
Poly-oli syndrome 196 Polythelia 14
Polyuria 48
Pomeroy's method 515,516f Pondera! index 434,436 Pontine myelinolysis 151 Popliteal fossa 362,365
abduction of 365f Population dynamics 496 Port wine color 240 Portable sensors 566
Positive pressure ventilation 432 Positive serological reaction 282 Postabortion care 524
Postcoital contraception 511,522 Posterior arm
delivery of 363f extraction of 383
Posterior reversible encephalopathy syndrome 212, 212f
Postmaturity management of 309fc syndrome 308,487
Postnatal physiotherapy 279 Postpartum 142, 261
blues 53 cardiomyopathy 416 care 290
depression, risk of 220
depressive disorders, high-risk factors for 417
eclampsia 416 exercise 145
hemolytic uremic syndrome 416,580 management 220,226,228 prophylaxis 410
renal failure 580
Rh-immunoglobulin prophylaxis 322 thyroiditis 274
urinary retention 411 vascular collapse 213
Postpartum hemorrhage 109, 194, 195, 203, 206,234,244,249,256,296,328,369, 380,381,386,387,416,537,549
causes of 394 late 393
classification of 386 Postprandial hyperglycemia 51 Post-term pregnancy 310
complications of 308
Post-vasectomy syndrome 514 Potassium 151
chloride 201
local injection of 181
Pouch of Douglas 5,6,120,159, 297f, 409 Pouch,superficial 10
Prague's maneuver 367 modified 367
Preconception planning 280 Preconceptional counseling 94, 256, 257,
270,274,278,312,595 and care 94
Index
Preconceptional folic acid supplementation 94 Prednisolone 228, 280
Prednisone 279
Pre-eclampsia 88,89,91,96, 141,184,194, 203,209,211,226,228,229,249,256, 267,288,327,562,583,589
atypical 226, 229 classification of 229 etiopathogenesis of 211fc features of 183,242
management of 217t,219fc, 229 nonsevere 229
prediction of 215 prevention of 215 recurrent 215
risk factors for 216b,300,302 screening of 215
severe 211,218,220,22lb,229,301,370 severity of 213
Pregestational diabetes mellitus 218,267 Pregnancy 57,58, 60, 94,149, 172,184,209,
226,240,246,249,260,294,295,314, 315, 337,372,373,402, 467,502,559, 562,580,587, 609
acute fatty liver of 578 advanced 179 adverse effects in 283
and labor, physiology of 448 basic immunology of 588 cholestasis of 487 complications 86, 300,563,587 continuation of 525
dating 87t
diagnosis of 61-63, 66, 68 duration of 61, 68
ectopy 294
effects of 227,228,256,268,277,279,280, 283,291,295,296,298,314,329
failure
early 600 rate 497
false 66 first 327
half of 384
trimester termination of 167 folate deficiency 253
high-risk 585 hypertension 229 immunological test for 66 interstitial 178, 178f
late 52, 66,149,319, 578 loss,mechanism of 154 maintenance of 22
management of 296,313, 316, 317fc mask 46
normal 86,183,192,210,413,608 periods of 56
positive signs of 66 postcesarean 370 postmature 310 problems 419 proteins 56
rarly 144, 149, 153, 179, 319 rate,overall 511
risk 511
sign of 46, 66 stage of 415 tendency of 324
termination of 166 test 62t,68,178
positive 63 uses of 63
vaccines in 93 warning signs of 94
Preinduction score 488 Prelabor 11O Premature rupture 123
Prematurity 255,355,367,372,375,430, 562,568
manifestations of 430 prevention of 432 retinopathy of 431, 448 risk of 295
Premenstrual hysterocervicography 162 Prenatal care, procedures of routine 89t Prenatal cytogenetic testing 107 Prenatal diagnosis 104,277,312
screening for 107 Prenatal education 493 Prenatal exercise class 91 Prenatal genetic
counseling 102 screening 102, 327
Prepregnancy counseling 228, 273,278 Prepregnancy health care and counseling 562 Prepregnant health status 248
Pressure necrosis 381 Preterm birth 300,314,593
late 304
syndrome,spontaneous 165 Preterm breech 364
delivery of 361 Preterm delivery 200,237
Preterm labor 108,165,169,194,203,215, 234,268,292,300,304,407,473,525, 562,586
arrest 302, 304 etiopathogenesis of 301, 301fc
management of 302, 302fc, 303, 432 prevention of 302
risk of 304 syndrome 301
Previa 327
Previous childbirth,signs of 66 Pricking sensation 61 Primaquine 283
Primigravida 46, 87, 114, 216, 218, 373, 378, 543
Primipara 87
Primitive mesenchyme 24 Primitive streak 24 Primordial follicles 8,17
Priscilla White's classification 267 Prochlorperazine 151,152 Progenitor cells 596
Progesterone 46, 50, 55,57,58,85,109,113, 143,148,150,154,156,257
effect 53 levels,low 57
natural micronized 163 only pill 477
receptor antagonists 488 supplementation 302 therapy 163
Progestin 167,280, 506, 507,51O implant 187
only contraception 148 only pill 146,262,272,509
