Tuesday, September 19

Holland and Brews Manual of Obstetrics 4th edition PDF Free Download

Holland and Brews Manual of Obstetrics 4th edition is available on this page. Obstetrics related to this medical book is free to download in pdf format. Obstetrics is the field of study concentrated on pregnancy. The book is based on the classic Dutch and Breeze Manual of Probiotics. The fourth edition is comprehensive with concepts, solid up-to-date knowledge, and a student-friendly “One Stop Maternity Textbook”. Basic principles, investigative, administrative options, as well as recent developments are described in a simple and systematic way.

The information provided is based on evidence in accordance with international guidelines and administrative protocols. Featured Features O Each chapter has been thoroughly edited and updated with the recent progress of dieting. The book is compiled with new materials, algorithms, statistics, drug dealers, and the addition of tables. * Many new chapters. bs Sostretics includes chapters on decision making, post-cesarean pregnancy management, maternity history, dietary testing, labor care – Ready Reckoner Spec samples and tools to help students prepare Vivo Voice Provide. Editing the format can help not only obstetric science students but also maternity specialists in practice.

PDF Book Free Download Holland and Brews Manual of Obstetrics 4th edition


As we know this is a medical book related to pregnancy issues. The preface of book is mentioned below:-

It gives us a feeling of immense pleasure and satisfaction to present this edition of the book. Revising and updating an already popular book is a bigger challenge than writing a new book. The bottom line for revision of any textbook is, deleting the obsolete and adding new information. One has to be careful whilst adding the new knowledge to a book that is mainly targeted to undergraduate students; it should be clear and devoid of controversies. It should be relevant and decipherable. The book should be comprehensive yet not too exhaustive. Whilst taking care of a larger section of the students, it is desirable that the book should also address the concerns of the students who aspire to score distinction and use it while preparing for PG entrance exams. The information given in today’s books has to be evidence-based, the book should incorporate international guidelines, management protocols, and recent advances in the field, so that even postgraduate students in Obstetrics and Gynecology found the book useful. Undergraduate or Postgraduate, the present-day students expect the book to be like a ‘one-stop shop’ as well as a ‘fast-food joint’. All these concerns have been kept in the mind whilst revising this book.

Every chapter has been thoroughly edited, revised, and updated with recent advances in Obstetrics. The book has been made comprehensive with the addition of new content, algorithms, figures, drug regimens, and tables. In chapters on basic sciences, applied/clinical aspects have been added to make it more interesting. In the section on diagnosis and management of normal and abnormal pregnancy, information on newer modalities of prenatal diagnosis has been added. A modified WHO partogram has been included. In the section on medical disorders of pregnancy, latest international and Indian guidelines on management have been incorporated. The section on fetal wellbeing and prenatal diagnosis has been extensively updated.

Several new chapters have been added namely ‘Obstetric History Taking’, ‘Obstetric Examination’, ‘Labour Care – a Ready Reckoner’, ‘Obstetric Management – Decision Making’, ‘Management in post-cesarean pregnancy’, which would help not only under-graduate and post-graduate students but also the practicing obstetricians, in understanding the core of obstetric management, making the right decision and administering the right treatment. Chapters on ‘Obstetric Instruments’ and ‘Specimens in Obstetrics’ have been added to help students, prepare for viva voce, thus making it an ‘all-in-one cover’ book. All in all, this edition is a comprehensive book with clear concepts, concrete up-to-date knowledge, and a student-friendly ‘one-stop obstetrics textbook’.

This Book Contains:

Holland and Brews Manual of Obstetrics 4th edition is a book related to  pregnancy and contains the following content

Basics of reproduction
1: Reproductive Anatomy
2: Fundamentals of Reproduction
3: The Fetus
4: Birth Defects, Genetics, Teratology, and Counselling
5: Maternal Physiologic Changes in Pregnancy
6: Endocrinology of Pregnancy

Normal pregnancy
7: Diagnosis of Pregnancy
8: The Fetus In Utero and Fetopelvic Relationship
9: Prenatal (Antenatal) Care
10: Fetus at Risk: Identification and Assessment

Medical, surgical and gynecological disorders in
11: Hypertensive Disorders in Pregnancy
12: Epilepsy in Pregnancy/Seizure Disorders
13: Anaemia in Pregnancy
14: Heart Diseases in Pregnancy
15: Diabetes in Pregnancy
16: Thyroid Disorders in Pregnancy
17: Urinary Infections and Pyelonephritis in Pregnancy
18: Malaria in Pregnancy
19: Dengue Fever Complicating Pregnancy
20: Hepatic Disorders in Pregnancy
21: Bronchial Asthma in Pregnancy
22: Tuberculosis Complicating Pregnancy
23: Rh Isoimmunization
24: HIV Infection Complicating Pregnancy
25: Perinatal Infectious Diseases (TORCH)
26: Surgical Disorders in Pregnancy
27: Gynaecological Disorders in Pregnancy

