Editors Sanjay Gupte MD DGO LLB FICOG
President FOGSI, 2010 Ex-Honorable Associate Professor, BJ Medical College
Pune, Maharashtra, India
Director, Gupte Hospital and Center for Research in Reproduction and Postgraduate Institute for Gynecology and Obstetrics
Pune, Maharashtra, India
National Consultant in Medicolegal and Ethical Issues in Obstetrics and Gynecology Elected Member of Maharashtra Medical Council
Girija Wagh MD FICOG
Professor, Bharati Vidyapeeth University Medical College
Pune, Maharashtra, India
Assistant Coordinator, National Eclampsia Registry FOGSI-ICOG Joint Secretary FOGSI (2010)
Gorakh Gopalkrishna Mandrupkar MBBS DGO FCPS MCSEP(I)
Director Mandrupkar Clinic—A Specialty Clinic for PCOS and Infertility
Islampur, Maharashtra, India
West Zone Coordinator, HIV-AIDS Committee, FOGSI, India
Member, Young Talent Promotion Committee, FOGSI, India
Member, Council for Sex Education and Parenthood, International
A FOGSI Publication


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A Manual for Setting up Clinical Practice in Obstetrics and Gynecology
© 2010, Federation of Obstetric and Gynaecological Societies of India (FOGSI)
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 editors and the publisher.
First Edition: 2010
9789380704531
Typeset at JPBMP typesetting unit
Printed at ???
5Dedicated to
The novice on the horizon of Obstetrics and Gynecology
7Contributors
- Dilip Walke md
- Chairman, Ethics and Medicolegal Committee, FOGSI
- Founder-Director and Head, Medipoint Hospital
- Pune, Maharashtra, India
- Girija Wagh md ficog
- Professor, Bharati Vidyapeeth University Medical College
- Pune, Maharashtra, India
- Assistant Coordinator
- National Eclampsia Registry FOGSI-ICOG
- Joint Secretary FOGSI (2010)
- Gorakh Gopalkrishna Mandrupkar mbbs dgo fcps mcsep(i)
- Director
- Mandrupkar Clinic—A Specialty Clinic for PCOS and Infertility
- Islampur, Maharashtra, India
- West Zone Coordinator, HIV-AIDS Committee, FOGSI, India
- Member, Young Talent Promotion Committee, FOGSI, India
- Member, Council for Sex Education and Parenthood
- International
- Jaideep Malhotra md
- Vice-President FOGSI 2010
- Consultant and IVF Specialist
- Malhotra Nursing and Maternity Home (P) Ltd
- Agra, Uttar Pradesh, India
- Mala Arora mrcog frcog (uk) ficog ficmch da (uk) d obst (ireland)
- Vice-President Elect 2010, Consultant IVF Specialist
- Noble Hospital, Faridabad, Haryana, India
- FORTIS LA FEMME, Greater Kailash, New Delhi, India
- Manish Banker md
- Director
- Chairman, Infertility Committee, FOGSI
- President Elect
- Indian Society for Assisted Reproduction (ISAR)
- Member, International Affairs Committee
- American Society for Reconstructive Microsurgery (ASRM)
- Member, Draft Committee for ART Bill
- Indian Council of Medical Research (ICMR)
- Milind Rasiklal Shah md dgo
- Consultant
- Pooja Nursing Home, Satara, Maharashtra, India
- Director, Menopause Clinic in Western Rural Maharashtra
- Coordinator, Vande-Mataram Clinic (Free Check-up and Medicines for Rural Women)
- Nalin Chavan fca
- Partner-Gokhale, Tanksale and Ghatpande
- Chartered Accountants, Pune, Maharashtra, India
- Neeta Dhabhai ms ficmch
- Consultant Gynecologist
- Sunflag Hospital and Research Centre
- Faridabad, Haryana, India
- PG Paul mbbs dgo
- Director
- Cochin Gynaecological Endoscopic Training Centre (Since 1993)
- Chairman of Paul's Hospital, Kochi, Kerala, India
- Chairperson, Clinical Research Committee
- FOGSI (1998-2002)
- Radhika Joshi mbbs dgo dfp
- Life Member, Indian Academy of Cytology
- Member, International Federation of Cervical Pathology and Colposcopy
- Chairperson, Ladies Wing Indian Medical Association (IMA) Maharashtra, India
- Saie Mandrupkar mbbs dgo
- Consultant, Mandrupkar Clinic–A Specialty Clinic for PCOS and Infertility
- In-Charge, Department of Gynecology
- Prakash Memorial Clinic, Islampur, Maharashtra, India
- Coordinator, ‘MOM-PAP’
- IOGS-Rural Women Pap Screening Program
