High Risk Pregnancy and Delivery
High Risk Pregnancy and Delivery
Second Edition
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High Risk Pregnancy and Delivery
First Edition: 2011
Second Edition: 2021
9789390020812
Printed at
- Achanta Vivekanand
- Professor and Head
- Department of Obstetrics and Gynecology
- Prathima Institute of Medical Sciences
- Karimnagar, Telangana, India
- Ambarisha Bhandiwad
- Ex-Professor and Head
- Department of Obstetrics and Gynecology
- JSS Medical College
- Mysuru, Karnataka, India
- Amol Agarwal
- Senior Consultant and
- Interventional Cardiologist
- Sterling Hospitals, Ahmedabad
- Director
- Aditya Heart Clinic
- Ahmedabad, Gujarat, India
- Amrita Chaurasia
- Professor and Head
- Department of Obstetrics and Gynecology
- Moti Lal Nehru Medical College
- Allahabad, Uttar Pradesh, India
- Anjali Deshpande
- Department of Pathology
- Dr DY Patil Medical College
- Pune, Maharashtra, India
- Ashok Kumar Behera
- Ex-Professor and Head
- Department of Obstetrics and Gynecology
- MKCG Medical College
- Berhampur, Odisha, India
- Ashok Kumar
- Director-Professor
- Department of Obstetrics and Gynecology
- Dr Ram Manohar Lohia Hospital
- New Delhi, India
- BS Jodha
- Professor
- Department of Obstetrics and Gynecology
- Sampurnanand (SN) Medical College
- Jodhpur, Rajasthan, India
- Chandrakant Madkar
- Professor
- Department of Obstetrics and Gynecology
- Dr DY Patil Medical College
- Pune, Maharashtra, India
- Deepa Lokwani Masand
- Professor and Head
- Department of Obstetrics and Gynecology
- National Institute of Medical Sciences and Research (NIMS)
- Jaipur, Rajasthan, India
- Hara P Pattanaik
- Joint Director
- Health Services, Odisha
- Consultant Gynecologist and Laparoscopic Surgeon
- Cuttack, Odisha, India
- Haresh U Doshi
- Professor and Head
- Department of Obstetrics and Gynecology
- GCS Medical College
- Ahmedabad, Gujarat, India
- Hemant Deshpande
- Professor and Head
- Department of Obstetrics and Gynecology
- Dr DY Patil Medical College and Hospital
- Dr DY Patil Vidyapeeth (Deemed to be University)
- Pune, Maharashtra, India
- Hemant Talnikar
- Professor
- Department of Dermatology
- Dr DY Patil Medical College
- Pune, Maharashtra, India
- Hiralal Konar
- Professor and Head
- Department of Obstetrics and Gynecology
- Government Medical College and GB Pant Hospital
- Agartala, Tripura, India
- Janki Pandya
- Assistant Professor
- Department of Obstetrics and Gynecology
- AMC MET Medical College and Sheth LG Hospital
- Ahmedabad, Gujarat, India
- Jayanti Reddy
- Professor and Head
- Department of Obstetrics and Gynecology
- SVS Medical College
- Mahabubnagar, Telangana, India
- JB Sharma
- Professor
- Department of Obstetrics and Gynecology
- All India Institute of Medical Sciences
- New Delhi, India
- Kishor Rajurkar
- Head, Department of Obstetrics and Gynecology
- Sanjay Gandhi Memorial Hospital
- New Delhi, India
- Madhukar Shinde
- Associate Professor
- Department of Obstetrics and Gynecology
- Dr DY Patil Medical College
- Pune, Maharashtra, India
- Manjula S Patil
- Consulting Obstetrician and Gynecologist
- Bengaluru, Karnataka, India
- Minnu M Panditrao
- Professor and Head
- Department of Anesthesiology
- Adesh Medical College
- Bathinda, Punjab, India
- Mridul M Panditrao
- Professor and Head
- Department of Anesthesiology and Critical Care
- Aadesh Medical College, Bathinda, Punjab, India
- Munjal Pandya
- Assistant Professor
- Department of Obstetrics and Gynecology
- AMC MET Medical College
- Sheth Lallubhai Gordhandas Municipal General Hospital
- Ahmedabad, Gujarat, India
- Niharika Dhiman
- Associate Professor
- Department of Obstetrics and Gynecology
- Maulana Azad Medical College
- New Delhi, India
- Nilesh Balkawde
- Consultant, Obstetrician and Gynecologist
- and Laparoscopic Surgeon
- Oasis IVF, Pune, Maharashtra, India
- Nitin S Kshirsagar
- Professor
- Department of Obstetrics and Gynecology
- Krishna Institute of Medical Sciences
- Karad, Maharashtra, India
- N Palaniappan
- Professor
- Department of Obstetrics and Gynecology
- Sri Ramchandra Medical College
- Tamil Nadu, Chennai, India
- Pankaj Desai
- Dean (Students) and Associate Professor (VRS)
- Department of Obstetrics and Gynecology
- Medical College and SSG Hospital
- Baroda, Gujarat, India
- Prakash Mehta
- Consulting High Risk Pregnancy Specialist
- Bhagwan Mahaveer Jain Hospital
- Bengaluru, Karnataka, India
- Pralhad Kushtagi
- Professor
- Department of Obstetrics and Gynecology
- Kasturba Medical College
- Mangaluru, Karnataka, India
- Priya Ballal
- Professor and Head
- Department of Obstetrics and Gynecology
- Kasturba Medical College
- Mangaluru, Karnataka, India
- Priyanka A Dahiya
- Assistant Professor
- Department of Obstetrics and Gynecology
