Current Essentials of Obstetrics and Gynecology pdf epub mobi txt 电子书 下载 2026

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出版者:McGraw-Hill

作者:Decherney

出品人:

页数:550

译者:

出版时间:2012-5

价格:$ 39.55

装帧:Pap

isbn号码:9780071441032

丛书系列:

图书标签:

• 妇产科学
• 产科
• 妇科
• 妊娠
• 分娩
• 生育
• 女性健康
• 医学
• 临床医学
• 教科书

Obstetrics and Gynecology: A Comprehensive Clinical Guide This authoritative textbook offers a thorough exploration of obstetrics and gynecology, designed to equip both medical students and seasoned practitioners with a deep understanding of women's health across their lifespan. Moving beyond a mere recitation of facts, it delves into the intricacies of diagnosis, management, and the latest therapeutic advancements, emphasizing a patient-centered approach that respects individual needs and circumstances. Part I: Obstetrics - Navigating Pregnancy, Labor, and Delivery The obstetrics section provides an in-depth journey through the physiological and pathological aspects of pregnancy. It begins with a detailed examination of normal pregnancy, meticulously outlining the physiological changes that occur in the mother's body, from hormonal shifts and cardiovascular adjustments to metabolic adaptations. This foundational knowledge is crucial for understanding subsequent deviations from the norm. The book meticulously details prenatal care, emphasizing the importance of early and regular check-ups, essential screening tests, and nutritional guidance. It addresses common pregnancy discomforts and their management, providing practical advice for expectant mothers and their healthcare providers. A significant portion is dedicated to high-risk pregnancies. This includes comprehensive coverage of conditions such as gestational hypertension and preeclampsia, exploring their pathophysiology, risk factors, diagnostic criteria, and management strategies, including the critical nuances of antihypertensive therapy and the timing of delivery. Gestational diabetes mellitus is similarly dissected, with detailed discussions on screening, diagnosis, glycemic control, and the long-term implications for both mother and child. The text also addresses hemorrhagic complications, including placenta previa and placental abruption, outlining their clinical presentations, diagnostic modalities, and the urgent management protocols required to ensure maternal and fetal well-being. Preterm labor and birth are extensively discussed, with a focus on risk assessment, tocolytic agents, antenatal corticosteroids, and strategies to optimize outcomes for premature infants. Multiple gestation is another area of deep exploration, covering the unique challenges and management considerations for twin, triplet, and higher-order pregnancies. The book offers a detailed account of labor and delivery, distinguishing between normal labor progression and deviations that may necessitate intervention. It provides a comprehensive guide to fetal monitoring, including the interpretation of cardiotocography (CTG) and the indications for invasive fetal monitoring. The various modes of delivery are thoroughly examined, from spontaneous vaginal birth to assisted vaginal delivery (e.g., forceps and vacuum extraction), detailing their indications, contraindications, and potential complications. Cesarean birth is covered in extensive detail, including indications, surgical techniques, and postoperative care. The complex area of peripartum emergencies is also addressed, providing clear guidance on the management of conditions such as postpartum hemorrhage, uterine rupture, and amniotic fluid embolism, emphasizing timely recognition and decisive action. Part II: Gynecology - Addressing Women's Health Concerns The gynecology section transitions to a broad spectrum of women's health issues beyond pregnancy. It begins with an exploration of menstrual disorders, covering conditions such as amenorrhea, dysmenorrhea, and abnormal uterine bleeding (AUB). For each, the text delves into the underlying etiologies, diagnostic approaches including hormonal assays and imaging, and a range of treatment options from lifestyle modifications and medical management to surgical interventions. Pelvic organ prolapse (POP) and urinary incontinence are meticulously addressed. The book details the anatomy of the pelvic floor, the etiological factors contributing to prolapse and incontinence, and the array of diagnostic tools, including urodynamic studies. A comprehensive overview of conservative management, such as pelvic floor exercises, and surgical interventions, including various reconstructive techniques, is provided. Infectious diseases of the female reproductive tract are thoroughly discussed, with a particular focus on sexually transmitted infections (STIs). This includes detailed information on common STIs like chlamydia, gonorrhea, syphilis, and human papillomavirus (HPV), covering their epidemiology, clinical manifestations, diagnostic methods, and current treatment guidelines. The book also addresses pelvic inflammatory disease (PID), emphasizing its diagnostic challenges and the importance of prompt and appropriate antibiotic therapy to prevent long-term sequelae. The realm of gynecologic oncology is presented with clarity and precision. The text covers the screening, diagnosis, staging, and management of common gynecologic malignancies, including cervical cancer, endometrial cancer, ovarian cancer, and vulvar and vaginal cancers. It integrates current evidence-based treatment modalities, including surgery, radiation therapy, and chemotherapy, and discusses the role of adjuvant and neoadjuvant therapies. Emerging concepts in molecular targeted therapy and immunotherapy are also introduced. Benign gynecologic conditions are extensively covered. This includes a detailed examination of fibroids (leiomyomas), discussing their clinical impact, diagnostic imaging, and a spectrum of management options ranging from medical therapies to surgical interventions like myomectomy and hysterectomy. Endometriosis is explored in depth, covering its pathophysiology, clinical presentation, diagnostic methods, and the multimodal approach to management, including medical and surgical treatments aimed at pain relief and fertility preservation. Ovarian cysts and adnexal masses are also addressed, with guidance on their evaluation, risk stratification, and management based on clinical suspicion and imaging characteristics. Reproductive endocrinology and infertility form a significant part of the gynecological content. The book provides a comprehensive understanding of the female reproductive axis, hormonal regulation, and the causes of infertility. It details diagnostic approaches, including ovulation induction, intrauterine insemination (IUI), and assisted reproductive technologies (ART) such as in vitro fertilization (IVF). The management of polycystic ovary syndrome (PCOS) is thoroughly discussed, covering its diagnostic criteria, metabolic and endocrine manifestations, and evidence-based therapeutic strategies. Part III: Cross-Cutting Themes and Specialized Areas Beyond the primary divisions of obstetrics and gynecology, the book addresses crucial cross-cutting themes and specialized areas that are integral to modern practice. Contraception is examined in comprehensive detail, covering the various methods available, their efficacy, mechanisms of action, contraindications, and counseling considerations for patients. This includes hormonal methods, intrauterine devices (IUDs), barrier methods, and permanent sterilization. Adolescent gynecology is a dedicated section, recognizing the unique health needs of young women. It addresses common issues such as irregular menses, dysmenorrhea, pelvic pain, and the importance of sexual health education and STI prevention in this age group. The book also delves into the complexities of menopause and hormone therapy. It explains the physiological changes associated with menopause, the symptoms experienced by women, and the risks and benefits of hormone replacement therapy (HRT), guiding clinicians in personalized treatment decisions. Surgical techniques across obstetrics and gynecology are presented with an emphasis on minimally invasive approaches. The text introduces laparoscopic, robotic, and hysteroscopic procedures, highlighting their advantages, indications, and essential principles. Finally, ethical and legal considerations in obstetrics and gynecology are integrated throughout the text, underscoring the importance of informed consent, patient confidentiality, and navigating complex medico-legal scenarios. The book concludes by emphasizing the continuous evolution of the field and the necessity for ongoing professional development and lifelong learning to provide the highest standard of care for women. This comprehensive resource aims to be an indispensable companion for all those dedicated to the field of obstetrics and gynecology.