use of 170 parenteral 262 pill, low-dose 513
Progestogen only contraception 509,513 Prolactin 143,148, 150
inhibition 413 Prolapse,effects on 298 Prolongation disorder 379
Prolonged labor 195, 206,315, 378, 380, 387 detection of 381
Prolonged pregnancy 300,587 postmaturity 306
Promethazine 152 Pronucleus, female 19 Prophylactic acyclovir 288
Prophylactic antibiotic 261,299,303, 544,547
Prophylactic anticonvulsant therapy 220 Prophylactic booster 256
Prophylactic cervical cerclage 303 Prophylactic chemotherapy 187 Prophylactic ergometrine 322 Prophylactic forceps 318, 536
delivery 553 indications of 536b
Prophylactic magnesium sulfate 220 Prophylactic oxytocin 364 Prophylactic therapy 255,447
Prophylaxis 285,327,405,409,411-415,460 intrapartum 306
Propylthiouracil 273
Prostacyclin,vascular synthesis of 210 Prostaglandin 50,108-110,158,168,169,
210,313,470,472,472t, 473,488,489t low-dose 167
synthesis of 109 Prostanoic acid 471 Prosthetic valves 264, 264t Prostin 620
E2 gel 472
Protease inhibitors 289 Protein 55,90,91,423, 508
C deficiency 328 C resistance 155 deficiency 246 hormones 55 metabolism SO S deficiency 328
tests for 210, 606 urine for 242
Proteinuria 89, 145, 183,209-211, 218,293 presence of 228
severity of 229 Proteus 285
Prothrombin gene mutation 328,414 Prothrombin time 581 f
Proton pump inhibitors 254 Protozoa! infestation 283 Protraction disorder 340, 379,381 Pseudocapsule 171
Pseudocyesis 66 Pseudogestational sac 599 Pseudomonas 158,284
aeruginosa 573 Psychiatric disorders 417
primary 417
Psychiatric illness 94, 417 Psychoprophylaxis 480 Psychosis 53, 416 Psychotherapy 417,418
interpersonal 418 Ptyalism 92
Puberty 8
Pubic arch 83,84f,332,335,363 Pubic crest 79f
Pubic tubercle 79f Pubovaginalis 10
Pudenda! nerve block 482, 486, 532, analgesia 82, 199
Pudendum 1 Puerpera 87
Puerperal emergencies 416, 418 Puerperal infection 407 Puerperal psychiatric illness 417 Puerperal pyrexia 407,409
causes of 407b, 418
Puerperal sepsis 244, 394,407, 408b, 416, 537,587
causes of 418 predisposing factors of 407
Puerperal sterilization 281 Puerperal venous thrombosis 413
Puerperium 93, 146{, 148, 195, 234, 249, 262, 272,297,299,313,328,329,411-413, 417,468,515
abnormalities of 407 effects on 2 96
Pulling cord 396
Pulmonary angiography 415 Pulmonary artery catheter values 591 Pulmonary circulation 41
Pulmonary edema 185,213,214,221,222, 225,263,283,285
Pulmonary embolism 222,386,396,413, 415,416
signs of 415
Pulmonary function tests 279, 608t Pulmonary hemorrhage 448 Pulmonary hypertension 263,421
primary 264
Pulmonary infection 407,416 Pulmonary insufficiency 285
acute 184, 185 Pulmonary maturity 99 Pulmonary surfactant 442
composition of 441 f estimation of 99
Pulmonary syndrome 430 Pulmonary valve stenosis 263 Pulmonary vascular reistance 49 Pulsatility index 98
Pulse 128,141 maternal 128, 306 oximeter 225
rate 124
wave ultrasound 598 Pustulosis 460 Pyelonephritis 256,407
acute 284 Pyopagus 190 Pyrazinamide 281 Pyrexia,control of 288
Pyridoxine 152,281,413 Pyrimethamine 284
Q
qSOFA score,modified 577t Quadruple test 103 Quadruplets 200
Quality data collection 556 Quickening, date of 67 Quinine 283
Quinolones 478 Quintero staging 196b
R
Rabies 93 vaccine 428
Rachitic flat pelvis 332, 333f Radiation 462
exposure 415
Radical hysterectomy 295 Radioactive iodine 274 Radiology 604 Raltegravir 289
Random blind sutures 401 Ranitidine 478
Rapid eye movements 567
Rapid influenza diagnostic tests 286 Rapid population growth 496 Rashes, eruption of 287f
Real-time sonography 311 Rectal artery,inferior 400 Rectal examination 401 Rectal injury 406
Rectal mucosa 398 Rectal muscles 398 Rectocele 298
Rectovaginal fistula 381,561 Rectum 406,421
Rectus abdominis 15
Rectus sheath hematoma 404 Recurrent attacks 415
Red blood cells 48,247, 585 volume 141
Red cell
alloimmunization 318, 323, 329 antigens 319
folate 254 Referral system 559
Reflects fetal nutrition 98 Reflex
behaviors 421 irritability 443 pain 411 rooting 421 swallowing 421
Regenerative medicine 596 Regional analgesia 378 Regional anesthesia 482 Relaxin 58,85, 92, 113, 488 Remifentanil 481
Renal abnormality 213 Renal agenesis 205 Renal anomalies 208
Renal circulation,characteristics of 578 Renal cortical necrosis,bilateral 212 Renal disease 228
chronic 227,487 effects of 228
Index ml
Renal dysfunction 285 development of 216
