This manual is a combination of Guidelines and Protocols of patient management in Obstetrics. I hope it will be a concise reference, readily accessible in a clinical setting, decreasing the need to access a detailed textbook, which may not always be available. I compiled this manual in order to refresh my memory regarding the complex medical cases we see, and in an attempt not to omit any important steps in the management or treatment of these cases. These guidelines are not the official protocols of Copenhagen University Hospital at Hvidovre, but they express my personal opinions and are as 'evidence based' as possible. I wish to thank my colleagues at King Faisal Specialist Hospital, Kingdom of Saudi Arabia, who helped me with the first edition, when I worked there as the Chairman, and my colleagues in Denmark (the Sandbjerg Guidelines and Guidelines at Hvidovre Hospital) as well as my secretaries Ms. Zenaida C. Viktoria, Mette Krøll and Karen Eckhoff, who painstakingly dedicated their time and effort in completing this reference. Thanks to my young colleagues Birger Breum, B. Baldur-Felskov, Suher Hassan, Bo Rud and R. Svetlana for their input. I also want to thank Lars Krag Moeller, MD for his comments and making it possible to see the book on the Internet. Niels J. Secher, MD Professor Department of Obstetrics and Gynecology Copenhagen University Hospital in Hvidovre Denmark May 2008
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