A Comprehensive Approach to PPH Seethamma Rapoor
INDEX
×
Chapter Notes

Save Clear

1A Comprehensive Approach to PPH
2
3A Comprehensive Approach to PPH
Seethamma Rapoor MD Professor of Obstetrics and Gynaecology, Retd. Kurnool Medical College Kurnool South Zone Convenor Safe Motherhood Coommittee, FOGSI President Kurnool Obstetrics and Gynaecological Society
4Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
Phones: 23272143, 23272703, 23282021, 23245672, 23245683
Fax: +91-011-23276490
e-mail: jpmedpub@del2.vsnl.net.in
Visit our website: http://www.jpbros.20m.com
Branches
A Comprehensive Approach to PPH
© 2004, Federation of Obstetric and Gynaecological Societies of India (FOGSI)
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition : 2004
9788180612909
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
5To
My parents with whose encouragement I had joined this course.
My brothers Dr RV Chalam and Dr R Ravindra due to whose inspiration I could successfully complete the monogram.
My dear colleagues, Professor, Asst. Professor PG's Internees, Undergraduates for their un exhausted efforts in reducing the PPH.
The patients who have attended our Govt. General Hospiral, Kurnool and SKNH Kurnool.
My entier whole hearted dedication to Lord Nette Kanti Anjaneya Swamy6
7Contributors
9
Dr. D. Pushpalatha, m.d.
Obstetrician & Gynaecologist
Chair Person, Family Welfare Committee, FOGSI
Coordinator, South Zone, ISOPARB & APCOG
Lakshmi Maternity & Nursing Home
3-6-191/1&2, Hyderguda, Hyderabad-500029
Ph. Cli : (040) 3225692
Res : (040) 3220741
Fax : (040) 3223390
email : demar@hd1.vsnl.net.in
Foreword
Post Partum Haemorrhage is the most common complication encoutered by Obstetricians and is the commonest cause of morbidity and mortality of the mother PPH is a preventable condition; requiring a team approach. I congratulate Dr Seethamma and her co authors for the monogram on “The Comprehensive Approach to PPH”. Efforts and considerable amount of research have been put in to bring out the monogram. The depth of the subject covered in book attest to its value and practical approach. I an confident that this work will be of graft help for practising obstetricians and post graduates.
Pushapalatha
Chairperson
Family Welfare committee
FOGSI
10
5th May 2003
Dr Mrs R Seethamma
Shakunthala Krishna Clinic
44/167 Prakash Nagar
Kurnool
Dear Dr Seethamma
Thank you for sending your book on PPH. I think it's a very comprehensive Book and will be useful to every postgraduate of ObGyn and practicing Gynecologist.
I congratulage you on this effort of yours and recommend that you do publish it.
Wishing you all the best.
With warm regards,
Yours sincerely,
Dr Duru Shah
Clinic: Kwality House, (above Chinese Room) Kemp's Corner Bombay 400 026
Phone: 380 2584, 380 3965 Fax : 380 4839 E-mail: durushah@hotmail.com
Honorary Professor of Obstetrics & Gynaecology - Grant Medical College
Honorary Obstetrician & Gynaecologist - Wadia Maternity Hospital, Sir H.N. Hospital, Jaslok Hospital and Research Centre Central Railway Hospital
11
Dear Madam,
Thank you very much for sending the book. It is an excellent piece of work. I recommend this book for P.G's and Practicing Obstetricians.
I am herewith sending the details of our efforts towards NISCHAY—2007.
  1. Every Indian Women must known their height, weight, HB, blood group & Rh typing.
  2. The weight must be proportionate to her health.
    Expected weight in Kg = Height in Cm − 100
  3. Minimum Hb should be 10.
  4. Iron rich diet and 100 tablets of iron to the pregnant and adolescent girls for their strength.
  5. NISCHAY—2007 FOR “NIROGI NIRBHAY NARI”.
This work is possible only by “TEAM WORK”.
With regards
Dr Sirish Patwardhan12
13Preface
Throughout the world the major cause of Maternal Mortality is Hemorrhage in Obstetrics. Of which post partum Hemorrhage, “the PPH” is more disastrous when the delivery is conducted at home, where there is lack of experience and non availability of blood and blood products.
Of the causes of PPH, Atonic PPH has the major share in Developing countries while Placenta Acreta has overtaken the lead over atonic PPH in the developed countries, where all the facilities to counteract the preventable hemorrhages are available.
So this monogram is presented as a comprehensive approach for the budding, practicing obstetricians and even to PGs as a Priliminary and concise outlook in known the clotting mechanism and to know “How” and “How to prevent” the bleeding occurring during delivery.
Seethamma Rapoor14
15Acknowledgements
To my husband Professor Dr Anandam Kuravi, MD (AIIMS), DD for his helping hand in making this book a successful one.
To Dr Durushah for her valuable suggestions in taking this topic.
To Dr Pushpalatha Damaraju for her kindness in giving the forward to this book.
To the Chair person Safe Mother hood committee—Fogsi Dr Sirish Patvardhan, who has encouraged me to join his committee as a member, giving me support day in and day out for getting this book in a proper shape.
My thanks are to Dr Naga Sulochana and Dr G Pushpalatha, Professors and the Assistants, PG's of the Department of Obstetrics and Gynac for their invaluable help rendered to me.
My thanks to the President, Secretaries and editorial board for accepting my book.
To Mr V Manidhar, Lakshmi Automatic Xerox, Kurnool for his complete dedication in preparing this book.
Last but not the least is to the staff members of Shakuntala Krishna Nursing Home and to my Children for making me comfortable to write this book.