Renal failure 151, 215, 283,286 acute 159,222,578,579{ end-stage 228 hemodialysis for 411 pathology of acute 578 prerenal acute 578 prevention of acute 579
Renal function 141,227 mildly compromised 227
Renal hypoplasia 39 Renal medulla 256 Renal plasma flow 52 Renal transplant 228
Renal transplantation,effects of 228 Renin-angiotensin system 47 Reperitonization 546
Replacement coagulation factors 585 Reproductive morbidity 561 Reproductive mortality 558 Reproductive organs,anatomy of female Reproductive tissues 596
Reproductive tract infections 557 Rescue therapy 303
Resistance index 98 Respiration 577
initiation of 442 Respiratory acidemia 96 Respiratory alkalosis 278
state of 51
Respiratory distress 285,420,445 causes of 446t, 466
syndrome 99,269,409,442, 446fc Respiratory function 33
Respiratory morbidity,neonatal 314 Respiratory rate 577,608 Respiratory support 432
Respiratory system 40, 51, 54, 52t, 461 Respiratory tract,development of 431 Resuscitation 444fc, 466
drugs used for 445 Reticulocyte 48
Retinal detachments 215 Reti noids 4 78
Reti nopathy 286 Retraction 112
effects of 11 3 ring
dystocia 346 pathological 115,344
Retrolental fibroplasia 448 Retro-orbital pain 288 Retroplacental clot,massive 583 Rh
alloimmunization 320
anti-D immunoglobulin 321 antigen complex 319 immune globulin 322 incompatibility 310
isoimmunization 57,169,487,562,589 sensitization 319
Rh-D alloimmunization,prevention of 321 Rhesus isoimmunization 204, 359 Rheumatic fever, recurrence of 260 Rheumatic valvular lesion 259
Rh-negative blood, transfusion of 327 Rhythm method 520, 520t
ml Index
Rhythmic respiration 419 Rhythmic uterine, absence of 239 Riboflavin 91
Rifampicin 281,282 Rigid cervix 400
Rigid inelastic perineum 527 Rilpivirine 289
Ringer's solution 175, 185, 198, 224,313, 318,343,345 361,388
drip 242 Ripe cervix 110
Ritgen's maneuver 130, 130f Robert's pelvis 332, 333 Rohr's stria 32
Roll over test 216 Ropivacaine 482 Rothera's test 606, 607t Round ligament 140
pain 92,293
Rubber catheter,simple 609 Rubella 33, 93,166, 286
infection 421
Rubin's diagnostic criteria 180f Rupture 297,403, 404t
complete 403, 404 extraperitoneal 171 incomplete 403, 404 interstitial pregnancy 178f lower segment 344
sites of 171
spontaneous 376, 402-404 tubal ectopic pregnancy 181 tuboovarian abscess 410 uterus
etiology of 401, 402fc management of 405fc, 406
s
Sacral angle 80
Sacral promontory 81,403 Sacrococcygeal joint 10, 85, 335 Sacrocotyloid diameter 370 Sacroiliac articulation 79f, 85 Sacroiliac joint 10, 82, 85, 348 Sacrosciatic notch 332, 335 Sacrum 85, 332, 335, 356
Safe motherhood 554,557, 557t, 564 initiative 554
Safe vaginal delivery 377 Saheli 509
Saline induced abortion 583 Salpingectomy 176,1 76f, 177 Salpingitis 170,408 Salpingostomy 177
Sandoz 470 Scalp
beneath 78 electrodes 566f hair 420 injuries 456
Scanty liquor 96, 360 Scaphoid abdomen 434f Scar 403
classical 314, 315 ectopic pregnancy 180 effects on 314 endometriosis 529
integrity of 314 surgical 90 tissues 47
Scar dehiscence 314, 315,403 management of 405fc
Scar rupture 31 lb, 402-404 evacuation of 315 incidence of 314
risk of 546 Schistocytosis 212 Schroeder's ring 343 Schultze method 117f Scissors, long straight 612 Scoliosis 333
Scoliotic pelvis 333f Score system 361
Screening fetal anomalies 601 Scrotum 2, 420
Sebaceous glands 40 Second trimester 63, 90
abortions 154 miscarriage 162
Secretion 46
Secretory columnar cells 7 Sedatives 159,477,481, 485 Segmental resection 177 Seizure 454
causes of 466 prophylaxis 475
Selective growth restriction 197 Sensory stimuli 479
Sepsis 105, 184, 215, 234, 421,449,451, 525, 562,575
clinical signs of 141 early-onset 458 prevention of 414 risk of 184
supportive treatment for 459 syndrome 587,591b
workup 446
Septic abortion 158,578, 158b Septic foci,surgical removal of 411
Septic pelvic thrombophlebitis 407,408, 410,414,549
Septic pneumonia 222
Septic shock 285, 408,409,574 management of 41O pathogenesis of 573fc
Septic thrombophlebitis 416 Septicemia 285,408,409
risk of 41 O Septostomy 196
Serial ultrasonography 324 Serosa 401, 403
Serum 608 albumin 451 bilirubin 254
creatinine 227, 578 electrolyte 159, 301
levels 446 ferritin 51,258
normal 249 iron 51,247,254
normal 249 lactate 159 magnesium 224 markers 301 phosphorus 92
potassium 504 progesterone 156,174 prolactin 58
protein bound iodine 59 transaminases 151
urea 409 vitamin Bl 2 254
Sexually transmitted disease 519 infections 499,557
