,SIXTH EDmON Enhannd
DIGITAL
VERSION
fncluded
Essential OBSTETRICS
and GYNAECOLOGY
1AN SYMONDS
&
SABARATNAM ARULKUMARAN
,Essential Obstetrics
and Gynaecology
Sixth Edition
Edited by
Ian Symonds
MB BS MMedSci DM FRCOG FRANZCOG
Dean of Medicine – University of Adelaide;
Head of School, Adelaide Medical School;
Visiting Medical Specialist in Obstetrics,
Women’s and Children’s Hospital,
Adelaide, South Australia
Sir Sabaratnam Arulkumaran
PhD DSc FRCSE FRCOG FRANZCOG(Hon)
Professor Emeritus,
Division of Obstetrics and Gynaecology,
St George’s University of London,
London, UK
Edinburgh London New York Oxford Philadelphia St Louis Sydney 2020
ALGr a wa n y
, © 2020, Elsevier Limited. All rights reserved.
First edition 1987
Second edition 1992
Third edition 1998
Fourth edition 2004
Fifth edition 2013
Sixth edition 2020
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without per-
mission in writing from the publisher. Details on how to seek permission, further information about the Pub-
lisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center
and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notices
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds or experiments described herein. Because of rapid advances
in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be
made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contribu-
tors for any injury and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
ISBN: 978-0-7020-7638-1
International ISBN: 978-0-7020-7639-8
Content Strategist: Pauline Graham
Content Development Specialist: Sally Davies, Kirsty Guest
Project Manager: Karthikeyan Murthy
Design: Bridget Hoette
Illustration Manager: Paula Catalano
Marketing Manager: Deborah Watkins
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
DIGITAL
VERSION
fncluded
Essential OBSTETRICS
and GYNAECOLOGY
1AN SYMONDS
&
SABARATNAM ARULKUMARAN
,Essential Obstetrics
and Gynaecology
Sixth Edition
Edited by
Ian Symonds
MB BS MMedSci DM FRCOG FRANZCOG
Dean of Medicine – University of Adelaide;
Head of School, Adelaide Medical School;
Visiting Medical Specialist in Obstetrics,
Women’s and Children’s Hospital,
Adelaide, South Australia
Sir Sabaratnam Arulkumaran
PhD DSc FRCSE FRCOG FRANZCOG(Hon)
Professor Emeritus,
Division of Obstetrics and Gynaecology,
St George’s University of London,
London, UK
Edinburgh London New York Oxford Philadelphia St Louis Sydney 2020
ALGr a wa n y
, © 2020, Elsevier Limited. All rights reserved.
First edition 1987
Second edition 1992
Third edition 1998
Fourth edition 2004
Fifth edition 2013
Sixth edition 2020
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without per-
mission in writing from the publisher. Details on how to seek permission, further information about the Pub-
lisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center
and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notices
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds or experiments described herein. Because of rapid advances
in the medical sciences, in particular, independent verification of diagnoses and drug dosages should be
made. To the fullest extent of the law, no responsibility is assumed by Elsevier, authors, editors or contribu-
tors for any injury and/or damage to persons or property as a matter of products liability, negligence or
otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the
material herein.
ISBN: 978-0-7020-7638-1
International ISBN: 978-0-7020-7639-8
Content Strategist: Pauline Graham
Content Development Specialist: Sally Davies, Kirsty Guest
Project Manager: Karthikeyan Murthy
Design: Bridget Hoette
Illustration Manager: Paula Catalano
Marketing Manager: Deborah Watkins
Printed in China
Last digit is the print number: 9 8 7 6 5 4 3 2 1
