Under current conditions in the sphere of improvement of the quality of student training at higher medical education establishments and deepening of their knowledge in the field of obstetrics it becomes absolutely necessary to publish textbooks, which cover the issues of obstetrics and correspond to current education programs.
The textbook has been created according to the obstetrics curriculum and in accordance with the Bologna process requirements.
The book describes the latest achievements of world obstetric science, deals with physiological aspects of pregnancy and childbirth, major factors of etiology, pathogenesis, clinical presentation, diagnosis, treatment and prevention of diseases during pregnancy, labor and postpartum period.
For students of higher medical education establishments.
Abbreviations
Chapter 1. Fertilization, Embryogenesis, Critical Period of Ontogenesis
Fertilization
Gametogenesis
Fertilization
Blastogenesis
Implantation
Embryogenesis
Placenta
Umbilical cord
Afterbirth
Critical periods of ontogenesis
Test questions
Case Study
Chapter 2. Changes in the Woman’s Body during Pregnancy. Hygiene and Nutrition of Pregnant Women. Influence of Harmful Factors on Fetus
Changes in the Woman’s Body during Pregnancy
Central Nervous System
Endocrine System
Immune System
Metabolism
Cardiovascular System
Hematopoietic Organs
Respiratory System
Acid-Base Condition
Digestive System
Urinary System
Supporting-Motor Apparatus
Skin
Weight
Mammary Glands
Genital Organs
Regimen and Hygiene of Pregnant Women
Pregnancy Nutrition
Influence of Harmful Factors on Fetus
Test Questions
Case Study
Chapter 3. Methods of Research in Obstetrics and Perinatology. Pregnancy Diagnostics and Management
History Taking
Objective Obstetric Examination
General Examination
Specific Obstetric Examination
Test Questions
Case Study
Chapter 4. Female Pelvis. Pelvic Floor. Fetus as an Object of Labor. Biomechanism of Labor in Cephalic and Breech Presentation
Female Pelvis
Pelvic Floor
Fetus as an Object of Labor
Biomechanism of Labor in Cephalic and Breech Presentation
Test Questions
Case Study
Chapter 5. Causes of Labor Onset. Expulsive Forces. Clinical Picture, Management and Pain relief of Labor
Causes of Labor Onset
Assessment of Biological Readiness of the Pregnant Woman’s Body for Labor
Labor Precursors
Expulsive Forces
Clinical Picture and Management of Labor
Partogram Use in Labor Management
Labor Pain Relief
Test Questions
Case Study
Chapter 6. Physiology of the Puerperal and Neonatal Periods
Physiology of the Puerperal Period
Involution of Genital Organs
The Main Principles of Puerperal Period Management
Postpartum Care
Physiology of the Neonatal Period
Neonatal Period Management
Test Questions
Case Study
Chapter 7. Multiple Pregnancy
Types of Twins
Multiple Pregnancy Diagnostics
Multiple Pregnancy Management
Intrauterine Death of one Twin
Congenital Defects
Multiple Pregnancy Labor and Delivery
Test Questions
Case Study
Chapter 8. Deflexion presentation, Pelvic Presentation, and Malposition of the Fetus
Deflexion Presentation of the Fetal Head
Sincipital Presentation
Brow Presentation
Face Presentation
Test Questions
Case Study
Pelvic Presentation
Pelvic Presentation Etiology
Pelvic Presentation Classification
Pelvic Presentation Diagnostics
Pregnancy Management in Pelvic Presentation
Corrigent Gymnastics Methods
Pelvic Labor Course
Pelvic Labor Management
Test Questions
Case Study
Fetal Malposition
Diagnostics of Transverse and Oblique Fetal Lie
Clinical Course and Management of Pregnancy and Labor
Test Questions
Case Study
Chapter 9. Miscarriage and Postmature Pregnancy
Miscarriage
Miscarriage Classification
Clinical Course and Diagnosis of Miscarriage
Threatened Abortion
Incipient Abortion
Abortion in Progress
Incomplete and Complete Abortion
Missed Abortion
Miscarriage Treatment
Premature Labor
Postmature Pregnancy
Postmature Pregnancy Diagnostics
Obstetric Management of Postmature Pregnancy
Test Questions
Case Study
Chapter 10. Bony Pelvis Anomalies
Anatomically Contracted Pelvis
Anatomically Contracted Pelvis Classification
Diagnosis and Peculiarities of Biomechanism of Labor
Clinically Contracted Pelvis
Test Questions
Case Study
Chapter 11. Birth Traumas of Mother and Fetus
Birth Traumas of Mother
Vulvar and Vaginal Ruptures
Ruptures of Vulvar and Vaginal Varices
Vulvar and Vaginal Hematomas
Perineal Rupture
Cervical Ruptures
Uterine Rupture
Inversion of Uterus
Separation and Rupture of Symphysis
Postpartum Fistula
Birth Injuries
Cephalohematoma
Skull Gaps and Fractures
Intracranial Birth Injury
Birth Injury of Spinal Cord
Injuries of Clavicles and Extremities
Subcapsular Liver Hematoma, Adrenal Hemorrhage
Test Questions
Case Study
Chapter 12. Gestosis of Late Pregnancy: Preeclampsia, Eclampsia, HELLP Syndrome
Preeclampsia
Classification
Etiology and Pathogenesis
Clinical Picture and Diagnosis
Preeclampsia Treatment