Shake test 99
Sheehan's syndrome 58, 241, 244, 381, 387 Shepard's formula 67
Shirodkar's operation,steps of 164 Shirodkar's technique 164f
Shock 184,185,203,215,241,242,244,249, 328, 381, 386, 389, 396,401,416, 525, 549,572
classification of 574, 574b clinical 389
features of 574 degree of 396 develops 397 extracardiac 574 features of 172 index 389
assessment of 394 late 574 management of 575 neurogenic 574 nonhemorrhagic 574
pathophysiology of 572,584 proteinuria 240
syndrome 288 treatment of 401 usual treatment of 397 warm 574
Short cervix 302
Short cord 208, 241, 360
Short curved obstetric forceps 531, 616f Shoulder 356
assisted delivery of 131f birth of 120, 349 delivery of 121f, 129,130
posterior 358 impaction 383f tip pain 172 traction 364,364f
Shoulder dystocia 266, 267, 382, 383, 385, 398
complications of 270 prevention of 383 problem of 271
Shoulder presentation 373 management of 374, 374fc
Shunts 31 Siamese twins 190 Sick placenta 241 Sickle cell
anemia 597
beta-thalassemia 256 disease 91, 256 hemoglobinopathies 256 trait 256
Sickling phenomenon 256 Sideropenic dysphagia 249 Sildenafil 217,264
Silicon cups 540
Silverman-Andersen scoring 446 Sims' double-bladed posterior vaginal
speculum 610
Sims' posterior vaginal speculum 524 Singer's alkali denaturation test 244 Singer's test 607
Single groin traction 365f Single implant rod 51 lf Single layer stitch 547
Single puncture technique 516 Singleton 375
gestations 302 pregnancy, course of 47
Sitz baths 145 Skeletal system 53 Skene's ducts 2, 12 Skene's glands 1, 2
Skilled birth attendant 557, 559,560,562 Skin 39,50,203,408,457,591
changes 53 color 419 infections 460 part of 2
.rashes 288,420
Skin-to-skin contact 138 Skull
areas of 76 bone 458 diameters of 77 fracture of 358
Slapped cheek appearance 287 Sleep 46, 87, 145
apnea 46 cycle 568 deep 567
disorders,primary 46 Sloughing fistula 405,406 Snowstorm' appearance 184 Sodium 151,427
ferric gluconate 252 fractional excretion of 578 nitroprusside 474 retention,causes of 47
Soft tissue abnormality 379 obstructions 381
Solid organ transplantation 589 Somatomedin inhibition 268
Sonography 64, 67,193, 232, 307, 308, 359, 371,384
Sound
disappearance of 89 muffling of 89
Sound scar 314 tests of 314
Spastic lower segment 341,343 Spectral Doppler sonography 414 Speculum examination 304 Spence axillary tail 13
Sperm
capacitation 18
Spermicide 520,522 Spermiogenesis 18 Sphincter ani externus 399 Sphincter injury 398b
Sphincter urethrae membranacea 10 Sphingomyelin 100
Spina bifida 602f open 202
Spinal anesthesia 264,271,483,486 side effects of 484f
Spinal epidural analgesia combined 484 continuous 484
Spine 332,421,458,601,604 maternal 69
Spiral artery 6f, 29,161,589 Spironolactone 473
Splanchnic circulation, characteristics of 578 Spleen 89
Splenectomy 258
Spontaneous expulsion 373,502 Spoon feeding 427 Squamocolumnar junction 6 Squamous cells 45
Squamous epithelium 2
Squamous intraepithelial lesions 295 Stallworthy's sign 232
Staphylococcal exotoxin 409 Staphylococcus 158, 408
a/bus 407
aureus 284,407,409 epidermidis 412
Static endometrial hypoplasia, producing
505
Status asthmaticus 279 Status eclampticus 222, 225 Stem cells 596
properties of 596 sample collection 596 sources of 596 transplantation 255
Stem villi 28, 29f primary 23, 28
Sterile warm towel 432
Sterilization 147,262, 272, 318, 513,518, 609,619
hysteroscopic methods of 518 male 514
operation 170 Sternocleidomastoid 457 Sternomastoid hematoma 457 Sternomastoid tumor 420 Steroid 57,143,212
hormones 55, 56, 60 functions of 57
therapy 237
Steroidal contraceptions 146, 278,504 Steroidal contraceptives, types of 505fc Steroidal hormones 57 Steroidogenesis 7
Stillbirth 86,195, 313,563,587, 593
Index Im
Streptococcal toxic shock syndrome 408 Streptococcus 300
viridans 412 Stress 340, 425
incontinence 52,298,411 diagnosis of 411
maternal 300 oxidative 210
urinary incontinence 286 Stretched perineum 130 Striae 64
albicans 47 gravidarum 47, 73f
Stripping membranes 490, 491 Stroke volume 50
Strama 45 Stromal cells 5 Stromal tissue 31
Structural chromosomal abnormalities 105 Subcapsular hematoma 212
Subclinical hyperthyroidism 274 Subclinical hypothyroidism 274 Subcutaneous tissues 15,41 Of, 457 Subgaleal hematoma 456 Submentovertical diameter 370f Subpubic angle 83, 332, 335 Subsequent adhesions 546 Subtotal hysterectomy 176,550
