Textbook on High-Risk Pregnancy for Postgraduates
Textbook on High-Risk Pregnancy for Postgraduates
Professor Firoza Begum
MBBS FCPS FICS
Founder Chairman and Former Professor Feto-Maternal Medicine Department Bangabandhu Sheikh Mujib Medical University Dhaka, Bangladesh
Foreword
TA Chowdhury
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Textbook on High-Risk Pregnancy for Postgraduates
First Edition: 2023
9789354658587
Printed at
My beloved parents, my children, my husband, and
to the memory of my teachers who have encouraged me
and inspired my pursuit of knowledge.
Professor Firoza Begum is an academician and reputed Obstetrician and Gynecologist in Bangladesh. I am happy that she has written a Textbook on High-Risk Pregnancy for Postgraduates. I have gone through few chapters of the book.
This book is a fully revised and updated version following all the available literature, guidelines and recent advances on high-risk pregnancies. The aim of this textbook is to provide an up-to-date overview of the care of high-risk pregnancies. It focuses on an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient.
Although this book has been written especially for the postgraduates, it should also prove to be useful to the practicing obstetricians involved in the care of women with high-risk pregnancies. This book is written in a clear and concise language and in author's own style, which holds the reader's interest. The readers will enjoy being stimulated by the fascination and intellectual stimulation that comes from the study of feto-maternal medicine.
I hope, this book will be an essential reference for obstetricians, medical students and physicians who are seeking the most up-to-date information and guidance on high-risk pregnancies. This book will create more qualified consultant in feto-maternal medicine who shows skills in application of medical knowledge, clinical skills and professional values in the provision of high-quality and patient-centered care.
TA Chowdhury
MBBS FCPS FRCS FRCP FRCOG
Professor
Department of Obstetrics and Gynecology
BIRDEM, General Hospital, Dhaka
President, GOSB, Infertility Society
Past President, OGSB, SAFOG, BCPS
Former Professor, Department of Obstetrics and Gynecology
Institute of Postgraduate Medical Research (IPGMR)
Dhaka, Bangladesh
Preface
During my journey as an academic, I started teaching feto-maternal medicine to postgraduate students and discovered the challenges faced by students in mastering this topic. The length and complexity of existing textbooks have created real and unnecessary impediments to student learning. At the insistence of my beloved students, I agreed to write a compact, comprehensive, and practical Textbook on High-Risk Pregnancy for Postgraduates. This book is the result of combining decades of experience in feto-maternal medicine with extensive research of available literature in the field.
I have attempted to provide comprehensive and updated information in a concise and easy-to-read format to facilitate the learning process. Extensive illustrations and flowcharts have been used to add clarity to the topics and to emphasize the practical nature of the textbook. My extensive experience in high-risk pregnancies helped me identify and synthesize the underlying principles of feto-maternal medicine which are most relevant to students. Although the book has been written especially for postgraduates, it can also serve as a handbook for the undergraduate students focusing on obstetrics. In addition to serving as a textbook, the book is also intended to provide obstetricians with a guide to the most up-to-dated information and evidence-based treatment options for high-risk pregnancies.
A total of 22 chapters are included in this book. The chapters cover the pathophysiology of the disorders of pregnancies, formulation of diagnosis and systematic investigation, and appropriate management of high-risk pregnancies. This book is based on available literature and guidelines up to 2021 on high-risk pregnancies. It is organized in a logical manner so that students can first learn the basics of high-risk pregnancies and then build on their understanding to appreciate the complexities of the topic.
The development of feto-maternal medicine and high-risk pregnancy care is a triumph of modern medicine. Advancements in medical technology and greater understanding of this complex topic have facilitated the management of high-risk pregnancies and reduced maternal mortality rates. I hope this book will provide a wealth of knowledge to both students and practitioners in this field and inspire young doctors to focus on the specialty and contribute to greater advancements in the future.
It is my expectation and hope that high-risk pregnancies in Bangladesh can be both reframed and reformed to achieve the improved outcomes that we know are possible at lower economic cost, leading to substantial benefits for families and communities, as well as for our nation.
I am grateful to all teachers who have taught me, my beloved students, and most of all the patients.
I would like to thank M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, with the editorial team for their support in the publication of this textbook.
Professor Firoza Begum
Acknowledgments
I would like to thank all individuals and institutions who contributed to this book's creation and turned my dream of publishing this book into reality.
Firstly, I would like to express my deepest appreciation and gratitude to my respected teachers for their guidance and encouragement to write this book. I thank my mentors, Professors TA Chowdhury, Shahla Khatun and Anwara Begum, for being a source of inspiration.
I owe an enormous debt of gratitude to Professor Tabassum Parveen who was with me from the very beginning of the idea of writing a book for the postgraduate students, who gave me detailed and constructive comments on different chapters, and contributed to writing one chapter for the book. I would also like to express my very profound appreciation to Drs Syeda Sayeeda, Khandaker Shehneela Tasmin, Shanzida Mahmud, Mahfuza Asma, Most Arifa Sharmin, Masuda Sultana, Rajosree Debnath, Tajmira Sultana, Raunak Jahan, Marzia Khanam and Hasina Begum—all of whom contributed to different chapters of the book as well.
I extend my heartfelt thanks to my colleagues Dr Fatima Wahid and Professor Sahana Afroz for the pictorial support; Mr Mijanur Rahman and Professor AN Nashimuddin Ahmed for their valuable and constructive suggestions during the development of this book; and Dr Shamima Nasreen Barsa for giving me mental support while I was editing this book.
I thank my beloved postgraduate students from different medical colleges/institutions for their inspiration in writing a book.
Finally, I would like to acknowledge my family for their love and support along this journey. I would like to thank my parents, whose love and guidance are with me in whatever I pursue. I wish to thank my husband and my two daughters for their unwavering faith in me.