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给人一种精要速览的感觉，每章里的重点都标有黑体字，很适合初学者阅读，国内有复旦妇产科医院翻译的双语版，还有助于学习专业英语，但是不少插图都被省略掉了，纸张什么的也比不上原版的。有条件的建议还是去借原版书来看。

评分☆☆☆☆☆

给人一种精要速览的感觉，每章里的重点都标有黑体字，很适合初学者阅读，国内有复旦妇产科医院翻译的双语版，还有助于学习专业英语，但是不少插图都被省略掉了，纸张什么的也比不上原版的。有条件的建议还是去借原版书来看。

评分☆☆☆☆☆

给人一种精要速览的感觉，每章里的重点都标有黑体字，很适合初学者阅读，国内有复旦妇产科医院翻译的双语版，还有助于学习专业英语，但是不少插图都被省略掉了，纸张什么的也比不上原版的。有条件的建议还是去借原版书来看。

评分☆☆☆☆☆

给人一种精要速览的感觉，每章里的重点都标有黑体字，很适合初学者阅读，国内有复旦妇产科医院翻译的双语版，还有助于学习专业英语，但是不少插图都被省略掉了，纸张什么的也比不上原版的。有条件的建议还是去借原版书来看。

评分☆☆☆☆☆

给人一种精要速览的感觉，每章里的重点都标有黑体字，很适合初学者阅读，国内有复旦妇产科医院翻译的双语版，还有助于学习专业英语，但是不少插图都被省略掉了，纸张什么的也比不上原版的。有条件的建议还是去借原版书来看。

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