The JOHNS HOPKINS MANUAL OF GYNECOLOGY and OBSTETRICS 2021

* High-quality color printing
* Same content as the original book
* Affordable alternative for personal reading
⚠️ Not an officially licensed or publisher-issued edition

The history of the Department of Gynecology and Obstetrics extends over 130 years.
We are very proud of our historic tradition of leadership in gynecology, obstetrics,
and our subspecialties, dating back to Drs. Howard Kelly, J.W. Williams, Richard
TeLinde, Nicholson Eastman, Howard and Georgeanna Jones, and so many others
who have come before us. Our proud tradition inspires us today to advance our tripartite mission of clinical care, research, and education. In an era of economic and
market challenges to academic medicine, we remain steadfast to ensuring advances in
all arms of our tripartite mission. Now in its sixth edition, this manual continues to
be created by the cooperative efforts of a resident or fellow, faculty preceptor, and a
senior faculty editor at Johns Hopkins. It draws its strength from the collaboration
of experienced faculty and insightful practical input from rising stars in our field. In
using this edition, we hope you will appreciate the camaraderie in which the manual
was created. This manual is truly a team effort. Over the years, this book has been a
trusted companion carried in the lab coats of residents, medical students, and busy
clinicians.
This edition contains several new chapters addressing contemporary topics affecting our patients. Substance abuse, specifically opioid use, in pregnancy has escalated
dramatically in recent years. The rise of fetal therapy programs including management
options for twin-to-twin transfusion led us to expand content on multifetal gestation.
The recognition of the role of genetics prompted a new chapter on genetic and hereditary syndromes. In addition to new chapters in obstetrics addressing substance abuse
and multifetal gestation we added chapters on psychiatric disorders, dermatologic
disease, and neoplastic disease in pregnancy. New gynecologic chapters focus on organ
prolapse, incontinence, and benign vulvar disease. Emphasis on safety sciences and
value-based care is pervasive in modern medicine and is now incorporated throughout
the practice of obstetricians and gynecologists. We dedicate a new chapter in this edition of the manual to this most important topic. As much as things change, we hope
and trust that the content, readability, portability, format, and size continue to have
great appeal for practicing clinicians and learners