Eclampsia
HELLP Syndrome
Test Questions
Case Study
Chapter 13. Placental Complications
Placenta Previa
Classification
Etiology and Pathogenesis
Clinical Picture and Diagnosis
Treatment, Management of Pregnancy and Labor
Premature Detachment Of Placenta
Classification
Etiology and Pathogenesis
Clinical Picture and Diagnosis
Treatment
Test Questions
Case Study
Chapter 14. Placental Insufficiency. Fetal Distress Syndrome. Intrauterine Fetal Growth Retardation
Placental Insufficiency. Fetal Distress Syndrome
Syndrome of Intrauterine Fetal Growth Retardation
Test Questions
Case Study
Chapter 15. Isoserological Maternofetal Blood Incompatibility
Etiology and Pathogenesis
Clinical Picture of Hemolitic Illness
Classification and Clinical Characteristics of the Basic Forms of Hemolytic Illness
Immunological Conflict Diagnostics
Immunoassay
Genotype of Blood of the Father
Ultrasonic Research
Amniocentesis
Treatment of Fetal Hemolitic Disease
Labor Management
Treatment of Hemolytic Disease of Newborn
Test Questions
Case Study
Chapter 16. Maldevelopments of Fetus and its Appendages. Medical Genetics
Congenital Defects of Development
CNS Defects
Urinary Tract Abnormalities
Congenital Heart Diseases
Digestive Tract Maldevelopments
Anomalies of Fetal Facial Structures, Neck, and Skeletal System
Chromosome Disease
Anomalies of Sex Chromosomes
Hereditary Diseases
Umbilical Cord Anomalies
Placenta Anomalies
Oligohydramnios and Polyhydramnios
Medicogenetic Consultation
Methods of Prenatal Diagnostics
Laboratory Methods of Diagnostics
Test Questions
Case Study
Chapter 17. Pregnancy and Labor in Extragenital Diseases
Cardiovascular Diseases
Rheumatism
Acquired Heart Disease
Congenital Heart Defects
Pregnancy and Operated Heart
Hyperpiesis in Pregnancy
Hypopiesis in Pregnancy
Vein Diseases and Thrombotic Complications
Varicose Disease
Thrombosis of Veins, Thrombophlebitis, Thromboembolism
Thrombophlebitis of Superficial Veins
Thrombosis of Deep Veins
Thromboembolism of Pulmonary Artery
Anemia in Pregnancy
Iron Deficiency Anemia
Folic Acid Deficiency Anemia
В12-Deficiency Anemia
Thalassemia
Hemolytic Anemia
Aplastic Anemia
Respiratory Diseases
Bronchitis
Pneumonia
Bronchial Asthma
Kidney and Urinary Tract Diseases
Pyelonephritis
Glomerulonephritis
Urolithiasis
Thyroid Gland Pathology
Diffuse Toxic Goiter
Hypothyroidism
Diabetes
Gestational Diabetes
Digestive Tract Diseases
Chronic Cholecystitis
Acute Appendicitis
Test Questions
Case Study
Chapter 18. Perinatal Infections
Etiology
Classification
Pathogenesis
Clinical Presentation
Prenatal Diagnostics of Intrauterine Infections
Specific Features of Certain Nosological Forms of Intrauterine Infections
Cytomegalovirus
Herpetic Infection
Rubella
Toxoplasmosis
Chlamydiosis
Syphilis
Viral Hepatitis
Test Questions
Case Study
Chapter 19. Anomalies of Uterine Activity
Etiology and Pathogenesis
Classification
Pathological Preliminary Period
Uterine Inertia
Excessive Uterine Activity
Parodynia
AUA Prophylaxis
Test Questions
Case Study
Chapter 20. Uterine Bleeding in the Placental and Postpartum Periods
Major Causes of Uterine Bleeding
Hypo- and Atonic Bleeding
Coagulopathic Bleeding
DIC Syndrome
Test Questions
Case Study
Chapter 21. Hemorrhagic Shock. Amniotic Fluid Embolism
Hemorrhagic Shock
Amniotic Fluid Embolism
Test Questions
Case Study
Chapter 22. Obstetric Operations
Induced Termination of Pregnancy
Therapeutic (Artificial) Abortion
Operations that Prepare the Parturient Canal for Labor
Amniotomy
Episiotomy
Perineotomy
Craniodermal Forceps
Obstetric Version
External Version
Classic Internal Podalic Version
Braxton-Hicks Version
Fetus Extraction by the Pelvic Pole
Fetus Extraction by Both Legs
Fetus Extraction by the Inguinal Fold
Obstetrical Forceps. Vacuum Extraction of Fetus
Operative Interventions in the Placental and Puerperal Periods
Manual Detachment and Removal of Placenta
Manual Inspection of the Uterine Cavity
Embryotomy
Craniotomy
Excerebration
Cranioclasia
Decapitation
Exenteration
Spondylotomy
Cleidotomy
Test Questions
Case Study
Chapter 23. Cesarean Section
Classification
Intraperitoneal Cesarean Section
Protective Varieties of Cesarean Section
Indications for Cesarean Section
Contraindications for Cesarean Section
Preparation For Abdominal Delivery
Complications Of Cesarean Section
Postoperative Period Management
Test Questions
Case Study
Chapter 24. Postpartum Purulent-Septic Diseases
Infectious Process Pathogenesis
Classification
Clinical Picture and Treatment of Different Postpartum Purulent-Septic Diseases
Diseases Limited by the Vagina and Uterus
Diseases Limited by the Pelvic Cavity
Generalized Postpartum Infection
Infectious Toxic (Septic) Shock
Postpartum Mastitis
Test Questions
Case Study
Chapter 25. Pathology of Neonatal Period
Boundary Conditions
Diseases of Newborns in Early Neonatal Period
Infectious Diseases
Test Questions
Case Study
List of References