This is the first text to systematically review the evidence for obstetric anesthesia and analgesia.

Evidence-based practice is now being embraced worldwide as a requirement for all clinicians; in the everyday use of anesthesia and analgesia for childbirth, anesthetists will find this synthesis of the best evidence an invaluable resource to inform their practice.

Contributions from anesthetic specialists trained in the skills of systematic reviewing provide a comprehensive and practical guide to best practice in normal and caesarean section childbirth.

This book, coming from one of the world's leading obstetric centers and the cradle of evidence-based medicine, is a much needed addition to the obstetric anesthesia literature.

There are many haematological complications associated with obstetrics, pregnancy and gynaecology, and unfortunately, they often lead to significant morbidity or mortality for both mother and child. As the first comprehensive reference on all aspects of haematological complications of obstetrics, pregnancy and gynaecology this book will be a valuable resource to haematologists, obstetricians, gynaecologists, reproductive medicine specialists, internists, anaesthesiologists and others. The chapters are written by acknowledged experts in the field, and for each condition covered the etiology, pathophysiology, clinical and laboratory diagnosis and management are discussed where appropriate.

The new edition of this atlas integrates all significant advances made in the past 15 years in molecular pathology,tumor virology,and genetics of cervical cancer. It emphasizes the importance of these advances in facilitating its pathological diagnosis and in op- mizing clinical management and prognosis. A new chapter on immunohistochemistry has been added,which includes refined detection methods,e. g. ,the overexpression of INK4a p16 as a molecular marker in the early differential diagnosis of premalignant - sions. The section on etiology and pathogenesis in human papillomavirus-induced neoplasia has been incorporated to represent new insights into the sequences of cel- lar and nuclear deregulation at the molecular level. All chapters have been revised to - clude the newest advances and relevant experiences in how to interpret and manage cervical disease; they are supported by the addition of 35 new microphotographic ill- trations. The tumor nomenclature is adapted to the latest edition of the WHO classi- cation; the morphology code of the international classification of diseases for oncology (ICD-O) has been added. We have also updated the list of references by adding recent relevant publications. Again,the staff of Springer-Verlag deserve our thanks for their patience and skill in preparing the manuscript and in reproducing the microphotographs. Heidelberg,February 2005 Gisela Dallenbach-Hellweg, Magnus von Knebel Doeberitz, and Marcus J. Trunk Heading2 Preface to the First Edition During the past decade our understanding of the histopathology of the cervix uteri has changed greatly.

Heavily illustrated for clear navigation and understanding of anatomical sites, surgical techniques, and reconstructive procedures, this reference studies the surgical and nonsurgical evaluation and management of various disorders affecting female urinary and pelvic health-collecting valuable recommendations, guidelines, and best practices from over 100 skilled authorities for expert guidance in the treatment of urinary incontinence, pelvic organ prolapse, and other dysfunctions.

Making Women's Medicine Masculine challenges the common belief that prior to the eighteenth century men were never involved in any aspect of women's healthcare in Europe. Using sources ranging from the writings of the famous twelfth-century female practitioner, Trota of Salerno, all the way to the great tomes of Renaissance male physicians, and covering both medicine and surgery, this study demonstrates that men slowly established more and more authority in diagnosing and prescribing treatments for women's gynecological conditions (especially infertility) and even certain obstetrical conditions.
Even if their "hands-on" knowledge of women's bodies was limited by contemporary mores, men were able to establish their increasing authority in this and all branches of medicine due to their greater access to literacy and the knowledge contained in books, whether in Latin or the vernacular. As Monica Green shows, while works written in French, Dutch, English, and Italian were sometimes addressed to women, nevertheless even these were often re-appropriated by men, both by practitioners who treated women nd by laymen interested to learn about the "secrets" of generation.
While early in the period women were considered to have authoritative knowledge on women's conditions (hence the widespread influence of the alleged authoress "Trotula"), by the end of the period to be a woman was no longer an automatic qualification for either understanding or treating the conditions that most commonly afflicted the female sex--with implications of women's exclusion from production of knowledge on their own bodies extending to the present day.

