Jeremy Oats MBBS DM FRCOG FRANZCOG - Llewellyn-Jones Fundamentals of Obstetrics and Gynaecology, 9e

9th Edition

Edited by

Jeremy Oats MBBS DM FRCOG FRANZCOG, Chair Victorian, Consultative Council on Obstetric and Paediatric Mortality and Mobility; Professional Fellow, Department of Obstetrics and Gynaecology, University of Melbourne; Adjunct Professor, School of Public Health, La Trobe University, Melbourne, Australia

Suzanne Abraham MSc PhD (Med) MAPS, Associate Professor, Department of Obstetrics and Gynaecology, Sydney Medical School, Royal North Shore Hospital, University of Sydney; Director, Eating Disorder Unit, Northside Clinic, University of Sydney, Australia

Edinburgh London New York Oxford Philadelphia St Louis Sydney Toronto 2010

Copyright

Mosby Elsevier

Ninth Edition 2010, Elsevier Limited. All rights reserved.

Eighth Edition Elsevier Limited 2005

Seventh Edition Elsevier Limited 1999

Sixth Edition Mosby Professional Ltd 1994

The right of Jeremy Oats and Suzanne Abraham to be identified as authors of this work has been asserted by them in accordance with the Copyright, Designs and Patents Act 1988,

No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elseviers Rights Department: phone: (+1) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: .

ISBN 978 0 7234 3509 9

International Edition ISBN 978 0 7234 3508 2

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

Library of Congress Cataloging in Publication Data

A catalog record for this book is available from the Library of Congress

Notice

Knowledge and best practice in this field are constantly changing. As new research and experience broaden our knowledge, changes in practice, treatment and drug therapy may become necessary or appropriate. Readers are adviced to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of the practitioner, relying on their own experience and knowledge of the patient, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all approprate safety precautions. To the fullest extent of the law, neither the Publisher nor the Authors assume any liability for any injury and/or damage to persons or property arising out of or related to any use of the material contained in this book.

The Publisher

Printed in China

Preface to the ninth edition

Jeremy Oats, Suzanne Abraham

Publication of this ninth edition of Fundamentals of Obstetrics and Gynaecology comes some 40 years later than the first edition, published by Derek Llewellyn-Jones in 1969. In his introduction to the first edition, Derek Llewellyn-Jones quoted from the World Health Organization Technical Report Series 1952, no. 51:

The object of maternity care is to ensure that every expectant and nursing mother maintains good health, learns the art of child care, has a normal delivery, and bears healthy children.

In 2010 these objectives remain as salutary as they were in 1952. Intervention rates continue to climb and many women are embarking on pregnancy later in life and with more complex medical disorders; the need for those caring for women and their children to apply the best available standards of care is even more critical. In this ninth edition we have endeavoured to continue the tradition established by Derek Llewellyn-Jones and added where relevant a synthesis from the recommendations from high quality evidence-based guidelines and practice reports.

As with previous editions we have not included a bibliography of references as they are quickly rendered out-of-date. Our hope is that medical, midwifery and nursing students reading this book will use it as the basis on which to establish their fundamental understanding of womens health and then pursue more detailed knowledge through the readily accessible electronic databases and their own experience.

We remain indebted to our colleagues and our readers for their many helpful suggestions and criticisms and corrections.

So, in the words of Derek Llewellyn-Jones, it is our hope that Fundamentals of Obstetrics and Gynaecology will continue to meet the needs of todays medical students and students of nursing and midwifery, and will encourage self-learning skills while providing essential information in a readable manner.

Acknowledgements

We particularly wish to thank the following for their substantial contribution to this ninth edition.

Dr Neil Roy for his meticulous revision of ).

Also: Dr John Bell, John Gocking, Dr Jenny King, Gwen Moody, Dr Diane Payton, Susan Hart and Down Syndrome Association for generously providing pathology and clinical photographs.

are reproduced from Lissauer T, Clayden G. Illustrated Textbook of Paediatrics, Second Edition, Mosby; 2001, with permission.