Main description:

Acute gynaecological problems are among the most common reasons for women of reproductive age to seek medical help. Emergency outpatient visits now outnumber elective clinical appointments in gynaecology. With a growing number of patients, increasingly complex diagnostic algorithms and a wide range of management options, the participation and training of senior doctors in this field is vital to ensure women receive the best possible treatment. This book provides a thorough overview of acute gynaecology and early pregnancy and has been designed to reflect the syllabus of the RCOG's Advanced Training Skills Module (ATSM) in 'Early pregnancy and emergency gynaecology'. It covers the diagnosis and management of routine clinical problems, such as miscarriage and tubal pregnancy, as well as less frequently seen presentations, such as uncommon forms of ectopic pregnancy and trophoblastic disease. The use of drugs in early pregnancy and management organisational aspects of care are also addressed.

Contents:

Preface; 1. Organisation and delivery of emergency care in early pregnancy and acute gynaecology Roy Farquharson and Caroline Overton; 2. Epidemiology and aetiology of miscarriage and ectopic pregnancy Cecilia Bottomley; 3. Diagnosis of miscarriage Michelle Swer and Davor Jurkovic; 4. Conservative and surgical management of miscarriage Michelle Swer, Willem M. Ankum and Davor Jurkovic; 5. Management of hyperemesis gravidarum Sangeeta Suri; 6. Diagnosis and treatment of recurrent miscarriage Rehan Salim; 7. Differential diagnosis and management of molar pregnancy Eric Jauniaux; 8. Drugs in early pregnancy Neelam Potdar and Janine Elson; 9. Diagnosis of tubal ectopic pregnancy Emma Kirk; 10. Conservative management of tubal ectopic pregnancy Petra J. Hajenius and Norah M. van Mello; 11. Surgical management of tubal ectopic pregnancy Willem M. Ankum, Femke Mol and Amna Jamil; 12. Diagnosis and management of non-tubal ectopic pregnancy Davor Jurkovic and Amna Jamil; 13. Diagnosis and management of acute pelvic pain Jackie Ross; 14. Management of vaginal bleeding in the acute clinical setting Natalie A. M. Cooper and T. Justin Clark; 15. Current concepts in screening and outpatient management of pelvic inflammatory disease Jennifer Hopwood; 16. Diagnosis and management of haemorrhagic and septic shock Caroline Cormack and Natasha Curran; 17. Role of minimally invasive surgery in acute gynaecology Christy Burden and Sanjay Vyas.