- Kalpana Chawla Government Medical College
- Karnal, Haryana, India
- Rajendra P Shitole
- Assistant Professor
- Department of Obstetrics and Gynecology
- Dr DY Patil Medical College
- Pune, Maharashtra, India
- Raju V Giraddi
- Consultant
- Department of Obstetrician and Gynecologist
- Raichur, Karnataka, India
- Ritu Sharma
- Associate Professor
- Department of Obstetrics and Gynecology
- Government Institute of Medical Science
- Greater Noida, Uttar Pradesh, India
- RP Rawat
- Professor and Head
- Department of Obstetrics and Gynecology
- Government Medical College
- Kota, Rajasthan, India
- Sanjana Kumar
- Department of Obstetrics and Gynecology
- Karnataka Institute of Medical Sciences
- Hubli, Karnataka, India
- S Habeebullah
- Professor
- Department of Obstetrics and Gynecology
- MGM Medical College, Puducherry, India
- Shailaja Mane
- Professor (Pediatrics)
- Dr DY Patil Medical College
- Pune, Maharashtra, India
- Shashwat Jani
- Assistant Professor
- Department of Obstetrics and Gynecology
- Smt NHL Municipal Medical College
- Ahmedabad, Gujarat, India
- Shikha Seth
- Professor and Head
- Department of Obstetrics and Gynecology
- Government Institute of Medical Sciences (GIMS)
- Greater Noida, Uttar Pradesh, India
- Shilpa Chaudhari
- Professor
- Department of Obstetrics and Gynecology
- Smt. Kashibai Navale Medical College
- Pune, Maharashtra, India
- Shipra Kunwar
- Professor and Head
- Department of Obstetrics and Gynecology
- ERA Medical College
- Agra, Uttar Pradesh, India
- Shubharanjan Smantarai
- Associate Professor
- Department of Obstetrics and Gynecology
- Prathima Institute of Medical Sciences
- Karimnagar, Telangana, India
- S Manikyarao
- Professor and Head
- Department of Obstetrics and Gynecology
- Kurnool Medical College
- Kurnool, Andhra Pradesh, India
- Sonali Deshpande
- Professor
- Department of Obstetrics and Gynecology
- Government Medical College
- Aurangabad, Maharashtra, India
- Srinivas Krishna Jois
- Associate Professor
- Department of Obstetrics and Gynecology
- Bangalore Medical College and Research Institute
- Bengaluru, Karnataka, India
- Sujatha Patnaik
- Associate Professor
- Department of Obstetrics and Gynecology
- Andhra Medical College
- Visakhapatnam, Andhra Pradesh, India
- Suman Mittal
- Professor
- Department of Obstetrics and Gynecology
- Sawai Man Singh (SMS) Medical College
- Jaipur, Rajasthan, India
- Sumitra Yadav
- Professor
- Department of Obstetrics and Gynecology
- Mahatma Gandhi Memorial (MGM) Medical College and MY Group of Hospitals
- Indore, Madhya Pradesh, India
- Suyajna Joshi D
- Head
- Department of Obstetrics and Gynecology
- District Civil Hospital
- Bellary, Karnataka, India
- Vandana Kanumury
- Professor and Head
- Department of Obstetrics and Gynecology
- ASRAM Medical College
- Eluru, Andhra Pradesh, India
- Veena Ranjan
- Professor
- Department of Obstetrics and Gynecology
- Kasturba Medical College
- Manipal, Karnataka, India
- Virendra Kumar CM
- Professor
- Department of Obstetrics and Gynecology
- Vijayanagar Institute of Medical Sciences
- Bellary, Karnataka, India
- Vidya Gaikwad
- Professor
- Department of Obstetrics and Gynecology
- Dr DY Patil Medical College
- Pune, Maharashtra, India
- Vidya Thobbi
- Professor and Head
- Department of Obstetrics and Gynecology
- Al-Ameen Medical College
- Bijapur, Karnataka, India
- Yukti Wadhawan
- Consultant Gynecologist
- LaOrigin IVF
- New Delhi, India
  | Medicine, Biomedical Sciences, Health and Social Care Science Cranmer Terrace London SW17 0RE e-mail; sarulkum@sgul.ac.uk Direct +44 7710470270 Sir Sabaratnam Arulkumaran PhD DSc FRCS FRCOG Professor Emeritus of Obstetrics & Gynaecology Room 1.126, First Floor Jenner Wing |
I am delighted to provide the foreword for this excellent textbook on High Risk Pregnancy and Delivery edited by Professor Hemant Deshpande. He does not need an introduction to the maternity care audience. I had the privilege of lecturing alongside him in conferences and listened to his clear dispensation of the subject with organized thought process. This ability is reflected in the editorial process in producing this textbook. This book with 52 chapters provides a comprehensive cover of all the topics in ‘High Risk Pregnancy’ that one should know. The book starts with problems of various types of anemia followed by endocrine, medical, obstetric and infective disorders encountered in managing any pregnancy. The final chapters deal with difficult and complex problems of managing a pregnancy after solid organ transplant and oncofertility and pregnancy after malignancy. There are special chapters on Intensive Care and Human Milk Banking. With such an extensive coverage the readers can get the knowledge needed in ‘High Risk Pregnancy’ from this one dedicated textbook alone.
