Clinical Protocols in Perinatology

This textbook is a comprehensive guide to perinatology for trainees in obstetrics, trainees in paediatrics, and neonatal nurses.

Divided into seven sections, the book covers foetal wellbeing, foetal disorders, maternal illness and effects on the foetus, obstetric conditions and effects on the foetus or newborn, congenital infections, and delivery room management. The final section discusses foetal death and still birth, and placental examination.

Each section is further divided into various chapters covering different topics relevant to that section.

Each chapter is presented in a structured manner, with objectives clearly outlined, a concluding summary, and extensive references.

Topics are covered from a multidisciplinary approach, drawing on expertise from both obstetricians and neonatologists.  

The book includes online access to video lectures, notes and self assessment.

Contents
SECTION 1: Fetal Well-being
Section Editors: Shilpa Kalane, Jyothi Unni
1. Prenatal Screening Tests ................................................................................................................................................ 1
Sanjay Gupte, Madhavi Bahulikar
2. Assesment of Fetal Well-being ..................................................................................................................................... 10
Deepti Gupta, Aparna Kulkarni, Umesh Vaidya
3. Intrapartum Fetal Monitoring ..................................................................................................................................... 16
Vishal Vishnu Tewari, Renu Thosar
4. Fetal Therapy ................................................................................................................................................................ 24
Sudarshan Suresh, S Suresh
SECTION 2: Fetal Disorders
Section Editors: Ashish Jain, Sangeeta Gupta
5. A General Approach to Antenatally Detected Birth Defects ...................................................................................... 35
Neerja Gupta, Sakshi Yadav
6. Central Nervous System Malformations...................................................................................................................... 40
Aakash Pandita, Kausik Mandal
7. Fetal Thoracic Malformations ...................................................................................................................................... 47
Anup Thakur, Nandita Dimri
8. Fetal Cardiovascular Malformations .......................................................................................................................... 54
Anup Thakur, Priyanka Karnani
9. Genitourinary System Malformation .......................................................................................................................... 62
Kumar Ankur, Seema Thakur
10. Musculoskeletal Malformations .................................................................................................................................. 69
Somalika Pal, Manisha Kumar
11. Gastrointestinal Malformations................................................................................................................................... 78
Naveen P Gupta, Chanchal Singh
12. Fetal Growth Restriction .............................................................................................................................................. 86
Pratima Anand, Sumitra Bachani
13. Hydrops Fetalis ............................................................................................................................................................ 95
Raja Ashok Koganti, Anu Sachdeva
14. Antenatal Counseling for Fetomaternal Conditions ................................................................................................ 103
Umamaheswari Balakrishnan, Chitra Andrew
SECTION 3: Maternal Medical Illness and Fetal Effects
Section Editors: Arjit Mohapatra, Princee Sahdev
15. Maternal Endocrine Disorders and Fetal Effects ...................................................................................................... 119
K Sankaranarayanan, Lakshmi Shanmugasundaram
16. Anemia in Pregnancy ................................................................................................................................................. 127
Rhishikesh Thakre
xxiv Contents
17. Thrombocytopenia in Pregnancy .............................................................................................................................. 133
Rhishikesh Thakre, Arjit Mohapatra
18. Autoimmune Disorders in Pregnancy....................................................................................................................... 137
Laxman Basani, Prasanna Latha
19. Teratogenic Exposure ................................................................................................................................................ 147
Brajagopal Ray, Pradip Goswami
20. Maternal Medications and Substance Abuse ............................................................................................................ 153
Sanjay Wazir, Parul Chopra Buttan
21. Maternal Systemic Medical Illness and Fetal Effect.................................................................................................. 156
Santosh Kumar Panda, Mohini Sinha
SECTION 4: Obstetric Conditions and Fetal/Neonatal Effects
Section Editors: Archana Bilagi, Madhushree Vijayakumar
22. Preterm Labor and Preterm Prelabor Rupture of Membranes ............................................................................... 163
Anita Nyamagoudar, Kirti M Hurakadli
23. Antenatal Steroids ...................................................................................................................................................... 170
Viraraghavan Vadakkencherry Ramaswamy, Vandana Hegde, Venkat Reddy Kallem
24. Prenatal Neuroprotective Strategies ......................................................................................................................... 177
Rema S Nagpal, Savita N Kamble
25. Antepartum Hemorrhage ........................................................................................................................................... 183
Ashwini RC, Darshan Hosapatna Basavarajappa
26. Gestosis in Pregnancy ................................................................................................................................................ 187
Pravin Singarayar, Saudamini Nesargi
27. Oligohydramnios and Polyhydramnios .................................................................................................................... 198
Prathik BH, Ashok Kumar
28. Multiple Pregnancy .................................................................................................................................................... 204
Anil Kallesh BR, Pruthvi Raj V
29. Bad Obstetric History ................................................................................................................................................. 211
Kalyan Chakravarthy Balla, Bhagya Lakshmi
30. Chorioamnionitis ....................................................................................................................................................... 218
Deepti Thandaveshwar, KB Suma
SECTION 5: Congenital Infections
Section Editors: Shilpa Kalane, Ashish Jain
31. Approach to a Neonate with Suspected Congenital Infection.................................................................................. 227
Shilpa Kalane, Ashish Jain
32. Toxoplasmosis—Perinatal Perspective ..................................................................................................................... 233
Ruchi Nimish Nanavati, Anahita Chauhan
33. Rubella—Perinatal Perspective ................................................................................................................................. 239
Girija Wagh, Sandeep Kadam
34. Cytomegalovirus—Perinatal Perspective ................................................................................................................. 244
Mayur A Thosar, Tushar B Parikh
35. Herpes Simplex Virus—Perinatal Perspective.......................................................................................................... 251
Vandana Bansal, Anish Pillai, Nandkishor Kabra
36. Syphilis—Perinatal Perspective................................................................................................................................. 256
Gopal Agrawal, Ritu Sethi

Author information

Ashish Jain
Associate Professor, Department of Neonatology, Maulana Azad Medical College, Associated Lok Nayak Hospital, New Delhi, India

Ballambattu Vishnu Bhat
Director of Medical Research, Aarupadai Veedu Medical College and Hospital, Vinayaka Mission's Research Foundation, Puducherry, India