Ultrasound in Obstetrics Narendra Malhotra, Kuldeep Singh
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1
Singh-Malhotra Series
Step by Step® Ultrasound in Obstetrics
2
Singh-Malhotra Series
Step by Step® Ultrasound in Obstetrics
2nd Edition
Kuldeep Singh MBBS FAUI FICMCH FICMU 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, Color Doppler, 3D & 4D) Dr Kuldeep's Ultrasound and Color Doppler Clinic D-80, East of Kailash, New Delhi 110065 (India) Phones: 011-26441720, 26233342 Mobile: 98111 96613 singhdrkuldeep@rediffmail.com Narendra Malhotra MD FICOG FICMCH Consultant and Director Malhotra Nursing and Maternity Home (P) Ltd., Agra Apollo Pankaj Hospital (P) Ltd., Agra (India) President, Federation of Obstetric and Gynaecological Societies of India—2008 Phones: 0562-2260275, 2260276, 2260277 Mobile: 9837033335 mnmhagra@gmail.com www.mnmhagra.com, www.mttbc.com www.narendramalhotra.net
3Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
B-3 EMCA House, 23/23B Ansari Road, Daryaganj,
New Delhi 110 002, India Phones: +91-11-23272143, +91-11-23272703
+91-11-23282021, +91-11-23245672 Rel: +91-11-32558559,
Fax: +91-11-23276490, +91-11-23245683
e-mail: jaypee@jaypeebrothers.com, Visit our website: www.jaypeebrothers.com
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Step by Step® Ultrasound in Obstetrics
© 2008, 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.
This book has been published in good faith that the materials provided by authors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and authors 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
Second Edition: 2008
9788184483321
Typeset at JPBMP typesetting unit
Printed at Ajanta Press
4Preface to the Second Edition
Today ultrasound is the mainstay investigation in all fields of medicine. The widespread use of ultrasound has brought this wonderful technology to the consulting rooms of the practising gynecologists. It is now impossible to even conceive a modern obstetric care unit without ultrasound and it is impossible to practise infertility and gynecology without a transvaginal probe which has added the dimension of imaging with palpation.
Can you even think of a pregnant lady without an ultrasound scan even once: meticulous dating scan, nuchal translucency scan, anomaly scan and biometry scan accompanied with color Doppler help us in managing the pregnancy better and to reduce perinatal morbidity and mortality. It is our pleasure to present to you all the second edition of this book. Your response to the first edition and the feedback from Prof Stuart Campbell has prompted us to improve.
Many more pictures of anomalies especially chromosomal abnormalities have been added to make the reader well-versed with newer markers.
The law in India mandates that each machine and the sonologist be licensed to practise ultrasound under the PCPNDT Act for which training and updating is required.
There are numerous textbooks and reference books on ultra-sound but our aim to bring out this handy series of Step by Step Ultrasound in Obstetrics is to simplify the indications, steps and the interpretations of this wonderful technology.
We hope the readers will be benefited by this book.
Kuldeep Singh
Narendra Malhotra
5Preface to the First Edition
Today ultrasound is the mainstay investigation in all fields of medicine. The widespread use of ultrasound has brought this wonderful technology to the consulting rooms of the practising gynecologists. It is now impossible to even conceive a modern obstetric care unit without ultrasound and it is impossible to practise infertility and gynecology without a transvaginal probe which has added the dimension of imaging with palpation.
The law in India mandates that each machine and the sonologist be licensed to practise ultrasound under the PNDT Act for which training and updating is required.
There are numerous textbooks and reference books on ultra-sound but our aim to bring out this handy series of Step by Step Ultrasound in Obstetrics is to simplify the indications, steps and the interpretations of this wonderful technology.
We hope the readers will be benefited by this book.
Kuldeep Singh
Narendra Malhotra
6Acknowledgements
Thanks to our parents, elders, teachers, siblings, daughters, sons and friends for their help in the mamoth project of the 6 step by step books on ultrasound over the years. We have enjoyed writing this series and it is heartening to note that the series is well accepted world over and even translated in Chinese and Spanish languages. This has given us more strength to write the second edition of all the books of the series.
Our sincere thanks to Prof Stuart Campbell and to Prof Asim Kurjak, Sanja Kupesic, Dr Pratap Kumar, Dr PK Shah, Dr Ambrish Dalal, Dr Ashok Khurana and Dr S Suresh and many many others who taught us small tricks of the trade at each step of our life.
Thanks to Jaideep and Nishu for bearing our odd timings and for the support.
Our children Neharika, Keshav, Jaanvi and Ramanjeet, God bless you.
Thanks to Shri JP Vij and the team at M/s Jaypee Brothers Medical Publishers (Pvt) Ltd., for bringing out this wonderful collection.