By Brian A. Magowan MB CHB FRCOG DIPFETMED, Andrew Thomson BSc MB ChB MRCOG MD, Philip Owen MB BCh MD FRCOG
Wherever you examine or instruction obstetrics and gynaecology, a legitimate wisdom of the medical points will underpin your figuring out of the strong point and maximise your skill to make a distinction to the care of ladies and infants.
A excellent better half to Kumar and Clark's scientific Medicine, this re-creation maintains to supply an exceptional grounding and framework for dealing with medical difficulties in obstetrics and gynaecology.
- Highly illustrated with transparent, full-colour line drawings and color photos.
- Summary packing containers and tables throughout.
- Key-points packing containers on the finish of every chapter.
- The most up-to-date details for facts and genetics.
- Forward-looking method of obstetrics and gynaecology.
- History and ethics containers throughout.
- Organized into 3 sections: basics, Gynaecology, and being pregnant and the puerperium.
- New part on sexual and reproductive health
- New bankruptcy on surgical procedure to aligned with the RCOG undergrad curriculum
- Anaesthesia bankruptcy completely reworked.
- Increased assurance of ectopic being pregnant and miscarriage.
- Fully revised and up-to-date throughout.
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Extra resources for Clinical Obstetrics and Gynaecology, 3e
This book and the individual contributions contained in it are protected under copyright by the publisher (other than as may be noted herein). First edition 2004 Second edition 2009 Third edition 2014 ISBN 978-0-7020-5408-2 International ISBN 978-0-7020-5409-9 e-book ISBN 978-0-7020-5410-5 British Library Cataloguing in Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging in Publication Data A catalog record for this book is available from the Library of Congress Notices Knowledge and best practice in this field are constantly changing.
Fig. 1The ‘true’ and ‘false’ pelvis. e. that part of the bony girdle which lies below the pelvic brim – the lower parts of the two innominate bones and the sacrum. These bones are bound together at the sacroiliac joints, and at the symphysis pubis anteriorly. The brim is outlined by the promontory of the sacrum, the sacral alae, the iliopectineal lines and the symphysis. The pelvic outlet is bounded by bone and ligament including the tip of the sacrum, the sacrotuberous ligaments, the ischial tuberosities, and the subpubic arch (of rounded ‘Norman’ shape) formed by the fused rami of the ischial and pubic bones.
The ‘gutter’ surrounding this projection comprises the vaginal fornices – lateral, anterior and posterior. 5 cm long; the shorter part of it, which lies above the fornices, is termed the ‘supravaginal part’. The endocervical canal is fusiform in shape between the external and internal os. After childbirth, the external os loses its circular shape and resembles a transverse slit. The epithelial lining of the canal is a columnar mucous membrane with an anterior and posterior longitudinal ridge, from which shallow palmate folds extend; hence the name ‘arbor vitae’.