benefits of 550 Suckling, frequency of 143 Suction cannula 402 Sudden infant death 423
syndrome 147,431
Sudden postpartum collapse,causes of 416t Sudden uterine decompression 241
Sugar,tests for 606 Sulpiride 144
Superoxide
anion radicals 210 dismutase 268
Super-subparietal diameter 333 Supine hypotension syndrome 50, 241 Supplement therapy 197
Supportive therapy 274, 393 Suppression, medical methods of 144 Supralevator hematoma 401, 401 f Suprapubic pressure 125, 383 Suprapubic region 125
Surface epithelium,loss of 412 Surfactant replacement therapy 447 Surfactant therapy 432,449
Surgery 514 types of 177
Surgical illness 291 Surgical induction 490 Surgical management 577 Surgical therapy 464 Surprise dystocia 382 Suture 76
longitudinal 76
materials, choice of 629
egg collision 19 tail 18f
Spermatids, development of 18 Spermatogenesis 18 Spermatozoa,phagocytosis of 499 Spermatozoon 19, 20
structure of mature 18, 18f
causes of 563t, 564 evacuation of 311 varies,recurrence of 311
Stitch, removal of 165,529 Stomach,overdistension of 425 Stool, examination of 249
Streptococcal infection,group B 283
Symphysiotomy 382,383,552
Symphysis fundal height 65, 6Sf, 96, 96f, 435, 439
Symphysis pubis 72, 79f, 80, 81, 83, 84, 90, 95,117,12Sf, 140,140f
back of 363
posterior surface of 335
ID Index
Syncopal attack 501 Syncope 93, 172 Syncytial knots 32
Syncytiotrophoblast 22,28, 31,55,57 Synovial cavity 84,85
Synovial hinge joint 85 Synthesis 109 Syntocinon 265,279 Syntometrine 470 Syphilis 162,281,310
clinical features of congenital 282 Syphilitic diseases 259
Systemic disorders 561 Systemic fluconazole 461
Systemic inflammatory response syndrome 573,574
Systemic lupus erythematosus 162,280,31O Systemic vascular resistance 49
loss of 573 Systolic murmur 49
T
T sign 600 Tachyarrhythmias 262
Tachycardia 183, 185,259,415,568 persistent 158
Tachypnea 158,185,420,448 Tachysystole 344, 468, 472 Tacrolimus 228
Tamponade 61O Tangential pressure 354 Tay-Sachs disease 105 Tazobactam 160
Teeth 88 Teicoplanin 160
Temperature rhythm 520 users of 520
Tentorial tear,mechanism of 456 Tentorium cerebelli 358,45Sf Teratogen information databases 478 Teratogenesis 268
Teratogenic disorders 96, 102 Teratogenic drugs 166 Teratogenicity 462 Teratogens 486
Term pregnancy,classification of 306 Terminal villus, structure of 29
Termination of pregnancy 152, 169, 229,264, 268,277,384,526
mid-trimester i 68 Testes 8,420
Tetanus 89 neonatorum 461 protects 89 toxoid 89,93
Tetracycline 477 Thalassemia 106,255
syndromes 257 Theca cells 55
Theca lutein cyst 184, 187, 188 Therapeutic dose 251 Therapeutic goals 394 Therapeutic termination 286
place of 260,281 Therapy,response of 251 Thermoregulations 444 Thiamine 91,151
Thiazide 473
Thick blood film 409 Thiopentone sodium 225 Third trimester 90
ultrasonography 602
Third-stage bleeding,management of 388 Thoracic cavity 464f
Thoracic sensory 143 Thoracopagus 190 Throat 408 Thrombin 387
time 581f
Thrombocytopenia 213,214,254,257,283, 286, 287,293
Thromboembolic disorders 549 Thrombophilias 154,216,241,310,311,328,
413
Thrombophlebitis 159, 387,389,409, 413 Thrombophophylaxis 548 Thromboplastin
liberated 583 release of 581
rich liquor amnii 583 Thromboprophylaxis 280,327,414,545 Thrombosis 117,409
risk of 513
Thrombotic microangiopathy 578 Thrombotic thrombocytopenic purpura 258 Thumb 372
Thyroid 58, 94 abnormalities 154, 155 autoantibodies 161 disorders 328 dysfunction 273,31 O function 142
test 163,451 gland 58
hormone testing,indication of 274 storm 274
Thyroidectomy 274 Thyrotoxicosis 303
Thyrotropin releasing hormone 441 Thyroxin 150
binding globulin 59 Tidal volume 608 Tissue
anoxemia 321 extrafetal 596 extraperitoneal 15 hypoperfusion 409 pressure 580
resistance, peripheral 265 Tocolytics 165,485
agents 303,473,475t contraindications of 303 drug 302, 540
Tone up back muscles 146 Tongue 88
tie 420
Tonic contraction,generalized 343,343f Tonic uterine contraction 344
Tonsils 88 Tonus 112
Total cortisol,level of 60 Total fertility rate 555 Total hysterectomy 403f
Total iron binding capacity 247 Toxic features, presence of 413
Toxic shock syndrome 409 Toxins 435
Toxoplasma 154, 310 gondii 33,284
Toxoplasmosis 1 OS, 162,284 Traction 535
force 530
rods, identification of 531 Tranexamic acid 393,394 Transabdominal cerclage 303 Transcerebellar diameter 599 Transcervical balloon catheter 492 Transcervical sterilization 522
