Essentials of Obstetrics Sabaratnam Arulkumaran, V Sivanesaratnam, Alokendu Chatterjee, Pratap Kumar
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fm1Essentials of OBSTETRICSfm2
Essentials of OBSTETRICS
Third Edition
Editors Sabaratnam Arulkumaran DCH FRCS FRCOG FAMS MD PhD Hon: FACOG FSLCOG FSOGC Emeritus Professor Department of Obstetrics and Gynecology St George's Hospital Medical School London, United Kingdom V Sivanesaratnam MBBS (S'pore) FRCOG FICS FACS FAMM FAOFOG Emeritus Professor, Consultant Gynaecologist/Gynaecologic Oncologist University of Malaya Specialist Centre, Lorong University Kuala Lumpur, Malaysia Formerly, Professor (Chair), Head and Senior Consultant Department of Obstetrics and Gynecology University of Malaya Kuala Lumpur, Malaysia Alokendu Chatterjee FRCOG FICS Formerly, Professor and Head Department of Obstetrics and Gynecology NRS Medical College and Hospital Calcutta Salt Lake City Kolkata, West Bengal, India Pratap Kumar MD DNB Professor Department of Obstetrics and Gynecology Kasturba Medical College Manipal, Karnataka, India Foreword Shirish S Sheth
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Essentials of Obstetrics
First Edition: 2005
Second Edition: 2011
Third Edition: 2017
9789386056665
Printed at
fm4Contributors fm9Foreword
It is a great honor for me to write the ‘Foreword’ for a text presented by renowned obstetricians, led by the global leader on the subject.
Obstetrics and particularly, the art of practicing it, has made spectacular advances in recent times. This book will give a completely updated revision on the subject even though its progress is chronicled through other textbooks. The book will supersaturate undergraduates, who will not have to turn to any other book for a query or reference, and also supply postgraduates with the basic knowledge and fundamentals on the subject.
It is absorbing to find the masterly treatise on the Fundamentals of Reproduction by Dr BN Chakravarty, and respect given to chapters such as Physiology, Endocrinology, History Taking and Clinical Examination, Trial Labor and Tropical Diseases in Pregnancy, etc. The chapter on ‘Principles of Drugs Used in Pregnancy’ highlights to spare from undesirable litigational consequences.
The contents are enriched by pioneers from different geographical areas with in-depth knowledge and vast experience of unexpected, unforgivable and at times iatrogenic obstetric happenings in the developing world. Digesting and implementing these subjects will reduce the maternal morbidity and much more and make the newborn prosper, which will gratify their obstetricians.
The book also teaches the ‘when’ and ‘why’ to all those who know ‘how’. The book needs to be read like the Bible and reading in-between the lines will prevent catastrophes and/or provide signal as when and how to utilize the advances, when needed.
The book is a great gift to obstetric and gynecological learners, who are ambitious and want to rise high. The book will encourage undergraduates to take obstetrics and gynecology as their postgraduate branch after graduation.
Shirish S Sheth MD FRCOG
Consultant Obstetrician and Gynecologist
Breach Candy Hospital and Research Centre
Mumbai, Maharashtra, India
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fm11Preface to the Third Edition
We are pleased to present the third edition of this popular book on Essentials in Obstetrics which has expanded to 48 chapters. The book has contributors who are internationally renowned for their expertise in the area in which they have contributed the chapter. Two of the editors are Senior Professors from India and the other two are from Malaysia and the United Kingdom. Accordingly, the authors are mainly from India, Malaysia and the United Kingdom. Despite being multiauthored, we have tried to keep a consistency in the approach of tackling the subject and have insisted that the text is evidence based. The life of the book may be up to 4–6 years and in the meantime recent evidence may require us to change our practice and hence readers are encouraged to look at other source of information such as National Guidelines (e.g. in the UK – the Green Top Guidelines produced by the Royal College of Obstetricians and Gynaecologists – www.rcog.org.uk and that produced by National Institute of Clinical Excellence – www.nice.org.uk).
Each chapter has headings and subheadings which are provided at the beginning of the chapter for easy navigation. Adequate number of tables and good illustrations are provided in each of the chapters and should make it easy for the reader to understand the subject. It is difficult to provide far too many figures and illustrations due to the limitation of pages in a hard copy book. We encourage those readers who want to learn more on any particular topic to utilize a free web resources including one endorsed by the FIGO – the ‘Global Library of Women's Medicine’ – www.glowm.com which not only provides a comprehensive postgraduate textbook but also color atlases, videos and masterclasses. The students have limited time to study for the examinations and this textbook is produced to cover the core (all emergencies and the conditions met almost in daily practice), peripheral (conditions seen infrequently but knowledge is needed and there is time to read up before executing treatment) and advanced knowledge (the latest advances) in obstetrics. Reading this book alone should be more than adequate to do well in undergraduate examinations and should give the basis for postgraduate studies.
Being multicountry authored book, there may be subtle differences in management of certain conditions. These need to be learnt in the clinical settings with your own teachers who will be the best guides for provision of good knowledge. The publishers, editors and authors are keen to hear from you if there are any mistakes or differences in opinion so that we can rectify these in the next reprint. To enable this, we have provided the addresses of the authors and editors. Your feedback will help us to improve on the quality of the book.
Sabaratnam Arulkumaran
V Sivanesaratnam
Alokendu Chatterjee
Pratap Kumar
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fm13Preface to the First Edition
The knowledge in obstetrics is expanding and one finds it difficult to keep pace with recent research. Research findings of today form the basis of practice in years to come. The core knowledge keeps changing and forms the basis of understanding of the disease process and management and is covered in this book. One may think of obstetrics as childbirth and its complications, but the expansion of knowledge in this area is exemplified by 46 chapters under 2 subsections. The book starts with issues related to conception, implantation and growth of the fetus and placenta. From this point, it expands to the knowledge needed for prenatal care followed by normal pregnancy and childbirth. The various obstetric and medical complications in the antenatal period are covered followed by normal and abnormal labor including operative deliveries. It ends with normal and complicated puerperium.
This book is multiauthored and hence the tendency for some overlap and repetition of knowledge. The editors have taken great effort in avoiding such duplications, but where it is felt that it may enhance continuity of reading an individual chapter, little change has been made. The editors have been selected based on their individual expertise, which has been useful to provide the best knowledge. This has led to the standards set high for many chapters. The knowledge provided straddles between what is needed for an undergraduate and a postgraduate. The editors had the difficult task of trimming down many chapters to make this book a reference source for undergraduates. In addition, it will form a basic reading book for postgraduates. The editors are from a variety of backgrounds and countries. This has led to some differences in the style and reporting of incidence of disease, but it does not alter the subject material.
We believe that this will be a good reference source for undergraduates and would welcome any comments or criticism that will help us to make this book better in the next edition. Your suggestions can be sent to any one of the editors or the publishers.
Sabaratnam Arulkumaran
V Sivanesaratnam
Alokendu Chatterjee
Pratap Kumar
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fm15Acknowledgments
We strongly believe that no task whatsoever in this world can be achieved without God's permission and divine intervention. So, our first words of thanks go to the Almighty for helping us in the initiation and completion of this challenging task.
We would like to thank all our patients without whose support and endurance this task would not have been possible. We acknowledge the patience, support, guidance and blessings of our families for their consistent help and inspiration.
Last but not least, we would like to thank the entire staff of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, especially Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President) and Mr Tarun Duneja (Director–Publishing), for their assistance and support. We are simply overwhelmed with gratitude for their commendable enthusiasm and encouragement in support of this book.
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