Aus dem Inhalt: Endokrine Kontrolle der Ovarialfunktion; Endokrinologische Stoerungen und weibliche Sterilitat; Diagnostik und Therapie des polyzystischen Ovarsyndroms; Corpus-luteum-Funktion; Therapie der hypothalamischen Amenorrhoe durch pulsatile Gabe von GnRH; Ovarielle Stimulation - Moeglichkeiten und Komplikationen; Entwicklung und Anwendung der GnRH-Analoga in der Sterilitatstherapie; Ultraschall in der Reproduktionsmedizin; Endoskopie in der Sterilitatsdiagnostik; Mikrochirurgische Techniken in der rekonstruktiven Tubenchirurgie; Immunologische Aspekte in der Reproduktionsmedizin; Ehesterilitat und Reproduktionsmedizin - psychosomatische Aspekte; Einfluss von Umweltfaktoren auf die Fruchtbarkeit der Frau; Physiologie der Befruchtung; In-vitro-Fertilisation; Embryotransfer - Probleme und Perspektiven; Schwangerschaft und Geburt nach Sterilitatsbehandlung; Andrologischer Patient in gynakologischer Praxis; Grundlagen der Inseminationsbehandlung; ICSI; Behandlung der mannlichen Subfertilitat; Genetik in der Andrologie; Kryokonservierung menschlischer Eizellen; Praimplantationsdiagnostik; Juristische Aspekte der Reproduktionsmedizin.

Hysterectomy is the second most common major surgical procedure performed on women in the United States. Because of new nonsurgical treatments and the rising opposition to the procedure from women's and patients' groups, hysterectomies are performed less frequently than in the past, but many disorders of the uterus--fibroid tumors, uterine and cervical cancer, pelvic inflammatory disease, endometriosis, adenomyosis, and uterine prolapse--still may require surgical treatment. For some women, the decision to have a hysterectomy is an easy one; for others, it is a difficult choice associated with concerns about risks, discomfort, and female identity.

In "Hysterectomy: Exploring Your Options," experienced gynecologists Edward Wallach and Esther Eisenberg provide complete and up-to-date information about every aspect of the procedure. Written with compassion for all women, this indispensable guide explains the anatomy of the uterus, describes the symptoms of gynecological disorders that may require hysterectomy, discusses the full range of diagnostic tests and treatments, provides details of the surgery itself and postoperative recovery, includes details about other approaches to treatment, and examines long-term consequences involving sexual and reproductive issues as well as hormone replacement therapy. Also included is useful advice about how to talk with your doctor and case studies illustrating the real-life experiences of a variety of women.

In "Hysterectomy: Exploring Your Options," women will find the information they need to work with their physicians to make informed decisions about their health care.

More than 28 million Americans suffer from migraine headaches, with migraine affecting nearly one in five women in their reproductive years. "Effective Migraine Treatment in Pregnant and Lactating Women: A Practical Guide," provides a comprehensive resource to address diagnosis, testing, and treatment of headaches in reproductively fertile women. This important new book offers a wealth of practical, ready-to-use, clinically tested tips and recommendations to treat women with headaches during pregnancy and nursing. Although women may ideally prefer to restrict migraine treatments during pregnancy, up to one in three pregnant women self-medicate for symptoms, especially with analgesics. Fortunately, there are many effective treatment options that can be safely used when pregnant and breastfeeding. Available therapies include medication and nonmedication treatments, traditional and alternative therapies, and nutritional supplements.

This book uniquely answers frequently asked questions by patients and offers healthcare providers easy-to-use office tools for patient education and charting documentation. The authors of this important new work have collaborated to provide a resource that will help clinicians provide women with the tools and knowledge to become empowered and to gain control over their migraines when trying to conceive, during pregnancy, and when nursing.

Written by a highly regarded expert in the field of obstetric anesthesia

Handy point of care

Up-to-date information on the subject

Good board review tool

Implantation is a complex phenomenon, still not thoroughly understood, involving the embryo and the endometrium. Successful implantation is considered to stem from an efficient combination of various embryo and/or maternal factors. Repeated failure of any of these factors or of their combination might decrease the chance of implantation and eventually lead to recurrent implantation failure. Despite technological advances, only about a quarter of In Vitro Fertilization procedures will result in live birth, leading many couples to experience multiple failures. This text from international experts explores the various factors at play and offers a helpful summary of the state of knowledge to help guide clinicians in their management of this complex and important problem. Contents: What is Recurrent Implantation Failure? * The psychosocial aspects of recurrent implantation failure * The role of life-style factors in RIF * Endocrine causes of recurrent implantation failure * Congenital uterine anomalies and recurrent implantation failure * Immunological causes of recurrent implantation failure * Acquired uterine conditions, reproductive surgery, and RIF? * Thrombophilia: diagnosis and management in women with recurrent implantation failure * Andrological causes of RIF * Diagnostic evaluation of RIF? (Modalities and algorithm) * Optimizing embryo culture for RIF? * Optimizing endometrial receptivity for patients with recurrent implantation failure: The role of progesterone on the day of triggering final oocyte maturation * Is there a role of follicular phase LH and E2 on the day of triggering final oocyte maturation for embryo implantation? * Manipulating the endometrium: Can RIF be managed by inducing endometrial inflammation or by the use of novel research therapies * The embryo in RIF: Genetic selection and strategies for improving its implantation potential * Is oocyte donation efficient in patients with RIF? * Sperm donation and RIF? * Optimizing embryo transfer technique for RIF management * Proposed management of patients with recurrent implantation failure and directions for future research * When should patients abandon treatment?

