AOGDAOGD BULLETINBULLETIN Volume 19 I November 2019 I Monthly Issue 7 I Price `30 Only Enlightening the Path for Next Generation of Gynaecologists Dedicated Issue: Contraception AAOGDOGD SSECRETARIATECRETARIAT Department of Obstetrics & Gynaecology, 3076, Teaching Block, IIIrd Floor, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029 Vol.19, No.7; November,Tel.: 2019 011-26546603, 26593221 E-mail: [email protected] 1 Website: www.aogd.org 2 AOGD Bulletin AOGD Bulletin Volume 19 • Monthly Issue 7 • November 2019 AOGD Executive Committee 2019-20 President Vice President Hon. Secretary Dr Sunesh Kumar Dr Ashok Kumar Dr Vatsla Dadhwal President Patrons Dr Sunesh Kumar Dr D Takkar Dr Kamal Buckshee Vice President Dr Neera Agarwal Dr Ashok Kumar Dr Sheila Mehra Hony. Secretary Dr S K Bhandari Contents Dr Vatsla Dadhwal Dr S N Mukherjee Dr Swaraj Batra • Oral Contraceptive Pills (OCPs) 7 Scientifi c Advisors Dr Urmil Sharma Dr Dipika Deka Dr V L Bhargava Swati Agrawal, Dr Anu Handa Dr Neerja Bhatla Dr K K Roy Advisors • Non-Oral Hormonal Contraceptive Methods 11 Dr Neena Malhotra Dr Alka Kriplani Dr Amita Suneja Jyoti Meena, Garima Patel Treasurer Dr Chitra Raghunandan Dr Rohini Sehgal Dr Pratima Mittal • Intrauterine Devices 15 Dr SB Khanna Editor J B Sharma, Rinchen Zangmo Dr Sharda Jain Dr J B Sharma Dr Shubha Sagar Trivedi • PPIUCD: An Effective Method of Postpartum Contraception 21 Web Editor Dr Sudha Salhan Dr Juhi Bharti Dr Suneeta Mittal Monika Gupta, Sunita Malik, Harshita Dr Usha Manaktala Joint Secretaries • Contraception for Adolescent 25 Dr K Aparna Sharma Ex Offi cio Shefali Gupta, Niharika Dhiman Executive Past Presidents Co-Editors Dr P Chadha (1990-94) Dr Reeta Mahey Dr Neera Agarwal (1994-97) • Emergency Contraception 35 Dr Vanamail Dr Maya Sood (1997-99) Garima Patel, Kusum Lata, Vidushi Kulshrestha Clinical Secretaries Dr D Takkar (1999-2001) Dr Vidushi Kulshreshtha Dr Sudha Salhan (2001-03) • Contraception in Elderly 38 Dr Rajesh Kumari Dr Swaraj Batra (2003-05) Ankita Priya, Ruchi Srivastava Dr N B Vaid (2005-06) Scientifi c Committee Dr S S Trivedi (2006-07) • Contraception in Medical Disorders 40 Dr Neeta Singh Dr Suneeta Mittal (2007-08) Dr Garima Kachhawa Dr I Ganguli (2008-09) Sandhya Jain, Kanika Kalra Dr Seema Singhal Dr Shashi Prateek (2009-10) Dr Jyoti Meena Dr U Manaktala (2010-11) • Post Abortion and Post Delivery Abortion 47 Finance Committee Dr Neerja Goel (2011-12) Aditi Jindal, Anupama Bahadur Dr Reva Tripathi Dr C Raghunandan (2012-13) Dr N B Vaid Dr Alka Kriplani (2013-14) • Female Sterilization: Revisited 51 Dr Manju Puri Dr U P Jha (2014-15) Dr Abha Singh Dr Pratima Mittal (2015-16) Rupali Dewan, Sarita Singh, Ankita Jain Dr Sunesh Kumar Dr Sudha Prasad (2016-17) Dr Shalini Rajaram Dr Shalini Rajaram (2017-18) • Long Active Reversible Contraceptives 55 Dr Sudha Prasad Immediate Past President Swati Shivhare, Richa Vatsa Dr Pratima Mittal (2018-2019) Dr U P Jha Dr Abha Singh • Journal Scan 57 Mr Pankaj (CA) Immediate Past Secretary Rinchen Zangmo, Juhi Bharti Executive Members (2018-2019) Dr Anita Sabharwal Dr Kiran Aggarwal • Proceedings of AOGD Monthly Clinical Meeting 59 Dr Achla Batra President Elect (2020-2021) Dr Asmita Rathore Dr Mala Srivastava • The Maze of Knowledge and Pictorial Quiz 60 Dr Bela Makhija Richa Vatsa Dr Dinesh Kansal Vice President FOGSI Dr Gauri Gandhi Dr Sudha Prasad Dr Indu Chawla Chairpersons Dr Kiran Guleria Disclaimer AOGD Sub-Committees Dr Manash Biswas The advertisements in this bulletin are not a warranty, endorsement or approval of the products Dr Manju Khemani or services. The statements and opinions contained in the articles of the AOGD Bulletin are solely Dr Manju Khemani Dr Manju Puri Dr Manju Puri Dr Amita Suneja those of the individual authors and contributors, and do not necessarily refl ect the opinions or Dr Mala Srivastava Dr Achla Batra recommendations of the publisher. The publisher disclaims responsibility of any injury to persons Dr Ranjana Sharma Dr Kiran Aggarwal or property resulting from any ideas or products referred to in the articles or advertisements. Dr Renu Mishra Dr Anita Rajorhia Dr Reva Tripathi Dr Jyotsna Suri Plagiarism Disclaimer Dr Rupali Dewan Dr Manisha Kumar Any plagiarism in the articles will be the sole responsibility of the authors, the editorial board or Dr S N Basu Dr Reema Bhatt publisher will not be responsible for this. Dr Sangeeta Gupta Dr Richa Sharma Dr Shalini Rajaram Dr Susheela Gupta Publisher/Printer/Editor Dr Suman Lata Dr Surveen Ghumman Dr J B Sharma on behalf of Association of Obstetricians & Gynecologists of Delhi. Dr Abha Sharma Dr A G Radhika Printed at Process & Spot C-112/3, Naraina Industrial Area, Phase-1, New Delhi 110 028 AOGD Secretariat Published from Department of Obstetrics and Gynecology Department of Obstetrics and Gynecology 3076, Teaching