COLOR DOPPLER
3D AND 4D ULTRASOUND
OBST. & GYN. OPERATIONS
GYN. & OBST. EXAMINATION AND INVESTIGATION
OBST. & GYN. EQUIPMENTS
ANESTHESIA IN OBST. & GYN.
NEONATAL RESUSCITATION
FETAL HEART AND WELL BEING MONITORING
MALE INFERTILITY
FEMALE INFERTILITY
IUI
ART
US AND 3D IN INFERTILITY
PREGNANCY GUIDE
Kuldeep Singh MBBS FAUI FICMCH
Consultant Ultrasonologist Special Interest in Obstetric Sonology in Detailed Anomaly Scanning and Color Doppler for Management and Gynecological Scanning Conducts FOGSI recognised ultrasound training courses in Obstetrics, Gynecology and Infertility (Basics and Color Doppler) Ultrasound training division: 011-56117174 Dr Kuldeep's Ultrasound and Color Doppler Clinic
D-115, East of Kailash, New Delhi 110065 (India) Phones: 011-26441720, 26233342 Mobile: 98111 96613 singhdrkuldeep@rediffmail.com
Narendra Malhotra MD FICOG FICMCH
Ian Donald Diploma Practising Obstetrician & Gynecologist Special Interest in High-Risk Obstetrics, Ultrasound, Laparoscopy and Infertility, ART and Genetics Malhotra Nursing and Maternity Home Pvt Ltd (India)
84, MG Road, Agra 282010 Phones: 0562-2260275/2260276/2260277 Mobile: 98370 33335 mnmhagra@sancharnet.in www.mnmhagra.com, www.mttbc.com
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Step by Step Interventional Ultrasound in Obstetrics & Gynaecology
© 2004, Kuldeep Singh, Narendra Malhotra
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 authors and the publisher.
First Edition : 2004
9788180613678
Typeset at JPBMP typesetting unit
Printed at Replika Press Pvt. Ltd.
5Preface
Ultrasound today is the mainstay investigation in the field of obstetrics and gynaecology. It is now quick, easy, reproducible and inexpensive to make an anatomical diagnosis in obstetrics and gynaecology. The addition of color gives us an insight to the physiology of the area/organ/fetus being scanned and 3D and 4D have added a new anatomical plane and dimension.
Introduction of interventional procedures to obstetrics and gynaecological ultrasound has now made it possible for us to help in making a histopathological diagnosis.
This step by step book aims at introducing the reader and familiarising the reader to interventional sonography in Obstetrics and Gynaecology.
It is mandatory by the Indian PNDT law to register your machine and clinic to perform interventional genetic diagnostic procedures.
Kuldeep Singh
7Acknowledgements
Our heartiest thanks to our parents, elders, teachers, spouses, siblings, our sons, daughters and our friends who have helped us step by step at every step of our ambitious project of step by step series.
We were introduced to interventional sonography by Ananda Kumar (Singapore), Rajat Goswamy (UK), Asim Kurjack and Sanja Kupesic (Croatia), Prof Kratrochwil (Austria), Ambarish Dalal, Pratap Kumar, Bhupendra Ahuja, Dr PK Shah, Jatin P Shah and Pranay Shah and many many others who taught us small tricks of the trade at each step of our life.
We are extremely grateful to our wives Nishu K Singh an expert housewife and supporter and Dr Jaideep Malhotra an expert infertility specialist.
Our children who are studying Jaanvi, Ramanjeet, Neharika Malhotra (Medical Student) and Keshav. Thank you children for letting us do what we want from your time: God bless you four and grow up and do well.