Obstetrics and gynaecology
| Autor: | Andrew Pickersgill |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Gynecology
medicine.medical_specialty business.industry Public health General Engineering Specialty Intensivist General Medicine Screaming Obstetrics and gynaecology Action (philosophy) Family medicine medicine General Earth and Planetary Sciences Joyous Life medicine.symptom business Breast feeding General Environmental Science |
| Zdroj: | BMJ. 316:2-2 |
| ISSN: | 1468-5833 0959-8138 |
| DOI: | 10.1136/bmj.316.7138.2 |
| Popis: | The medical profession and general public seem fascinated as to how anyone could possibly want to pursue this occupation: “So why did you choose this profession?” I should reply by asking why does every doctor not wish to follow this interesting and most satisfying pathway. I have lost count of the number of times I have been asked the question and then listened to the joke about decorating the hall through my letter box. What other specialty allows you to care for two human beings simultaneously, especially during what is, usually, a joyous life event? Obstetrics deals mainly with young, fit, and healthy women, who normally leave our care with happy memories, a screaming bundle, and perhaps a small scar. They do not return worse in the winter months, for us to palliate but never cure. Most need minimal medical input antenatally, with about a third requiring assisted delivery. The physicians among us manage diverse disorders from AIDS to Wilsonos disease. We are public health servants, screening for conditions like diabetes. We are teachers, advising on the advantages of breast feeding and the harmful effects of smoking. A working knowledge and cooperation with geneticists is essential in the diagnosis of chromosomal abnormalities. Some obstetricians work as “pre-neonatologists,” treating babies in utero weeks before delivery. Radiological interests develop from using ultrasound scanning to identify an abnormal or compromised fetus, to diagnose early pregnancy problems and gynaecological disorders, both benign and malignant. There is an element of emergency medicine, not knowing what is going to present next. When complications occur in pregnancy they can develop quickly and soon become fatal, requiring clear thinking and fast action, the skills of an intensivist. Finally, for almost 20% of women, we wield the knife, performing one of the oldest operations in the world. Benign gynaecological … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|