The field of obstetrics is one of the most dynamic branches of medicine, requiring clarity, precision, and rapid interpretation of clinical parameters. To support healthcare professionals in making time-sensitive decisions, concise and reliable clinical tools are essential. With great excitement, we introduce the 3rd Edition of 100 Thumb Rules Obstetrics & Fetal Nomograms Made Easy by Dr. Prashant Acharya, published by Elsevier in 2026. This updated edition has been meticulously crafted to assist practitioners, postgraduate students, and fetal medicine specialists in understanding obstetric metrics quickly and accurately.
Over the years, this book has earned a reputation for simplifying complex medical insights into practical “thumb rules” that clinicians can recall instantly, even during emergencies. In obstetrics, where calculations such as fetal growth ratio, gestational calculations, Doppler interpretations, and labor progression need fast interpretation, the ability to consolidate knowledge into easy-to-understand rules can significantly improve the quality of patient care. This latest edition advances that goal with updated charts, new guidelines, and enhanced visuals that reflect the latest developments in maternal-fetal medicine.
Whether you are a medical student beginning your journey in obstetrics or a seasoned practitioner looking for a quick clinical reference, 100 Thumb Rules Obstetrics & Fetal Nomograms Made Easy (3rd Edition) is a resource designed to improve your clinical accuracy and confidence.
The 3rd Edition brings together 100 essential obstetric thumb rules that simplify fetal assessments and maternal evaluations in routine and high-risk pregnancies. These thumb rules condense key concepts into short, memorable statements that make clinical decision-making substantially easier.
The book also includes fetal nomograms, which are vital graphs and charts used to evaluate fetal parameters such as head circumference, femur length, abdominal circumference, Doppler indices, and growth curves. Accurate interpretation of these parameters is essential in identifying potential complications early, such as growth restriction, macrosomia, oligohydramnios, or abnormal Doppler flow patterns. This edition updates these nomograms with modern standards, making it clinically relevant for contemporary practice.
This latest edition is more comprehensive, visually refined, and scientifically updated than its predecessors.
Dr. Prashant Acharya is a renowned obstetrician and fetal medicine specialist known for his clarity of teaching and ability to simplify medical data for practical use. His approach focuses on real-world clinical challenges that practitioners face daily. Through this book, he combines his vast clinical experience with evidence-based insights to create a handbook that resonates with both students and professionals.
Dr. Acharya’s work has been widely appreciated for its academic value and practical applicability. His consistent efforts to improve maternal and fetal outcomes have influenced the training and clinical approach of many healthcare workers in obstetrics.
The core of the book lies in its 100 thumb rules—short, concise principles that summarize complex obstetric calculations and interpretations. From estimating the expected date of delivery to understanding fetal Doppler resistive indices, these rules help in making quick clinical judgments without needing to refer to lengthy textbooks.
Nomograms have been enhanced to align with updated global guidelines and modern ultrasound standards. These include revised reference ranges, clearer graphs, and streamlined interpretations.
Medical students and practitioners will appreciate the improved layout, which includes color-coded sections, redesigned charts, and a logical flow that makes navigation easy.
Each thumb rule is supported by scientific explanation and clinical relevance. The book ensures that readers understand both "what the rule is" and "why it matters."
Whether you are an MBBS student, an OBG resident, or a senior obstetrician, this book serves as an excellent reference. It is especially useful during emergency calls, OPD evaluations, night duties, and exam preparation.
Healthcare professionals in obstetrics face multiple time-sensitive decisions each day. This is one specialty where delays or errors can significantly affect both maternal and fetal outcomes. In such scenarios, having a reliable, quick-reference guide becomes essential.
Here’s why this book is indispensable:
Thumb rules eliminate the need for lengthy calculations. Clinicians can rapidly evaluate fetal parameters and maternal indicators, making timely decisions that improve patient outcomes.
Accurate fetal assessment requires precise interpretation of biometric parameters. Updated nomograms improve diagnostic precision, reducing the risk of misinterpretation.
Many medical books explain concepts but do not simplify their practical application. This book does both—ensuring readers understand concepts and can apply them instantly.
Clinical assessments become more uniform when practitioners rely on established thumb rules and standardized nomograms.
Students often struggle with remembering obstetric formulas and ranges. Thumb rules simplify these concepts, improving academic performance and clinical readiness.
Readers will find rules for evaluating maternal blood pressure, gestational diabetes indicators, anemia cut-off values, weight gain guidelines, and more. These rules help practitioners quickly categorize maternal health risks.
This segment covers cervical dilation progress, expected labor duration, partogram interpretation, and fetal station calculations. Such insights are invaluable for managing labor efficiently and safely.
The book includes rules for interpreting bi-parietal diameter (BPD), head circumference (HC), abdominal circumference (AC), femur length (FL), and estimated fetal weight (EFW). These rules help identify growth restriction or accelerated growth.
Doppler evaluations require precise interpretation. This edition explains rules for interpreting the umbilical artery, MCA, and ductus venosus Doppler indices.
The book helps readers interpret first-trimester screening markers, second-trimester anomaly scan thresholds, and third-trimester risk assessments.
Some sections provide real-world clinical examples that help readers apply thumb rules to common obstetric problems.
While the earlier editions were widely appreciated, the 3rd Edition incorporates several enhancements:
Reflects new clinical guidelines, research, and fetal growth standards for the year 2026.
More intuitive, easier to navigate, and ideal for quick referencing.
Includes additional thumb rules, updated charts, and new illustrations to enhance learning.
Refined explanations and updated interpretations ensure that practitioners receive the most accurate information.
This book is essential for:
Its versatility makes it one of the most widely recommended books in obstetric education and practice.
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100 Thumb Rules Obstetrics & Fetal Nomograms Made Easy (3rd Edition) by Dr. Prashant Acharya continues to be one of the most valuable resources in modern obstetrics. Its concise format, scientific accuracy, and practical relevance make it an essential tool for improving maternal and fetal care. The year 2026 marks yet another milestone for this book as it adapts to the evolving needs of medical science.
Whether you want to strengthen your clinical skills, prepare for exams, or ensure accurate interpretation of obstetric parameters, this book provides everything you need in a simple and efficient format. For anyone serious about obstetrics, this is a must-have addition to your library