100+ Clinical Cases in Obstetrics

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This book presents 100 clinical cases in Obstetrics. It will assist UGs in preparing for the practical and viva voce examinations. PGs will be benefited for their clinical case presentations. It will also serve them as a handy resource for reviewing, just before exams. Moreover, it will assist students preparing for postgraduate entrance examinations, where current trend is to ask more of clinically oriented questions. Practitioners of Obs & Gyne department and Physicians will also find this book valuable Key Features Deals with both complex and common clinical cases in Obstetrics. Each case has laparoscopic plates & illustrations for enhanced understanding Discusses each case in detail under history, clinical information, examination, clinical diagnosis, investigation, treatment followed by commentary of the case. Exhaustive glossary will serve to be a ready reckoner for viva voce examination. MCQs after each case for quick revision.

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Shirish N Daftary Professor Emeritus, Obstetrics & Gynaecology and Former Dean and Medical Advisor, Nowrosjee Wadia Maternity Hospital, Mumbai. Past President, Federation of Obstetrics & Gynaecology Society of India (FOGSI) Examiner in Obstetrics & Gynaecology at several Indian Universities. Table of Contents Case 1. Prepregnancy Counselling: Planning First Pregnancy Case 2. Normal Pregnancy and Delivery Case 3. Minor Ailments of Pregnancy: Counselling and Advice Case 4. Hyperemesis Gravidarum: Conservative Management Case 5. Anaemia in Pregnancy: Iron Deficiency (Medical Management) Case 6. Anaemia in Pregnancy: Megaloblastic Anaemia due to Folate Deficiency Case 7. Anaemia Complicating Pregnancy: ?-Thalassaemia Trait Case 8. Anaemia Complicating Pregnancy: Sickle Cell Trait Case 9. Pregnancy Induced Hypertension: Conservative Management (Assisted Vaginal Delivery) Case 10. Pregnancy Induced Hypertension: Intrauterine Growth Retardation (Elective Caesarean Section) Case 11. Eclampsia: Low Forceps Delivery Case 12. Preeclampsia: HELLP Syndrome (Caesarean Section) Case 13. Gestational Diabetes in Pregnancy: Spontaneous Vaginal Delivery Case 14. Hypothyroidism Complicating Pregnancy: Thyroid Replacement Therapy Case 15. Hyperthyroidism Complicating Pregnancy: Normal Vaginal Delivery Case 16. Heart Disease (Mitral Stenosis) Complicating Pregnancy: Low Forceps Delivery Case 17. Heart Disease (Mitral Stenosis) Complicating Pregnancy: Closed Mitral Commissurotomy Case 18. Heart Disease (Atrial Septal Defect) Complicating Pregnancy: Assisted Vaginal Delivery Case 19. Heart Disease (Fallot’s Tetralogy) Complicating Pregnancy Case 20. Heart Disease in Pregnancy: Peripartum Cardiomyopathy Case 21. Heart Disease in Pregnancy: Coarctation of Aorta Case 22. Bronchial Asthma in Pregnancy: Normal Delivery Case 23. Tuberculosis in Pregnancy: Normal Delivery Case 24. Blood Group Rh-Negative (Rh-Sensitization): Neonatal Exchange Transfusion Case 25. Viral Hepatitis (Jaundice) Complicating Pregnancy:Cholaemia Leading to Maternal Death Case 26. Malaria Complicating Pregnancy: Normal Vaginal Delivery Case 27. Pyelonephritis Complicating Pregnancy: Normal Delivery Case 28. Threatened Abortion: Conservative Treatment Case 29. Inevitable Abortion: Uterine Evacuation Case 30. Missed Abortion Surgical Evacuation Case 31. Bleeding in Early Pregnancy: Vesicular Mole (Molar Pregnancy) Case 32. Abdominal Pain During Pregnancy: Ovarian Cyst Complicating Pregnancy Case 33. Acute Appendicitis Complicating Pregnancy: Exploratory Laparotomy Case 34. Excessive Vaginal Discharge Complicating Pregnancy: Investigation and Management Case 35. Backache in Pregnancy: Investigation and Management Case 36. Constipation in Pregnancy: Investigation ad Management Case 37. Frequency of Micturition During Pregnancy: Management Case 38. Antepartum Haemorrhage: Placenta Previa (Expectant Management/ Caesarean Section) Case 39. Antepartum Haemorrhage: Concealed Accidental Haemorrhage (Amniotomy and Labour Induction) Case 40. Antepartum Haemorrhage: Vasa Previa (Emergency Caesarean Section) Case 41. Placenta Previa Accreta: Obstetric