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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5841_Библиотеки_им_академика_М_И_Перельмана
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Step by Step
Ultrasound
in Obstetrics
Forthcoming Publications in the
Step by Step in Ultrasound Series
GYNECOLOGY
INFERTILITY
COLOR DOPPLER
3D AND 4D ULTRASOUND
INTERVENTIONAL ULTRASOUND
Step by Step Ultrasound in Obstetrics
Step by Step
Ultrasound
in Obstetrics
Kuldeep Singh
MBBS FAUI FICMCH
Consultant Ultrasonologist
Special Interest in Obstetric Sonology
in Detailed Anomaly Scanning and
Color Doppler for Management and Gynecological Scanning
Dr Kuldeep’s Ultrasound and Color Doppler Clinic
266, Prakash Mohalla, East of Kailash
New Delhi 110065 (India)
Phones: 011-26441720, 26233342
Mobile: 98111 96613
singhdrkuldeep@rediffmail.com
Narendra Malhotra
MD FICOG FICMCH Ian Donald Diploma
Practising Obstetrician Gynecologist
Special Interest in High-Risk Obstetrics, Ultrasound,
Laparoscopy and Infertility, ART and Genetics
Malhotra Nursing and Maternity Home Pvt Ltd (India)
84, MG Road, Agra 282010
Phones: 0562-2260275/2260276/2260277
Mobile: 98370 33335
mnmhagra@sancharnet.in
www.mnmhagra.com
JAYPEE BROTHERS
MEDICAL PUBLISHERS (P) LTD
New Delhi
Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
Phones: 23272143, 23272703, 23282021, 23245672, 23245683
Fax: 011-23276490 e-mail: jpmedpub@del2.vsnl.net.in
Visit our website: http://www.jpbros.20m.com
Branches
• 202 Batavia Chambers, 8 Kumara Kruppa Road
Kumara Park East, Bangalore 560 001, Phones: 2285971, 2382956
Tele Fax : 2281761 e-mail: jaypeebc@bgl.vsnl.net.in
• 282 IIIrd Floor, Khaleel Shirazi Estate, Fountain Plaza
Pantheon Road, Chennai 600 008, Phone: 8262665 Fax: 8262331
e-mail: jpmedpub@md3.vsnl.net.in
• 4-2-1067/1-3, 1st Floor, Balaji Building
Ramkote Cross Road, Hyderabad 500 095
Phones: 6590020, 4758498 Fax: 4758499
e-mail: jpmedpub@rediffmail.com
• 1A Indian Mirror Street, Wellington Square
Kolkata 700 013, Phone: 2451926 Fax: 2456075
e-mail: jpbcal@cal.vsnl.net.in
• 106 Amit Industrial Estate, 61 Dr SS Rao Road
Near MGM Hospital, Parel, Mumbai 400 012
Phones: 24124863, 24104532 Fax: 24160828
e-mail: jpmedpub@bom7.vsnl.net.in
Step by Step Ultrasound in Obstetrics
© 2004, Kuldeep Singh, Narendra Malhotra
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 authors and the publisher.
This book has been published in good faith that the material provided by
authors is original. Every effort is made to ensure accuracy of material,
but the publisher, printer and authors 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 :
2004
ISBN 81-8061-203-1
Typeset at
JPBMP typesetting unit
Printed at
Replika Press Pvt Ltd., 310 EPIP, HSIDC, Kundli, Sonepat (Haryana)
Preface
T oday ultrasound is the mainstay investigation in all fields
of medicine. The wide spread use of ultrasound has brought
this wonderful technology to the consulting rooms of the
practising gynecologists. It is now impossible to even
conceive a modern obstetric care unit without ultrasound
and it is impossible to practise infertility and gynecology
without a transvaginal probe which has added the
dimension of imaging with palpation.
The law in India mandates that each machine and the
sonologist be licensed to practise ultrasound under the
PNDT Act for which training and updating is required.
There are numerous textbooks and reference books on
ultrasound but our aim to bring out this handy series of
Step by Step Ultrasound in Obstetrics is to simplify the
indications and the steps and the interpretations of this
wonderful technology.
We hope the readers will be benefited by this book.
Kuldeep Singh
Nar
endra Malhotra
Acknowledgements
Thanks to our parents, elders, teachers, spouses, siblings,
our sons and daughters and friends, who help and encourage
whenever you undertake a mammoth project.
To write any book without help is impossible. We are
grateful to:
Prof. Stuart Campbell, Prof. Asim Kurjak, Late Prof
M.Y. Rawal, Prof. C.S. Dawn, Dr. S.Suresh, Dr. Arun
Kumar, Dr. P.K. Shah, Dr. Bhupendra Ahuja, Dr.
R.N.Bagga, Dr. Ashok Khurana, Dr. Jatin P Shah, Dr.
Pranay Shah and many others who have helped and taught
us at each step of our life.
We are extremely grateful to our wives Mrs. Nishu K.
Singh and Dr. Jaideep Malhotra, for the unflinching support
and help in all our efforts and for tolerating all our moods
and ideas.
Our children Jaanvi Sana Chhabra, Ramanjeet Singh,
Neharika Malhotra (Medical student), and Keshav
Malhotra.
God bless them. Grow up and do well.
Contents
1. Introduction 1
1.1 Filling up of forms 1
1.2 Relevant history 1
1.3 Preparation and positioning of patient 2
1.4 Machine and transducers 3
1.5 Reporting 4
2. Training 8
2.1 Theoretical aspects 8
2.2 Training parameters 9
2.3 Suggested training schedule 10
2.4 Prerequisite criteria for a trained 11
ultrasonologist
2.5 Mandatory proposed certification for 12
an ultrasonologist (Obs. and Gyn.)
3. First T rimester 14
3.1 Indications 14
3.2 Normal first trimester embryonic/fetal 15
evaluation
3.3 Normal parameter evaluation in the 23
first trimester
3.4 Abnormal intrauterine pregnancy 23
3.5 Impending early pregnancy failure 23
3.6 Ectopic gestation 28
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