Obstetrics

Obstetrics is a branch of medicine dealing with the study of physiological and pathological processes in the body, women during pregnancy, childbirth and the postpartum period. Obstetrics clinical discipline consists of the following sections: physiology and pathology of pregnancy, childbirth and the postpartum period; physiology and pathology of the newborn; operative obstetrics. Obstetrics is closely linked to gynecology.

Emergency treatment of obstetrical pathologies

Section of the site devoted to the most common forms of obstetric diseases, their diagnostics and emergency medical assistance. Outlines these forms of pathology, as miscarriages, damage to the uterus when scraping, gallbladder skid, chorionepithelioma, ectopic pregnancy, the wrong location and placentation, eclampsia, etc. Section is richly illustrated and designed for practical doctors, obstetricians and doctors, and an ambulance.
The monograph contains 121 figure, 30 tables.

General part
Tasks obstetrician-gynecologist
     Clinical examination of the pregnant and lying-in women
     General survey
Special examination
     The measurement of the pelvis
     Internal (vaginal) research
Special part
The most important and most common clinical form of obstetrical pathologies
     Miscarriage (abortion)
          Miscarriage
          Artificial community-acquired (criminal) miscarriage
          Traumatic injuries of sexual sphere, related to abortion
Diseases of the ovum
          Cystic drift
          Chorionepithelioma
          Non-developing pregnancy (missed miscarriage and delayed delivery)
     Ectopic pregnancy
          Undisturbed (progressive) tubal pregnancy
          Intermittent tubal pregnancy
          Interrupted tubal pregnancy
          Ectopic pregnancy late
     Anomalies location and attach the placenta in the uterus
     Premature detachment normally situated placenta
     The loss of the placenta
     Shell attach the cord
     Spontaneous rupture of the uterus during pregnancy and childbirth
     Separation of the uterus from the vaults of the vagina
     Eclampsia
          Convulsive form eclampsia
          The basic principles for the treatment of eclampsia
Acute surgical diseases of abdominal cavity organs
during pregnancy
          Appendicitis and pregnancy
          Bowel obstruction and pregnancy
          Twisted tumor of the ovary (cyst, cistema) and pregnancy
Pathology descent act
     About preparing pregnant women for the upcoming birth. The factors contributing to the onset of labor, the dominant feature of pregnancy and childbirth
     Generic forces and their anomalies
     Kinematics of the fetus through the birth canal (biomechanism of labor)
Labor at the wrong abnormal presentations the head of the fruit
          General information about straightened abnormal presentations the head of the fruit
          Prednisolone previa
          Frontal previa
          Facial previa
          High straight positioning swept seam in cases of abnormal presentations
     Birth in fetal pelvic presentation
     Childbirth in the transverse position of the fetus
     Delivery of large and giant fruit
     Labor at previa or loss of limbs fruit
          The presentation and the loss legs at the head previa
          Previa and drop handle under the head previa
     A presentation and a cord prolapse
     Birth in a narrow pelvis (General setup)
Complications in succession and postpartum periods
     Normal succession period
     Complicated sequence of period
          The delay of the placenta and its parts
          False and true increment of the placenta
          Hypotonic and atonic bleeding
     Bleeding from external genital parts of the vagina and cervix
     Eversion of the uterus
     Hematoma generic ways
     Late postpartum hemorrhage
     Activities for the prevention of fetal intrauterine asphyxia
     Measures on revitalization of the children born in the state of asphyxia

                                   Those who are fond of practice, 
 without knowledge, such moryan, 
 joining a ship without a rudder 
 and compass and never knowing 
 firmly, hub zone they float
 (Leonardo da Vinci)

The practical orientation of modern obstetrics and the whole of Soviet medicine is primarily preventive. This means, that during pregnancy you need to identify and eliminate factors that can adversely affect the current and upcoming birth.
This task becomes even more difficult, and in some cases completely insurmountable, when certain pathological factors are already beginning to affect the condition of the woman and fetus during the coming birth, reflected this often and during the labor.
This explains the importance of preventive measures taken in advance, before or during the pregnancy and delivery.
These tasks can only be implemented with the doctor who is familiar with the basics of modern clinical-physiological provisions of the pregnancy and family act in the aspect of Pavlov's doctrine about nervism. Only having a clear picture about the dominant pregnancy and the dominant genera, the doctor is able to timely identify developing pathology and take the necessary decision in relation to medical treatment in each case.
Equally great attention should be paid to consideration of issues related to ancestral act, and, in particular, the kinematics of the fetus through the birth canal with physical-mathematical positions and installations on the tactics of births in each case obstetric pathology, especially in people with certain disorders.
In connection with the foregoing in this section sets out in detail with modern clinical-physiological positions issues concerning pathogenesis of certain forms of obstetric pathology, and appropriate diagnostic techniques and research methods.
45 years of work in higher medical school as a teacher and Clinician gives me the right to share with practical doctors of experience in the field of obstetrics and gynecology.
The author of this guide will be satisfied, if the practical doctor, read the section, learn from it, which will help him in his vysokovoltnoe, but often very difficult activity.


The progressive development of theoretical medicine continuously introduces significant changes in medical practice. There are new methods of diagnostics and treatment, which are aimed to improve medical care.
A doctor who wants to stay abreast of contemporary knowledge and succeed in the work, must be constantly improved in their activities. The knowledge acquired by the doctor in high school, insufficient with specialization in a particular field of medicine. It and is clear. At the present state of medicine graduate school manages to give a future doctor only General knowledge on the basic disciplines, while the volume of special knowledge is still insufficient and must be purchased by the doctor in subsequent work. Into force of this young doctor is often in a difficult position for recognition of the disease, assessing its severity, and selecting the proper treatment. These challenges are particularly great in obstetrics, where inaccurate diagnosis, untimely and improperly selected obstetric event can not only lead to severe complications, but to be the cause of death of the mother and child. To avoid complications and to choose one or another intervention, obstetrician should be able to assess each individual obstetric case, a detailed understanding of its clinical picture and accurate diagnosis of the existing complications. This can be achieved only by clinic study of pregnancy and childbirth in case of complications. To this end, the doctor has to take courses of specialization and advanced training, internship, internship, residency, etc. that give basic theoretical and practical installation on a number of issues and determine its further improvement. But the training of the doctor is not limited. He should personally to improve their knowledge through the study of the medical literature, participation in the work of scientific societies, congresses and conferences, and the enhanced use of possibilities of live consultations with the specialists of their field and related fields, especially that available in the conditions of joint institutions.
Speaking about advantages of the living word of it, of unconditional advantage of consultation with a specialist is not necessary. However, such advice is not always possible to actually be implemented. Often the doctor has to decide diagnostic and therapeutic problem, and in such cases its standing consultant, especially at first, the medical work should be monograph, reflecting modern condition of the basic issues of obstetrics.
On the basis of those considerations, I set a task to process earlier I published a manual for practical doctors.
Present the 5th edition of the guide does not purport to be a complete statement of all issues of obstetrics. It pursues a much more modest task is to present the most important and frequent forms of complications and specify the appropriate and most effective modern treatment.
The author will be satisfied, if the reader is a doctor for the benefit of patients can gain the necessary knowledge to him.