Current Trends in Labor Management
Current Trends in Labor Management
Series Editor Narendra Malhotra MD FIAJAGO FICMU FICOG FICMCH FRCOG FICS FMAS AFIAP
Managing Director Department of IVF and Infertility Global Rainbow Healthcare, Agra
Director ART Rainbow IVF Agra, Uttar Pradesh, India
Advisor Editor Kawita Bapat MS FICOG
Renowned Vaginal Surgeon Department of Obstetrics and Gynecology Director, Bapat Hospital Indore, Madhya Pradesh, India
Editors Poonam Goyal MD FICOG FICMCH
Director Department of Obstetrics/Gynecology and IVF Panchsheel Hospital, New Delhi
Head, IVF Unit Max Super Speciality Hospital Ghaziabad, Uttar Pradesh, India
Kavita Mandrelle Bhatti MD FICOG FMAS ACME FRM
Professor and Head Department of Obstetrics and Gynecology Christian Medical College and Hospital Ludhiana, Punjab, India
Bhavana Mittal DNB FNB MNAMS FICOG
Director Department of Obstetrics/Gynecology and IVF Shivam IVF and Infertility Centre, New Delhi
Consultant, Max Super Speciality Hospital New Delhi, India
Forewords Padma Shri Alka Kriplani
S Shantha Kumari
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Current Trends in Labor Management
First Edition: 2022
9789354656538
Printed at:
We dedicate the book to
God's most wonderful creation
“MOTHER”
and all the Obstetricians taking care of her.
- Aarti Chitkara MD DNB
- Senior Resident
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- New Delhi, India
- Aashima Arora MD DNB
- Associate Professor
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Aditee Goyal LLB LLM Diploma in Healthcare Management
- Admin Head and Manager Operations
- Department of Administration
- Panchsheel Hospital
- New Delhi, India
- Ajay Kumar Gupta MBBS MD DNB
- Director and Pediatrician
- Department of Pediatrics
- Muskan Clinic
- New Delhi, India
- Akanksha Dwivedi MBBS MS
- Senior Resident
- Department of Obstetrics and Gynecology
- VMMC and Safdarjung Hospital
- New Delhi, India
- Alok Basu Roy MBBS MD
- Senior Consultant
- Department of Anesthesia
- Max Superspeciality Hospital
- Ghaziabad, Uttar Pradesh, India
- Alok Sharma MBBS MD MICOG FICOG DHA
- Consultant
- Department of Obstetrics and Gynecology
- Civil Hospital
- Mandi, Himachal Pradesh, India
- Amogh Natchandra Chimote MBBS MD
- Medical Director
- Department of Reproductive Medicine
- Vaunshdhara Fertility Centre
- Nagpur, Maharashtra, India
- Anita Rajorhia MBBS MD FICOG
- Head and Senior Consultant
- Department of Obstetrics and Gynecology
- Dr Hedgewar Aarogya Sansthaan
- New Delhi, India
- Ankita Bansal Goyal MD DNB FMAS PGDS
- Consultant
- Department of Obstetrics and Gynecology
- Sankalp Hospital
- Raipur, Chhattisgarh, India
- Ankita Srivastava MBBS MS DNB MRCOG
- Clinical Assistant
- Department of Obstetrics and Gynecology
- Sir Ganga Ram Hospital
- New Delhi, India
- Anusha Devalla MBBS MS DNB
- Consultant
- Department of Obstetrics and Gynecology
- Gayatri Hospital
- Hyderabad, Telangana, India
- Arati C Koregol MDS
- Professor
- Department of Dental
- PM Nadagouda Memorial Dental College and Hospital
- Bagalkot, Karnataka, India
- Aruna Singh MBBS MD MICOG FICOG DHA
- Consultant
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Ashish R Kale MD DNB MNAMS FICOG FICS FICMCH
- Director and Consultant
- Department of Obstetrics and Gynecology
- Ashakiran Hospital and Asha IVF Centre
- Pune, Maharashtra, India
- Ashwini Kale DGO DNB FICMCH
- Director and Consultant
- Department of Obstetrics and Gynecology
- Ashakiran Hospital and Asha IVF Centre
- Pune, Maharashtra, India
- Asmita Kaundal MS DNB MNAMS
- Assistant Professor
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- Bilaspur, Chhattisgarh, India
- Bhagyashree Bijjaragi MS DNB FFM
- Assistant Professor
