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Ä¿ ¼ Section One Basic Sciences in Obstetrics and Gynecology 1¡¡Anatomy… ……………………………… 3 2¡¡Reproductive Physiology………………… 33 3¡¡Conception, Fertilization and Implantation… …………………………………………………………………… 51 4¡¡Fetal Growth, Placenta and Umbilical Cord……………………………………………………………………… 62 5¡¡Embryology… …………………………… 78 Section Two Gynecology 6 Gynecological History and Clinical Examination………………………………………………………………… 91 7 Pediatric and Adolescent Gynecology… … 96 8 Gynecological Infection and STD………… 105 9 Amenorrhea… …………………………… 139 10 Abnormal Uterine Bleeding… ………… 148 11 Infertility………………………………… 158 12 Polycystic Ovarian Syndrome (PCOS)… ……………………………………………………………………… 174 13 Hirsutism………………………………… 180 14 Menopause……………………………… 184 15 Benign Lesions of the Vulva and Vagina… 192 16 Benign Disorders of the Uterine Cervix… 202 17 Benign Disorders of Uterine Corpus (Fibroids, Adenomyosis and Endometrial Polyp) ………………………… 206 18 Benign Adnexal Masses… ……………… 222 19 Premalignant and Malignant Disorders of the Vulva and Vagina… …………………………………………… 234 20 Premalignant and Malignant Disorders of the Uterine Cervix… ……………………………………………… 244 21 Premalignant and Malignant Disorders of the Uterine Corpus… ……………………………………………… 267 22 Premalignant and Malignant Disorders of Ovaries and Fallopian Tubes………………………………………… 278 23 Gestational Trophoblastic Diseases……… 291 24 Endometriosis…………………………… 299 25 Pelvic Organ Prolapse (POP)…………… 309 26 Urinary Incontinence…………………… 321 27 Genital Ambiguity and Intersexuality…… 333 28 Contraception…………………………… 341 Section Three Obstetrics 29 Preconceptional Counseling, Physiological Changes in Pregnancy and Antenatal Care………………………… 365 XIV Contents 30 Normal Labor…………………………… 393 31 First Trimester Vaginal Bleeding………… 415 32 Recurrent Pregnancy Loss and Bad Obstetrical History………………………………………………………… 436 33 Late Pregnancy Complications… ……… 442 34 Third Trimester Bleeding… …………… 464 35 Disproportionate Fetal Growth… ……… 478 36 Multiple Pregnancy……………………… 485 37 Disorders of Amniotic Fluid… ………… 494 38 Special Cases in Obstetrics… …………… 499 39 Hypertensive Disorders in Pregnancy…… 502 40 Diabetes Mellitus and Pregnancy………… 514 41 Hematological Disorders in Pregnancy… ……………………………………………………………………… 521 42 Cardiac Disease in Pregnancy…………… 532 43 Thyroid Dysfunction with Pregnancy…… 539 44 Jaundice, Hepatitis and Gastrointestinal Disorders in Pregnancy………………………………………………… 544 45 Renal Disorders in Pregnancy…………… 551 46 Nervous System Disorders in Pregnancy… 556 47 Asthma in Pregnancy… ………………… 561 48 Local Abnormalities……………………… 565 49 Infection During Pregnancy… ………… 573 50 Malpresentation and Malposition……… 581 51 Dystocia and Cephalopelvic Disproportion……………………………………………………………………… 600 52 Postpartum Hemorrhage………………… 609 53 Puerperium……………………………… 621 54 Essential of Normal Newborn Assessment and Care… ………………………………………………………… 628 55 Special Topics in Obstetrics……………… 636 56 Critical Care Obstetric…………………… 657 Section Four Appendices Appendix 1 Investigations in Gynecology… ……………………………………………………………………… 667 Appendix 2 Operative Obstetrics…………… 677 Appendix 3 Fetal Medicine………………… 699 Appendix 4 Drug Use in Pregnancy………… 701 Appendix 5 Psychological Aspects in Obstetrics and Gynecology… ……………………………………………… 703 Section Five Annexures Annexure 1 Medical Eligibility Criteria for Initiation and Continuation of Intrauterine Devices (IUDs)… ……… 711 Annexure 2 Medical Eligibility Criteria for Initiation and Continuation of Combined OCs/Combined Injects/ Transdermal Patches and Vaginal Rings… …………………………………………………………… 714 Annexure 3 Medical Eligibility Criteria for Emergency Contraceptive Pills (ECPs)… …………………………… 717 Annexure 4 Normal Values in Pregnancy… ……………………………………………………………………… 718 Annexure 5 Indications and Risks of Common Vaccines During Pregnancy……………………………………… 720