Richa Saxena MBBS, MD
Obstetrics and Gynecology
New Delhi
(India)
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
Corporate Office
4838/24 Ansari Road, Daryaganj, New Delhi - 110002, India, Phone: +91-11-43574357
Registered Office
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, Website: www.jaypeebrothers.com
Branches
-
❑ 2/B, Akruti Society, Jodhpur Gam Road SatelliteAhmedabad 380 015, Phones: +91-79-26926233, Rel: +91-79-32988717,Fax: +91-79-26927094, e-mail: ahmedabad@jaypeebrothers.com
-
❑ 202 Batavia Chambers, 8 Kumara Krupa Road, Kumara Park EastBengaluru 560 001, Phones: +91-80-22285971, +91-80-22382956, 91-80-22372664,Rel: +91-80-32714073, Fax: +91-80-22281761, e-mail: bangalore@jaypeebrothers.com
-
❑ 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza, Pantheon RoadChennai 600 008, Phones: +91-44-28193265, +91-44-28194897, Rel: +91-44-32972089,Fax: +91-44-28193231, e-mail: chennai@jaypeebrothers.com
-
❑ 4-2-1067/1-3, 1st Floor, Balaji Building, Ramkote Cross Road,Hyderabad 500 095, Phones: +91-40-66610020, +91-40-24758498Rel: +91-40-32940929, Fax:+91-40-24758499 e-mail: hyderabad@jaypeebrothers.com
-
❑ No. 41/3098, B & B1, Kuruvi Building, St. Vincent RoadKochi 682 018, Kerala, Phones: +91-484-4036109, +91-484-2395739,+91-484-2395740, e-mail: kochi@jaypeebrothers.com
-
❑ 1-A Indian Mirror Street, Wellington SquareKolkata 700 013, Phones: +91-33-22651926, +91-33-22276404+91-33-22276415, Rel: +91-33-32901926, Fax: +91-33-22656075, e-mail: kolkata@jaypeebrothers.com
-
❑ Lekhraj Market III, B-2, Sector-4, Faizabad Road, Indira NagarLucknow 226 016 Phones: +91-522-3040553, +91-522-3040554, e-mail: lucknow@jaypeebrothers.com
-
❑ 106 Amit Industrial Estate, 61 Dr SS Rao Road, Near MGM Hospital, ParelMumbai 400 012, Phones: +91-22-24124863, +91-22-24104532,Rel: +91-22-32926896, Fax: +91-22-24160828, e-mail: mumbai@jaypeebrothers.com
-
❑ “KAMALPUSHPA” 38, Reshimbag, Opp. Mohota Science College, Umred RoadNagpur 440 009 (MS), Phone: Rel: +91-712-3245220, Fax: +91-712-2704275,e-mail: nagpur@jaypeebrothers.com
USA Office
1745, Pheasant Run Drive, Maryland Heights (Missouri), MO 63043, USA, Ph: 001-636-6279734
Evidence Based Guidelines During Pregnancy for the Obstetricians
© 2009, Jaypee Brothers Medical Publishers
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.
First Edition: 2009
9788184484427
Typeset at JPBMP typesetting unit
Printed at Ajanta Offset & Packagins Ltd., New Delhi
4
Dedicated to
my parents Mrs Bharati Saxena and Mr Pradeep Kumar Saxena
• For being my first teacher and guide
• For always being there when I needed them.
The voice of parents is the voice of God, for to their children they are heaven's lieutenants
—Shakespeare
5Preface
The Joy of Living is the Celebration of Being Alive
—Dr Christiaan Barnard
Notwithstanding the severe pain and sickness involved in childbearing, nothing in this world can be more joyful for a woman than the birth of her baby. This book has been written in view of today's obstetricians who have to treat contemporary, modern women who want to lead an independent and confident life, do not want to take pregnancy as an illness and want to continue their normal routine of non-pregnant state at the time of pregnancy. Nothing can be more fruitful for an obstetrician if he/she can help the woman enjoy the period of her pregnancy. Since the two main practical problems faced by the women at time of their pregnancy are related to nutrition and physical activity, this book has been divided into two sections (nutrition and exercises) dealing with these problems. Evidence based guidelines for topics like alcohol consumption, smoking, consumption of probiotics and antioxidants during pregnancy have been covered for the first time in this book.
In this endeavor I have consulted numerous journals and textbooks. The text has been appropriately referenced in order to enable the reader to check out the original text, if required. The reader is advised to use the references in order to gain greater depth of knowledge. I wish to express my appreciation and thanks to all the related authors and publishers. I also apologise about the non-intentional omission, if any, about citing the sources at a suitable place. Constructive criticism would be greatly appreciated.
Richa Saxena
6Acknowledgements
I strongly believe that no task whatsoever in this world can be accomplished without His permission and divine intervention. So my first words of thanks go to the ‘Almighty’ for helping me in the initiation and completion of this challenging task.
I would like to thank my teachers, professors and colleagues at Maluana Azad Medical College (New Delhi, India) and Leighton Hospital (Cheshire, UK) for their support and encouragement in writing this book. I acknowledge the patience, support, guidance and blessings of my parents, without which this book could not have been possible.
Last but not the least, no words of praise would be adequate enough for the entire staff of M/s Jaypee Brothers Medical Publishers (P) Ltd for their help with the intricacies of the publishing process. May God bless them all. Saying a mere thanks to Shri JP Vij (Chairman and Managing Director) and Mr Tarun Duneja (Director, Publishing) of Jaypee Brothers would be an underestimation of their assistance and support. I am simply overwhelmed with gratitude for their commendable help.