Emergencies in Obstetrics and Gynecology

Obstetrics and gynecology as a speciality is unique in the sense that childbirth itself is most often anunpredictable event both in onset and progress. This book has been framed as a modest attempt toaddress the common and a few uncommon clinical emergencies which arise in the practice of ourspeciality.This practical portable and affordable book will serve as your rapid reference in the office oremergency room. It attempts to put into print the teaching and practice of an obstetrics andgynecological emergency department. Each chapter focuses on diagnosis and management andincludes flow charts.For postgraduate students the topics require to be presented in a manner that would interestthem and also enable them to understand the rationale for treatment adopted. For the practitionerthere is a clear-cut presentation of diagnosis and treatment so that on being confronted by an emergencyhe is equipped to select a suitable line of treatment. With experience a specialist does not needdetailed guidance only a refreshing of those parts of knowledge which often the busy schedule ofclinical practice does not allow; the beginner however can benefit from a guiding hand.Chapters are organized and written with the main purpose of guiding the clinician quickly andaccurately from presenting signs and symptoms to differential diagnosis organized into three mainsections (general obstetrics and gynec). We have tried to keep a practical and comprehensiveapproach to each topic. To keep the book concise some topics such as cesarean section abortionsinstrumental delivery etc have not been included as much has already been written in many othertextbooks.An effort has been made to include specialists from allied fields of medicine such as anesthesiageneral medicine and orthopedics to provide their opinion and approach to an obstetric patient in theirspeciality. Some aspects are covered in detail like anesthesia USG and medico legal part especiallyrelated to emergency which is not often available elsewhere.Each resulting chapter reflects a wide range of acceptable treatment modalities for each emergencysituation and there may be honest differences of opinion in treatment from the readers which arewelcome.To our seniors colleagues and friends who have contributed chapters time and effort we aremost grateful. We also appreciate the patience forbearance and cooperation of the publisherMr. Pawaninder P. Vij Director Peepee Publishers and Distributors (P) Ltd. New Delhi withoutwhose help this book perhaps would never have been written. We sincerely hope that this book willprovide help for early diagnosis and treatment of emergency situations and will help the readers tomanage appropriately an even greater variety of emergencies than they have earlier managed.