Transcutaneous electric nerve stimulation 480
Transdermal patch 522 Transferrin 247 Transplacental infection 284 Transplacental therapy 465
Transvaginal pudenda I block anesthesia, methods of 483(
Transvaginal route 483
Transvaginal sonography 63t, 156, 599, 599t Transvaginal ultrasonography 63 Transvaginal ultrasound 599
Transverse incisions,low 14 Transverse lie 371,540,541
positions of 371 f Transversus abdominis 14
Trauma 241, 242, 291, 387, 402, 563, 587 prevention of 414
Traumatic bleeding 400 management of 388
Traumatic fistula 405
Traumatic postpartum hemorrhage 393 causes of 400
Traumatic rupture,pathology of 403 Treponema pallidum 33,281,282 Trial labor
advantages of 339 conduction of 338 termination of 339 Triangular ligament 10, 11
Trichomonas 93 vagina/is 294
Tricyclic antidepressants 417 Triglycerides 33
Trigone 12
Trilaminar embryonic disk,formation of 24 Triphasic pill 512
Triple test 107
Triplet pregnancy 197f ultrasonographic diagnosis of 201f
Trisomy 356 Trisomy 21 463,593
Trophectoderm 21,22 biopsy 106
Trophoblast 22,29,185 atypia 188
cells 29, 32, 37 hyperplasia 188 invasion 210 proliferation 37
Trophoblastic cells 184 Trophoblastic disease 273 Trophoblastic proliferation 184( Trophoblastic tissue,invasion of 180 Trophoblastic tumors 58
Trophosphere 23
True postpartum hemorrhage 386 management of 389
Trunk
birth of 120, 349
delivery of 129, 130,356,546 Tubal abortion 171
Tubal ectopic pregnancy diagnosis of 173 management of l 75fc
Tubal mole 171 Tubal mucosa 408
Tubal pregnancy 170, 178 chance of 170 prognosis of 177 recurrence of 177 termination of 173{
Tubal rupture 171
Tubal sterilization 517(, 518 hazards of 517
Tubal surgery 170
Tubal twin pregnancy l 78f Tube
delivery of 515 developmental defects of 170 functions of 7
Tubectomy 169,515,518 steps of 5 l 6f
Tubercle bacillus 33 Tuberculin skin test 280 Tuberculosis 88, 246,280
active 281 congenital 280,281
Tubular necrosis,acute 578 Tumor
effects of 297 necrosis factor 21 O removal of 299
Tunica albuginea 8
Turner's syndrome 105,420
Twin 71,190, 191,200,203, 355,372, 375, 411
anemia-polycythemia sequence 196 conjoined 197, 200,385
fraternal 190 genesis of 190 gestation 550
growth,discordant 195
peak sign 193, 193(, 194,194(, 600 placenta 191f
reversed arterial perfusion 196 vanishing 192, 195
Twin pregnancy 188, 189(, 194(, 197, 201 complications of 201
diagnosis of 201 monoamonotic 201 screening in 195
Twins-twin transfusion syndrome 196,310 Two-arm lever theory 119
u
Uchida technique 515 Ulcerative colitis 423 Ulipristal acetate 511
Ultrasonogram 384{, 503f, 623(, 624(, 626{ Ultrasonographic growth profile 602f
Index ID
Ultrasonography 63, 64, 66,73, 87t, 101, 201, Urinary complications 411 335,367,385,393,451,502,599,601, Urinary incontinence 141, 147, 540 627{ Urinary infection 92
mid-trimester 601 Urinary output 214,224 Ultrasound 566 Urinary problems 141
Doppler parameters 436 Urinary retention 286,540
examination 94,437 Urinary stem 39 images 598 Urinary system 39, 52 indicated cerclage 303 Urinary tract 141
safety of 599 abnormality 285
UUUmmmsfcbDbbliloiniioolllwiiigpsccciunlapaaevrtlllleerecaaa3lroororp6ttsrcfeea,dti2urrrt4iyty0da21u8lwy3m3c,,6a2o42,v7r5344ed176,1f,20o,547r972mf801, ,3,996698,0,3f2463(,43,74,3260,86f0, 8 Uriniaadcnencoifpulael5s4retlcyite65cstisc,kit1rio8ikeso,on9t5tnfe1,e78n15so197t95t4fi,2o1686,n03826o,,162f408,46721,46320,02,4490,72,9481,1, 416 ab 231,234f,311,321,36 389f,602 incontinence of 304, 411 bloadvantages of 596 outputc128,242 409
examination of 218,606
normalities of 626f
od 596, 608
midstream 89
spe imen of
care 422
clamping 326 retention of 286, 298, 411, 609 delayed 137 suppression of 411
sample of 141
compression 376
factors 435
insertion 602
primitive 36f
prolapse 376
chance of 491
Urobilinogen 606f
Uro-dip reagent strips 606f Urogenital diaphragm 10 Urogenital sinus 4 Urogenital triangle 10
Umbilical grip 71,348 Uropathy,obstructed 205 Umbilical hernia 385,463 anomalies 300
Uterine 27, 154
congenital 36
Umbilical sepsis 460
arteriovenous fistula 393 Umbilical vein 40,99, 105,134 axis, centralized 3 71
blood flow 50,54
body 479
closure of 41
Umbilical venous pulsations 436 contractile systems 109 Umbilicus 73,421 curette4614
Umbilical vessels 27f
cycles 6
Undescended testicle 463
Unfractionated heparin 415 descent, slight degree of 147 Unicornuate uterus 162
devascularization 394
distension 108
