Charmila Ayyavoo

Written in association with the Federation of Obstetric and Gynaecological Societies of India (FOGSI), and with contributions from a multitude of recognised experts led by FOGSI (2025-2026) president Sunita Tandulwadkar; the Ethical Evidence-based Recommendations (EEBR) series provides clinicians with the latest updates and advances in the field, with each book focusing on a different subspecialty. Hyperglycaemia (high blood sugar) occurs when the level of sugar in the blood is too high. Gestational diabetes is high blood sugar that develops during pregnancy and usually disappears after birth. It can happen at any stage of pregnancy, but is more common in the second or third trimester. It occurs when a woman’s body cannot produce enough insulin, the hormone which controls blood sugar levels. The condition can cause problems for both mother and baby, but the risks can be reduced if it is detected early and well managed. This book addresses all aspects of hyperglycaemia in pregnancy (HIP), beginning with essential definitions, classification, and epidemiology, clarifying the scope and significance of HIP and providing practitioners with a clear understanding of its prevalence and implications for maternal and foetal health. Recognising the importance of effective management, the text also examines pre-conceptional optimisation, an often overlooked, but vital step to ensure a healthier pregnancy by stabilising blood sugar levels prior to conception. Other titles in the series include: Antenatal Fetal SurveillanceEndometriosisFibroidsGenetics in Obstetrics and GynecologyHypertensive Disorders of PregnancyInduction of LaborPolycystic Ovary SyndromePostpartum HemorrhagePreterm Labor

This practical handbook aims to improve a clinician’s knowledge by putting forth the latest advances in the understanding of recurrent pregnancy loss and the management options. The various chapters have been authored by dedicated academicians and clinicians. Recent modalities of management, such as PGD, assisted reproductive technologies and immunotherapy have been covered. The book will also help the clinician to cater to the emotional needs of the distressed couple as chapter on ‘setting up a RPL clinic’ and ‘tender loving care’ have been included. Different chapters on genetic causes, the impact of cervical factor, the effects of antiphospholipid antibodies, male factor and infections on recurrent pregnancy losses are presented. A separate chapter on the endocrinological perspective in recurrent pregnancy losses has been included. Investigative modalities proposed for the management of recurrent pregnancy losses such as ultrasound and hysteroscopy have also been dealt with in detail. Proposed treatment options for this condition such as progesterone therapy and heparin treatment have been discussed in this book. Newer management options which are picking up pace like preimplantation genetic diagnosis (PGD) and immunotherapy have been separately dealt with. The option of assisted conception techniques to help couples has also found mention in a separate chapter. Special chapters on setting up of an exclusive RPL clinic and tender loving care (TLC) are included as the emotional health of the sorrowing couple is equally important.