- Department of Obstetrics and Gynecology
- Al-Ameen Medical College
- Vijayapur, Karnataka, India
- Bhavana Mittal DNB FNB MNAMS FICOG
- Director
- Department of Obstetrics and Gynecology and IVF
- Shivam IVF and Infertility Centre, New Delhi
- Consultant, Max Super Speciality Hospital
- New Delhi, India
- Chandana S Bhatt MBBS MS DNB MCH
- Senior Resident
- Department of Obstetrics and Gynecology
- Sri Ramachandra Medical College
- Chennai, Tamil Nadu, India
- Charmila Ayyavoo MD DGO DFP FICOG PGDCR
- Director Consultant
- Department of Obstetrics and Gynecology
- Aditi Hospital, Southern Railway Hospital
- Trichy, Tamil Nadu, India
- Chhavi Gupta MBBS MS
- Senior Resident
- Department of Obstetrics and Gynecology
- VMMC and Safdarjung Hospital
- New Delhi, India
- Deeba Khanam MBBS MD
- Assistant Professor
- Department of Obstetrics and Gynecology
- Jawaharlal Nehru Medical College, AMU
- Aligarh, Uttar Pradesh, India
- Deepa Gupta MBBS MS DNB MANAMS FICMCH
- Medical Superintendent
- Department of Obstetrics and Gynecology
- Sree Krishna Medical and Research Centre
- New Delhi, India
- Deepa Gupta MBBS DGO FICOG
- Director
- Department of Obstetrics and Gynecology
- Muskan Clinic
- New Delhi, India
- Dolly Mehra MBBS MS FICOG
- Consultant
- Department of Obstetrics and Gynecology
- Mehra Nursing Home
- Ratlam, Madhya Pradesh, India
- Gunjan Kumari Bhagwat MBBS MD FMAGS RM
- Consultant
- Department of IVF
- Max Superspeciality Hospital
- Ghaziabad, Uttar Pradesh, India
- Jaideep Malhotra MD FRCOG FRCPI FICS FMAS FICMCH FIVMB
- Managing Director
- Department of IVF and Infertility
- Global Rainbow Healthcare
- Agra, Uttar Pradesh, India
- Jayam Kannan MD DGO FICOG
- Director
- Department of IVF and Infertility
- GFC Fertility Centre
- Chennai, Tamil Nadu, India
- Vice President, FOGSI–2018
- Jaydeep Tank MD DGO FCPS
- Consultant
- Department of Obstetrics and Gynecology
- Ashwini Maternity and
- Nursing Home, Thane
- Profert IVF Clinic
- Mumbai, Maharashtra, India
- Jyoti Bhaskar MD MRCOG FICOG
- Clinical Director
- Department of Obstetrics and Gynecology
- Apollo Cradle Children's Hospital
- Ghaziabad, Uttar Pradesh, India
- K Aparna Sharma MD DNB FICOG
- Additional Professor
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- New Delhi, India
- Kartik Syal MD
- Associate Professor
- Department of Anesthesia
- Indira Gandhi Medical College
- Shimla, Himachal Pradesh, India
- Kavita Mandrelle Bhatti MD FICOG FMAS ACME FRM
- Professor and Head
- Department of Obstetrics and Gynecology
- Christian Medical College and Hospital
- Ludhiana, Punjab, India
- Kawita Bapat MS FICOG
- Renowned Vaginal Surgeon
- Department of Obstetrics and Gynecology
- Director, Bapat Hospital
- Indore, Madhya Pradesh, India
- Komal Chavan MD DNB MNAMS FCPS DGO FICOG DRM
- Senior Consultant and DNB Teacher
- Department of Obstetrics and Gynecology
- VN Desai Hospital
- Mumbai, Maharashtra, India
- Kunal Doshi MBBS DGO DFP FCPS
- Consultant
- Department of Obstetricsand Gynecology and IVF
- Ashish Maternity and Nursing Home, Mumbai
- Profert IVF Clinic
- Mumbai, Maharashtra, India
- Mahesh Koregol MBBS MS FICOG Fellow
- Consultant
- Department of IVF and Infertility
- Nova IVF
- Bengaluru, Karnataka, India
- Mala Srivastava DGO DNB
- Professor and Senior Consultant
- Department of Obstetrics and Gynecology
- The Ganga Ram Institute for Postgraduate
- Medical Education and Research
- New Delhi, India
- Meenakshi Sharma MBBS MD FICOG FICMCH
- Consultant
- Department of Obstetrics and Gynecology
- Yashoda Superspeciality Hospital
- Ghaziabad, Uttar Pradesh, India
- Mitra Saxena MD DNB FICMCH Diploma in Endoscopy
- Director and Head
- Department of Obstetrics and Gynecology
- Shri Ashwini Saxena Hospital
