Fetal Distress and Labor Management: The Role of Intrapartum Monitoring
Fig. 5.1 Two CTG traces during the end of the first stage of labor. Both show prolonged decelerations; the top one shows an increased basal heart rate and reduced variation….
Surgical Techniques for Management of Anomalies of the Müllerian Ducts
1. Hypoplasia/agenesis a. Vaginal b. Cervical c. Fundal d. Tubal e. Combined 2. Unicornuate a. Communicating b. Noncommunicating c. No cavity d. No horn 3. Didelphys 4. Bicornuate a. Complete…
Reproductive Imaging
Imaging modality Advantages Disadvantages TVS Easily available Limited information on tubal or endometrial pathology Relatively inexpensive Can be limited in obese individuals SIS Assessment of endometrial pathology Limited information on…
Tubal Disease and Ectopic Pregnancy
Pelvic inflammatory disease Prior ectopic pregnancy Surgery/trauma to fallopian tubes Endometriosis/adhesions Septic abortion/endometritis/salpingitis Ruptured appendix Inflammatory bowel disease Iatrogenic DES The most common cause of tubal infertility is PID ,…
Female and Male Gametogenesis
Fig. 2.1 This schematic of the ovary depicts the developing follicle and oocyte in the ovarian cortex. The outermost layer comprises a thin layer of epithelial cells known as the…
Recurrent Early Pregnancy Loss
Fig. 15.1 Workup for early RPL . This figure outlines an algorithm for the full workup of early RPL. Arrows are provided that guide the reader through various outcomes possible…
Uterine Leiomyomas
Fig. 22.1 Hysterectomy specimen demonstrating the presence of intramural, submucosal, and subserosal leiomyomas More recently, uterine myomas have been classified used the International Federation of Gynecology and Obstetrics (FIGO) Classification…
Hypothalamic–Pituitary–Ovarian Axis and Control of the Menstrual Cycle
Hormone Structure Gene location Major site(s) of production Half-life Serum concentration GnRH Decapeptide 8p21–8p11.2 Arcuate nucleus of hypothalamus 2–4 min N/A FSH Glycoprotein with α- and β-subunits α: 6q12.21 β:…
Fertilization and Implantation
Fig. 4.1 Fertilization process. 1 Sperm penetration of cumulus cells, 2 attachment to zona, 3 exocytosis of acrosomal contents, 4 penetration to the zona pellucida, 5 entry into perivitelline space,…
Gynecologic Laparoscopy
Fig. 21.1 Changes in the anterior abdominal wall anatomy with weight. Diagram of representative sagittal views derived from magnetic resonance and computed tomographic imaging for patients in three groups: (a)…