Dieses Buch richtet sich an alle onkologisch tatigen Arzte, die mit (moglichen) Knochenmetastasen ihrer Patienten konfrontiert sind.

Es bietet eine komprimierte interdisziplinare Ubersicht zu allen Fragen der Knochenmetastasierung, beginnend bei Pathophysiologie mit aktuellen Forschungsergebnissen uber die Diagnostik bis hin zu verschiedenen Formen der Therapie: Bestrahlung Behandlung mit RadionukleotidenOperative und minimalinvasiv-operative TherapieBehandlung mit Antiresorptiva

Die Zusammenstellung der aktuell gangigen Behandlungsoptionen von Knochenmetastasen berucksichtigt vor allem die Tumoren, bei denen die ossaren Metastasen haufig auftreten, wie z.B. bei gynakologischen und urologischen Karzinomen.

PLUS: Schmerzmanagement von ossaren Metastasen."

What Do I Say? Communicating Intended or Unanticipated Outcomes in Obstetrics will help physicians and other health care professionals improve their communication skills with patients and their family members. Written by James R. Woods, a perinatologist, and Fay A. Rozovsky, an attorney, risk management consultant, and authority on informed consent, What Do I Say? explores how to explain risk to patients, how to obtain patient consent, and how to talk with patients when adverse events occur. What Do I Say? is a comprehensive book that

• Explains consent as a foundation of the caregiver-patient relationship
• Explains the legal context for disclosing bad news
• Outlines the practical issues associated with OB consent

Developed to improve patient safety during labor and delivery, the OB F.A.S.T. (Obstetrical Feasible Approach to Safety Training) simulation program is a proven, award-winning resource is designed for all members of the interdisciplinary obstetrics team to use together. Written by Dr. Giancarlo Mari, who developed the program and currently trains providers around the U.S. and the world, this volume helps teams strengthen their common knowledge of obstetric emergencies. This knowledge is then applied to rehearse emergencies together and prepare team members to provide a safe labor and delivery experience for every mother and child. Features easy-to-follow images and diagrams to reinforce team knowledge of common obstetric emergencies, from cardiac arrest and anesthesia considerations to intrapartum fetal monitoring and amniotic fluid embolism. Offers suggestions for how to run a simulation drill, as well as key points for debriefing and documentation. Includes essential background information to facilitate quick reference and skills checklists to evaluate team performance. Designed for every member of the obstetric team - from those who are new to the field to practitioners with years of experience.

Before Roe v. Wade, somewhere between one and two million illegal abortions were performed every year in the United States. Illegal abortion affected millions of women and their families, yet their stories remain hidden. In Creating Choice, citizens of one community in Western Massachusetts' Pioneer Valley break that silence. Doctors, clergy, and members of feminist women's collectives in the Pioneer Valley provided access to birth control (illegal in the state for single women until 1972) and abortions. Their work was done in defiance of the law, sometimes in secret, but often surprisingly openly. These activists felt they had no choice but to defy the laws and often met with support from surprising places, like university administrators, church officials, and the local police department. In Creating Choice, you'll meet a college chaplain moved to break the law after one of his students died of a back alley abortion and another hung herself; you'll meet a waitress who performed over 1,500 illegal abortions in her pink bathtub; and you'll meet the women themselves who risked their very lives.

Advances in molecular and genetics based diagnostics are driving an increased interest in cytopathology as cytological specimens are the ideal substrate for this new technology. This book fulfills the need for an easy-to-use and authoritative synopsis of breast cytopathology. The volume fits into the lab coat pocket and is ideal for portability and quick reference. Each volume in the series is heavily illustrated with a full color art program, while the text follows a user-friendly outline format.

This book empowers the obstetrician-gynecologist to play a key coordinating role, and to communicate effectively with all parties and health workers involved in psychological care. It provides information not typically covered by their training: communication skills, coping and adjustment in pregnancy, and communicating with cancer patients. Easy-to-read with stand-alone chapters, this book covers key aspects of OB/GYN, and addresses areas not covered elsewhere. The book offers topics in psychological care to trainees and specialists in O & G, helps them understand the emotional problems their patients face, and shows them how to undertake psychological care.

In kurzer und prAgnanter Form wird die Vielzahl der gutartigen und bAsartigen Tumoren der weiblichen BrustdrA1/4se in Form von Fallbeispielen dargestellt. Der histologische Befund wird den Ultraschallbildern mit den entsprechenden Beurteilungskriterien gegenA1/4bergestellt.

