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Contents to volume 2 number 4 December 1992
VOLUME
2 NUMBER
4 DECEMBER
1992
Current
OBSTETRICS& GYNAECOLOGY Mini-symposium: Preterm labour and delivery Editorial M. Whittle Current concepts of control of labour J. N. Norman and A. A. Calder
Infection and preterm labour P. R. Bennett The obstetric management of preterm labour M. Maresh Management of the very low birthweight neonate H. L. Halfida? Gynaecology Monoclonal antibodies in ovarian cancer
1. M. Symonds
Obstetrics Backache in pregnancy S. C. Rothera Operative techniques Laparoscopic
hysterectomy
189 190 194 199 207
212 218
C. Sutton
225
Drugs New drugs and new evidence which might affect the usage of existing drugs which act on the pregnant uterus D. J. Morgan and R. I;: Lamont
229
Medico-legal The role of the Human Fertilisation and Embryology Authority C. M. Campbell
235
Self-assessment questions: Gynae pathology - lower genital tract
237
Subject/author index
241
PIID
Churchill Livingstone !B
CURRENT
OBSTETRICS
AND GYNAECOLOGY
Aims and Scope Current Obstetrics and Gymecology is a review journal designed to provide expert reviews on themes of current interest and educational value for both practising clinicians and training grade staff. Each issue will contain a main theme symposium and articles on a wide range of topics of importance and interest written by international experts in their field. In addition, there will be self-evaluation sections designed particularly for the examination candidate. Current Obstetrics and Gynaecology will provide a compendium of topics, a text book in real time.
Chairman Professor E Malcolm Symonds, Department
of Obstetrics and Gynaecology, University Hospital, Queen’s Medical Centre,
Nottingham, UK
Editorial Committee Members Professor Ian R Johnson (Nottingham, UK), Dr Joe A Jordan (Birmingham, UK), Professor Peter C Rubin (Nottingham, UK), Professor Allan Templeton (Aberdeen, UK), Professor Martin Whittle (Birmingham, UK)
Editorial Advisory Board N Adeeb (Malaysia), A van Assche (Belgium), A H Basalamah (Saudi Arabia), C Brinkman (USA), A Chang (Hong Kong), M Y Dawood (USA), R C Delgado (Spain), K Diedrich (Germany), J W Downing (USA), H P van Geijn (Netherlands), L Hamberger (Sweden), D L Healy (Australia), J D Hutton (New Zealand), J F Kerin (USA), L G Lampe (Hungary), P F A Van Look (Switzerland), N Lunell (Sweden), K Maeda (Japan), I E Messinis (Greece), C A Michael (Australia), C Ng (Singapore), P M S O’Brien (UK), H J Odendaal (South Africa), G Pardi (Italy), M R Peyser (Israel), J W K Ritchie (Canada), M Sammour (Egypt), S Sheth (India), H M Shingleton (USA), M de Swiet (UK), B J Trudinger (Australia), L Voto (Argentina), 0 Ylikorkala (Finland)
Production Editor Lynn Percy, Churchill Livingstone Medical Journals, Robert Stevenson House, l-3 Baxter’s Place, Leith Walk, Edinburgh EHI 3AF. Tel: 031 556 2424, Fax: 031 459 1177
Advertising Sales Ramsay Ure, Churchill Livingstone Medical Journals, Robert Stevenson House, l-3 Baxter’s Place, Leith Walk, Edinburgh EHl 3AF. Tel: 031 556 2424, Fax: 031 558 1278
Subscriptions Current Obstetrics and Gynaecology is published by Churchill Livingstone of Edinburgh, London, Madrid, Melbourne, New York and Tokyo. The subscription rate for 1993, Volume 3 (4 issues) is: f48.00 (UK) or USf184.00 (individual rate); E35.00 (UK/Rest of world) or USS62.00 (trainee rate); fll3.00 (UK/Rest of world) or US$l98.00 (institutional rate); plus postage costs of E3 (UK) f4 (Europe) f5 (Rest of world) $7 (USA). Please ensure you add the correct postage cost to the subscription rate. Cheques should be made payable to Longman Group UK Ltd (accelerated surface post to overseas customers); airmail rates available on request. Subscription orders and requests for sample copies should be sent to Longman Group UK Ltd, Subscriptions (Journals) Department, PO Box 77, Harlow, Essex CM19 SAA. Tel: 0279 623760. All orders are subject to availability. Claims for issues not received should be made within 3 months of publication of the issue. For missing copy queries, please phone any one of our subscription customer relations team on 0279 623924.
Copyright ISSN 0957-5847 Copyright 0 Longman Group UK Ltd 1992 All rights reserved. Apart from fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means with the prior written permission of the publishers (Churchill Livingstone, Robert Stevenson House, 1-3 Baxter’s Place, Leith Walk, Edinburgh EHI 3AF), or in the case of reprographic reproduction in accordance with the terms of licences issued by the Copyright Licensing Agency Ltd, 90 Tottenham Court Road, London. Notes to users in USA. Authorisation to photocopy items for internal or personal use is granted by Longman Group UK Ltd provided that the fee of 09575847/92/$2 per copy $1.75 per page is paid directly to Copyright Clearance Center, 27 Congress Street, Salem, MA 01970, USA. For more information, please contact CCC. For territories outside North America, permission should be sought direct from the copyright holder. This consent does not extend to other kinds of copying, such as copying for general distribution, for advertising or promotional purposes, for creating new collective works, or for resale. This journal is indexed in the following media: CABS (Current Awareness in Biological Sciences).
