Editors Anjali Tempe MBBS MD
Professor Department of Obstetrics and Gynecology Maulana Azad Medical College and Associated Lok Nayak Hospital
New Delhi, India
Leena Wadhwa MBBS MD DNB
Assistant Professor Department of Obstetrics and Gynecology Maulana Azad Medical College and Associated Lok Nayak Hospital
New Delhi, India
Swaraj Batra MBBS MD FICOG
Director Professor and Medical Superintendent Department of Obstetrics and Gynecology Maulana Azad Medical College and Associated Lok Nayak Hospital
New Delhi, India
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
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Current Concepts in Contraception and Women's Health
© 2008, Anjali Tempe, Leena Wadhwa, Swaraj Batra
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 editors and the publisher.
First Edition: 2008
9788184484373
Typeset at JPBMP typesetting unit
Printed at Ajanta Press
5Contributors
- Aabha Divya MBBS
- All India Institute of Medical Sciences
- New Delhi
- Amrapali Dixit MD
- Senior Resident
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Anjali Tempe MBBS MD
- Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Ashok Kumar MD FICMCH MAMS
- Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Asmita Mutha Rathore MD MRCOG
- Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Binny Makker MBBS
- Resident
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Chanchal MD
- Senior Resident
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Chandan Dubey MD MRCOG
- Assistant Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Deepti Goswami MD MRCOG
- Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Garima Arora MD
- Senior Resident
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Gauri Gandhi MD
- Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Jyoti Sachdeva DGO
- Ex CMO
- LN Hospital
- New Delhi
- Krishna Agarwal MS
- Assistant Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Leena Wadhwa MBBS MD DNB
- Assistant Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Mumtaz Khan DGO
- Senior Specialist
- Department of Obstetrics and Gynaecology, LN Hospital
- New Delhi
- Madhavi M Gupta MS
- Assistant Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- MM Singh MD
- Professor
- Department of PSM
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Neha Gupta MBBS
- Resident
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Pakhee Agarwal MD
- Ex-resident
- Department of Obstetrics and Gynaecology
- LN Hospital, New Delhi
- Pooja Pundhir MBBS
- Resident
- Department of Obstetrics and Gynaecology
- LN Hospital, New Delhi
- Poonam Sachdeva DGO DNB
- MNAMS
- Junior Specialist
- Department of Obstetrics and Gynaecology
- LN Hospital, New Delhi
- Puneet K Kochhar MD
- Senior resident
- Department of Obstetrics and Gynaecology
- LN Hospital, New Delhi
- Rachna Sharma DGO
- Specialist
- Department of Obstetrics and Gynaecology
- LN Hospital, New Delhi
- Rakhi Modi MD
- Senior Resident
- Department of Obstetrics and Gynaecology
- LN Hospital, New Delhi
- Raksha Arora MD
- Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- RCM Kaza MS
- Professor
- Department of Surgery
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Renu Tanwar DNB
- Assistant Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Reva Tripathi MD
- Director Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Sangeeta Bhasin MD
- CMO
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Saritha Shamsunder MD MRCOG
- Junior Specialist
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Sarita Singh MD
- Senior resident
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Shakun Tyagi MD
- Assistant Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital, New Delhi
- Shikha Sharma DGO SMO
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- Sudha Prasad MD FICOG FICMCH
- Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Suparna Bhattacharya MD
- Senior Resident
- Department of Obstetrics and Gynaecology
- LN Hospital, New Delhi
- Swaraj Batra MBBS MD FICOG
- Director Professor and Medical Superintendent
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital, New Delhi
- Tripti Arora MD
- Ex-resident
- Department of Obstetrics and Gynaecology
- LN Hospital, New Delhi
- Usha Manaktala MD FIMSA FICOG
- Director Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
- Vijay Zutshi MD DNB
- Senior Specialist
- Department of Obstetrics and Gynaecology
- LN Hospital
- New Delhi
- YM Mala MD DNB
- Professor
- Department of Obstetrics and Gynaecology
- Maulana Azad Medical College and LN Hospital
- New Delhi
It is indeed a great pleasure of mine to write a foreword for this useful and handy book on contraception. The chapters on demographic profile, bone health, biostatistics and assisted reproductive technology (ART) guidelines add more color and importance to this book. Chapters on national rural health mission, medical termination of pregnancy and reproductive tract infections are very important for postgraduates students, and for those who are practicing gynecology. This publication from the Maulana Azad Medical College faculty will go a long way in propagating education amongst the obstetric and gynecology fraternity. Such publications form the baseline for understanding the common needs of women's health.
Federation of Obstetric and Gynecological Societies of India's (FOGSI) call this year is to educate, prevent and eradicate.
Educate | - | Self, FOGSIANS, society, adolescent girls |
Prevent | - | Maternal deaths, unsafe abortions, unwanted pregnancies, cancers |
Eradicate | - | Anemia, unemployment, illiteracy, pollution |
Only if we can do this, we can have a new Indian woman, literate and healthier.
I congratulate the editors and the contributors and the department of obstetrics and gynecology, Maulana Azad Medical College, for bringing out such a wonderful publication.
Dr. Narendra Malhotra
President FOGSI 2008
8Preface
The concerns regarding the maternal and child health have led to the formulation of several national programs over the past few decades. Also contraception, which is an important issue closely related to reproductive health has undergone evolution in recent times. However, there is a dearth of books addressing these important aspects. Consequently, there has been a growing demand from the postgraduate students for an appropriate book covering the various health issues in women. The authors, therefore, have undertaken the task of writing this book.
The book has been divided into four sections. The first section deals with the demographic patterns in India and the world related to family welfare, and have been covered in detail by the authors.
The second section deals with contraception. There has been a sea change in the methodologies adopted for prevention of the unwanted births. The chapters included in this section systematically describe the basic and current practices in intrauterine contraception device, combined oral contraceptives, progesterone only pill, injectables, implants, emergency contraception, permanent methods in male and female including no scalpel vasectomy, and recent advances. In addition, WHO medical eligibility criteria have been described in Appendix I for every method at the end of the book.
The third section focuses on current health issues and national programs for women. The chapters on national rural health mission, maternal health and women empowerment, reproductive and child health, adolescent health, bone health in women are absolutely relevant for the postgraduate students desirous of knowing current national programs and issues. The guidelines regarding medical termination of pregnancy, sterilization, reproductive tract infections, prevention of parent-to-child transmission, prenatal diagnostic techniques act and assisted reproductive technology are a must for every gynecologist's armour.
Lastly, the fourth section has a chapter on biostatistics that describes basics of medical statistics applicable to any research methodology. It will be immensely useful to everyone for the analysis of the scientific data.
We have tried to make the book concise and relevant to current issues and hope that the readers will find it valuable.
We would like to thank the various contributors to this book, members of the staff of the department of Obstetrics and Gynecology, Maulana Azad Medical College and Lok Nayak Hospital for their help. We take the opportunity to thank Mr. Subrato, Jaypee Brothers Medical Publishers (P) Ltd. for his co-operation.
We acknowledge the patience, support and guidance extended by our family members during this period.
Anjali Tempe
Leena Wadhwa
Swaraj Batra