Acute Gynaecology and Early Pregnancy

doi:10.1017/CBO9781107786127

Acute gynaecological problems are among the most common reasons for women of reproductive age to seek medical help. Emergency outpatient visits now outnumber elective clinical appointments in gynaecology. With a growing number of patients, increasingly complex diagnostic algorithms and a wide range of management options, the participation and training of senior doctors in this field is vital to ensure women receive the best possible treatment. This book provides a thorough overview of acute gynaecology and early pregnancy and has been designed to reflect the syllabus of the RCOG's Advanced Training Skills Module (ATSM) in 'Early pregnancy and emergency gynaecology'. It covers the diagnosis and management of routine clinical problems, such as miscarriage and tubal pregnancy, as well as less frequently seen presentations, such as uncommon forms of ectopic pregnancy and trophoblastic disease. The use of drugs in early pregnancy and management organisational aspects of care are also addressed.

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Contents

Frontmatter
pp i-iv
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Contents
pp v-vi
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About the authors
pp vii-ix
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Acknowledgements
pp x-x
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Abbreviations
pp xi-xii
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Preface
pp xiii-xiv
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1 - Organisation and delivery of emergency care in early pregnancy and acute gynaecology
pp 1-10
- By Roy Farquharson, University of Liverpool, Caroline Overton, St Michael's University Hospital
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2 - Epidemiology and aetiology of miscarriage and ectopic pregnancy
pp 11-22
- By Cecilia Bottomley, Chelsea and Westminster NHS Foundation Trust
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3 - Diagnosis of miscarriage
pp 23-36
- By Michelle Swer, University College Hospital, Davor Jurkovic, University College Hospital
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4 - Conservative and surgical management of miscarriage
pp 37-48
- By Michelle Swer, University College Hospital, Willem M Ankum, University of Amsterdam, Davor Jurkovic, University College Hospital
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5 - Management of hyperemesis gravidarum
pp 49-62
- By Sangeeta Suri, University College Hospital
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6 - Diagnosis and treatment of recurrent miscarriage
pp 63-72
- By Rehan Salim, University College Hospital
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7 - Differential diagnosis and management of molar pregnancy
pp 73-84
- By Eric Jauniaux, University College London
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8 - Drugs in early pregnancy
pp 85-120
- By Neelam Potdar, University of Leicester, Janine Elson, University of Leicester
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9 - Diagnosis of tubal ectopic pregnancy
pp 121-132
- By Emma Kirk, Whittington Hospital NHS Trust
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10 - Conservative management of tubal ectopic pregnancy
pp 133-144
- By Petra J Hajenius, University of Amsterdam, Norah M Van Mello, University of Amsterdam
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11 - Surgical management of tubal ectopic pregnancy
pp 145-150
- By Willem M Ankum, University of Amsterdam, Femke Mol, University of Amsterdam, Amna Jamil, University College Hospital
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12 - Diagnosis and management of non-tubal ectopic pregnancy
pp 151-168
- By Davor Jurkovic, University College Hospital, Amna Jamil, University College Hospital
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13 - Diagnosis and management of acute pelvic pain
pp 169-180
- By Jackie Ross, King's College Hospital
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14 - Management of vaginal bleeding in the acute clinical setting
pp 181-200
- By Natalie Am Cooper, University of Birmingham, Birmingham Women’s Hospital, T Justin Clark, Birmingham Women’s Hospital
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15 - Current concepts in screening and outpatient management of pelvic inflammatory disease
pp 201-210
- By Jennifer Hopwood, St Catherine’s Hospital
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16 - Diagnosis and management of haemorrhagic and septic shock
pp 211-222
- By Caroline Cormack, University College Hospital, Natasha Curran, University College Hospital
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17 - Role of minimally invasive surgery in acute gynaecology
pp 223-232
- By Christy Burden, Southmead Hospital, Sanjay Vyas, Southmead Hospital
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Index
pp 233-241
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Acute Gynaecology and Early Pregnancy

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Contents

Frontmatter
pp i-iv

Contents
pp v-vi

About the authors
pp vii-ix

Acknowledgements
pp x-x

Abbreviations
pp xi-xii

Preface
pp xiii-xiv

1 - Organisation and delivery of emergency care in early pregnancy and acute gynaecology
pp 1-10

2 - Epidemiology and aetiology of miscarriage and ectopic pregnancy
pp 11-22

3 - Diagnosis of miscarriage
pp 23-36

4 - Conservative and surgical management of miscarriage
pp 37-48

5 - Management of hyperemesis gravidarum
pp 49-62

6 - Diagnosis and treatment of recurrent miscarriage
pp 63-72

7 - Differential diagnosis and management of molar pregnancy
pp 73-84

8 - Drugs in early pregnancy
pp 85-120

9 - Diagnosis of tubal ectopic pregnancy
pp 121-132

10 - Conservative management of tubal ectopic pregnancy
pp 133-144

11 - Surgical management of tubal ectopic pregnancy
pp 145-150

12 - Diagnosis and management of non-tubal ectopic pregnancy
pp 151-168

13 - Diagnosis and management of acute pelvic pain
pp 169-180

14 - Management of vaginal bleeding in the acute clinical setting
pp 181-200

15 - Current concepts in screening and outpatient management of pelvic inflammatory disease
pp 201-210

16 - Diagnosis and management of haemorrhagic and septic shock
pp 211-222

17 - Role of minimally invasive surgery in acute gynaecology
pp 223-232

Index
pp 233-241

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Acute Gynaecology and Early Pregnancy

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