Handbook on Preterm Prelabor Rupture of Membranes in a Low Resource Setting Shyam V Desai, Parikshit Tank
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1Handbook on Preterm Prelabor Rupture of Membranes in a Low Resource Setting
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3Handbook on Preterm Prelabor Rupture of Membranes in a Low Resource Setting
Shyam V DesaiMD DGO DFP FCPS MNAMS FICOG Honorary Professor Obstetrics and Gynecology, Mumbai University Postgraduate teacher, Port Trust Hospital, Mumbai Consultant Obstetrics, Gynecology and Endoscopic Surgeon at Dr Balabhai Nanavati Hospital, Hinduja Healthcare Surgical, Seven Hills Hospital and Dr LH Hiranandani Hospital, Mumbai, Maharashtra, India Chairman, Maternal and Perinatal Health Committee AOFOG Vice President, SAFOG Past President FOGSI and Indian Association of Gynecological Endoscopists Parikshit TankMD DNB FCPS DGO DFP MNAMS MICOG MRCOG Honorary Clinical Associate Obstetrics and Gynecology Nowrosjee Wadia Maternity Hospital, Mumbai Consultant, Ashwini Maternity and Surgical Hospital Center for Endoscopy and ART, Mumbai, Maharashtra, India Joint Secretary FOGSI, 2012 Forewords PC Ho Walfrido W Sumpaico
————— An AOFOG Publication —————
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This book has been published in good faith that the contents provided by the authors contained herein are original, and is intended for educational purposes only. While every effort is made to ensure accuracy of information, the publisher and the authors specifically disclaim any damage, liability, or loss incurred, directly or indirectly, from the use or application of any of the contents of this work. If not specifically stated, all figures and tables are courtesy of the authors. Where appropriate, the readers should consult with a specialist or contact the manufacturer of the drug or device.
Handbook on Preterm Prelabor Rupture of Membranes in a Low Resource Setting
First Edition: 2012
9789350255803
Printed at:
5Dedicated to
The Promotion of Good Practice in Maternal and Perinatal Health
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7Contributors
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11Foreword
Preterm Prelabor Rupture of Membranes in a Low Resource Setting is a condition which may be associated with a high perinatal morbidity and mortality. Appropriate management is important to reduce the perinatal morbidity and mortality. The management also depends very much on the clinical settings, as well as the facilities and expertise available and it may vary in different regions of the world. I am glad that Professor Shyam V Desai and Dr Parikshit Tank had taken the initiative to get together a group of international experts to write the various chapters and organize the publication of this Handbook on Preterm Prelabor Rupture of Membranes in a Low Resource Setting. This book will provide useful and comprehensive guidance to the frontline workers in Obstetrics and Gynecology to help them to manage this important and challenging condition. I would like to congratulate and thank Professor Desai, Dr Tank and all the contributors for the excellent work they have done for AOFOG.
PC Ho
President
Asia & Oceania Federation of
Obstetrics & Gynaecology
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13Foreword
This Handbook on Preterm Prelabor Rupture of Membranes in a Low Resource Setting is very important from the Obstetrician's point of view. It concerns one of the 5 Ps, i.e. postpartum hemorrhage, preterm labor, pregnancy hypertension, PROM and parturition problems which cause most of the maternal and perinatal mortality and morbidity not only in the AOFOG federation but also in the whole world. This handbook looks at the disease from an Asian perspective. Most of the literature on the topic have been from a Western view and it is refreshing to look at it from another angle. The AOFOG is committed to the spread of education amongst our member nations and this serves as an example of EDUCATION, this time through a publication.
It would be naive to think the PPROM problem will be solved by this handbook but this hopefully will be the FIRST STEP among many to help us understand the disease and then institute steps to control the problems associated with it.
I am grateful for the opportunity to write this foreword. I thank all who contributed their energy, time and talent to this handbook.
Walfrido W Sumpaico md
Secretary General
Asia & Oceania Federation of Obstetrics & Gynaecology
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15Preface
The problem of preterm prelabor rupture of the membranes is a problem encountered worldwide; however, in practice, one finds that the factors associated with its occurrence are often linked to inadequate supervision during the antenatal period. In a “Low Resource Setting” where facilities for intensive neonatal care are lacking and there are several such in our region, the problem becomes even more serious as the obstetrician is in a dilemma whether to deliver the preterm baby of conserve the pregnancy till such time the maturity is close to 34 or 35 weeks.
We have asked eminent members of our specialty from seven countries to give their valuable inputs of various aspects of the problem and we thank them for their efforts in helping us to bring out this publication.
The literature on the topic is vast and controversial points in the management have been well brought out by the authors as you will see.
We had two of our senior and distinguished members of the AOFOG Prof Y Murata and Prof Rohit Bhatt who served as Peer Reviewers and we thank them for their guidance and efforts.
We have made a beginning and hope to add a few more publications on behalf of the AOFOG in the future.
Shyam V Desai
Parikshit Tank
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17Acknowledgments
The editors would like to acknowledge the efforts of the authors of the chapters and the peer reviewers for the time and expertise that they have provided towards making this book a realty. We also appreciate deeply the efforts of the publishers for their coordinated efforts.