Hacker & Moore's Essentials of Obstetrics and Gynecology
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Hacker & Moore's Essentials of Obstetrics and Gynecology, by Drs. Neville F. Hacker, Joseph C. Gambone, and Calvin J. Hobel, is the #1 choice of ob/gyn residents and medical students because of its concise focus, comprehensive coverage, and easy-to-use format. This new edition features updated clinical cases and assessments, new Clinical Key boxes, and thoroughly revised text and images that reflect today’s best knowledge on the evaluation, diagnosis, and management of a wide range of ob/gyn disorders.
- Concise, comprehensive content is well organized, highly accessible, and relevant to today’s practice.
- High-quality, full-color design
for maximum readability.
- New Clinical Key boxes
- Content is aligned to APGO/CREOG objectives to ensure coverage of essential, clinically relevant material.
and judicious use of bolding make it easy to identify the high-yield material you need to know.
Hypophyseal artery Pars nervosa of the neurohypophysis Adenohypophysis or indirectly influence hypothalamic, pituitary, and ovarian functions in relation to the ovulatory cycle, particularly in the pathologic state of chronic hyper prolactinemia (see Chapter 32). GONADOTROPIN SECRETORY PATTERNS A normal ovulatory cycle can be divided into a follicular and a luteal phase (Figure 4-2). The follicular phase begins with the onset of menses and culminates in the preovulatory surge of LH. The
Free arachidonic acid does not accumulate. Labor appears to be accompanied by a cascade of events in the chorion, amnion, and decidua that releases arachidonic acid from its stored form and converts it to active prostaglandins. 17β-Estradiol Arachidonic acid Glycerol Chapter 5 Endocrinology of Pregnancy and Parturition Fatty acid Phosphate Ethanolamine PHOSPHATIDYL ETHANOLAMINE Phospholipase A2 ARACHIDONIC ACID Cyclooxygenase PROSTAGLANDINS THROMBOXANES PROSTACYCLIN 53 changes in the
procedures are described and discussed in Chapter 17. ������������ Teratology A teratogen is any agent or factor that can cause abnormalities of form or function (birth defects) in an exposed fetus. Such abnormalities include fetal wastage and intrauterine fetal growth restriction, malformations due to abnormal growth and morphogenesis, fetal endocrine disruption, and abnormal central nervous system performance. It was not until the teratogenic effects of rubella infection were demonstrated
on prevention— are covered next. Patient Safety Safety in health care is not a new concept. Facilities have had safety programs in place since the early 1900s, but these programs have traditionally focused on emergency preparedness, environmental safety, security, and infection control. The term patient safety, meaning avoidance of medical error, was first coined by the American Society of Anesthesiologists in 1984 when they inaugurated the Anesthesia Patient Safety Foundation to give
general anesthesia. General anesthesia carries a 16-fold higher risk of anesthesia-related maternal mortality compared with regional anesthesia (Table 8-7). Parturients have a higher risk for airway complications than nonpregnant patients because they have (1) an 8 times higher chance of failed intubation, (2) a 60% increased oxygen consumption, (3) a decreased functional residual capacity (FRC) resulting in a lower oxygen store, and (4) an increased risk for aspiration. If no epidural is in