Clinical Handbook of OBSTETRICS AND GYNECOLOGY
Clinical Handbook of OBSTETRICS AND GYNECOLOGY
Editors
Latika Sahu MD FICOG
Director Professor Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital New Delhi, India
Chetna A Sethi DGO DNB FICOG
Specialist Department of Obstetrics and Gynecology Lok Nayak Hospital New Delhi, India
Bidhisha Singha MD
Specialist Department of Obstetrics and Gynecology Lok Nayak Hospital New Delhi, India
Asmita M Rathore MD FRCOG
Director Professor and Head Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital New Delhi, India
Foreword
Raksha Arora
Jaypee Brothers Medical Publishers (P) Ltd
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Clinical Handbook of Obstetrics and Gynecology
First Edition: 2023
9789354656576
Printed at
Our students and readers of this book
- Abhilasha
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Alka
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- AM Bharathi Priya
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Amrit Adarsh
- Resident
- Maharaja Krushna Chandra Gajapati Medical College and Hospital
- Brahmapur, Odisha, India
- Anjali Tempe
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Ankita Kumari
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Anqa Chowdhary
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Anupriya Narain
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Anuradha Sharma
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Apoorva Hans
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Arpita Joshi
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Arpita Mohapatra
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Arushika Yedla
- Resident
- Kasturba Medical College and Hospital
- Mangaluru, Karnataka, India
- Ashika Mehta
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Ashok Kumar
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Asmita M Rathore
- Director Professor and Head
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Bandana Bharali
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Bhramita Roy
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Bidhisha Singha
- Specialist
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Charishma
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Chetna A Sethi
- Specialist
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Deepti Goswami
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Devender Kumar
- Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Divya Gaur
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Divya KV
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Divya Singh
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Garima Mann
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Gauri Gandhi
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Gohar
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Hansveen Lamba
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Jasmine
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Kalyani Nair
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Kandapu Mounika
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Kanika Gupta
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Kiran Sri Chittala
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Krishna Agarwal
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Kriti Tiwari
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Latika Sahu
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Leena Purain
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Lekshmi
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Madhavi M Gupta
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Meenakshi Karan
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Meghana Reddy
- Senior Resident
- Department of Obstetrics and Gynecology
- Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar
- Lohia Hospital
- New Delhi, India
- Mitali Khatri
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Monica Sharma
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Nalini Bala Pandey
- Senior Medical Officer
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Naseema A
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Neha Agarwal
- Specialist
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Neha Chowdhary
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Neha Khatri
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Neha Kumar
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Nidhi Chowdhary
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Nidhi Garg
- Assistant Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Niharika Dhiman
- Associate Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Nitisha Verma
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Ojaswini Sharma
- Resident
- Fortis Hospital
- New Delhi, India
- P Soumya Singh
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Parija Juneja
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Parminder Kaur
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Poonam Kashyap
- Associate Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Poonam Sachdeva
- Specialist
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Preeti Singh
- Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Priyanka Khandey
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Priyanka Nandini
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Pushpa Mishra
- Senior Medical Officer
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Rachita Garg
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Rachna Sharma
- Senior Specialist
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Raj Rathod
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Reena Rani
- Assistant Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Reetu Yadav
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Renu Tanwar
- Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Ritika Nangia
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Sakshi Aggarwal
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Sameena Naz
