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Impey L., Child T. Obstetrics and Gynaecology. Файл формата pdf; размером 92,42 МБ. Добавлен пользователем Ivan_Pop Obstetrics and. Gynaecology. AN ILLUSTRATED COLOURTBtt. Joan Pitkin BSCFRCSFRCOG. Consultant Obstetrician and Gynaecologist. Northwick Park & St. Professor of Obstetrics and Gynecology, Offices of Ambulatory Care and OBGYN Affairs, Department of Obstetrics and Gynecology, Albert Einstein Medical.

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Download as PDF · Download as PPT · Copyright © by John Wiley & Sons, Inc., or related companies. All rights reserved. Review our privacy policy. Obstetrics and Gynaecology by Impey and Child continues to be an This new edition of Obstetrics and Gynaecology will be an indispensable support to help. Praise for the previous edition: this textbook is a useful resource for medical students it will provide them with the basic information they need to survive.

The first half covers gynaecology and the second half obstetrics. Obstetrics and Gynaecology by Impey and Child continues to be an invaluable and authoritative resource for healthcare and medical students. This textbook fits the changes to medical education by includin. This comprehensive guide provides the perfect level of detail on history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics. Obstetrics and Gynaecology by Impey and Child continues to be an invaluable and. Obstetrics and Gynaecology has established itself as a key textbook and a classic favourite for medical students. Get this from a library!

It does not promote multiple ovulation so there is no increase in multiple pregnancies and no need for scan monitoring.

When used alone it has a lower live birth rate compared to clomifene, so clomifene continues to be the first-line treatment of choice NEJM ; Metformin increases the effectiveness of clomifene in clomifene-resistant women.

It treats hirsutism so may be a suitable first-line fertility treatment for anovulatory women who want hirsutism treated and to avoid multiple pregnancy.

Additional benefits, when metformin is continued during pregnancy, may include a reduction in both early miscarriage and the development of gestational diabetes, which are more common with PCOS. Laparoscopic ovarian diathermy is as effective as gonadotrophins Cochrane CD and with a lower multiple pregnancy rate.

Each ovary is monopolar diathermied at a few points for a few seconds. During the same operation tubal patency can be tested using 87 methylene blue insufflation and any co-morbidities such as endometriosis or adhesions treated. If successful then regular ovulations can continue for years.

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