By Hiralal Konar
DC Dutta's Textbook of Obstetrics is the 8th variation of this finished and hugely illustrated textbook. completely revised and up to date, the publication spans forty two chapters, incorporating new fabric and the most recent advances within the box of obstetrics. New issues during this version comprise prenatal genetic counselling, screening and analysis, while growth in expertise is regarded with the inclusion of Doppler experiences, MR pictures, microphotographs, info graphs and laparoscopic photos. This hugely unique publication is formatted for ease of reference, with elevated contents and index, and color coded headings and key issues on the finish of each bankruptcy, highlighting crucial details. a listing of questions on the finish of the ebook permits the reader to evaluate their very own knowing. an inventory of abbreviations, up to date experiences, proper web content, and over 500 color pictures extra increase the textual content. The booklet additionally contains an interactive DVD-ROM. DC Dutta's Textbook of Obstetrics positive factors the newest guidance from specialist and educational corporations together with RCOG, ACOG, WHO, FIGO, NICHD, CDC, great, ICOG and DIPSI, making this an authoritative consultant to the sector of obstetrics. Key issues * absolutely revised and up to date re-creation * New chapters contain prenatal genetic counselling, screening and analysis * earlier version released 2014 * Over 500 color photos and illustrations, plus interactive DVD-ROM * newest directions from RCOG, ACOG, WHO, FIGO, NICHD, CDC, great, ICOG and DIPSI
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Extra info for DC Dutta's Textbook of Obstetrics: Including Perinatology and Contraception
It is through this layer that the cleavage of placental separation occurs. (3) Thin basal layer containing the basal portion of the glands and is opposed to the uterine muscle. Regeneration of the mucous coat occurs from this layer following parturition. After the interstitial implantation of the blastocyst into the compact layer of the decidua, the different portions of the decidua are renamed as — (1) Decidua basalis or serotina — the portion of the decidua in contact with the base of the blastocyst (2) Decidua capsularis or reflexa — the thin superficial compact layer covering the blastocyst and (3) Decidua vera or parietalis — the rest of the decidua lining the uterine cavity outside the site of implantation.
In relation to the menstrual period, the event occurs about 14 days prior to the expected period. However, menstruation can occur without ovulation and ovulation remains suspended during pregnancy and lactation. MECHANISM: The process of ovulation is a complex one. Preovulatory changes occur both in the follicle and the oocyte. Changes in the follicle: There is preovulatory enlargement of the Graafian follicle due to accumulation of follicular fluid and measures about 20 mm in diameter. The cumulus oophorus separates from the rest of the granulosa cells and floats freely in the antrum.
The ovum is surrounded by a cell membrane called vitelline membrane. There is an outer transparent mucoprotein envelope, the zona pellucida. The zona pellucida is penetrated by tiny channels which are thought to be important for the transport of the materials from the granulosa cells to the oocyte. In between the vitelline membrane and the zona pellucida, there is a narrow space called perivitelline space which accommodates the polar bodies. The human oocyte, after its escape from the follicle, retains a covering of granulosa cells known as the corona radiata derived from the cumulus oophorus (Fig.