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OB
Obstetrics
Abigail Lee, Tal Milman, and Melin Peng, chapter editors
Ahmad Mousa and Siraj Zahr, associate editors
Michael Elfassy and Alexander Tigert, EBM editors
Dr. Rohan D’Souza, Dr. Richard Pittini, and Dr. Amanda Selk, staff editors
Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Basic Anatomy Review . . . . . . . . . . . . . . . . . . . . . 2
Pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Diagnosis of Pregnancy
Maternal Physiologic Adaptations to Pregnancy . 3
Antepartum Care . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Preconception Counselling
Initial Prenatal Visit
Nausea and Vomiting
Hyperemesis Gravidarum
Subsequent Prenatal Visits
Prenatal Screening and Diagnostic Tests Fetal Surveillance
Counselling of the Pregnant Woman . . . . . . . . . 11
Normal Labour and Delivery . . . . . . . . . . . . . . .
Definition of Labour
The Cervix
The Fetus
Four Stages of Labour
The Cardinal Movements of the Fetus During Delivery
Analgesic and Anesthetic Techniques in Labour and Birth
Fetal Monitoring in Labour
Induction of Labour . . . . . . . . . . . . . . . . . . . . . .
Induction Methods Augmentation of Labour
Abnormalities and Complications of
Labour and Delivery . . . . . . . . . . . . . . . . . . . . . Abnormal Progression of Labour (Dystocia) Shoulder Dystocia
Umbilical Cord Prolapse
Uterine Rupture
Amniotic Fluid Embolus
Chorioamnionitis
Meconium
Operative Obstetrics . . . . . . . . . . . . . . . . . . . . .
Operative Vaginal Delivery Forceps
Vacuum Extraction Lacerations
Episiotomy
Cesarean Delivery
Trial of Labour after Cesarean Section (TOLAC)
Puerperal Complications . . . . . . . . . . . . . . . . . .
Postpartum Hemorrhage Retained Placenta Uterine Inversion Postpartum Pyrexia Mastitis
Postpartum Mood Alterations
Postpartum Care . . . . . . . . . . . . . . . . . . . . . . . .
Breastfeeding and Drugs
Common Medications . . . . . . . . . . . . . . . . . . . . References . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. 30
. 36
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. 42
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. 49 . 50
Nutrition Lifestyle Medications Immunizations Radiation
Obstetrical Hemorrhage . . . . . . . .
Placenta Previa Abruptio Placentae Vasa Previa
Obstetrical Complications . . . . . .
Preterm Labour
Premature Rupture of Membranes Postterm Pregnancy
Intrauterine Fetal Demise Intrauterine Growth Restriction Macrosomia Polyhydramnios/Oligohydramnios
. . . . . . . . . . . 13
. . . . . . . . . . . 16
Multi-Fetal Gestation and Malpresentation . . . 21
Twin-Twin Transfusion Syndrome Breech Presentation
Hypertensive Disorders of Pregnancy . . . . . . . . 24
Hypertension in Pregnancy
Medical Complications of Pregnancy . . . . . . . . . 26
Iron and Folate Deficiency Anemia Diabetes Mellitus
Group B Streptococcus
Urinary Tract Infection
Infections During Pregnancy Venous Thromboembolism
Toronto Notes 2019
Obstetrics OB1