Emergencies in Obstetrics and Gynaecology

The second edition of Emergencies in Obstetrics and Gynaecology provides a practical and accessible guide to all emergency situations encountered in obstetrics and gynaecology, from the immediately life-threatening to the smaller but urgent problems that may arise.

Designed around the symptoms and signs with which the patient presents to the hospital, this handbook explains how to arrive at a differential diagnosis and how to prevent, manage, or treat an emergency. The 'Obstetric emergencies' section covers topics from early pregnancy through to post-delivery complications, whilst the 'Gynaecologic emergencies' section addresses those issues that could potentially pose a threat to a women's fertility or even her life.

Addressing new topics on issues that have become more prevalent, such as substance misuse in pregnancy, and violence against women and children, the second edition of Emergencies in Obstetrics and Gynaecology is an essential read. A new topic on 'preoperative assessment' outlines how to manage consent, the risks, benefits, and what the patient should expect.

FEATURES

    A concise guide to the practical management of obstetric and gynaecologic emergencies
    A multidisciplinary group of senior clinicians present invaluable advice gained from personal experience
    Divided into obstetric emergencies and gynaecologic emergencies for ease of use

NEW TO THIS EDITION

    The second edition of this successful handbook contains up-to-date information and guidelines to help cover all obstetric and gynaecological emergencies.

Table of Contents

PART 1: OBSTETRICS
1: Kevin Hayes, S. Arulkumaran, Christina Coroyannakis, Edwin Chandraharan: Pregnancy changes and early pregnancy complications
2: Stergios Doumouchtsis, Aris Papageorghiou, Ingrid Watt-Coote, Onnig Tamizian, Sambit Mukhopadhyay: Medical emergencies in pregnancy
3: Onnig Tamizian, Hassan Shehata, Mishkat Shehata, Vishalli Ghai, Christina Coroyannakis, Edwin Chandraharan, Claire Hordern, Sambit Mukhopadhyay: Obstetric complications
4: Amar Bhide, Deepika Deshpande: Concerns for the fetus and surveillance
5: Hilary Turnbull, Sambit Mukhopadhyay, Stergios Doumouchtsis, K. Nikolopoulos, E. Chrysanthopoulou, D. Vinayagam, Christiana Nygaard, Renata Wendler, Frank Schroeder: Interpartum procedures and complications
6: Stergios Doumouchtsis, G. Iancu, D. Vinayagam, M. Basu, Christiana Nygaard, Justin Richards: Post-delivery procedures and complications
7: Stergios Doumouchtsis, Austin Ugwumadu: Sepsis in pregnancy
8: Joanna Becares Doumouchtsi, Jonathan Dominguez- Hernandez: Complications associated with complex psychological needs
9: Olujimi Jibodu, Leonie Penna, Austin Ugwumadu, K Rege, Sambit Mukhopadhyay, Paul Simpson: Miscellaneous topics in obstetrics
PART 2: GYNAECOLOGY
10: Tahir Mahmood: Abnormal menses and bleeding
11: Stergios Doumouchtsis: Chronic and acute abdominal pain
12: Vikram Talaulikar, S. Arulkumaran: Intra-operative emergencies
13: Vikram Talaulikar, Stergios Doumouchtsis, Christiana Nygaard, G. Iancu: Postoperative complications
14: Kamal Ojha: Ovarian hyperstimulation syndrome
15: Sheila Radakrishnan, Kamal Ojha: Contraception and termination of pregnancy
16: Kamal Ojha: Vaginal discharge
17: David Nunns: Vulval problems
18: Stergios Doumouchtsis, M. Basu, Claudine Domoney, Sambit Mukhopadhyay: Miscellaneous topics in gynaecology
19: Hugh Byrne: Diagnostic laparoscopy & emergencies following laparoscopic surgery
20: K Rege, Hannah Sims, Eddie Morris, Stergios Doumouchtsis: General issues in obstetrics and gynaecology

Stergios K. Doumouchtsis, Consultant Obstetrician, Gynaecologist and Urogynaecologist, Honorary Senior Lecturer, St George's University Hospitals NHS Foundation Trust, Visiting Professor, University of Athens, Greece, and S. Arulkumaran, Professor Emeritus in Obstetrics and Gynaecology, St George's University of London, UK, Visiting Professor, Imperial College, London, UK

Stergios K. Doumouchtsis MSc MPH PhD MRCOG studied medicine at the University of Athens Medical School and was later awarded a PhD in Surgical Research. He trained at the London Deanery. Following the completion of subspecialty training in Urogynaecology at St George's Hospital, London, Stergios was awarded an Ethicon Travel Award by the Royal College of Obstetricians and Gynaecologists and worked as a visiting Scholar in the University of Michigan, where he trained in Robotic Surgery and participated in research projects with the Pelvic Floor Research Group. Stergios is a Consultant Obstetrician and Gynaecologist at St George's as well as the Lead Urogynaecologist Consultant for Childbirth Injury and Pelvic Health after Childbirth services, and an Honorary Senior Lecturer at St George's University, London. He is currently a member of several scientific and professional committees, working groups and societies, and is a prolific conference speaker and author of journal articles.

Sir Sabaratnam Arulkumaran MD, PhD, FRCS, FRCOG, is author of 250 indexed publications, 30 books and more than 175 book chapters. He is also Editor in Chief of Best Practise and research in Clinical Obstetrics & Gynaecology; Honorary fellow of the American, Sri Lankan, South African, Pakistan, Indian, Japan, Australian & NZ Colleges of O&G, Royal College of Midwives and Faculty of Sexual and Reproductive Health; and Honorary Member of the Canadian, Malaysian, German, Italian, Mumbai and South African Societies. He was knighted in recognition of Services to Medicine & Health Services by Her Majesty the Queen in her Birthday Honours List in June 2009.

