Algorithms for Obstetrics and Gynaecology

ISBN : 9780199651399

Sambit Mukhopadhyay; Edward Morris; Sabaratnam Arulkumaran
336 ページ
162 x 233 mm

Algorithms in Obstetrics and Gynaecology presents the core knowledge needed to tackle all situations in obstetrics and gynaecology, in a structured fashion. All algorithms are designed to support rapid decision making in the most clinically relevant situations to minimise the risks of a poor outcome. A range of clinical problems are covered from common non-life-threatening emergencies such as hyperemesis in pregnancy, to life-threatening acute events such as ectopic pregnancy, acute fetal distress or maternal collapse. Each topic is presented as either an algorithm, a care pathway, or table of key information and has been carefully structured to ensure a logical progression of thought to aid anticipation, early diagnosis and prompt and appropriate management. Accompanying key learning points highlight the essential information from the topic. Based on current national guidelines and clinical evidence, the algorithms and care pathways can be used as a reliable and practical resource for day to day practice in obstetrics and gynaecology.


1. Non-urgent obstetrics
1.1 Diagnosis of pregnancy
1.2 Antenatal screening tests
1.3 Infections and vaccinations in pregnancy
1.4 Medications in pregnancy
1.5 Substance misuse in pregnancy
1.6 Multiple pregnancy
1.7 Vaginal discharge in pregnancy
1.8 Pregnancy-related pelvic girdle pain (PGP) and low back pain (LBP)
1.9 Exercise in pregnancy
1.10 Travelling in pregnancy
1.11 Management of constipation
1.12 Urinary tract symptoms in pregnancy
1.13 Rhesus alloimmunization
1.14 Thyroid disease in pregnancy
1.15 Diabetes mellitus and pregnancy
1.16 Renal disease in pregnancy
1.17 Cardiac disease and pregnancy
1.18 Anaemia in pregnancy
1.19 Jaundicey
1.20 Hypertension in pregnancy
1.21 Asthma in pregnancy
1.22 Pruritus in pregnancy
1.23 Liquor volume and fetal growth
1.24 Prolonged pregnancy and induction of labour
1.25 Birth after Caesarean section ur
1.26 Diagnosis of labour
1.27 Management of the third stage of labour
1.28 Clinical risk managementbour
2. Obstetric emergency presentations
2.1 Vomiting in pregnancy
2.2 Abdominal pain in pregnancy
2.3 Bleeding in late pregnancy (antepartum haemorrhage)
2.4 Leakage of amniotic fluid
2.5 Convulsions
2.6 Reduced fetal movements
2.7 Intrauterine death
2.8 Breech presentation
2.9 Unstable lie
2.10 Preterm labour (PTL)
2.11 Poor progress in labour
2.12 Abnormal fetal heart rate in labour
2.13 Prolonged second stage
2.14 Post-partum haemorrhage (PPH)
2.15 Post-partum psychosis
2.16 Post-partum bladder problems
2.17 Management of perineal tears
2.18 Puerperal abdominal distension
2.19 Leg pain and swelling in pregnancy and puerperium
2.20 Maternal collapse
2.21 Instrumental delivery
2.22 Post-operative care after a Caesarean section
2.23 Emergency Caesarean section
2.24 Post-partum pyrexia and puerperal sepsis
3. Non-urgent gynaecology
3.1 Menorrhagia
3.2 Irregular vaginal bleeding
3.3 Amenorrhoea
3.4 Dysmenorrhoea
3.5 Painful intercourse
3.6 Abnormal cervical smears
3.7 Contraception
3.8 Unwanted pregnancy 2
3.9 Recurrent miscarriage
3.10 Trophoblastic disease
3.11 Management of the infertile couple
3.12 Chronic pelvic pain
3.13 Endometriosis
3.14 Fibroids
3.15 Premenstrual syndrome
3.16 Urinary urgency, frequency, and urinary incontinence
3.17 Genital prolapse
3.18 Post-menopausal bleeding
3.19 Gynaecological cancers
3.20 Management of vulval irritation and vulvodynia
3.21 Menopause and HRT
4. Gynaecology emergency presentations
4.1 Acute pelvic pain
4.2 Ectopic pregnancy
4.3 Miscarriage
4.4 Management of ovarian masses in premenopausal women
4.6 Management of vaginal discharge post-menopausal
4.8 Ovarian hyperstimulation syndrome (OHSS)
4.9 Emergency contraception ic infections/pelvic infl
4.11 Sexual assaultimulation syndrome (OHSS)


Dr Sambit Mukhopadhyay is a consultant gynaecologist and Honorary Senior Lecturer at Norwich Medical School, University of East Anglia, Norwich. His work involves advanced pelvic floor surgery, medical education and research into urogynaecology.; Sir Sabaratnam Arulkmaran is Professor Emeritus of Obstetrics & Gynaecology at St Georges, University of London, and Visiting Professor, International Health, Imperial College, London. He is president of the International Federation of Obstetrics & Gynaecology (FIGO) and past president of the British Medical Association (2013-2014) & Royal College of Obstetricians & Gynaecologists (2007-2010). In 2009 he was made a Knight Bachelor in recognition of Services to Medicine & Health Services by Her Majesty the Queen.; Dr Edward Morris is a consultant gynacologist at the Norfolk & Norwich University Hospital and Honorary Senior Lecturer, University of East Anglia Medical School. He is Chairman of the British Menopause Society, past Chair of the RCOG Safety and Quality committee, current member of the RCOG Clinical Quality Board, and Fellows Representative for the East of England, RCOG Council. His work involves measuring patient outcomes, safety and quality measures, research into menopause, endometriosis, leiomyomata, endometrial cancer and risk prediction, postgraduate education and minimal access surgery.