Clinics in Obstetrics Tania Gurdip Singh
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1Clinics in Obstetrics2
3Clinics in Obstetrics
Tania Gurdip Singh MS (Obstetrics and Gynecology) Fellowship in Gynecological Endoscopy Bodyline Trauma and Maternity Center New Delhi, India Foreword Nutan Jain
4
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Clinics in Obstetrics
First Edition: 2015
9789351521990
Printed at5
Dedicated to
My great parents for their immense and constant support,
inspiration and faith in me.
My beloved husband for his extreme patience,
who, in his own way, tolerated and encouraged the demands of my career.
Together they have made this journey worth the effort. 6
Foreword
7Appearing for the examinations and viva voce remains a stressful task for most of the postgraduate students. After completing their medical schooling, they are at the doorsteps of venturing into life as independent experts in their respective fields. The challenges of clearing the examinations loom large on them. Even the finest of students find it difficult to revise the entire syllabus in a short time, close to their practicals. Addressing this universal problem, Dr Tania Gurdip Singh has come out with a unique book—Clinics in Obstetrics.
Obstetrics is ever-evolving. Hitech gadgets for monitoring and treating fetus as an individual have all brought about definite changes in the management protocols. Keeping the latest trends in view, all the chapters have been formulated. The book is basically meant for the preparation of practical and viva voce for both the postgraduate and undergraduate students. It covers history, examination and management of all the cases in obstetrics in complete detail. Each chapter is discussed with a hypothetical case, followed by stepwise discussion of each differential diagnosis and how to reach the final diagnosis. I feel this text will add a lot to the existing literature on obstetrics and will prove indispensable for the postgraduate students. It is need-based and well fulfills its purpose.
Dr Tania is a dedicated and hardworking individual, with a passion for excellence. I am sure her book is in accordance with her persona and will be a glittering gem in the array of existing literature in obstetrics.
A great academic achievement!
Nutan Jain MS (Obstetrics and Gynecology)
Vardhman Trauma and Laparoscopy Centre (P) Ltd
Muzaffarnagar, Uttar Pradesh, India
Preface
9Obstetrics is a highly evolving field. The teaching and examination in obstetrics has become more practical-oriented. There is a tendency of the medical students to study the theory in depth, wherein the clinical aspect gets neglected, due to which there is a big fear when practicals and viva voce approach.
A very wrong belief among the students is that the questions will only be asked pertaining to the case and its final diagnosis, but, in reality, the case always goes on differential diagnosis because the examiner is aware of the fact that the students know the final diagnosis. In order to be confident in clinical cases, a proper approach to practical cases is a must.
The time duration between the theory and practical examinations is very less and most students are weak in case presentations, which makes them grumble before practicals and fumble in practicals. A student does not have time to look into different books in this short period of time. What he/she has to do is to just pick up this book, revise and go confidently to the examination hall. This book provides unique and recent information in the most original form, and that too in a stepwise manner.
The book is basically meant for the preparation of practical and viva voce for both the postgraduate as well as the undergraduate students. For the sake of simplicity, the book is divided into two sections: Section 1 for Long Cases and Section 2 for Short Cases. Each chapter contains important points in history, indicating where exactly to lay stress, explaining how history differs in each case (i.e. where the examiner can catch the student!). A hypothetical case is discussed, followed by stepwise discussion of each differential diagnosis and how to reach the final diagnosis. All the cases have been covered in full detail. Tests, which have lost their importance and are not implicated in routine practice, are not mentioned. It covers the management of all the cases in complete aspect.
The students may not know something in recent advances but will not be spared if it comes to basics, which might look very simple but are not recollected during examination. So, keeping this in mind, all the basic questions have been covered to refresh a student’s knowledge.
Not only for the undergraduate and postgraduate students, this book will be highly beneficial for the clinicians also, who practice in the field of obstetrics. This book will prove to be useful for the nursing students as well. This is a very student-friendly or, rather I would say, an examination-friendly book, in a very comprehensive manner, with very original and authentic information, covering all the recent guidelines. It is a small effort on my part to reeve all the basic information and latest updates in a single thread.10
Tania Gurdip Singh
11Acknowledgments
I take this opportunity to thank all my teachers, friends and well-wishers, which is very much justified at this stage of the completion of my book, and even more so is a sense of gratitude.
It is my great privilege, though am finding words inadequate to express my indebtedness and deep gratitude to my respected teacher, Dr Nutan Jain. Her never-ending willingness to render help, loving guidance, coupled with her rich knowledge and keen interest, were a constant source of inspiration for me throughout.
I am deeply grateful to all my revered teachers Dr BR Desai, Dr BR Nilgar, Dr MK Swamy, Dr MB Bellad and Dr Kamal P Patil for their valuable guidance. I learnt from them that sincerity and hard work give a great pleasure at the end. I shall ever remain obliged to them.
I am very grateful to Shri Jitendar P Vij (Group Chairman) and Mr Ankit Vij (Group President) for showing trust in me and getting this book published. I sincerely thank Mr Tarun Duneja (Director–Publishing), Mr PS Ghuman (Assistant General Manager), Ms Samina Khan (Executive Assistant to Director–Publishing), Mr Rajesh Sharma, Mr Sunil Dogra and Mr Nilambar Pant (Production Coordinators), Mr Ashutosh Srivastava (Assistant Editor), Mr Chandra Dutt and Mr Hemant Kumar (DTP Operators), and Mr Pawan Kumar (Designer) of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, who rendered great help in the completion of this project. I must acknowledge the tireless work of Mr Prashant Soni (Senior Proofreader) for excellent proofreading. The sincerity towards his work is outstanding. I am thankful for his productive suggestions and cooperation in completing this project.
I shall be failing in my duty if I do not acknowledge, with a deep sense of gratitude, all my patients, from whom I have learnt a lot.
“A mother is the truest friend we have. When trials, heavy and sudden, fall upon us, when adversity takes the place of prosperity, when friends who rejoice with us in our sunshine desert us, when trouble thickens around us, still will she cling to us, and endeavor by her kind percepts and counsels to dissipate the clouds of darkness and cause peace to return to our hearts.”
—Washington Irving
I cannot express in words the indebtedness I owe to my dearest parents, who took pains for me and without whose inspiration and blessings, this work could not have been accomplished. Wholeheartedly, I am thankful to them for bringing me up in discipline. I must give full credit to them.
I owe my sincere admiration to my loveliest brother Gagandeep, who always nourished my ambitions and is behind every success of my life; my respected in-laws, who are always encouraging and supporting.
It is with a deep sense of gratitude that I take this opportunity to thank my beloved husband Earl Jaspal (Consultant Pediatrician and Head, Department of Neonatology, Government Hospital, Ambala, Haryana, India) for his constant encouragement and benevolent guidance. I am very much thankful to him for his important contributions for the following chapters in the book—Pain Abdomen during Pregnancy, Pyrexia in Pregnancy, Puerperium, Post-term Pregnancy, 12 Rh Negative Pregnancy, Jaundice in Pregnancy, HIV in Pregnancy and Thyroid Disorders in Pregnancy. As a truly caring person, he always had time to listen and also offered sincere advice with patience and understanding. His invaluable directions, vigilant supervision and constructive suggestions for improvement were the mainstreams to bring this work to the present shape. He is really a gem of a person. My daughter Aira is the ultimate source of motivation and is a real boost in whatever I do, including this work.
And, finally, I thank God for making all these wonderful people happen to me and pray for His continued blessings and success.