Beckmann and Ling’s Obstetrics and Gynecology (8th Edition)

Name: Beckmann and Ling’s Obstetrics and Gynecology

Edition: 8th

Author: Robert Casanova; Alice Chuang; Alice R. Goepfert; Nancy A. Hueppchen; Patrice M. Weiss

Subject: Obstetrics and gynecology

Language: English

Publisher: Wolters Kluwer

Beckmann and Ling’s Obstetrics and Gynecology (8th Edition)

Brief Introduction

The primary goal of this book, which has evolved since its inception more than 20 years ago, is to provide foundational knowledge about obstetrics and gynecology that all medical students need to successfully complete an obstetrics and gynecology clerkship, to pass national standardized examinations in this content area and to competently care for women in their future practice regardless of specialty. The field of medicine continues to change, and we have strived to ensure our text has as well. We hope that practitioners of all backgrounds and training who care for women will find this book helpful in their practice and their educational endeavors. This edition promises to fulfill these goals better than ever before.

This eighth edition of Beckmann and Ling’s Obstetrics and Gynecology has incorporated many suggestions offered by users of past editions to make it even more user-friendly. Key features of this edition include the following:

• The book has been restructured and helpfully divided into six units:
I. General Obstetrics and Gynecology,
II. Obstetrics,
III. Medical and Surgical Problems in Pregnancy,
IV. Gynecology,
V. Reproductive
Endocrinology and Infertility, and
VI. Gynecologic Oncology and Uterine Leiomyoma.

• Also designed to enhance organization and readability, additional subheadings demarcate topics and break up long passages. An ancillary benefit is that anyone seeking to merely review a chapter can more quickly scan through headings to locate relevant spots.

• Chapter opening and closing cases frame the chapter material in a clinical context to aid learning and recall.

• The interior is color-coded by section to facilitate navigation. The design is understated and elegant to provide an appropriate background for the text.

• The Common Medical Problems in Pregnancy chapter has been separated into several smaller chapters specific to each topic for increased depth as well as easier assimilation.

• The Ethics chapter includes a paramount consideration in women’s health care—Patient Safety.

• The Gynecologic Procedures chapter has been updated to reflect the latest techniques, including minimally invasive as well as robotic surgery.

• Several new ultrasounds of common disorders and anomalies such as bicornuate uterus and Müllerian anomaly have been added to the art program.


1 Women’s Health Examination and Women’s Health Care Management
2 The Obstetrician–Gynecologist’s Role in Screening and Preventive Care
3 Ethics, Liability, and Patient Safety in Obstetrics and Gynecology
4 Embryology and Anatomy

5 Maternal–Fetal Physiology
6 Preconception and Antepartum Care
7 Genetics and Genetic Disorders in Obstetrics and Gynecology
8 Intrapartum Care
9 Abnormal Labor and Intrapartum Fetal Surveillance
10 Immediate Care of the Newborn
11 Postpartum Care
12 Postpartum Hemorrhage
13 Multifetal Gestation
14 Fetal Growth Abnormalities: Intrauterine Growth Restriction and Macrosomia
15 Preterm Labor
16 Third-Trimester Bleeding
17 Premature Rupture of Membranes
18 Post-term Pregnancy
19 Ectopic Pregnancy and Abortion

20 Endocrine Disorders
21 Gastrointestinal, Renal, and Surgical Complications
22 Cardiovascular and Respiratory Disorders
23 Hematologic and Immunologic Complications
24 Infectious Diseases
25 Neurologic and Psychiatric Disorders

26 Contraception
27 Sterilization
28 Vulvovaginitis
29 Sexually Transmitted Infections
30 Pelvic Support Defects, Urinary Incontinence, and Urinary
Tract Infection
31 Endometriosis
32 Dysmenorrhea and Chronic Pelvic Pain
33 Disorders of the Breast
34 Gynecologic Procedures
35 Human Sexuality
36 Sexual Assault and Domestic Violence

37 Reproductive Cycles
38 Puberty
39 Amenorrhea and Abnormal Uterine Bleeding
40 Hirsutism and Virilization
41 Menopause
42 Infertility
43 Premenstrual Syndrome and Premenstrual Dysphoric Disorder

44 Cell Biology and Principles of Cancer Therapy
45 Gestational Trophoblastic Neoplasia
46 Vulvar and Vaginal Disease and Neoplasia
47 Cervical Neoplasia and Carcinoma
48 Uterine Leiomyoma and Neoplasia
49 Cancer of the Uterine Corpus
50 Ovarian and Adnexal Disease

A The American College of Obstetricians and Gynecologists Well-Woman Recommendations by Age Group
B The American College of Obstetricians and Gynecologists Antepartum Record and Postpartum Form
C Edinburgh Postnatal Depression Scale (EPDS)



Over 50% of all pregnancies in the United States are unplanned, the highest rate in the developed world. Yet every year new contraceptive options are introduced touting various “improvements.” Although no method is effective if it is not used correctly, many methods are very reliable. We will take a look at the various contraceptive options from the most reliable to the least and compare their risks, benefits, and reliability (their efficacy rate). Although there are many kinds of contraceptives, all work either by inhibiting the development or release of ova or blocking the meeting of ova and sperm. This goal is accomplished by two general mechanisms, each with many variations: (1) inhibiting the development and release of the egg (via oral contraceptive pills [OCPs], long-acting progesterone injection, or contraceptive patch and ring) and (2) imposing a mechanical, chemical, or temporal barrier between the sperm and egg (via condom, diaphragm, spermicide, intrauterine contraception, and fertility awareness). As a secondary mechanism, intrauterine devices (IUDs) placed as emergency contraception (EC) alter the ability of the fertilized egg to implant and grow. It is important to understand that the mechanism of action of the IUD not placed for EC is via changes in the amount and viscosity of cervical mucus, endometrial suppression, inhibition of sperm migration and viability, changes in transport speed of the ovum, and damage to or destruction of the ovum. Each approach may be used individually or in combination and has its own advantages, disadvantages, risks, and benefits.

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