- Rewari, Haryana, India
- Chairperson, Practical Obstetrics Committee FOGSI
- Mohita Agarwal MBBS MS FMAS
- Associate Professor
- Department of Obstetrics and Gynecology
- SN Medical College
- Agra, Uttar Pradesh, India
- Monisha Singh MBBS MD
- Consultant
- Department of Obstetrics and Gynecology
- Parul Hospital
- Varanasi, Uttar Pradesh, India
- Narendra Malhotra MD FIAJAGO FICMU FICOG FICMCH FRCOG FICS FMAS AFIAP
- Managing Director
- Department of IVF and Infertility
- Global Rainbow Healthcare, Agra
- Director
- ART Rainbow IVF
- Agra, Uttar Pradesh, India
- Naveen Gupta MBBS MD
- Consultant
- Department of Anesthesia
- Max Superspeciality Hospital
- Ghaziabad, Uttar Pradesh, India
- Nazia Ishrat MD
- Assistant Professor
- Department of Obstetrics and Gynecology
- Jawaharlal Nehru Medical College, AMU
- Aligarh, Uttar Pradesh, India
- Neema Tufchi PhD (Biotechnology)
- Scientist
- Department of Obstetrics and Gynecology
- Sir Ganga Ram Hospital
- New Delhi, India
- Neha Kapoor MBBS MD
- Associate Consultant
- Department of Obstetrics and Gynecology
- Cloudnine Hospital
- New Delhi, India
- Neharika Malhotra MBBS MD DRMDMIS FICMCH FMAS
- Consultant
- Department of IVF and Infertility
- Malhotra Nursing Home and Rainbow IVF
- Agra, Uttar Pradesh, India
- Chairperson, FOGSI Young Talent Promotion Committee FOGSI
- Pallavi Goel MBBS
- Resident
- Department of General Medicine
- Mahatma Gandhi Medical College
- Jaipur, Rajasthan, India
- Parul Gupta Khanna MBBS DGO DNB MNAMS FRM
- Consultant
- Department of IVF
- Nova and Southend IVF
- Noida, Uttar Pradesh, India
- Pavika Lal MD CIMP
- Assistant Professor
- Department of Obstetrics and Gynecology
- GSVM Medical College
- Kanpur, Uttar Pradesh, India
- Poonam Goyal MD FICOG FICMCH
- Director
- Department of Obstetrics and Gynecology and IVF
- Panchsheel Hospital, New Delhi
- Head, IVF Unit
- Max Super Speciality Hospital
- Ghaziabad, Uttar Pradesh, India
- Prerna Keshan MBBS DGO FICOG
- Consultant
- Department of Obstetrics and Gynecology
- Horizon Maternity and Fertility Clinic
- Tinsukia, Assam, India
- Preeti Gaur DNB
- Director
- Department of Obstetrics and Gynecology
- Capital Nursing Home
- New Delhi, India
- Raji Cheriyan MSc
- Senior Program Officer
- Department of Obstetrics and Gynecology
- JHPIEGO
- Lucknow, Uttar Pradesh, India
- Rajesh Kumar Verma MD
- Associate Professor
- Department of Anesthesia
- Indira Gandhi Medical College
- Shimla, Himachal Pradesh, India
- Ramandeep Bansal MD
- Assistant Professor
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Ramya VM DGO DNB
- Senior Resident
- Department of Obstetrics and Gynecology
- KC General Hospital
- Bengaluru, Karnataka, India
- Ranjana Khanna MBBS MS DGO FICOG
- Senior Consultant and Director
- Department of Obstetrics and Gynecology
- Ranjana Hospital
- Allahabad, Uttar Pradesh, India
- Renu Yadav MBBS MS FIAMS
- Consultant
- Department of Obstetrics and Gynecology
- Sharbati Surgical and Maternity Home
- Mahendragarh, Haryana, India
- Richa Sharma MS MNAMS FICOG FICMCH FMAS
- Professor
- Department of Obstetrics and Gynecology
- University College of Medical Sciences and Guru Teg Bahadur Hospital
- New Delhi, India
- FOGSI MTP Committee
- Rohini Rao MD
- Associate Professor
- Department of Obstetrics and Gynecology
- Indira Gandhi Medical College
- Shimla, Himachal Pradesh, India
- Ruchika Garg MD FICOG FICMCH FMAS MAMS FIAOG
- Professor
- Department of Obstetrics and Gynecology
- SN Medical College
- Agra, Uttar Pradesh, India
- Sahir Bhatti MBBS
- Demonstrator
- Department of Physiology
- Christian Medical College and Hospital
- Ludhiana, Punjab, India
- Sangeeta Rai MS FMAS PhD FICOG FICMCH
- Professor
- Department of Obstetrics and Gynecology
