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Controversies in Obstetrics & Gynecology
Latika Sahu, Devender Kumar, Usha Manaktala
Editore
Jaypee
Anno
2014
Pagine
162
ISBN
9789350909799
20,00 €
I prezzi indicati possono subire variazioni poiché soggetti all'oscillazione dei cambi delle valute e/o agli aggiornamenti effettuati dagli Editori.

This book is a concise guide to controversial topics in obstetrics and gynaecology.

Divided into two parts, the first section covers topics in obstetrics including pre-eclampsia, hypertension in pregnancy and recurrent miscarriage, and the second section discusses gynaecological issues such as pelvic organ prolapsed, PCOS and ovarian tumours.

Each chapter is presented with an overview of the topic, followed by in depth discussion on controversial issues regarding its management and follow up. Each debate ends with a conclusion, recommendations and extensive references.

 

Key points

  • Concise guide to controversial topics in obstetrics and gynaecology
  • Covers many topics within each specialty
  • Each chapter presented with overview, debate and recommendations
  • Includes nearly 40 tables and illustrations

Author information

Latika Sahu MD FICOG
Professor

Devender Kumar MD
Associate Professor

Usha Manaktala MD FIMSA FICOG
Director Professor

All at Department of Obstetrics and Gynaecology, Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India

 

xiii

Contents

Contents

Section 1

o

bstetri

C

s

1.

Controversies in Prenatal Screening for Aneuploidy

3

Sangeeta Gupta

Controversies

3

Risk Assessment: Twin Gestation

4

Noninvasive Prenatal Testing: Screening or Diagnosis?

5

2.

Prenatal Care: How Many Antenatal Visits are Required?

7

Reva Tripathi, Namita Jain

Objectives of a Prenatal Visit

7

Evolving Models of Prenatal Care

8

Recommendations by Various Organizations

11

3.

Management of Midtrimester Preterm Prelabor Rupture of the Membranes

14

Mumtaz Khan, Latika Sahu, Shelly Arora

Inpatient or Outpatient Management

15

Antenatal Surveillance: Maternal and Fetal

15

Role of Amniocentesis

16

Role of Prophylactic Antibiotic: Regimen and Duration

16

Role of Tocolysis

17

Role of Corticosteroids

17

Role of Amnioinfusion for Prevention of Pulmonary Hypoplasia

19

Role of Fibrin Glue

20

Timing of Delivery

20

Mode of Delivery

21

4.

Recurrent Miscarriage: The Role of Supplementation of Progesterone

24

Renu Tanwar, Neha Varun

Unexplained Recurrent Miscarriage

25

Role of Progesterone in Recurrent Miscarriage

25

Current Trials

28

xiv

Controversies in Obstetrics and Gynecology

5.

Monochorionic Twins: Is Elective Preterm Delivery Mandatory?

30

Latika Sahu, Krishna Agarwal, Rachna Sharma

Specific Complications of Monochorionic Twin Pregnancies

30

Optimal Timing and Mode of Delivery: Controversies

32

6.

Pre-eclampsia: Is there a Role of Prophylaxis?

38

Asmita Muthal Rathore, Rhythm Ahuja

Etiopathogenesis

38

Prophylaxis in Pre-eclampsia

38

Controversies in Prophylaxis for Pre-eclampsia

41

7.

Management of Gestational Diabetes Mellitus:

Insulin or OHA or Insulin with OHA

48

Ashok Kumar, Gunjan Bhatnagar, Madhur Kumar

Management—Controversies

48

Insulin Therapy

49

Drawbacks of Insulin Therapy: Need of Oral Hypoglycemic Agents

49

Other Oral Hypoglycemic Agents

54

8.

Mild Hypertension in Pregnancy: Management Options

57

Madhavi M Gupta

Preterm Birth

59

Neonatal Outcome

60

Economics

60

9.

Intrauterine Death of Fetus: Expectant Management versus

Immediate Induction of Labor

62

Deepti Goswami, Latika Sahu

Diagnosing IUFD and Disclosure to Parents

62

Identifying the Cause of IUFD: Maternal Assessment

62

Controversies

65

Looking for the Cause of IUD after Expulsion of the Fetus: Fetal and Placental Assessment

68

Postdelivery Care and Follow-up

69

Counseling for Subsequent Pregnancy

70

10.

Management of Adnexal Masses in Pregnancy

72

Chandan Dubey

Differential Diagnosis of Adnexal Masses

72

Controversies in Management

73

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