Hysterectomy Case 42. Concealed Accidental Haemorrhage: Disseminated Intravascular Coagulation Case 43. Antepartum Bleeding: Cervical Polyp (Excision) Case 44. Preterm Labour: Incompetent Cervix (Cerclage) Case 45. Preterm Labour: Diagnosis and Management (Prediction, Prevention and Consequences) Case 46. Preterm Labour: Tocolysis (Normal Vaginal Delivery) Case 47. Premature Rupture of Membranes: Management Strategies Case 48. Intrauterine Fetal Demise: Conservative Management Case 49. Hydramnios: Investigation and Management Case 50. Oligohydramnios: Bilateral Fetal Renal Agenesis (Investigation and Management) Case 51. Oligohydramnios: Intrauterine Growth Restriction, Amnioinfusion, Safe Delivery Case 52. High-Risk Pregnancy: Assessment of Fetal Growth and Fetal Well-Being Case 53. Occipito-Posterior Presentation: Face to Pubis Delivery Case 54. Occipito-Posterior Presentation: Deep Transverse Arrest of Head Case 55. Breech Presentation: External Cephalic Version Case 56. Frank Breech Presentation: Assisted Vaginal Delivery Case 57. Term Breech Presentation: Elective Caesarean Section Case 58. Arrested Aftercoming Head in a Breech Delivery: Drainage of Hydrocephalus Case 59. Oblique Lie (Hand Prolapse): Internal Podalic Version and Breech Extraction Case 60. Transverse Lie (Shoulder Presentation): Elective Caesarean Section at Term Case 61. Oblique Lie: Obstructed Labour, Laparotomy for Threatened Uterine Rupture Case 62. Face Presentation (Mento-Anterior Position): Spontaneous Vaginal Delivery Case 63. Brow Presentation: Caesarean Section Case 64. Compound Presentation: Caesarean Section Followed by Tubal Ligation Case 65. Cord Prolapse: Assisted Vaginal Delivery Case 66. Cord Presentation, Oblique Lie: Caesarean Section Case 67. Twin Pregnancy: Breech/Breech, Elective Caesarean Section Case 68. Twin Pregnancy: Vertex / Oblique Lie Case 69. Twin-to-Twin Transfusion (Discordant Twins) Case 70. Multifetal Pregnancy Reduction: Prophylactic OS Tightening Case 71. Antenatal Demise of One of Twins: Management Options Case 72. Post-Term Pregnancy: Induction of Labour Case 73. Postmaturity, Placental Insufficiency: Caesarean Section Case 74. Role of Partograms in Management of Labour: Identification of Dysfunctional Labour Case 75. Dysfunctional Labour: Prolonged Latent Phase Case 76. Dysfunctional Labour: Protraction Disorder Management Case 77. Dysfunctional Labour: Secondary Arrest of Labour Case 78. Dysfunctional Labour: Prolonged and Early Deceleration (Fetal Hydrocephalus – Management) Case 79. Shoulder Dystocia: Obstructed Labour (Management) Case 80. Trial of Labour: Obstructed Labour (Lower Segment Caesarean Section) Case 81. Previous Caesarean Section: Scar Dehiscence Case 82. Grand Multipara: Misuse of Oxytocin (Rupture Uterus Management) Case 83. EFHRM in Labour for Detection of Fetal Distress Case 84. Suspected Fetal Distress: CTG Monitoring of Labour Case 85. Prolonged Second Stage: Fetal Distress (Low Forceps Assisted Delivery) Case 86. Normal Delivery: Retained Placenta (Manual Removal of Placenta) Case 87. Atonic Postpartum Haemorrhage: Medical Management Case 88. Primigravida, Caesarean Section: Atonic Postpartum Haemorrhage (B-Lynch Suture) Case 89. Primigravida: Atonic Postpartum Haemorrhage (Bilateral Hypogastric Artery Ligation) Case 90. Multipara: Atonic Postpartum (Abdominal Hysterectomy) Case 91. Primigravida: Midcavity Forceps Delivery (Traumatic PPH) Case 92. Postpartum Vulval Haematoma: Surgical Evacuation Case 93. Complete Perineal Tear After Delivery: Surgical Repair Case 94. Multiparity: Puerperal Tubal Ligation Case 95. Acute Uterine Inversion: Manual Reposition of Uterus Case 96. Secondary (Delayed) Postpartum Haemorrhage Case 97. Fever in Puerperium: Management (Investigation and Treatment) Case 98. Phlegmasia Alba Dolens (White Leg of Pregnancy): Diagnosis and Management Case 99. Puerperal Mastitis: Conservative Management Case 100. Postpartum Psychosis: Management Case 101. Immediate Care of Newborn After Delivery Case 102. Postnatal Contraception: Counselling Case 103. Birth Injury: Cephalhaematoma (Management) Case 104. Neonatal Intracranial Haemorrhage: Management Case 105. Common Neonatal Nerve Palsies: Management