Fully revised for this fourth edition, the Oxford Handbook of Obstetrics and Gynaecology fully reflects new developments in the field. Featuring new sections on the outcomes of the MBRRACE report, abnormally adherent and invasive placenta, pregnancies in mothers of advanced age, assisted reproduction, and ovarian cancer screening, it provides a contemporary overview of this complex and important specialty. Written and reviewed by a team of highly experienced clinicians, academics, and trainees, this Handbook is a perfect starting point for preparation for postgraduate exams. Practical advice is presented with key evidence-based guidelines, supported by visual algorithms and top clinical tips. The previous edition was Highly Commended in the Obstetrics and Gynaecology category of the BMA Book Awards. The indispensable, concise, and practical guide to all aspects of obstetric and gynaecological medical care, diagnosis, and management, this fourth edition continues to be the must-have resource for all specialist trainees, junior doctors, and students, as well as a valuable aide memoire for experienced clinicians.

Approximately 10 million women in the US suffer from menstrual migraine, a common and disabling condition. Menstrual migraine is typically defined as a migraine headache that affects a woman each month starting two days before the menstrual period and continuing to the end of menstruation. It differs from nonmenstrual attacks of migraine, even in the same woman, in the regularity of its timing and its greater severity. Compared with other times in the menstrual cycle, a migraine is more than twice as likely to occur during the first 3 days of menstruation and more than 3 times as likely to be severe. As part of the Oxford American Pain Library, this practical handbook serves as a concise yet authoritative resource on diagnosing and treating menstrual migraine. Tailored to the needs of busy health care professionals treating female patients in the primary care setting, the book focuses on essential clinical information for physicians, nurse practitioners, and physician assistants in family practice, internal medicine and obstetrics and gynaecology. In addition to covering traditional clinical areas such as pathogenesis, co-morbidities, pharmacologic and non-pharmacologic treatments, the book also presents an array of practical tools and features such as screening tools for easy diagnosis, disability assessment tools, tips on best questions to ask, useful checklists and additional patient resource information. The handbook also provides valuable guidance on how to proceed should initial treatment efforts fail.

Francis James Browne is remembered as the foremost obstetrician of his day. He is widely recognised as the founder of modern antenatal care. His book, Antenatal and Postnatal Care, became the best of its kind and a bible to many generations of medical students and junior obstetricians. In this biography, Herbert Reiss presents a fascinating glimpse into the life of a great man in a deft and vivid portrait..

This book offers an approachable, in-depth reference on the core topics in urogynecology and female pelvic health - incontinence, pelvic prolapse, pelvic pain and sexual dysfunction - specifically tailored to clinicians without formal surgical or specialty training. Each aspect of diagnosis and treatment is presented in a clear and simple style, introducing streamlined strategies that can be implemented in any primary care setting. Original illustrations, key points at the end of each chapter, and 'clinical pearls' from experts in the field all help to make this the most practical and user-friendly guide available.

This book provides a comprehensive review of the evidence concerning pessaries and the practicalities of using them. It is a valuable resource for health care practitioners treating patients with incontinence and prolapse. It includes a brief history of pessaries and provides profiles of the inventors of some of the more commonly used pessaries, along with a description of their original purposes. There are illustrations to guide selection, fitting and care, as well as providing materials which can be photocopied and handed out to patients. This work is an essential handbook for all urogynecologists, urologists, gynecologists, family physicians and specialty nurses.

Ultrasonography is a crucial tool in successful assisted reproduction but requires a steady hand and can often be difficult for unconfident clinicians. A comprehensive ultrasound imaging reference, this is an essential guide for trainee clinicians, ultrasonographers, and nurses working in the field of assisted reproductive technology. Providing the reader with an overview of the process and a foundation to direct their ultrasound assessment of each patient, it contains highly practical tips and tricks for obtaining the best images. Heavily illustrated with example images, the role of ultrasound in fertility treatment is explained, as well as how to identify the uterus and ovaries, measure the endometrium, count follicles and recognize pathology. The role of ultrasound in assisted reproduction is covered, including transvaginal oocyte collection, embryo transfer, early pregnancy, miscarriage and ectopic pregnancy. This is an indispensable reference for clinicians new to ultrasound in assisted reproduction.

This book constitutes the refereed proceedings of the 8th International Workshop on Digital Mammography, IWDM 2006, held in Manchester, UK, June 2006.

The book presents 52 revised full papers and 34 revised poster papers, organized in topical sections on breast density, CAD, clinical practice, tomosynthesis, registration and multiple view mammmography, physics models, wavelet methods, full-field digital mammography, and segmentation.