- Banaras Hindu University
- Varanasi, Uttar Pradesh, India
- Seema Prakash MBBS MD FICOG
- Consultant
- Department of Obstetrics and Gynecology
- University College of Medical Sciences and Guru Teg Bahadur Hospital
- New Delhi, India
- Shaheen Anjum MBBS MS
- Professor and In-Charge
- Department of Obstetrics and Gynecology
- ART Unit
- Aligarh Muslim University
- Aligarh, Uttar Pradesh, India
- Shama Batra MBBS MD FICOG
- Director
- Department of Obstetrics and Gynecology
- Patel Hospital
- New Delhi, India
- Shashibala Bhonsale Sao MS
- Consultant Gynecologist
- Department of Obstetrics and Gynecology
- President Elect, Gwalior Obs and Gyne Society 2022-2023
- Obs and Gyne Specialist in Public Health and Welfare Department
- Co-ordinator, Rajyog IAEC Committee FOGSI 2021-22
- Gwalior, Madhya Pradesh, India
- Sheeba Marwah MBBS DNB Fellowship
- Associate Professor
- Department of Obstetrics and Gynecology
- VMMC and Safdarjung Hospital
- New Delhi, India
- Sheela Mane MD FICOG FICMCH
- Professor
- Department of Obstetrics and Gynecology
- KCG Hospital
- Bengaluru, Karnataka, India
- Shreya Prabhoo DNB DGO MNAMS
- Consultant
- Department of Obstetrics and Gynecology
- Mukund Hospital, Surya Hospital
- Mumbai, Maharashtra, India
- Soumya Mahesh Koregol MBBS MS
- Consultant
- Department of Obstetrics and Gynecology
- Hospitec Hospital
- Bengaluru, Karnataka, India
- Srishti Prakash MBBS MS
- PG Resident
- Department of Obstetrics and Gynecology
- VMMC and Safdarjung Hospital
- New Delhi, India
- Surekha Tayade MBBS MD DNB MNAMS FICOG PGDHHM FIME FAIMER Fellow PhD
- Consultant
- Department of Obstetrics and Gynecology
- Jawaharlal Nehru Medical College
- Wardha, Maharashtra, India
- Uma Jain MS FMAS FART Fellowship (Colposcopy)
- Professor
- Department of Obstetrics and Gynecology
- DH Shivpuri
- New Delhi, India
- Vaidehi Marathe MBBS DGO FICOG FICMCH CIMP
- Director
- Department of Obstetrics and Gynecology
- Maher Maternity and Nursing Home
- Nagpur, Maharashtra, India
- Vanita Jain MD DNB
- Professor
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Vanita Suri MD
- Professor and Head
- Department of Obstetrics and Gynecology
- Postgraduate Institute of Medical Education and Research
- Chandigarh, India
- Vibhavaree Dandawate MD
- Associate Professor
- Department of Obstetrics and Gynecology
- Al-Ameen Medical College
- Vijayapur, Karnataka, India
- Vidya A Thobbi MD FICOG
- Professor
- Department of Obstetrics and Gynecology
- Al-Ameen Medical College
- Vijayapur, Karnataka, India
- VK Goyal MD
- Director
- Department of Pediatrics
- Panchsheel Hospital
- New Delhi, India
- Yukti Bhardwaj MBBS DNB
- Senior Resident
- Department of Obstetrics and Gynecology VMMC and Safdarjung Hospital
- New Delhi, India
It gives me immense pleasure to write a series forward for the PK series of books. This series of books aims at bringing light to important areas of obstetrics and gynecology.
This first book of this series has the blessings of Dr Narendra Malhotra and Dr Kawita Bapat as Senior Advisors. This book has been compiled and edited by senior gynecologists and academicians—Dr Poonam Goyal, Dr Kavita Mandrelle Bhatti, and Dr Bhavna Mittal.
It is totally dedicated to intranatal care and throws light on tackling labor patients in different conditions and situations. The book aims to provide uniform evidence-based protocols all over India. Sole aim is to bestow respectable maternal care to all the laboring patients. There are contributions from over 70 authors from all over the country who have immense experience and knowledge on the subject.
I give my best wishes to the editors, publishers and the readers who are devoted to promote academics and knowledge.
