WARD ROUNDS IN OBSTETRICS AND NEONATOLOGY

OBSTETRICS
I. OPD Rounds 3
1. Preconceptional History and Counseling 5
2. Prepregnancy Counseling in a Cardiac Case 7
3. General History Taking 9
4. Routine Antenatal Checkup and Advice 11
5. Blood Pressure Measurement 16
6. Weight Gain in Pregnancy 17
7. Symphysis—Fundal Height Measurement 18
8. Ge stational Age Calculation (Good Dates/Bad Dates) 20
9. Routine Investigations in Pregnancy 22
10. Tetanus Toxoid in Pregnancy 26
11. Diet in Pregnancy 27
12. Advice on General Ailments in Pregnancy 30
13. HIV Counseling 32
14. Pelvic Assessment 35
15. Twin Gestation Assessment 37
16. Recurrent Pregnancy Loss Assessment 39
17. Rh Negative Pregnancy 40
18. Hypothyroidism in Pregnancy 42
II. High-risk Antenatal Ward Rounds 45
19. Iron Deficiency Anemia in Pregnancy 47
20. Thalassemia in Pregnancy 56
21. Megaloblastic Anemia 61
22. Sickle Cell Disease (SCD) 64
23. Medical Management of Tubal Ectopic Pregnancy 69
24. Abortions 74
25. Placenta Previa 78
26. Placental Invasion (Accreta, Increta, Percreta) 81
27. Previous LSCS 83
28. Twin Pregnancy (Antenatal Management) 86
29. Hypertensive Disorders in Pregnancy 91
30. Chronic Hypertension 94
31. Intrauterine Growth Restriction 96
32. Intrauterine Fetal Death 98
33. Diabetes in Pregnancy 101
34. Intrahepatic Cholestasis of Pregnancy 109
35. Antiphospholipid Antibody Syndrome (APAS) 112
36. Post-term Pregnancy 116
37. Polyhydramnios 118
38. Oligohydramnios 120
39. Cardiac Disease in Pregnancy 122
40. Macrosomia 125
III. Attending Obstetric Emergencies 127
41. Management of Incomplete Abortion 129
42. Ruptured Ectopic Pregnancy 130
43. Abruptio Placenta 132
44. Massive Repeated Hemorrhage in Placenta Previa 135
45. Impending Eclampsia 137
46. Eclampsia 139
47. Epileptic Fit in Pregnancy 144
48. Preterm Labor 146
49. Postpartum Hemorrhage 149
50. Disseminated Intravascular Coagulopathy (DIC) 153
51. HELLP Syndrome 155
52. Acute Fatty Liver of Pregnancy 157
53. Uterine Rupture in Previous LSCS 159
54. Acute Manifestation of Sickle Cell Disease 161
55. Acute Cholecystitis/Acute Appendicitis/Degenerating Myoma/Rupture of Ovarian Cyst 163
56. Cardiac Arrest in Pregnancy 165
IV. Labor Ward Rounds 167
Labor in High-risk Patients
57. Labor in Anemia Patient 169
58. Vaginal Birth after Cesarean Section 171
59. Twin Vaginal Delivery 172
60. Vaginal Breech Delivery 175
61. Labor Management in Hypertensive Disorders 178
62. Monitoring Labor in a Diabetic Mother 179
63. Management in Molar Pregnancy 181
64. Management of Cardiac Patient in Labor 183
Labor in Low-risk Patients
65. Preinduction Score or Modified Bishop Score or Prelabor Scoring 184
66. Induction of Labor 185
67. First Stage of Labor 188
68. Second Stage of Labor 189
69. Labor Analgesia and Anesthesia 191
70. Use of a Partograph 193
71. Cardiotocograph Monitoring in Labor 196
72. Fetal Blood Sampling 198
73. Meconium-stained Liquor 199
74. Third Stage of Labor 200
75. Perineal Care after Birth 201
V. Postnatal Ward Rounds 203
76. General Postnatal Care 205
77. Breastfeeding Advice 208
78. Complications after Cesarean Section 211
79. Postpartum Advice in High-risk Patients 214
VI. Ward Rounds in Antenatal and Postnatal Infections 217
80. Septic Abortion 219
81. TORCH Infection in Pregnancy 217
82. Malaria in Pregnancy 224
83. Tuberculosis in Pregnancy 226
84. Acute Pyelonephritis in Pregnancy 228
85. Acute Gastroenteritis in Pregnancy 229
86. Typhoid in Pregnancy 231
87. Chorioamnionitis in Pregnancy 233
88. HIV in Pregnancy 235
89. Hepatitis B Infection in Pregnancy 238
90. Puerperal Sepsis 241
91. Breast Infections in Puerperium 246
92. Operative Site Infections 249
VII. Blood Transfusion and Blood Components 251
93. Blood Transfusion and Blood Components 253
VIII. Fluid Management 259
94. Fluid Management 261
NEONATOLOGY
IX. Essential Newborn Care 263
95. Normal Newborn 265
96. APGAR Scoring 272
97. Bag and Mask Ventilation in Newborns 273
98. Suctioning in Newborns 276
99. Oxygen Therapy in Neonates 278
100. Preterm and Low Birth Weight Babies 282
101. Respiratory Distress Syndrome in Newborn 286
102. Transient Tachypnea of the Newborn (TTN) 293
103. Neonatal Jaundice 295
104. Phototherapy 298
105. Exchange Transfusion 300
106. Thermoregulation 303
107. Perinatal Asphyxia 306
108. Meconium Aspiration Syndrome 312
109. Hypoglycemia in Newborns 316
110. Hypocalcemia in Newborns 320
111. Intrauterine Growth Retardation 323
112. Convulsions/Seizures in Newborns 327
113. Neonatal Sepsis 331
114. Apnea of Prematurity 337
115. Fluid and Electrolyte Management in Newborns 342
116. Feeding in Low Birth Weight Babies 347
117. Intravenous Cannulation in Neonates 351
118. Blood Sugar Estimation in Newborns 354
Index 357

This book is a comprehensive guide to the management of complications in obstetrics and neonatology.
Divided into two sections, the first part of the book discusses various topics in obstetrics including high and low risk antenatal and labour cases, infections, blood transfusion, fluid management and more.
The second section examines care of the newborn and the management of potential problems including prematurity, low birth weight, perinatal asphyxia, sepsis, jaundice, seizures, hypoglycaemia, and hypocalcemia.
Each chapter is presented in an easy to follow, step by step format, with ‘key points’ boxes for quick reference.

Key points
• Comprehensive guide to management of complications in obstetrics and neonatology
• Covers numerous potential problems in the newborn
• Obstetrics section discusses high and low risk cases, infections, blood transfusion and more
• Includes ‘key points’ boxes for quick reference

Author information
• Tania Gurdip Singh MS. Fellowship in Gynaecological Endoscopy, Bodyline Trauma and Maternity Centre, New Delhi, India
• Earl Gaganjot Jaspal MBBS MD PGPN. Consultant Paediatrician and Head of Neonatology Department, Government Hospital, Ambala, Haryana, India