PRINTED ON ACID FREE PAPER Printed and bound by H Charlesworth & Co Ltd, Huddersfield
The publisher’s policy is to use paper manufactured from sustainable forests I
2 NUMBER
4 DECEMBER
1992
Current
OBSTETRICS& GYNAECOLOGY Mini-symposium: Preterm labour and delivery Editorial M. Whittle Current concepts of control of labour J. N. Norman and A. A. Calder
Infection and preterm labour P. R. Bennett The obstetric management of preterm labour M. Maresh Management of the very low birthweight neonate H. L. Halfida? Gynaecology Monoclonal antibodies in ovarian cancer
1. M. Symonds
Obstetrics Backache in pregnancy S. C. Rothera Operative techniques Laparoscopic
hysterectomy
189 190 194 199 207
212 218
C. Sutton
225
Drugs New drugs and new evidence which might affect the usage of existing drugs which act on the pregnant uterus D. J. Morgan and R. I;: Lamont
229
Medico-legal The role of the Human Fertilisation and Embryology Authority C. M. Campbell
235
Self-assessment questions: Gynae pathology - lower genital tract
237
Subject/author index
241
PIID
Churchill Livingstone !B
CURRENT
OBSTETRICS
AND GYNAECOLOGY
Aims and Scope Current Obstetrics and Gymecology is a review journal designed to provide expert reviews on themes of current interest and educational value for both practising clinicians and training grade staff. Each issue will contain a main theme symposium and articles on a wide range of topics of importance and interest written by international experts in their field. In addition, there will be self-evaluation sections designed particularly for the examination candidate. Current Obstetrics and Gynaecology will provide a compendium of topics, a text book in real time.
Chairman Professor E Malcolm Symonds, Department
of Obstetrics and Gynaecology, University Hospital, Queen’s Medical Centre,
Nottingham, UK
Editorial Committee Members Professor Ian R Johnson (Nottingham, UK), Dr Joe A Jordan (Birmingham, UK), Professor Peter C Rubin (Nottingham, UK), Professor Allan Templeton (Aberdeen, UK), Professor Martin Whittle (Birmingham, UK)
Editorial Advisory Board N Adeeb (Malaysia), A van Assche (Belgium), A H Basalamah (Saudi Arabia), C Brinkman (USA), A Chang (Hong Kong), M Y Dawood (USA), R C Delgado (Spain), K Diedrich (Germany), J W Downing (USA), H P van Geijn (Netherlands), L Hamberger (Sweden), D L Healy (Australia), J D Hutton (New Zealand), J F Kerin (USA), L G Lampe (Hungary), P F A Van Look (Switzerland), N Lunell (Sweden), K Maeda (Japan), I E Messinis (Greece), C A Michael (Australia), C Ng (Singapore), P M S O’Brien (UK), H J Odendaal (South Africa), G Pardi (Italy), M R Peyser (Israel), J W K Ritchie (Canada), M Sammour (Egypt), S Sheth (India), H M Shingleton (USA), M de Swiet (UK), B J Trudinger (Australia), L Voto (Argentina), 0 Ylikorkala (Finland)
Production Editor Lynn Percy, Churchill Livingstone Medical Journals, Robert Stevenson House, l-3 Baxter’s Place, Leith Walk, Edinburgh EHI 3AF. Tel: 031 556 2424, Fax: 031 459 1177
Advertising Sales Ramsay Ure, Churchill Livingstone Medical Journals, Robert Stevenson House, l-3 Baxter’s Place, Leith Walk, Edinburgh EHl 3AF. Tel: 031 556 2424, Fax: 031 558 1278
Subscriptions Current Obstetrics and Gynaecology is published by Churchill Livingstone of Edinburgh, London, Madrid, Melbourne, New York and Tokyo. The subscription rate for 1993, Volume 3 (4 issues) is: f48.00 (UK) or USf184.00 (individual rate); E35.00 (UK/Rest of world) or USS62.00 (trainee rate); fll3.00 (UK/Rest of world) or US$l98.00 (institutional rate); plus postage costs of E3 (UK) f4 (Europe) f5 (Rest of world) $7 (USA). Please ensure you add the correct postage cost to the subscription rate. Cheques should be made payable to Longman Group UK Ltd (accelerated surface post to overseas customers); airmail rates available on request. Subscription orders and requests for sample copies should be sent to Longman Group UK Ltd, Subscriptions (Journals) Department, PO Box 77, Harlow, Essex CM19 SAA. Tel: 0279 623760. All orders are subject to availability. Claims for issues not received should be made within 3 months of publication of the issue. For missing copy queries, please phone any one of our subscription customer relations team on 0279 623924.
Copyright ISSN 0957-5847 Copyright 0 Longman Group UK Ltd 1992 All rights reserved. Apart from fair dealing for the purposes of research or private study, or criticism or review, as permitted under the Copyright, Designs and Patents Act, 1988, this publication may only be reproduced, stored or transmitted, in any form or by any means with the prior written permission of the publishers (Churchill Livingstone, Robert Stevenson House, 1-3 Baxter’s Place, Leith Walk, Edinburgh EHI 3AF), or in the case of reprographic reproduction in accordance with the terms of licences issued by the Copyright Licensing Agency Ltd, 90 Tottenham Court Road, London. Notes to users in USA. Authorisation to photocopy items for internal or personal use is granted by Longman Group UK Ltd provided that the fee of 09575847/92/$2 per copy $1.75 per page is paid directly to Copyright Clearance Center, 27 Congress Street, Salem, MA 01970, USA. For more information, please contact CCC. For territories outside North America, permission should be sought direct from the copyright holder. This consent does not extend to other kinds of copying, such as copying for general distribution, for advertising or promotional purposes, for creating new collective works, or for resale. This journal is indexed in the following media: CABS (Current Awareness in Biological Sciences).
PRINTED ON ACID FREE PAPER Printed and bound by H Charlesworth & Co Ltd, Huddersfield
The publisher’s policy is to use paper manufactured from sustainable forests I