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Sandhya KS
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Sangeeta Bhasin
- CMO, NFSG
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Sangeeta Gupta
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Sarah Fatima Siddiqui
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Sarah Mirza
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Shakun Tyagi
- Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Shalini Shakarwal
- Assistant Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Sharanya
- Senior Resident
- Department of Obstetrics and Gynecology
- Atal Bihari Vajpayee Institute of Medical Sciences and Dr Ram Manohar
- Lohia Hospital
- New Delhi, India
- Shikha Sharma
- CMO, NFSG
- Department of Obstetrics and Gynecology
- Lok Nayak Hospital
- New Delhi, India
- Sonia Sindher
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Soumya Darsan
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Sujata Bharadwaj
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Surbhi
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Suvidya Singh
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Tsering Cho
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Ullash Kumari
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Uma Singh
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Vaishnavi Jayaram
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Vasudha Bhargavi
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Vedika
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Vijaita Thakur
- Senior Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- Yasvi
- Resident
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
- YM Mala
- Director Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College and
- Lok Nayak Hospital
- New Delhi, India
Right now I am experiencing an amazing feeling while writing this foreword. This is because of my emotional attachment to this piece of immense commitment of Faculty of Department of Obstetrics and Gynecology of Maulana Azad Medical College of which I have been associated in the past. As always this handbook is going to be of great help for the students of Obs/Gyne before examinations and also in day-to-day management of patients. I am so sure students will enjoy reading flowcharts and algorithms and tables with colorful illustrations while preparing for examinations. Not only that, chapters on specimens, instruments, surgical procedures MCQ and OSCE are going to be of great help for the examination going postgraduates as well as undergraduates. I congratulate Dr Latika Sahu, Dr Chetna A Sethi and Dr Bidhisha Singha, Dr Asmita M Rathore, for editing this book and all the experienced faculty members for contributing different topics. The involvement of junior and senior residents in as part of teaching and learning process in bringing out this excellent book is unique.
Raksha Arora
Former Director Professor
Maulana Azad Medical College
New Delhi, India
Preface
It gives us immense pleasure and satisfaction to present this book Clinical Handbook of Obstetrics and Gynecology. This book presented concisely and aims at comprehensive presentation of almost all topics covering Obstetrics and Gynecology so that at a time students can go through this single book for basic preparation for examination as well as clinical management of patients. This book is targeted for postgraduate students as per their theory and practical viva examination requirement as well as preparation for super-specialty or FNB entrance examinations. Most of the chapters of this book will be useful for undergraduates to address their theory and practical viva examination as well as postgraduate's entrance or CMSE examinations. This book is comprehensive with figures, clinical or operative photographs, flowcharts and tables, making it more students' friendly.
This book has three parts—Obstetrics, Gynecology and Exam Preparatory sections. Part-1 Obstetrics has 9 sections and 83 chapters; Part-2 Gynecology has 10 sections and 55 chapters; and Part-3 Exam Preparation has 6 sections and 8 chapters. Part-1 and Part-2 provide comprehensive theory knowledge and Part-3 provides MCQs for entrance examinations and OSCE questions, charts and pictures or figures for practical and viva in Obstetrics and Gynecology. The various chapters presented here consolidate the knowledge and outline the evidence to support certain clinical practices. The approach in this book is to present an overview of the topic as concise text of standard textbooks.
This book prepared and produced by the Department of Obstetrics and Gynecology at the Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, contains the long teaching experience of the faculty. The editors have managed to persuade leaders in the field to write for this edition. The chapters are authored by faculty and residents with their first-hand experience, knowledge, wisdom and hard work. Every attempt has been made to use current best evidence while preparing the manuscript. The contents represent state-of-the-art reviews on common and important topics on obstetrics and gynecology.
We believe that the readers will find the chapters stimulating as a source of updating their knowledge and helpful in the handling of clinical problems with implementation of more rational and individualized treatment plans. This book is the outcome of dedicated efforts of many faculty and residents. It is our proud privilege to show our gratitude to one and all.
Latika Sahu
Chetna A Sethi
Bidhisha Singha
Asmita M Rathore
Suggested Textbooks for Further Reading
OBSTETRICS
Latest Edition of:
- William's Obstetrics
- David James' High Risk Pregnancy: Management Options
- Aria's Practical Guide to High Risk Pregnancy and Delivery
- Ian Donald's Practical Obstetrics Problems
- Munro Kerr's Operative Obstetrics
GYNECOLOGY
Latest Edition of:
- Berek Novak's Gynecology
- Speroff's Gynecologic Endocrinology
- William's Gynecology
- Te Linde's Operative Gynecology
- Disaia's Clinical Gynecologic Oncology