Padma Shri Alka Kriplani
MD FRCOG FAMS FICOG FIMSA FICMCH FCLS
Director and Head
Department of Gynecology, Obstetrics and ART
Paras Hospitals
Gurugram, Haryana, India
Former Professor and Head
Department of Obstetrics and Gynecology
All India Institute of Medical Sciences (AIIMS)
New Delhi, India
Former Director In-Charge, WHO-CCR, HRRC, and Family Planning
“Padma Shri”, distinguished service in Medicine by President of India—2015
Foreword
I am extremely delighted to write a foreword for this first book Current Trends in Labor Management of the PK series. This book has been compiled and edited by senior gynecologists and academicians—Dr Poonam Goyal, Dr Kavita Mandrelle Bhatti, and Dr Bhavna Mittal. There are contributions from all over the country who have immense experience and knowledge. I congratulate the editors for bringing out a complete book on the very much-needed topic of intrapartum care. Actually, medical science is improving 24/7 and newer concepts are laid from evidence and experience. The traditional labor care approach has taken a new turn for the better. A recent simple and guidelines-based book on labor is the need of the hour.
This book has come up very well. The title and the subtopics have been very carefully chosen to throw light on this important area of any obstetrician's practice. I also appreciate the vision of senior advisors Dr Narendra Malhotra and Dr Kawita Bapat without whose help this venture would not have taken shape. I hope that the readers of this book will enjoy and benefit from the concise but updated content.
I give my best wishes to all those associated with publishing this book.
S Shantha Kumari MD DNB FICOG FRCPI FRCOG
Senior Consultant
Obstetric and Gynecologist and Laparoscopic Surgeon
Yashoda Hospitals, Hyderabad, Telangana
President, FOGSI 2021-22
Treasurer FIGO
Preface
The ability to reduce maternal and neonatal mortality is dependent on trained personnel who attend women in labor and during delivery.
The care that a woman receives during labor and delivery can affect the woman's physical and emotional health, and also have short- and long-term effects on the outcome. Intrapartum care aims to avert delivery-related complications and improve maternal and neonatal health.
This book is the first of a series of handbooks on important topics related to Obstetrics and Gynecology. It covers a large range of chapters related to basics of intrapartum care for normal and abnormal labor as well as complicated and uncomplicated cases during labor and delivery.
The book is a culmination of chapters which are authored by acknowledged masters in obstetrics. The authors have used best available evidence and standardized as much as possible the way we care for our antenatal mothers in labor. The practical manual is a comprehensive and easy reference book for undergraduates, postgraduates and colleagues practicing obstetrics. It is a user-friendly resource for how to care for patients in labor.
The topics have been organized sequentially into 14 sections and 60 chapters which include setting up of an ideal labor room, triaging patients, care during normal and abnormal labor, labor in medical disorders during pregnancy, vaginal and operative delivery, counseling and medicolegal aspects pertaining to labor and delivery.
In producing this series of handbooks and practical manuals, the editors and authors sincerely hope that the healthcare professionals and trainees will benefit and the practical information provided in the book will help in rendering high quality, respectful maternal care to our patients.
Narendra Malhotra
Kawita Bapat
Poonam Goyal
Kavita Mandrelle Bhatti
Bhavana Mittal
Acknowledgments
We have the pleasure of introducing this Current Trends in Labor Management.
We thank God Almighty for helping us throughout the journey of completing this task.
Our heartfelt gratitude and indebtedness to Dr S Shantha Kumari for her guidance and for being a constant pillar of support and strength to us in this academic initiative.
We are grateful to Dr Alka Kriplani for accepting to write the foreword of this book and also for sharing her expertise and pearls of wisdom.
It is with utmost pleasure that we thank Dr Narendra Malhotra and Dr Kawita Bapat, our mentors and guides for this practical manual which is the first of the ‘PK Series’ of books in Obstetrics and Gynecology. Their enthusiasm and encouragement kept us motivated to accomplish this task.
We wish to thank all the authors who responded to our requests with promptness and have contributed immensely by writing the chapters timely, and for sharing their knowledge and expertise.
We wish to appreciate the efforts of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for publishing this book so well. We also thank Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Ms Chetna Malhotra Vohra (Associate Director—Content Strategy), and Ms Pooja Bhandari (Production Head).
Our special appreciation and thanks to all our colleagues, friends and students who supported our idea of bringing out this practical manual and gave us the confidence to finish the book.
Most importantly, none of this could have happened without the support and co-operation of our family. We acknowledge the love and encouragement of all our near and dear ones which strengthened us and kept us going to finish this work of ours.