I must congratulate the well-renowned authors who have tackled each of the subjects well. The designation of authors indicate that almost all of them are senior Professors and Heads of departments. Accordingly the chapter not only reflect the evidence-based practice but also provides suggestions based on their wisdom of experience. The chapters are well-written and comprehensively illustrated with figures, photographs and imaging pictures. There are tables and algorithms and important points given in concise bullet format. This makes it easy for the readers to understand and remember the subject. The chapters have the recent references that provides the readers with the up-to-date knowledge.
This textbook should be in the hands of every health professional who practices obstetrics/maternity care. It is a valuable asset to postgraduates and clinicians at consultant level. Special credit must be given to Professor Hemant Deshpande who has undertaken the great effort in bringing this book for the health care personal to serve our patients better.
Yours sincerely
Sir Sabaratnam Arulkumaran
Past President of the RCOG (07-10), FIGO (12-15) and BMA (14-15)
Preface to the Second Edition
“Knowledge is an addiction, the more you get, the more you want”
It gives us immense pleasure to bring to you the second edition of High Risk Pregnancy and Delivery after great success of the first edition. Medical knowledge is constantly changing and in this constantly evolving field, need for upgradation of existent knowledge exists. Since the publication of first edition in year 2011, there have been constant changes in treatment, procedures and protocols in management of high risk obstetrics cases all over the world. Here we have tried to incorporate the basic facts along with latest developments in the field.
This book examines full range of high risk pregnancy problems and offers latest management options to prepare the students and clinicians for day-to-day challenges and saves your time in addressing them. Nationally proclaimed authors have employed evidence-based management approach throughout and explore series of options to equip you to select the most appropriate option for each patient. The topics are organized in a fashion that illuminates the principle of thinking and application correlation, which is the tool with which we approach clinical case scenarios.
“Every addition to true knowledge is an addition to human power”
—Horace Mann
We are deeply honored and thankful to all the contributors who took out time from their busy schedule and contributed their valuable part in this book.
It is a sincere hope that readers will find this second edition both informative and supportive.
Hemant Deshpande
Priyanka A Dahiya
Preface to the First Edition
You see things; and you say ‘Why?’
But I dream things that never were; and I say ‘Why not?’
—George Bernard Shaw
Medical knowledge is constantly changing. In this constant changing world, it gives me an immense pleasure to introduce the first edition of my book High Risk Pregnancy and Delivery. Editing and publishing the first edition of the book has been, to me, just like bringing a new life into this world. Though there have been constant changes in the treatment, procedures and other protocols in managing the patients with high risk all over the world and in this book I have tried to incorporate all the basic facts along with the recent knowledge.
This book is aimed for not only undergraduates and postgraduates but also for the practicing clinicians who also encounter these complications in their day-to-day practice.
The contributors of this book are highly acclaimed obstetricians from renowned medical institutions, who have acclaimed their fort in this field.
Over the course of 24 chapters, most of the clinically important aspects of pregnancy-associated risks are covered, ranging through the overall antenatal till the puerperal and further management of the same. It is clear that the book has been written by all experienced obstetricians, as the topics are organized in a fashion that illuminates the principle of thinking and application correlation, which is the tool with which obstetricians approach clinical problems.
I am deeply honored and thankful to all my colleagues who have taken out time from their busy schedules and contributed their part in this book and to my family for their utmost support and patience.
I have been very careful and have tried to make this book very informative, but all suggestions will be welcomed.
Hemant Deshpande
Acknowledgments
We are especially thankful to Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr MS Mani (Group President), Ms Chetna Malhotra Vohra (Associate Director—Content Strategy), Ms Pooja Bhandari (Production Head), Dr Rajul Jain (Development Editor) and the publishing staff at Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for their work in completing this book successfully.