Textbook of Obstetrics Sudha Salhan
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1Textbook of Obstetrics2
3Textbook of Obstetrics
Second Edition
Edited by Sudha Salhan MBBS (Hons), MD (Obstetrics and Gynecology) PGDMCH (NIHFW), CIC (IGNOU) Professor NDMC Medical College and Hindu Rao Hospital, Delhi Former Professor and Head Department of Obstetrics and Gynecology Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi E-mail: sudha_salhan@yahoo.co.in Foreword Dr Anusuya Dass
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Textbook of Obstetrics
First Edition: 2007
Second Edition: 2016
9789385891793
Printed at
5Dedicated to
My patients
67LIST OF CONTRIBUTORS 11FOREWORD
I have the pleasure of going through the book Textbook of Obstetrics by Dr Sudha Salhan. During the last two decades, there have been tremendous advances in the field of Medical Sciences. This comprehensive book is fully updated for undergraduates, postgraduates and practitioners. This textbook is truly the work of many obstetricians under the expert guidance of Dr Sudha Salhan. While preparing the text, the contributors and the editor have utilized their experience and information received from a large number of students and teachers.
This book has additional new features such as counseling, ethics, medicolegal problems related to obstetrical issues. Therefore, the book is very informative and useful for the doctors dealing with obstetric cases. I earnestly hope all these will enhance the utility of this book for the students as well as for the practitioners. All procedures have been explained in simple manner.
I am confident that after reading this book, students will develop special interest in Obstetrics and would like to take up postgraduation in the subject.
I wish Dr Sudha Salhan and this book all success.
Dr Anusuya Dass
Former Principal
Lady Hardinge Medical College
New Delhi12
13PREFACE TO THE SECOND EDITION
Since, the first edition many new techniques have been developed and outmoded procedures are dropped from clinical practices. Therefore, an updated edition was required. This new edition is fully updated as well as new chapters have been introduced for the first time (contraception) with new illustrations and images. New horizons are giving us the insights into the abnormalities of reproductive functions in females by ongoing relentless research.
I hope this new edition will be of great help to our obstetricians, especially the students.
I am grateful to the experienced contributors for devoting their precious time for updating their chapters. I am also thankful to Mr Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Ms Chetna Malhotra Vohra (Associate Director Content Strategy), Dr Madhu Choudhary (Senior Content Strategist), Ms Nitasha Arora (Project Manager) for all their help and support.
Sudha Salhan14
15PREFACE TO THE FIRST EDITION
This is a Textbook of Obstetrics with emphasis on recent advances counseling, medicolegal aspects and ethics. In this fast mechanised world, the art of talking to the patient is fast disappearing. Therefore, a chapter on counseling is included in the book. We must also be aware of the legislations pertaining to our subject. With this end in mind, a chapter on the ‘Medicolegal Aspects of Obstetrics’ has been written. Other often neglected but important topics which are discussed in detail are Ethics and the Disposal of Biomedical Waste. Much of the Obstetric morbidity and mortality can be averted in women embark on pregnancy after controlling medical ailments; hence, a separate chapter on ‘Preconceptional Check-up’ is incorporated in this book. Finally, it is important to know about the importance given to pregnant women by the Government of India. This book will update students on the recent endeavours of the Government to alleviate the suffering of women by various schemes. Overall, this book will provide a comprehensive and up-to-date picture of the interesting subject of Obstetrics.
The contributors are seasoned obstetricians dealing with obstetrical cases day in and day out. I thank them all for sparing time from their busy schedule. I offer special thanks to Mrs Jayshree for the tying and related work. I also thank Dr Harsh Gaikwad for actively helping me in all aspects of this book. I also thank my family for their unstinted support.
Sudha Salhan16