- Sakshi Tomar md dnb (rad)
- Consultant
- Radiologist and Sonologist
- Malhotra Nursing and Maternity Home (P) Ltd
- Agra, Uttar Pradesh, India
- Sarita Agarawal md ficog
- Professor and Head
- Department of Obstetrics and Gynecology
- Chhattisgarh Institute of Medical Sciences
- Bilaspur, Chhattisgarh, India
- Chairperson, HIV-AIDS Committee, FOGSI, 2010-2012
- CG State Ambassador for Doctors Against Sex
- Selection (DASS), IMA Project
- Sanjay Gupte md dgo llb ficog
- President FOGSI, 2010
- Ex-Honorable Associate Professor
- BJ Medical College
- Pune, Maharashtra, India
- Director
- Gupte Hospital and Center for Research in Reproduction and Postgraduate Institute for Gynecology and Obstetrics
- Pune, Maharashtra, India
- National Consultant in Medicolegal and Ethical Issues in Obstetrics and Gynecology
- Elected Member of Maharashtra Medical Council
- Sujal Munshi md dnb
- Consultant Obstetrician and Gynecologist
- Munshi Hospital and Pulse Womens' Hospital
- Visiting Endoscopic Surgeon
- PS Medical College
- Karamsad, Gujarat, India
- Visiting Gynecologist
- Human Genetic Center, Gujarat University
- Gujarat, India
- Sunil Umranikar md
- Consultant
- Gupte Hospital and Center for Research in Reproduction
- Pune, Maharashtra, India
A Manual for Setting up Clinical Practice in Obstetrics and Gynecology is a challenge in itself. It is a sheer balance of clinical expertise, managerial capabilities, economics, legal boundaries and a social framework. All these aspects unfortunately are not provided for during the training of medical postgraduation.
Most of us start the journey completely naїve to the terrain. Few find mentors; some get in already set enterprise but there are many who start anew with no one to guide. The concept of this book is a result of this felt need of a beginner in the subject of obstetrics and gynecology. Everybody wants to start an ideal set-up to provide proper care. But lack of guidance or literature on setting up new practice makes one wary. This book, therefore, is a compilation of what all is needed before we get set go and start.
It could be a small private unit or a part of a larger organization or service unit, all the necessary information has been put together in the book. The contributing authors are well-known stalwarts in their respective fields who have reached their statures through hardships and endurance. Their experiences have resulted in the creation of the book.
Be it a basic medical termination of pregnancy (MTP) center, ultrasonography clinic or an endoscopy center we need to know the basic information on which we can base our planning. We need to know not only the basic necessities but also the legal issues, licensing, etc. involved. An attempt has been made through this manual to depict this as much as is possible.
Today every service needs to be accredited and so is the health care delivery system. There is a chapter on this 12particular topic which is going to be much informative. Also the economics have to be viable and many doctors are blissfully ignorant regarding this. There is a practical chapter on the same to help guide the beginner through this. Ideal documentation is the mainstay of practice in this era which is not forgotten by editors.
Also we need to have a compassionate approach towards our patients and a spiritual look out towards the profession. We cannot forget that we actually are participants in the process of healing. This holistic approach too is touched upon in the book.
Really, the book is not only for beginners but it is like a lamp-post also for even established practitioners.
The editors consist of representatives from all the three current active generations in practice. The wise chief editor, a true maestro in the field and two assistant editors eager to bring out as much can be delivered. We hope an enriching experience in reaching the unreached subject, to the reader.
Sanjay Gupte
Girija Wagh
Gorakh Gopalkrishna Mandrupkar