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This unique book, designed to support obstetrician-gynecologists, midwives, and family medicine specialists caring for obstetric patients, will guide clinicians to a clear understanding of the ways to recognize, manage, and importantly prevent obstetrical complications. Utilising clinical vignettes combined with comprehensive, authoritative discussions from experienced clinicians, this book is an essential resource to support practice and preparation for various certification type of examinations. Following the same effective approach as other titles in this series, Acute and Emergency Care Gynecology: A Case-Based Approach, Office Gynecology: A Case-Based Approach and Surgical Gynecology: A Case-Based Approach, this book is the perfect guide to navigate common and rare obstetrical complications.
A 65-year-old female, gravida 4, para 4, presents with a worsening bulge in her vagina. She describes a dragging sensation in the vagina that is worse at the end of the day. She has increased the fiber in her diet to help with constipation. Despite this, over the past three months, she has had increased straining with bowel movements. Now, she must digitally place pressure on the bulge in the vagina to evacuate the rectum.