PRACTICAL OBSTETRICS & GYNECOLOGY(Volume-2)

Practical Obstetrics & Gynecology (Volume 2) 

Practical Obstetrics & Gynecology, Volume 2 is a comprehensive clinical textbook compiled and edited by Dr. Nirmala Saxena and Dr. Jyoti Sinha, published by Jaypee Brothers Medical Publishers. This volume builds upon the foundational principles presented in Volume 1 and focuses on advanced and specialised topics that are highly relevant to postgraduate students, residents, and practising obstetricians and gynecologists in diverse clinical settings.

The book is designed as a practical clinical guide rather than a purely theoretical treatise. It aims to provide evidence-based, scenario-driven discussions on real challenges encountered in daily obstetric and gynecological practice, especially those that are under-represented in standard Western textbooks.

Authors and Editorial Vision

Both editors, Dr. Nirmala Saxena and Dr. Jyoti Sinha, are experienced clinicians and educators in obstetrics and gynecology. Their combined expertise ensures that each chapter not only summarizes current evidence and guidelines but also contextualizes the content for applications in varied healthcare environments, including low-resource settings.

The contributors to this volume include seasoned specialists from India who bring diverse clinical perspectives — making the book relevant for practitioners dealing with both common and complex women’s health issues.

Structure and Key Sections

The book is broadly divided into three major sections: Obstetrics, Gynecology, and Miscellaneous topics that intersect both disciplines.

1. Obstetrics

This section tackles practical issues in antenatal, intrapartum, and postpartum care, with an emphasis on conditions that pose diagnostic or management challenges:

• Infections in Pregnancy: Discusses diagnosis, risk stratification, and safe use of antimicrobial agents, emphasizing both maternal and fetal safety.

• Genetic and Counseling Services: Covers genetic counseling principles important for high-risk pregnancies.

• Destructive Operations & Obstructed Labour: Focuses on obstetric surgical procedures that are less frequently discussed in advanced texts but remain relevant in emergency and resource-limited settings.

• Management of Retained Placenta and Uterine Inversion: Offers practical steps for handling retained placenta and uterine inversion, from primary centers to advanced tertiary care.

• Hidden Disabilities of Obstructed Labour: Addresses long-term maternal morbidity related to obstructed labour, emphasizing early recognition and timely intervention.

Throughout this section, the discussion emphasizes practical decision-making, early recognition of complications, and interventions that improve maternal-fetal outcomes.

2. Gynecology

The gynecology section provides detailed explorations of conditions and procedures that frequently challenge clinicians:

• Cancer Screening in Low-Resource Settings: Discusses cervical and ovarian cancer screening protocols tailored for environments with limited resources, with a focus on maximizing early detection.

• Management of Cervical and Ovarian Cancers: Covers current concepts in chemotherapy, radiotherapy, and surgical approaches, including minimally invasive techniques.

• Laparoscopic vs. Conventional Surgery: Compares laparoscopic approaches with traditional radical hysterectomy, highlighting indications, benefits, and limitations.

• Infertility and Reproductive Health: Addresses uterine and cervical factors in infertility, along with diagnostic strategies and referral guidance.

• Innovative Procedures: Includes discussions on novel procedures such as full-thickness skin graft application in vaginoplasty.

This section blends evidence-based recommendations with surgical insights and protocol-based management, useful for postgraduate clinicians preparing for exams and clinical practice alike.

3. Miscellaneous Topics

The third section expands into areas that intersect clinical obstetrics and gynecology with emerging scientific fields:

• Stem Cell and Therapeutic Advantages: Explores novel therapeutic possibilities involving stem cells and regenerative medicine, which may have future implications in reproductive health and surgical recovery.

Pedagogical Features and Clinical Utility

One of the book’s strengths is its clinical orientation. Rather than structured purely around pathology or physiology, it uses real-world problem framing, step-by-step management algorithms, and integration of current protocols that reflect practical care pathways.

Key features include:

• Evidence-based guidance: Drawn from current research and consensus guidelines.

• Case-focused clinical scenarios: Helping readers connect theory to practice.

• Procedure-oriented chapters: Especially in obstetric surgical management and gynecological oncology.

• Relevant to exam preparation: Structured to suit postgraduate exams, viva voce evaluations, and rapid clinical review.

Conclusion

Practical Obstetrics & Gynecology (Volume 2) is a valuable resource for postgraduate students, residents, and practising clinicians who seek applied, actionable knowledge in women’s health. Its focus on challenging clinical situations, evidence-based decision making, and relevance to low-resource healthcare settings makes it a practical companion for improving obstetric and gynecological care delivery.