drainage 144
Unruptured interstitial pregnancy l 78f
Unruptured tubal ectopic pregnancy 172, dressing forceps 614 management of 176 dysfunction 379
174{,181, 623{
enlargement 44
Upper airway obstruction 46 factor 241, 348,379
Urachus 36
UUUUUrrrrreeeeeaedtttteeeepnisrrrrltiipaaecc9llsradtim,snuc1aejna52mumn,ra5yeeg2ln5e5t4o49f0152 ihhiiiffrnnniebryevfeeipierteglraocetrhb2iitsradits4iioolti22in2t6nmy046,,43t2u,sy01,leap286vt4e3,eio49s,rn3e,0o229f19473666,953,8368471, 4, 31718
154
Urethra 120,298,398, 406, 411 lacerations 549
female 12 longitudinal 73
penile 2 massage 137, 390
Urethral injury 406 musculature 386 Urethral opening 2 pacemaker 341 Urethritis,acute 285 palpation 404 Uric acid 210 pathologies 395b Uridine diphosphoglucoronate glucoronosyl peritoneum 44
transferase 449 products 41 O Urinalysis 151 prolapse 299{ Urinary antiseptics 411 retraction 111, 113 Urinary bladder 12, 66 sepsis 411
Index
septa,hysteroscopic resection of 163 shape 65
signs 62
sinuses,open 392 size 188,601 souffle 64
sound 612 stretch 108 synechiae 525
systole,degree of 112 tachysystole 489 tamponade 392 tenderness 241 tetany 343
tone 311
tonus assessment 138 unification operation 163 vessels,branches of 403 wall 66
Uterine action 342 abnormal 340, 345, 346
types of 340fc Uterine activity 341, 380
nervous control of 479 Uterine artery 4, 5,Sf, 434,436
anastomosis 392
Doppler waveforms of 216( embolization 237, 392 ligation of 392, 393f
Uterine bleeding abnormal 502 dysfunctional 506
Uterine cavity 5,26f, 73,184,502f device inside 503
half of 7f Uterine closure 546
technique 315
Uterine contraction 29,44,71,109,112,113, 116f, 124f, 301,340,341,343,346,351, 372,381,448,469,480,568(
abnormal 378 cessation of 404 height of 404
normal 340, 341,341f, 342( pelvic adequacy 378 regular 108
strong 400
Uterine incision 485,545, 545( extension of 549
suture of 548
Uterine malformation 163,169,360 suspected 601
Uterine muscle 110,117f,467 fibers,retraction of 112(
Uterine perforation 168,169 diagnosis of 502 management protocol of 525 risk of 187
Uterine rupture 382,402,468 pathognomonic of 405
Uterine scar 318 dehiscence 404t evacuation of 315
Uterine tube 5,6 ampullary part of 19
Uterine wound 314, 548 healing of 314
suture of 547
Utero-ovarian artery 393( Uteroplacental apoplexy 239 Uteroplacental arteries 29 Uteroplacental bed 211, 229 Uteroplacental circulation 29 Uteroplacental insufficiency 205, 587 Uteroplacental vascular bed,thrombosis
of 154 Uterosacral ligaments 11 Uterovaginal canal 400
exploration of 388, 552 Uterovesical pouch 6
Uterus 4,6,43,47,64,95,115,11 Sf,116,133, 139,140,144,157,158,171,184,232, 342,347,368,372,381,388,390,396, 408,410,411,509
anatomy of 372
bimanual compression of 390f body of 43
centra I ized 69
congenital malformations of 154,163, 294,355,359,372
contraction of 132 cornua of 5 dextrorotation of SO double 162 enlargement of 71 evacuation of 159, 160 feel of 183
fundus of 89
generalized tonic contraction of 343( height of 67,71, 73f, 203
hypertonic state of 342 infections of 158
internal blood supply of 6f inversion of 396,396f, 416 involution of 139
irritable 360
lateral border of 403f ligament of 11 f, 15 longitudinal muscles of 113( lower pole of 70
lower segment of 11 St,403f outside 503
overdistension of 387,411 part of Sf
pathologic anatomy of 344, 373f perforation of 183, 184,502 polarity of 113, 340
pregnant 62 prolapse of 411 replacement of 397 retroverted 297
routine exploration of 318 rupture of 169,328, 343, 345,360,
371,401,402, 403f, 406,623, 623(
sensitivity of 488 septate 162
size of 67,139,183, 232 sparing 396
suction evacuation of 185 sudden decompression of 242 tone of 135
torsion of 241 uninjured 404
walls of 117
V
Vaccination,active 286 Vaccines 93
schedule 428b Vacuum 540
aspiration 167, 526,552 delivery 539
extraction 353
extractor,application of 539f Vagal stimulation 40
Vagina 3,4,9, 43, 46,66,134,140,141, 399,509
congenital malformations of 294 Vaginal artery 4
Vaginal birth after cesarean section 316,550 Vaginal bleeding 165,172,173,183,186,
200,241,316,599 amount of 404 causes of 172 excessive 400 history of 90 irregular 147
slight gush of 125
Vaginal breech delivery 359-361, 367 complications of 358 management of 361
Vaginal contraceptive 519(,520 sponge 520
Vaginal delivery 144,198, 201, 233, 237,243, 302,317,325,342,353,370,375,377, 382,399,543
assisted 530,530t planned 290 purpose of 487
