A Practical Guide to First Trimester of Pregnancy Mala Arora, Alok Sharma
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1A Practical Guide to First Trimester of Pregnancy2
3A Practical Guide to First Trimester of Pregnancy
Editors Mala Arora FRCOG (UK) FICOG FICMCH Director, Noble IVF Centre, Faridabad, Haryana, India Consultant, Fortis La Femme, Greater Kailash, New Delhi, India Alok Sharma MD DHA MICOG Consultant, Obstetrics and Gynecology Deen Dayal Upadhyaya Hospital Shimla, Himachal Pradesh, India Foreword Hema Divakar
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A Practical Guide to First Trimester of Pregnancy/ Eds. Mala Arora and Alok Sharma
First Edition: 2014
9789351521785
Printed at
5Dedications
This book is dedicated to my eternal guru Sri Paramhansa Yogananda, founder of Self Realization fellowship (USA) and Yogoda Satsanga Society (India). His invisible guidance was vital for the completion of this manuscript.
My parents who have laid the foundation stone of literacy in me.
My husband Dr Narinder Pal who has not only allowed me to concentrate on my writing but has guided me at every step.
My children who have made me proud by out shining me in every aspect.
Mala Arora
My parents, Smt Dhanwanti Sharma and Shri Hansraj Sharma for shaping my character in my formative years.
My wife, Dr Pratibha Sharma for her immense patience and guidance.
My lovely daughter, Hiranya Sharma.
Alok Sharma
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11Contributors  
Editors
 
Contributing Authors
15Foreword
Hema Divakar dgo md ficmch ficog pgdmle
President, FOGSI 2013
Senior Consultant, Divakar Speciality Hospital
JP Nagar, Bengaluru, India
Director, Mediscan Divakar's Ultrasound Training Program, Bengaluru, India
Eccentricity was once a prized attribute of famous clinicians. However, aberrations in obstetrics such as use of thalidomide resulting in tens and thousands of children with phocomelia have led to widespread reluctance on the part of couples to accept bland reassurances from the doctors. In these days of ready access to internet, one needs to justify one's choice of management.
Fortunately help is at hand. Dr Mala Arora and Dr Alok Sharma have done a superb job in persuading top class clinicians to summarize for us topics related to crucial issues in first trimester of pregnancy. This book is a collection and expansion of the very popular management options, to inform the reader and guide their practice. Our patients deserve it.
This book on “A Practical Guide to First Trimester of Pregnancy” is an essential read for all clinicians to help their patients embark on healthy foundations for the journey through a safe pregnancy and successful outcome. I congratulate Dr Mala Arora and Dr Alok Sharma, and all the authors for providing practical and insightful information for best practices in managing routine and complex situations in the first trimester.
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17Preface
“The magical moment of creation of a new life ushers the first trimester”
It gives us immense pleasure to bring forth this ‘A Practical Guide to First Trimester of Pregnancy’. The first trimester is fraught with danger, with a 20% risk of losing the fetus during this time. It requires careful vigilance in patients with assisted conceptions, recurrent miscarriages, advanced maternal age, and preexisting medical disorders. Events of the first trimester lay the foundation, as well as seal the fate of a pregnancy. The booking visit is the most crucial visit for the obstetrician and the triaging of antenatal care is decided in the first trimester. We believe that if the first trimester is handled competently, it can save many adverse pregnancy outcomes for both, the mother and the baby.
In this issue, we have touched on all relevant aspects of the first trimester where the obstetrician may need guidance in decision making. First trimester is the platform on which obstetricians, fetomaternal specialists, endocrinologists, geneticists, sonologists, medical and surgical specialists, dieticians, endoscopists and IVF specialists converge, to ensure a healthy pregnancy.
This book is a practical guide to management of first trimester and its complications and incorporates a blend of accepted guidelines, practical inputs and recent advances. On the journey of pregnancy ‘Well Begun is half done!’
Mala Arora
Alok Sharma
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19Acknowledgments
We are indebted to all the authors for their contribution to this book, who despite their busy schedule have provided outstanding, up-to-date, and evidence-based chapters on various aspects of first trimester of pregnancy.
We are especially thankful to Dr Surveen Ghumman who has helped us at the conception of the book in elaborating and refining the content list.
We wish to thank Mr JP Vij, CEO Jaypee Brothers Medical Publishers for his encouragement in bringing out this book. The editorial team under the able leadership of Dr Madhu Choudhary has extended excellent support to me and worked untiringly to shape up this manuscript.
Mala Arora
Alok Sharma
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