Case Discussions in OBSTETRICS and GYNECOLOGY
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Case Discussions in OBSTETRICS AND GYNECOLOGY Case Discussions in OBSTETRICS AND GYNECOLOGY Editors YM Mala MD DNB Professor Madhavi M Gupta MS Associate Professor Swaraj Batra MBBS MD FICOG Director-Professor and Head Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India ® JAYPEE BROTHERS MEDICAL PUBLISHERS (P) LTD New Delhi • St Louis (USA) • Panama City (Panama) • London (UK) • Ahmedabad Bengaluru • Chennai • Hyderabad • Kochi • Kolkata • Lucknow • Mumbai • Nagpur Published by Jitendar P Vij Jaypee Brothers Medical Publishers (P) Ltd Corporate Office 4838/24 Ansari Road, Daryaganj, New Delhi - 110002, India, Phone: +91-11-43574357, Fax: +91-11-43574314 Registered Office B-3 EMCA House, 23/23B Ansari Road, Daryaganj, New Delhi - 110 002, India Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021 +91-11-23245672, Rel: +91-11-32558559, Fax: +91-11-23276490, +91-11-23245683 e-mail: [email protected], Website: www.jaypeebrothers.com Offices in India • Ahmedabad, Phone: Rel: +91-79-32988717, e-mail: [email protected] • Bengaluru, Phone: Rel: +91-80-32714073, e-mail: [email protected] • Chennai, Phone: Rel: +91-44-32972089, e-mail: [email protected] • Hyderabad, Phone: Rel:+91-40-32940929, e-mail: [email protected] • Kochi, Phone: +91-484-2395740, e-mail: [email protected] • Kolkata, Phone: +91-33-22276415, e-mail: [email protected] • Lucknow, Phone: +91-522-3040554, e-mail: [email protected] • Mumbai, Phone: Rel: +91-22-32926896, e-mail: [email protected] • Nagpur, Phone: Rel: +91-712-3245220, e-mail: [email protected] Overseas Offices • North America Office, USA, Ph: 001-636-6279734, e-mail: [email protected], [email protected] • Central America Office, Panama City, Panama, Ph: 001-507-317-0160, e-mail: [email protected] Website: www.jphmedical.com • Europe Office, UK, Ph: +44 (0) 2031708910, e-mail: [email protected] Case Discussions in Obstetrics and Gynecology © 2011, Jaypee Brothers Medical Publishers All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher. This book has been published in good faith that the material provided by contributors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editors will not be held responsible for any inadvertent error (s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only. First Edition: 2011 ISBN: 978-93-5025-129-4 Typeset at JPBMP typesetting unit Printed at Dedicated to all our patients who have taught us the art of case discussion and will continue to do so Contributors Anjali Tempe Avantika Gupta Professor Resident Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology Maulana Azad Medical College and Maulana Azad Medical College and Lok Nayak Hospital Lok Nayak Hospital New Delhi, India New Delhi, India Anvika Binni Makkar Senior Resident Senior Resident Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology Maulana Azad Medical College and Maulana Azad Medical College and Lok Nayak Hospital Lok Nayak Hospital New Delhi, India New Delhi, India Arima Nigam Chanchal Gupta Assistant Professor Senior Resident Department of Cardiology Department of Obstetrics and Gynecology Maulana Azad Medical College and Maulana Azad Medical College and G B Pant Hospital Lok Nayak Hospital New Delhi, India New Delhi, India Ashok Kumar Chandan Dubey Professor Assistant Professor Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology Maulana Azad Medical College and Maulana Azad Medical College and Lok Nayak Hospital Lok Nayak Hospital New Delhi, India New Delhi, India Asmita Muthal Rathore Deepti Goswami Professor Professor Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology Maulana Azad Medical College and Maulana Azad Medical College and Lok Nayak Hospital Lok Nayak Hospital New Delhi, India New Delhi, India viii Case Discussions in Obstetrics and Gynecology Devender Kumar Maulana Azad Medical College and Assistant Professor Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Meenakshi Garg New Delhi, India Senior Resident Department of Obstetrics and Gynecology Gauri Gandhi Maulana Azad Medical College and