Manual of Obstetrics

This book is based on the classic 'Holland and Brews Manual of Obstetrics'. The fourth edition is comprehensive with clear concepts, concrete up-to-date knowledge and student friendly "one stop obstetrics textbook". Basic principles, investigations, management options as well as the recent advances have all been explained in a simple and systematic manner. The information given is evidence based and as per international guidelines and management protocols. Salient Features Every chapter has been thoroughly revised and updated with recent advances in Obstetrics The book has been made comprehensive with addition of new content, algorithms, figures, drug regimens and tables Several new chapters, Decision Making in Obstetrics, Management of Post-caesarean Pregnancy, Obstetric History Taking, Obstetric Examination, Labour Care - Ready Reckoner added Chapters on Specimens and Instruments in Obstetrics have been added to aid students to prepare for viva voce The format is modified to help not only students in obstetrics but also the practicing obstetricians Points to Remember added with each chapter highlighting important information

Table of Contents:
Preface to the Fourth Edition v Preface to the First Edition vi Historical Landmarks and Evolution of the Art and Science of Obstetrics vii SECTION I BASICS OF REPRODUCTION 1 1 Reproductive Anatomy 1 2 Fundamentals of Reproduction 15 3 The Fetus 28 4 Birth Defects, Genetics, Teratology and Counselling 34 5 Maternal Physiologic Changes in Pregnancy 37 6 Endocrinology of Pregnancy 44 SECTION II NORMAL PREGNANCY 49 7 Diagnosis of Pregnancy 49 8 The Fetus In Utero and Fetopelvic Relationship 54 9 Prenatal (Antenatal) Care 59 10 Fetus at Risk: Identifi cation and Assessment 80 SECTION III MEDICAL, SURGICAL AND GYNAECOLOGICAL DISORDERS IN PREGNANCY 85 11 Hypertensive Disorders in Pregnancy 85 12 Epilepsy in Pregnancy/Seizure Disorders 100 13 Anaemia in Pregnancy 104 14 Heart Diseases in Pregnancy 116 15 Diabetes in Pregnancy 126 16 Thyroid Disorders in Pregnancy 138 17 Urinary Infections and Pyelonephritis in Pregnancy 142 18 Malaria in Pregnancy 146 19 Dengue Fever Complicating Pregnancy 151 20 Hepatic Disorders in Pregnancy 153 21 Bronchial Asthma in Pregnancy 159 22 Tuberculosis Complicating Pregnancy 162 23 Rh Isoimmunization 166 24 HIV Infection Complicating Pregnancy 175 25 Perinatal Infectious Diseases (TORCH) 180 26 Surgical Disorders in Pregnancy 187 27 Gynaecological Disorders in Pregnancy 192 SECTION IV OBSTETRIC DISORDERS IN PREGNANCY 197 28 Early Pregnancy Loss 197 29 Ectopic Pregnancy 206 30 Fetal Growth Restriction 213 31 Multifetal Pregnancy 220 32 Antepartum Haemorrhage 228 33 Placenta Praevia 230 34 Accidental Haemorrhage (Placental Abruption) 236 35 Amniotic Fluid Abnormalities 241 36 Post-term Pregnancy 245 37 Intrauterine Fetal Death 247 38 Gestational Trophoblastic Disease 250 SECTION V NORMAL LABOUR 257 39 Onset of Labour 257 40 Uterine Activity in Labour 262 41 Effects of Labour on Mother and Fetus 267 42 Clinical Course of Labour 269 43 Mechanism of Labour 273 44 Documentation of Labour (Partogram) 278 45 Management of Labour 283 SECTION VI ABNORMAL LABOUR 291 46 Abnormal Fetal Positions and Presentations 291 47 Prolonged Labour 319 48 Abnormal Uterine Action 325 49 Contracted Pelvis and Cephalopelvic Disproportion 330 50 Obstructed Labour 336 51 Rupture of the Uterus 340 52 Other Maternal Soft-Tissue Traumas 344 53 Postpartum Haemorrhage 347 54 Preterm Labour 355 55 Prelabour Rupture of Membranes 362 56 Induction of Labour 364 57 Fetal Surveillance in Labour 372 58 Fetal Distress (Non-Reassuring Fetal Status) 378 59 Obstetric Shock 381 60 Amniotic Fluid Embolism (Pulmonary Embolism) in Obstetrics 388 61 Coagulation Disorders and Thrombocytopenia 391 SECTION VII PUERPERIUM 395 62 Normal Puerperium 395 63 Disorders of the Puerperium 403 SECTION VIII DRUGS IN OBSTETRICS 427 64 Obstetric Analgesia and Anaesthesia 427 65 Drugs in Pregnancy and Lactation 434 SECTION IX INVESTIGATIONS IN OBSTETRIC PRACTICE AND ASSESSMENT OF FETAL WELL BEING 451 66 Ultrasonography in Fetal Health Assessment 451 67 Antenatal Detection of Abnormal Fetal Development 463 68 Antenatal Testing for Fetal Well-being: Cardiotocography 468 SECTION X OBSTETRIC INTERVENTIONS AND SURGERIES 475 69 Surgical Procedures in Early Pregnancy 475 70 Versions 482 71 Episiotomy 486 72 Obstetric Forceps 489 73 Vacuum Extraction (Ventouse) 493 74 Caesarean Delivery 497 75 Surgical Management of Obstetric Haemorrhage 502 76 Decompression Procedures 507 SECTION XI SAFE MOTHERHOOD 511 77 The Safe Motherhood Initiative 511 78 Maternal Mortality 516 79 Perinatal Mortality 521 SECTION XII THE NEWBORN INFANT 525 80 Care and Examination of the Newborn 525 81 Adaptation and Resuscitation of the Newborn 531 82 Problems of the Newborn 534 83 Infections in the Newborn 541 84 Congenital Fetal Malformations 546 85 Neurological Presentations in the Newborn 558 86 The Small Newborn (Low Birthweight) 561 SECTION XIII CONTRACEPTION AND TERMINATION OF PREGNANCY 563 87 Contraception 563 88 Induced Abortions and Medical Termination of Pregnancy 580 SECTION XIV CONTEMPORARY OBSTETRIC PRACTICE 583 89 Immunology and Pregnancy 583 90 Trauma in Pregnancy 588 91 Sexually Transmitted Diseases in Pregnancy 592 92 Substance Abuse in Pregnancy 595 93 Medicolegal Issues and Risk Management 598 94 Special Cases in Obstetric Practice 602 95 Evolution of Obstetric Practice 606 SECTION XV CLINICAL ASPECTS IN OBSTETRICS AND GYNAECOLOGY 613 96 Obstetric History Taking 613 97 Obstetric Examination 615 98 Labour Care - A Ready Reckoner 620 99 Obstetric Management - Decision Making 630 100 Management in Postcaesarean Pregnancy 632 101 Specimens in Obstetrics 638 102 Obstetric Instruments 643 Index 657

About the Author :
Dr Sudip Chakravarti is currently working as Professor of Obstetrics & Gynaecology, Vivekananda Institute of Medical Sciences, University of Kolkata. He is the former President of Bengal Obstetric and Gynaecological society and Vice President of Federation of Obstetric and Gynaecological Societies of India (FOGSI). Dr Muralidhar V Pai is the Professor & Head, Kasturba Medical College, Manipal. He has an experience of 28 years in teaching undergraduate students. Awards/Honors . Best Teacher Award, KMC, Manipal 2010, 2012 and 2013 . Corresponding National Editor of Indian Journal of Obstetrics & Gynecology since 2011 . External Examiner for Final Professional Exams at The National University of Malaysia, Mar 2007 . External Examiner for Final Professional Exams at Kathmandu University, Nepal, Jan 2011 . Peer reviewer of Medical Journal of Malaysia since 2004 . National Chairman of FOGSI Public Awareness Committee for 2004 . International Fellowships (UICC, Indo-Belgian, Loma Linda, Washington, Minnesota Universities ) . President, Manipal Obstetrics & Gynecological Society 2009 - 2010 Academics . Professor & Head of Ob/Gyn, Melaka Manipal Medical College, Malaysia Nov 2000 - Jun 2002, Jul 2004 -May 2007 . 28 years, UG and 25 years PG teaching & clinical experience at KMC Manipal . Undergraduate & postgraduate examiner at several universities in India & MMMC, Malaysia . 85 Publications, 188 presentations at national and international level Overseas training in . Assisted Reproductive Techniques at Loma Linda University, California, USA, 1992 . Management of trophoblastic diseases at Charing Cross Hospital, London, UK, 1992 . Gynecological endoscopic surgery at Oldenburg, Hamburg & Kolon, Germany, 1996 . Management of Carcinoma of cervix, Washington University, St Louis, USA, 1999 . Assisted Reproductive Technique, Washington Unversity, St Louis, USA, 1999 . Assisted Reproductive Technique, Brussels Free University, Brussels, Belgium, 2000 Others . Dy Director Planning, Manipal University, designed and edited the initial web-site of Manipal University (www.manipal.edu), 1997-2000 . Founder Medical Superintendent of Central Referral Hospital, Sikkim, Mar - Aug 1997. Dr Prahlad Khustagi is working as Professor in Obstetrics-Gynecology, Kasturba Medical College, Mangalore, A constituent unit of Manipal University. He has set up Academic Departments in University Medical Colleges in Nepal and Saudi Arabia; Clinical - Academic Units of Obstetrics-Gynecology at the Udupi Campus of Kasturba Medical College in India; Al Ahsa of King Faisal University in Saudi Arabia; Urogynecology Services at University Teaching Hospital in Al-Ahsa, Saudi Arabia. He is the co-editor for the book on 'Medical Disorders in Pregnancy - an update' (ed) Hiralal Konar, Pralhad Kushtagi FOGSI-JayPee Publications, 2006 Fellowships/Visiting positions 1. Fellow, Royal Society of Health, London (1982-) 2. Fellow, College of Chest Physicians, India Chapter (1982-) 3. Fellow, Royal Society of Tropical Medicine and Hygiene, London (1982-) 4. Fellow, Academy of General Education, Manipal (1988) 5. Fellow, International Union Against Cancer, UICC (1993) 6. Fellow, Indian College of Obstetricians and Gynecologists (2007)