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This book is a comprehensive and easy-to-read guide to obstetrics and gynecology in developing countries. Although significant progress has been made towards the reduction of maternal mortality and morbidity globally, they are still unacceptably high in developing countries. This can be directly or indirectly tied to poor quality maternal health care and lack of access to cost-effective, comprehensive healthcare. Health practitioners in developing countries also contend with trying to keep abreast of recent developments in obstetrics and gynecology while dealing with lack of time, resources, and access to relevant information. This textbook was thus created by experts in obstetrics and gynecology with extensive experience in African clinical settings and consultants in developed countries to teach proper and accurate diagnosis, treatment and management of gynecologic and obstetric health issues within the context of developing countries.
This second edition has been fully updated throughout with an added 25+ chapters that cover topics such as reproductive health, gynecological cancers and research methods. The book is divided into six sections: Women's Reproductive Health; Obstetrics; Medical and Surgical Disorders in Pregnancy; General Gynecology; Gynecological Malignancies; Health Systems Organization, Research Methodology and Biostatistics. These section topics have been carefully covered by expert authors with the use of valid scientific data, policy instruments, and adapted to the cultural and social context of developing countries, with particular in depth coverage of conditions that have greater prevalence and incidence in developing countries. Each chapter also focuses on filling gaps in knowledge with a distinct pedagogical approach, starting with a set of learning objectives and ending with key takeaways for the chapter.
This is an ideal guide for residents, medical students, practitioners of obstetrics and gynecology, midwives, general practitioners, and pediatricians, particularly those working in developing companies.
Friday Okonofua, MB CHB, PhD, FWACS, FRCOG, FAS is a Fellow of the Nigerian Academy of Science and the African Academy of Science. He is a professor of Obstetrics and Gynaecology, and the pioneer Vice Chancellor of the University of Medical Sciences in Ondo State, Nigeria. He is also the Centre Leader of the World Bank-funded Africa Centre of Excellence in Reproductive Health Innovation at the University of Benin, Nigeria. He is a global champion of women's health, an area in which he has published 294 articles. He has served as Honorary Adviser on Health to President Olusegun Obasanjo of Nigeria, the Executive Director of the International Federation of Gynaecology and Obstetrics, and member of the International Advisory Board of the MacArthur Foundation, among several other positions.
Joseph A. Balogun, PhD, FACSM, FNSP, FAS, FAcadMS is Distinguished University Professor at Chicago State University, USA. He is also Emeritus Professor of Physiotherapy and Associate Director of Research Development and Innovation at the University of Medical Sciences, Ondo City, Nigeria. He is the founder and President/CEO of Joseph Rehabilitation Centre; a social service organization at Tinley Park, Illinois, that provides community-integrated living arrangement services for adults with disabilities. He has authored six books, eighteen book chapters, technical compendia, 170 articles, and 24 peer-reviewed conference abstracts and proceedings. He is a Fellow of the Academy of Medicine Specialties (FAcadMedS), Fellow of the Royal Society for Public Health, Fellow of the Academy of Science, Fellow of the Nigeria Society of Physiotherapy, and Fellow of the American College of Sports Medicine.
Kunle Odunsi, MD, PhD, FRCOG, FACOG is the Cancer Centre Deputy Director at Roswell Park Comprehensive Cancer Centre, USA, and a Fellow of the Nigerian Academy of Science. In 2018, he was elected to the United States National Academy of Medicine. He maintains an active independent laboratory research program that focuses on understanding the mechanisms of immune recognition and tolerance in human ovarian cancer, and translation of the fndings to clinical immunotherapy trials. He has authored or coauthored more than 340 journal publications or book chapters, including papers in the Proceedings of the National Academy of Sciences USA, Nature Genetics, Immunity, and New England Journal of Medicine. He is also principal investigator of a multimillion dollar grant from NYSTEM to pioneer a novel strategy of re-programming human hematopoietic stem cells to become a life-long supply of anti-tumour immune cells in patients.
