Obstetrics and Gynaecology 4e
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Obstetrics & Gynaecology has established itself as a key recommendation for faculty and a firm favourite for health sciences students.

The opening sections of this new edition incorporate the relevant basic science, history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics respectively. These are supported by two unique sections on gynaecology and obstetrics management, which are tailored to help students revise for exams, especially OSCEs. A brand new chapter covering ethics in obstetrics and gynaecology makes this fully-updated fourth edition the most comprehensive introduction available.

Obstetrics & Gynaecology now includes a companion website at www.impeyobgyn.com, featuring self-assessment MCQs and EMQs, chapter summary slides, and all the figures from the book as PowerPoint slides.


Lawrence Impey is Consultant in Obstetrics and Fetal Medicine at The John Radcliffe Hospital, Oxford

Tim Child is Senior Fellow in Reproductive Medicine and Surgery at the University of Oxford and Honorary Consultant Gynaecologist at The John Radcliffe Hospital, Oxford


Preface to the Fourth Edition, vii

Preface to the First Edition, vii

Acknowledgements, viii

List of Abbreviations, ix

List of Journal Abbreviations, xii

Gynaecology Section

1 The History and Examination in Gynaecology, 3

2 The Menstrual Cycle and its Disorders, 9
with Margaret Rees

3 The Uterus and its Abnormalities, 21

4 The Cervix and its Disorders, 31

5 The Ovary and its Disorders, 40

6 Disorders of the Vulva and Vagina, 49

7 Prolapse of the Uterus and Vagina, 54

8 Disorders of the Urinary Tract, 59

9 Endometriosis and Chronic Pelvic Pain, 67

10 Genital Tract Infections, 73
with Graz Luzzi

11 Fertility and Subfertility, 81

12 Contraception, 97

13 The Menopause and Post-reproductive Health, 109
with Margaret Rees

14 Disorders of Early Pregnancy, 118

15 Gynaecological Operations, 129

Obstetrics Section

16 The History and Examination in Obstetrics, 137

17 Antenatal Care, 146

18 Congenital Abnormalities and their Identification, 152

19 Infections in Pregnancy, 165

20 Hypertensive Disorders in Pregnancy, 173

21 Other Medical Disorders in Pregnancy, 183

22 Red Blood Cell Isoimmunization, 198

23 Preterm Delivery, 202

24 Antepartum Haemorrhage, 209

25 Fetal Growth, Compromise and Surveillance, 216

26 Abnormal Lie and Breech Presentation, 226

27 Multiple Pregnancy, 231

28 Labour 1: Mechanism—Anatomy and Physiology, 239

29 Labour 2: Management, 246

30 Labour 3: Special Circumstances, 265

31 Instrumental and Operative Delivery, 270

32 Obstetric Emergencies, 277

33 The Puerperium, 281

34 Birth Statistics and Audit, 288

35 Legal (UK) and Ethical Issues in Obstetrics and Gynaecology, 294

with Ingrid Granne

Gynaecology Management Section, 301

Obstetric Management Section, 315

Appendix 1: Common Drugs: Safety and Usage in Pregnancy and Breastfeeding, 331

Appendix 2: Normal Maternal Ranges in Pregnancy, 333

Index, 335

Companion website: www.impeyobgyn.com

Companion website

This book has an accompanying website at www.impeyobgyn.com


• MCQs and EMQs

• Chapter summary slides

• Figures from the book in PowerPoint format


“Overall, this textbook is a useful resource for medical students who are being exposed to obstetrics and gynaecology for the first time.”  (Times Higher Education, 28 February 2013)