Contributors:

S. Arulkumaran, Professor Emeritus in Obstetrics and Gynaecology, St George's University of London, London, UK
M. Basu, Consultant Obstetrician and Gynaecologist, Medway NHS Foundation Trust, Kent, UK
Joanna Bécares Doumouchtsi, Specialist Mental Health Midwife, Kingston Hospital NHS Foundation Trust, Kingston upon Thames, UK
Amar Bhide, Consultant, St. George's Hospital, London, UK
Hugh Byrne, Consultant Gynaecologist, St George's Hospital, London, UK
Edwin Chandraharan, Clinical Director for Women's Services , St George's University Hospitals NHS Foundation Trust, St George's Hospital, London, UK
Eleftheria L. Chrysanthopoulou, Specialty Registrar, King's College Hospital NHS Foundation Trust London, UK
Christina Coroyannakis, Senior Registrar, St George's University Hospitals NHS Foundation Trust, St George's Hospital, London, UK
Deepika Deshpande, Clinical Fellow in obstetrics & gynaecology, St George's hospital & NHS foundation trust, London, UK
Claudine Domoney, Consultant Obstetrician and Gynaecologist, Chelsea and Westminster Hospital
London, UK
Stergios Doumouchtsis, Consultant Obstetrician, Gynaecologist and Urogynaecologist,
Honorary Senior Lecturer, St George's University Hospitals NHS Foundation Trust, London, UK
Vishalli Ghai, Specialist Registrar Obstetrics and Gynaecology, Kingston NHS Hospital Trust, Kingston, UK
Kevin Hayes, Consultant Obstetrician and Gynaecologist, St George's Hospital, London, UK
Claire Hordern, Specialty Trainee in Obstetrics and Gynaecology, Eastern Deanery,
G. Iancu, Assistant Professor, Filantropia Clinical Hospital, Bucharest, Romania
Olujimi Jibodu, Consultant Obstetrician & Gynaecologist, York Teaching Hospital Foundation Trust, York, UK
Tahir Mahmood, Consultant Gynaecologist, Victoria Hospital, Kirkcaldy, Scotland
Edward Morris, Consultant, Norfolk & Norwich University Hospital, Norwich, UK
Sambit Mukhopadhyay, Consultant Gynaecologist and Clinical Director, Norfolk and Norwich University Hospital Foundation, Norwich, UK
Kostis I. Nikolopoulos, Specialty registrar in Obstetrics and Gynaecology, Barking, Havering & Redbridge University Hospitals NHS Trust, Queen's Hospital, London, UK
David Nunns, Consultant Gynaecological Oncologist, Nottingham University Hospitals, UK
Christiana Nygaard, Instructor of Urogynecology, São Lucas Hospital, Pontificia Universidade Católica do Rio Grande do Sul, Brazil
Kamal Ojha, Care Group Lead for Gynaecology, St Georges Healthcare NHS Trust, London, UK
Astrid Osbourne, Consultant Midwife and Supervisor of Midwives, University College London Hospitals, London, UK
Aris Papageorghiou, Consultant in Fetal Medicine and Obstetrics, St George's University Hospitals NHS Foundation Trust, London, UK
Leonie Penna, Consultant in obstetrics and fetal medicine, King's College NHS Foundation Trust, London, UK
Edward Prosser-Snelling, National Medical Director's Clinical Fellow, Royal College of Obstetricians and Gynaecologists, London, UK
Sheila Radhakrishnan, Consultant in Community Gynaecology, Royal Free Hospital, London, UK
Kanchan Rege, Medical Director and Consultant Haematologist, Peterborough City Hospital, Peterborough, UK
Justin Richards, Consultant Neonatologist, Honorary Senior Lecturer, St George's NHS Healthcare Trust, London, UK
Vladimir Rivicky, Specialty Registrar Obstetrics and Gynaecology, Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, UK
Frank Schroeder, Consultant in Anaesthesia & Intensive Care, St George's Hospital, London, UK
Hassan Shehata, Clinical Director, Women & Children Services, and Consultant and Lead for Obstetric Medicine & Recurrent Miscarriages Units, Epsom & St Helier University Hospitals NHS Trust, Surrey, UK; Honorary Senior Lecturer in Obstetrics & Gynaecology, St George's Hospital Medical School, London, UK
Mishkat Shehata, Clinical Fellow, Epsom and St Helier University Hospitals NHS Trust, Surrey, UK
Paul Simpson, Clinical Research Fellow, Norfolk and Norwich University Hospital, Norwich, UK
Hannah Sims, Consultant Haematologist
Vikram Sinai Talaulikar, Clinical Research Fellow, University College London Hospital, London, UK
Onnig Tamizian, Consultant Obstetrician Gynaecologist, Lead Colposcopy, Royal Derby Hospital, Derby, UK
Hilary Turnbull, Gynaecology sub-specialty trainee, Norfolk & Norwich University hospital, Norwich, Norfolk, UK
Austin Ugwumadu, Consultant Obstetrician and Gynaecologist/Senior Lecturer, St. George's Hospital and Medical School, London, UK
D. Vinayagam, Specialty Trainee in Obstetrics & Gynaecology, St George's Hospital, London, UK
Ingrid Watt-Coote, Consultant Obstetrician, Maternal Medicine and Diabetes, St George's University Hospitals NHS Foundation Trust, London, UK
Renate Wendler, Consultant Anaesthetist, St. George's University Hospitals NHS Foundation Trust, London, UK