Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research Indan Journal of Medical Research
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Year : 2012  |  Volume : 136  |  Issue : 3  |  Page : 503-504

Textbook of obstetrics

Department of Obstetrics & Gynaecology, Seth G.S. Medical College, & K.E.M. Hospital, Mumbai 400 012, India

Date of Web Publication4-Oct-2012

Correspondence Address:
Shashank V Parulekar
Department of Obstetrics & Gynaecology, Seth G.S. Medical College, & K.E.M. Hospital, Mumbai 400 012
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Source of Support: None, Conflict of Interest: None

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How to cite this article:
Parulekar SV. Textbook of obstetrics. Indian J Med Res 2012;136:503-4

How to cite this URL:
Parulekar SV. Textbook of obstetrics. Indian J Med Res [serial online] 2012 [cited 2020 Jun 2];136:503-4. Available from:

Textbook of obstetrics, J.B. Sharma [Avichal Publishing Company, Sirmour (H.P.)] 2012. 812 pages. Price: 650.00

ISBN 978-81-7739-344-6

Over 836 pages including 26 pages of index, the book is full of information that has been put precisely, extensively, and beautifully. The text is divided into 48 chapters in 12 sections, which cover almost all the essential aspects of obstetrics from the point of view of an undergraduate student. Each chapter is subdivided into parts which are in a logical sequence so essential for understanding of the subject.

The author has introduced the concept of evidence based medicine right at the beginning, which is important for students, guiding them away from the older personal experience and feeling based teaching. The next few chapters cover topics like anatomy of the reproductive system, physiology of reproduction, placenta, foetal membranes and amniotic fluid, foetal physiology, maternal physiology, reproductive endocrinology and immunology in normal pregnancy, diagnosis of pregnancy, foetus in-utero and maternal pelvis and foetal head. There are chapters on antnatal care, counselling, minor ailments, haemorrhage in early pregnancy due to abortion, ectopic pregnancy and gestational trophoblastic disease. There is a full chapter on genetic disease, congenital malformations, teratology, foetal therapy and prenatal diagnosis. It is supplemented with description of the PCPNDT act later in the chapter on medico-legal aspects. There is a full section on normal labour and another on abnormal labour, describing conventional obstetrics supplemented with modern principles of management. These chapters are exhaustive, which is in contrast to some leading western books that tend to have quite brief descriptions of these aspects. The author has understood the importance of these topics and has done justice.

Inclusion of currently used partograms like nomograms in preference to original Friedman's partogram would have helped the students better. A section on Neonatology has been included. Perhaps it could have been omitted, since it is a part of training in paediatrics too. That would have given more space for obstetrics. Various antepartum complications, medical disorders, surgical disorders, and malignancies associated with pregnancy have been dealt with well in different chapters. Infections during pregnancy common in this country have been dealt with in detail - something one does not find in western books. The section on special conditions deals with Rh-isoimmunization, prior cesarean section, high risk pregnancies and trauma. The author must be praised for inclusion of topics like domestic violence and sexual abuse, which are very important in changing the approach of doctors towards patients. The section on operative obstetrics could have been elaborated more. Obsolete operations like foetal destructive operations could have been totally omitted except to state that these are mentioned only for historical interest. It would be better to use generic names rather than trade names of suture materials. The section on contraception might have been omitted, because there are special books available on that topic, and contraception does not form a part of the subject of obstetrics. The descriptions appear to be brief, possibly due to constraints of space. The last section has a wealth of information on audit, medico-legal aspects, ethics, biomedical waste management, health programmes in the country and imaging. The chapter on instruments, specimens, drugs, spots, and laboratory tests leaves a lot of gaps, because it is not possible to cover all this in just 35 pages.

The arrangement of text is methodical, with headings in colour to stand out better. There are text boxes and tables which put a lot of information in a compact form that is easy to understand and remember. Putting key points at the end of each chapter achieves a quick revision. Suggested reading list is welcome, though an average student will not find time to do it. There are long and short questions at the end of each chapter. It would be desirable to have multiple choice questions also, but that would have made the book bulky. The line drawings and photographs are good. The textbook imparts basic and fundamental knowledge, practical, operative and clinical skills of obstetrics to the readers, as was the objective of the author. It should prove to be useful to undergraduate as well as postgraduate students.


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