Vaginal discharge 93,141,298 abnormal 294
Vaginal evacuation 187 complications of 185
Vaginal examination 64,67,74,90,126,127, 128,129,184,232-234, 237, 348, 368, 372,523
contraindications of 237 indications of 127
Vaginal flora 407 Vaginal ligation 516 Vaginal microbiome 53 Vaginal mucosa 528
repair of 529f Vaginal obstruction 543
Vaginal operations, destructive 405 Vaginal operative delivery 351 Vaginal orifice 2
external 4
Vaginal pads,inspection of 304 Vaginal pessary 472,571 Vaginal plastic operation 294 Vaginal ring 522
combined 504 Vaginal route 258 Vaginal secretion 4 Vaginal signs 62,125 Vaginal swab 382 Vaginal tablet 472 Vaginal tear 383, 399 Vaginal transducers 598
Vaginal wall 43, 399
Vaginitis 294 Valproate 478 Valproic acid 278
Valsalva maneuver 304 Valvotomy,place of 263 Valvular heart disease 262 Vancomycin 160
Vanishes 195 Varicella 93, 287
pneumonia 287 zoster virus 287
Varicose veins 92
Vasa previa 208,231,244 Vascular ectopy 153 Vascular spider 47 Vasculopathy 268
Vasculosyncytial membrane 31 Vasectomy 514
Vasodilator 475 prostaglandin 210 therapy 576
Vasogenic edema 212f Vasopressors 576 Vasospasm 210,211
selective 574 Veins,superficial 413
Velamentous insertion 37 Velamentous placenta 208 Vena cava
filters,indications of inferior 416 filters,inferior 415
inferior 40
ligation of inferior 415 Venous blood, amount of 40 Venous Doppler 99, 436 Venous drainage 7, 29 Venous parameter 99 Venous pressure 49, SO Venous stasis 413
Venous thrombectomy 415
Venous thromboembolic diseases 413 Venous thromboembolism 474,508, 594
management for 414 risk factors for 414
Venous ultrasonography 414 Ventilation 415
Ventilatory resuscitation 444 Ventouse 318,353,537
contraindications of 539b cup 539f,617,617f delivery,indications of 537
over forceps, advantages of 538 Ventricular septal defect 263 Ventriculomegaly 384
Verapamil 475 Vernix caseosa 40 Version 540 Vertex 76
abnormal position of 347 delivery,anterior 351 presentation 200
Vesical artery,superior 6, 41 Vesicles,finding of 184 Vesicocervical ligaments 11 Vesicovaginal fistula 561 Vesicular mole,diagnostic of 183
Vestibular bulb 1,2,3f
Vibroacoustic stimulation 97,101,569 Vicious circle 566
Vigorous uterine contraction 145 Villous cytotrophoblasts 22
Villous stroma, hydropic degeneration of 184f
Villus 212 changes 32
development of 29f
hydropic degeneration of 188 transverse section of 32f
Vincristine 189 Virchow's triad 413 Virginal vulva 1 f Virus 288,310
live-attenuated 287 Visceral injuries 359,405,458 Vital capacity 52f, 608
Vital signs
assessment of 422 examination of 419
Vitamin 90,247,423 A90,91,478
Bl 151,152
B12 39, 91, 152,247,253
B12 deficiency 246,247,254 causes of 254
B6 149,152,281 C 152,217,247
D 90, 91,423 E 217
fat-soluble 33 K 584
aqueous solution of 432 deficiency 151 dependent 277
water-soluble 33 Vitelline
duct 36 membrane 17
Volume replacement 394, 584
Vomiting 61,92, 149, 194, 250,285, 293, 468,507
causes of 149
von Willebrand disease 258 Vulva 1,43,134,363,398
care of 145 inspection of 235
Vulva I cleaning 127 Vulval edema 214f
Vulval hematoma 400, 529 Vulval inspection 232
Vulval pads,periodic inspection of 236 Vulval skin,lacerations of 398
Vulvar hematoma 400
w
Wandering method 536 Warfarin 166,415, 476 Warm sterile fluid 397
Waste space of Morris 83, 84f Water
bag of 111
Index I
balance 213 intoxication 468
Weak uterine contraction 353 Weaning 428
Weight chart, normal 427f Weight gain 47, 507
abnormal 214 Weight loss 141 Welcome sign 1 10
Well-flexed fetal head 83
Wernicke's encephalopathy 150, 151 Wharton's jelly 36,208, 308
White's classification 267t Whole blood transfusion 584 Whole-hand method 353, 354 Witch's milk 420
Withdrawal bleeding 393, 507 Withdrawal technique 501 Wood's maneuver 383 Wound
complications 549 dehiscence 410,529 dressing 145 infection 407, 409 scrubbing 410
Wrigley's forceps 535,616f Wrinkled skin 434f
X
Xiphopagus 200f
X-linked disorder 255 X-ray pelvimetty 335 hazards of 335
y
Yasmin 505 Yellow fever 93
vaccine 428
Yolk sac 24, 24f, 39,624f presence of 599,624 secondary 24
Young chorionic villi 182 Yuzpe method 512
z
Z technique 252 Zavanelli maneuver 383 Zidovudine 290
intravenous 290 monotherapy 290
Zika virus 94,288 Zinc 91
Zona
hatching 20, 21 lysis of 21 pellucida 18 reaction 19
Zygosity 190
determination of 191,191t diagnosis of 190
Zygote 19, 20
mitotic division of 20f