Libido and sexual function in the menopause

Jan 31, 2017 by in GYNECOLOGY Comments Off on Libido and sexual function in the menopause

html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 13 Libido and sexual function in the menopause Claudine Domoney Patricia is 50 and has been happily married for 26 years. Her periods stopped at…

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Prematurity

Jan 31, 2017 by in GYNECOLOGY Comments Off on Prematurity

Figure 5.1 Pathological triggers of preterm birth. Infection plays a role in ~30–40% of spontaneous preterm births. The commonest route of infection is the ascent of pathogens, through the cervix,…

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Common medical disorders in pregnancy

Jan 31, 2017 by in GYNECOLOGY Comments Off on Common medical disorders in pregnancy

Later polymorphic featuresPapulo-urticarial or bullous rash on abdomen with periumbilical involvementPalms and solesLaboratory testsElevated total serum IgE (20–70%)Direct immunofluorescence (DIF) negativeDIF negativeDIF positiveIndirect immunofluorescence may be positiveComplicationsMaternal discomfortMaternal discomfortPostpartum flareNeonatal…

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Antepartum haemorrhage

Jan 31, 2017 by in GYNECOLOGY Comments Off on Antepartum haemorrhage

Placental abruptionPlacenta praeviaVasa praeviaMarginal bleedUterine rupture Cervical bleeding ectropion cervicitis polyp neoplasm Vaginal bleeding trauma neoplasm GI bleeding haemorrhoids inflammatory bowel Urinary tract infection There are no consistent classifications for…

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Screening for fetal anomalies

Jan 31, 2017 by in GYNECOLOGY Comments Off on Screening for fetal anomalies

html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 12 Screening for fetal anomalies Dilly Anumba Antenatal Disorders for the MRCOG and Beyond, Second Edition, ed. Dilly Anumba and Shehnaaz Jivraj. Published by Cambridge University…

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Drug and alcohol misuse in pregnancy

Jan 31, 2017 by in GYNECOLOGY Comments Off on Drug and alcohol misuse in pregnancy

LegalLiquidCentral nervous system depressantDisinhibition may lead to aggression or risk-taking behaviour, toxicity, loss of consciousness and deathLong-term liver, brain, heart, stomach damage and obesityOral liquidCannabisClass B*ResinBudsSyntheticOilRelaxant, mild intoxicantSleepiness and heightened…

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Maternal mental health disorders

Jan 31, 2017 by in GYNECOLOGY Comments Off on Maternal mental health disorders

Neonatal withdrawal syndromeCognitive/neurobehavioural problemsBreastfeeding risksUnstable mental state/riskStress on fetusPoor obstetric outcomeLow birth weightIntrauterine growth restrictionPoor mother–infant bonding Severe depression warrants a combination of antidepressant plus CBT and referral to a…

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Alloimmunization in pregnancy

Jan 31, 2017 by in GYNECOLOGY Comments Off on Alloimmunization in pregnancy

Figure 9.1 Measurement of middle cerebral artery peak systolic velocity. This is an ultrasound image of the fetal head, taken in transverse section at the level of the base of…

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Previous caesarean section

Jan 31, 2017 by in GYNECOLOGY Comments Off on Previous caesarean section

Laboured spontaneously in the pastPre-eclampsiaFetal macrosomiaIndicationDilatation at which it took placeOperative notes – any extensions or incisions such as J or TInter-pregnancy intervalGestation at which caesarean section took placePlacenta praevia…

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Cardiac disease in pregnancy

Jan 31, 2017 by in GYNECOLOGY Comments Off on Cardiac disease in pregnancy

html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> 8 Cardiac disease in pregnancy Chibuike Iruloh Antenatal Disorders for the MRCOG and Beyond, Second Edition, ed. Dilly Anumba and Shehnaaz Jivraj. Published by Cambridge University…

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