Block, IIIrd Floor All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029 All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029 Editor Tel No: 011-26546603, 26593221 Dr J B Sharma Email: [email protected] Ph. No. 011-26546603; Email: [email protected] www.aogd.org Total number of pages = 64 Vol.19, No.7; November, 2019 3 From the President’s Pen Welcome to November issue of AOGD Monthly Bulletin. This issue is devoted to Contraception. Last decade had seen lot of advancement in the fi eld of Contraception. Current issue tends to cover latest in the fi eld. Not only information useful to exam gong PGs but also to practising physician. AICOG conference is fast approaching,do send your papers. Dr Sunesh Kumar President, AOGD 4 AOGD Bulletin From the Secretary’s Desk Dear Friends, Warm wishes from AOGD Secretariat, AIIMS. Continuing on the path of enlightenment for the Next Gen Gynecologists, various academic activities were organized in the month of October. A master class on over active Bladder (OAB) was organized under the aegis of Urogynecology subcommittee, AOGD on 19th October. Under the aegis of Endoscopy committee, AOGD, a certifi cate course on Endosuturing was organised on 21st & 22nd October. A public lecture on “Breast Cancer Awareness” organized under the aegis of Oncology committee AOGD was well attended on 30th October. For the purpose of public awareness and community outreach on the burning issue of contraception, this current issue on “Contraception” will cover the basic concepts as well as recent advances on this topic. We look forward to your continued support. Warm regards, Dr Vatsla Dadhwal Hon. Secretary Monthly Clinical Meeting Monthly Clinical Meet will be held at MAMC & LN Hospital, New Delhi on Friday, 29th November, 2019 from 04:00pm to 05:00pm. Vol.19, No.7; November, 2019 5 From the Editor’s Desk Dr J B Sharma Dr Reeta Mahey Dr P Vanamail Dr Vidushi Kulshreshtha Editor Co-Editors We are pleased to write the editorial desk for this issue of AOGD Bulletin on special topic of ‘contraception’, with the satisfaction that previous issue on ‘Endoscopic surgery in Gynaecology’ ably edited by Prof. KK Roy and team, was very much appreciated by fellow AOGD colleagues as is clear from numerous appreciation phone calls, emails and letters. Population explosion is the single most important factor hindering growth and development of the world as a whole and India in particular. We have to conquer this monster of uncontrolled population explosion for the necessary development of the country as the resources are limited. Even the Honorable Prime Minister accepted this challenge at his red fort address on Independence Day. In this dedicated issue of “Contraception” we have relevant articles on all aspects of contraception. We have an interesting article on “Oral Contraception Pills” by Dr Swati Agarwal and Dr Anu Handa from LHMC which shall guide our esteemed colleagues about the importance of this most important method of contraception which is highly under-utilized in India. There is need to popularize oral pills in India and to reduce the unmet need of contraception. We also have an interesting article on “Non-Oral Hormonal Contraception” by Dr Jyoti Meena and Dr Garima Patel from AIIMS for the benefi t of our esteemed readers. Intrauterine contraceptive device remains a method of choice for many Indian women and is particularly suited for most Indian rural women as it is a onetime procedure. There is an article on this topic by myself and Dr Rinchan from AIIMS. We have another interesting article on “Postpartum IUCD” by Dr Sunita Malik, Dr Monika Gupta and Dr Harshita from VMMC & Safdarjung Hospital, New Delhi which is very relevant as Government of India is very keen to promote PPIUCD and it’s particularly suited for our women. We have a useful article on ‘Emergency Contraception’ by Dr Garima Patel, Dr Kusum Lata and Dr Vidushi Kulshrestha from AIIMS for the readers. We also have clinically useful article on other relevant topics on contraception like “Contraception in Adolescents” by Dr Niharika Dhiman and Dr Shefali Gupta from LHMC and “Contraception in Elderly Women” by Dr Ruchi Srivastava and Dr Ankita Priya from Noida. We also have interesting and useful article on “Contraception Medical Disorder” by Dr Sandhya Jain and Dr Kanika Kalra from UCMS and on “Post Abortion and Post Delivery Contraception” by Dr Anupama Bahadur and Dr Aditi Jindal from AIIMS, Rishikesh. Dr Rupali Dewan, Dr Sarita Singh and Dr Ankita Jain also enlightens us on “Female Sterilization” which is the most popular terminal method used by Indian women for contraception. We also have an interesting fl ow chart on “Long-acting Reversible Contraception (LARC)” by Dr Richa Vatsa and Dr Swati Shivhare and Journal scan by Dr Juhi Bharti and Dr Richen Zangmo from AIIMS, New Delhi.