Obstetric disorders in pregnancy
28: Early Pregnancy Loss
29: Ectopic Pregnancy
30: Fetal Growth Restriction
31: Multifetal Pregnancy
32: Antepartum Haemorrhage
33: Placenta Praevia
34: Accidental Haemorrhage (Placental Abruption)
35: Amniotic Fluid Abnormalities
36: Post-term Pregnancy
37: Intrauterine Fetal Death
38: Gestational Trophoblastic Disease

Normal labor
39: Onset of Labour
40: Uterine Activity in Labour
41: Effects of Labour on Mother and Fetus
42: Clinical Course of Labour
43: Mechanism of Labour
44: Documentation of Labour (Partogram)
45: Management of Labour

Abnormal labour
46: Abnormal Fetal Positions and Presentations
47: Prolonged Labour
48: Abnormal Uterine Action
49: Contracted Pelvis and Cephalopelvic Disproportion
50: Obstructed Labour
51: Rupture of the Uterus
52: Other Maternal Soft-Tissue Traumas
53: Postpartum Haemorrhage
54: Preterm Labour
55: Prelabour Rupture of Membranes
56: Induction of Labour
57: Fetal Surveillance in Labour
58: Fetal Distress (Non-Reassuring Fetal Status)
59: Obstetric Shock
60: Amniotic Fluid Embolism (Pulmonary Embolism) in Obstetrics
61: Coagulation Disorders and Thrombocytopenia

& so on.

Holland and Brews Manual of Obstetrics cover

What is Obstetric History Taking?

One of the challenging tasks in medicine is the application of knowledge gathered from textbooks and classroom lectures to a specific clinical situation. It is a reiterative matching and analysing process to arrive at a possible diagnosis in a given patient. During the process, one needs to be sensitive, nonjudgmental and thorough. The history provides information about the total patient and is perhaps the most important part of the patient evaluation.

Every pregnancy should be considered to be at risk of developing complications either for the mother or for the child until puerperium. Some women could be at higher risk for complications than the others. These problems can develop at different periods of pregnancy, labor and childbirth even in a woman with no preexisting factors. Hence, a risk assessment should be a continuous process by reassessing risk factors before pregnancy, during pregnancy, and in labor.


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Obstetric Examination

The objective of physical examination is to identify a risk indicator at every instance

General examination:

The minimum points to be noted at the examination are:

• Pallor – It should be looked for at palpebral conjunctiva, palm, and nail beds. It must be remembered that anemia is a common complication of pregnancy.

Pulse – It is rate and volume, especially when in labor; a patient with anemia may have high volume pulse; in women with antepartum or postpartum hemorrhage thready and rapid rate may suggest the severity of blood loss.

Pedal edema – In the late trimester, noticing pedal edema at the end of the day is not uncommon. The presence of edema earlier in pregnancy may be indicative of hypoproteinemia in a woman with anemia. Its occurrence even in the earlier part of the day might be associated with hypertension developing in pregnancy.

• Pressure – Blood pressure should be recorded at every visit and more frequently during labor. High blood pressure would affect uteroplacental circulation, jeopardize fetal growth, may be associated with placental separation prematurely. Blood pressure is recorded with the patient supine and in the left lateral supine position to avoid compression of the inferior vena cava by the gravid uterus. If blood pressure is to be recorded in the sitting position, then it should be recorded in the same position for all visits and on the same arm. Vena cava compression in late pregnancy may cause symptoms of syncope and nausea and this is associated with postural hypotension (the supine hypotensive syndrome). The diastolic pressure is taken where the fifth Korotkoff sound, the point at which the sound disappears. If the point at which the sound disappears cannot be identified because it continues towards zero, then the fourth sound, that is as the sound muffles should be used.

Breasts – Although, routine breast examination is not indicated, it is
important to ask about inversion of nipples, as this may give rise to
difficulties during suckling and to look for any pathology such as breast
cysts or solid nodules in women, who complain of any breast symptoms.
Height – It is recorded at the first visit, as it may provide the first indication
of a small pelvis. There is no need to record, it every time the women come
for a check-up.
Weight – It is recorded at the first and all subsequent visits. The gain in
maternal weight would indirectly suggest fetal growth; a sudden rise in the
weight especially after the late 2nd trimester may indicate the possibility of preeclampsia.


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