Victor N. Chilaka, MBBS, FRCOG, FWACS is Assistant Professor of Clinical Obstetrics and Gynaecology at the Hamad Medical Corporation, Weill Cornell Medical College, Qatar. He is also a senior consultant in Obstetrics and Gynaecology with special interest in urogynaecology and pelvic foor reconstruction at the Women's Wellness and Research Centre in Doha, Qatar. In 2003, he was appointed at the University Teaching Hospital of Derby, where he is the lead consultant for women with female genital mutilation and blood-borne viral infections in pregnancy, including HIV. He was awarded Fellowship of the Royal College of Obstetricians and Gynaecologists in 2006, and the West African College of Surgeons in 1994, in recognition of his contribution to the specialty.
SECTION 1: WOMEN'S REPRODUCTIVE HEALTH.- Sexual and Reproductive Health and Rights: An Overview.- Clinical Diagnosis in Obstetrics and Gynaecology.- Maternal Mortality in Developing Countries.- Preventing Perinatal Mortality in Developing Countries.- Abortion.- Female Circumcision/Mutilation/Cutting.- Reproductive Epidemiology, Health Status and Burden of Disability.- SECTION 2: OBSTETRICS.- Preconceptional Counselling and Prenatal Care.- Ultrasound in Labour and Delivery.- Evidence-Based Antenatal Care.- Fetal Growth Abnormalities, Intrauterine Growth Restriction and Macrosomia.- Management of Normal and Abnormal Labour.- Premature Rupture of Membranes (PROM).- Induction of Labour.- Electronic fetal Monitoring.- Operative Vaginal Delivery.- Breech Presentation and Delivery.- Caesarean Delivery and Peri-partum Hysterectomy.- Obstetrical Analgesia and Anaesthesia.- Aetiology and Management of Obstetric Haemorrhage.- Preterm Birth.- The Puerperium.- SECTION 3: MEDICAL AND SURGICAL DISORDERS IN PREGNANCY.- Intensive Care Management of Trauma During Pregnancy.- Cardiovascular Disorders in Pregnancy.- Respiratory Disorders in Pregnancy.- Hypertension in Pregnancy.- Critical-Care Management of Severe Preeclampsia-Eclampsia and Obstetric Hypertensive Crisis.- Haemoglobinopathies in Pregnancy.- Anaemia in Pregnancy.- Diabetes in Pregnancy.- Venous Thromboembolism In Pregnancy.- Inherited Bleeding Disorders in Pregnancy.- Haematological Disorders in Pregnancy.- Mental Health Disorders in Pregnancy and Puerperium.- HIV in Pregnancy.- Non-HIV Viral Infections in Pregnancy.- Neoplastic Diseases in Pregnancy.- Oral Health in Pregnancy.- Ectopic Pregnancy.- Prevention and Management of Recurrent Miscarriage.- SECTION 4: GENERAL GYNAECOLOGY.- Control of Sexually Transmitted Infections Through Integrated Reproductive Health Services.- Uterine Fibroid and Hysterectomy.- Endometriosis.- Chronic Pelvic Pain.- Infertility.- Laparoscopy.- Pelvic Organ Prolapse.- Urogynaecology.- Obstetric and Non-Obstetric Fistulas.- Amenorrhea and Abnormal Uterine Bleeding.- Menopause.- Physiotherapy in Obstetrics and Gynaecology.- SECTION 5: GYNAECOLOGICAL MALIGNANCIES.- Rising Burden of Gynaecological Cancers in Developing Countries.- Molecular Biology of Gynaecological Cancers.- Gestational Trophoblastic Disease.- Cancers of the Vulva and Vagina.- Cervical Cancer Screening and Prevention.- Cancer of the Uterine Corpus.- Epithelial Ovarian Cancer.- Germ Cell Tumours of the Ovary.- Principle of Radiation Therapy for Gynaecological Cancers.- Emerging Trends and Best Practices in Hospice and Palliative Care.- SECTION 6: HEALTH SYSTEMS ORGANISATION, RESEARCH METHODOLOGY AND BIOSTATISTICS.- Leadership of Health Care Teams, Organisations and Systems: Implications for Curriculum Revision in Medical Education.- Mobilising Human and Financial Resources for Maternal Health.- The Role of Professional Associations in Obstetrics and Gynaecology.- Ethics, Liability, and Risk Management in Obstetrics and Gynaecology.- Human Rights and Legal Treaties relevant to Obstetrics and Gynaecology.- Evaluation of Clinical Significance in Intervention Research.- The Common Statistical Faux Pas in Journal Publications.- Survey Research Major Methodological Flaws: Caveat Lector.
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