Professor Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Minu New Delhi, India Resident Department of Obstetrics and Gynecology Jyoti J Banavaliker Maulana Azad Medical College and Resident Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Mumtaz Khan New Delhi, India Senior Specialist Department of Obstetrics and Gynecology Krishna Agarwal Maulana Azad Medical College and Associate Professor Lok Nayak Hospital, New Delhi Department of Obstetrics and Gynecology Maulana Azad Medical College and Nancy Singh Lok Nayak Hospital Resident New Delhi, India Department of Obstetrics and Gynecology Maulana Azad Medical College and Latika Sahu Lok Nayak Hospital Associate Professor New Delhi, India Department of Obstetrics and Gynecology Maulana Azad Medical College and Neha Gupta Lok Nayak Hospital Senior Resident New Delhi, India Department of Obstetrics and Gynecology Leena Wadhwa Maulana Azad Medical College and Assistant Professor Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Neha Singh Resident New Delhi, India Department of Obstetrics and Gynecology Madhavi M Gupta Maulana Azad Medical College and Associate Professor Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Contributors ix Nilanchali Singh Maulana Azad Medical College and Senior Resident Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Reva Tripathi New Delhi, India Director Professor Department of Obstetrics and Gynecology Pooja Pundhir Maulana Azad Medical College and Senior Resident Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Ronita Devi New Delhi, India Senior Resident Department of Obstetrics and Gynecology Poonam Sachdeva Maulana Azad Medical College and Junior Specialist Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Rupali Goyal New Delhi, India Senior Resident Department of Obstetrics and Gynecology Puneet K Kochhar Maulana Azad Medical College and Senior Resident Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Sangeeta Bhasin New Delhi, India Chief Medial Officer (NFSG) Department of Obstetrics and Gynecology Rachna Sharma Maulana Azad Medical College and Junior Specialist Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Sangeeta Gupta New Delhi, India Professor Department of Obstetrics and Gynecology Raksha Arora Maulana Azad Medical College and Professor Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Saritha Shamsunder New Delhi, India Junior Specialist Department of Obstetrics and Gynecology Renu Tanwar Maulana Azad Medical College and Assistant Professor Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India x Case Discussions in Obstetrics and Gynecology Saumya Sudha Prasad Trainee Professor Vardhmaan Mahaveer Medical College and Department of Obstetrics and Gynecology Safdarjung Hospital Maulana Azad Medical College and New Delhi, India Lok Nayak Hospital Savita Sigchi New Delhi, India Resident Department of Obstetrics and Gynecology Sushmita Behera Maulana Azad Medical College and Senior Resident Lok Nayak Hospital Department of Obstetrics and Gynecology New Delhi, India Maulana Azad Medical College and Lok Nayak Hospital Shakun Tyagi New Delhi, India Assistant Professor Department of Obstetrics and Gynecology Swaraj Batra Maulana Azad Medical College and Lok Nayak Hospital Director-Professor New Delhi, India Department of Obstetrics and Gynecology Maulana Azad Medical College and Shalini Khanna Lok Nayak Hospital Senior Resident New Delhi, India Department of Obstetrics and Gynecology Maulana Azad Medical College and Usha Manaktala Lok Nayak Hospital Director-Professor New Delhi, India Department of Obstetrics and Gynecology Sharda B Ghosh Maulana Azad Medical College and Assistant Professor Lok Nayak Hospital Department of Obstetrics and Gynaecology New Delhi, India Lady Hardinge Medical College New Delhi, India Vijay Zutshi Shikha Sharma Senior Specialist Chief Medical Officer Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology Maulana Azad Medical College and Maulana Azad Medical College and Lok Nayak Hospital Lok Nayak Hospital New Delhi, India New Delhi, India Sonali Gupta YM Mala Resident Professor Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology