Section 1: Anatomy and Physiology of Parturition

Parturition
Birth Canal (Passageway)
Uterus
Passenger (Foetus)
Mechanism and Physiopathology of Parturition

Section 2: Diagnosis

Diagnosis in Clinical Obstetrics
Partograph

Section 3: Caesarean Section and Management

Indications for Caesarean Section Outside Labour
Indications for Caesarean Section During Labour
Trial of Labour
Preparing for the Operation
Anaesthesia
Laparotomies
The Various Types of Hysterotomy—Criteria of Choice
Transverse Hysterotomies
Vertical Hysterotomies
Management of Intraoperative Complications
Tubal Sterilization
Abdominal Wall Closure
Perimortem and Postmortem Caesarean Delivery
Uterine Rupture
Monitoring Caesarean Section: Postoperative Recovery
Complications of the Laparotomic Wound Suture
Postcaesarean Wound Dehiscence
Obstructed Labour Injury Complex
The Newborn

Section 4: Alternatives to Caesarean Section

Version—Breech Presentation, Transverse and Oblique Lies
Symphysiotomy–Vacuum Extraction (Foetus Alive–Head Engaged)
Destructive Operations—A Vanishing Art in Modern Obstetrics

About the Author

Erik Domini MD FCOG
Consultant Obstetrician and Gynaecologist, Ospedale St. Spirito, Nizza Monferrato, Italy; Father Ambrosoli Memorial Hospital, Kalongo, Uganda

Sara Guazzini MD FCOG
Former Registrar

Monica Guidi MD FCOG
Former Registrar

Stefano Vicentini MD
Medical Superintendent

All at Department of Obstetrics, St Kizito Hospital, Matany, Uganda

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About the Author