Uterine fibroids are very common in women of reproductive age and are mostly benign. However, they are often a cause of abnormal bleeding and, in severe cases, can cause infertility. This comprehensive guide reviews the clinical management of uterine fibroids, with a particular focus on practical surgical techniques. Engage with topics such as the anatomy of the pelvis, key theatre equipment and surgical treatments including hysteroscopic and laparoscopic techniques. Features also include debates around morcellation, and less invasive treatments such as uterine artery embolisation are also covered. An online video library of surgical procedures reinforces the practical techniques taught in the book and detailed colour images supplement the book's thorough coverage of fibroid management. This makes Modern Management of Uterine Fibroids an essential resource for practicing gynaecologists and IVF specialists, as well as students.

Pregnancy complicated by neurological disorders is a challenging area for both Obstetricians and Neurologists. Treatment of the maternal condition often needs to be adjusted because of concerns for the fetus, and some conditions will have a major impact on the method, mode and timing of delivery. Many of the clinical problems that arise in pregnant women with neurological disease have not been the subject of clinical trials, so management must often be based on what published evidence is available and a good understanding of the likely interactions between the condition and pregnancy and vice versa.

The editors and contributors represent a team with considerable experience in this area. They offer their best practice advice as how to treat the mother effectively, ensuring fetal safety, as well as embracing a philosophy that the pregnancy of a woman with neurological disease should be made as enjoyable and rewarding for her as is possible.

This comprehensive review of the factors that affect the harvesting and preparation of oocytes and the management of embryos will allow practitioners to make evidence-based decisions for successful IVF. The book reviews and re-considers the value of strategies and outcomes in the management of fertility and conception rates, centred on the production of oocytes, and successful development of the embryo. Authored by leading experts in the field, chapters engage with treatments and strategies that affect the production of oocytes and embryos, optimizing outcomes in the management of female fertility, conception rates, and live births. This vital guide covers controlled ovarian hyperstimulation, the role of AMH in determining ovarian reserve, and primary stimulation agents and the use of adjuncts. Integral for all clinicians and embryologists working in reproductive medicine units, readers are provided with evidence-based, comprehensive advice and review of all factors affecting the management of oocytes and the embryo that are vital for successful IVF cycles.

Cancer during pregnancy is a rare event, occurring approximately once per 1,000 pregnancies annually, corresponding to 0.07% to 0.1% of all malignant tumors. The incidence of cancer in pregnancy is increasing maybe due to trends in delayed childbearing. The most common malignancies associated with pregnancy are, in order of decreasing frequency, melanoma and breast cancer, cervical cancer, lymphomas and leukemias. Melanoma, hematopoietic malignancies and lung cancer are the only cancers that have been reported to metastasize to the placenta and fetus, while melanoma accounts for almost one third of all cases. Imaging during pregnancy should consider risks to the fetus. Treatment of cancer can often be safely administered with good maternal and fetal outcomes. Chemotherapy, radiotherapy, and surgery must be adapted to the pregnancy state. Psychological support is needed at all levels of care. In addition, the diagnosis of cancer during reproductive age is increased, so procedures for counseling women with newly diagnosed cancer for fertility preservation are necessary. Due to high survival rates and high quality of life after cancer, women should be given the opportunity to plan motherhood after cancer actively. This work will provide an updated review of the diagnosis, staging and treatment options for cancer during pregnancy and the tools for a complete oncofertility counseling.

Complexity in childbirth is growing significantly due to several factors that include increasing maternal age, rising levels of obesity and related diabetes. Women labelled as moderate or high risk are often excluded from useful strategies that low risk women enjoy, such as using water immersion for labour, aromatherapy or mobilisation. They then can immediately follow a pathway of increased surveillance and interventions that may or may not be clinically indicated. This text offers expert guidance and specialist knowledge on the evidence for normalizing and humanizing complicated or challenging pregnancies, labours and birth. It covers a range of practice issues from multiple births to breech presentations, gestational diabetes to VBAC. Comprehensively written for midwifery students and those already in practice, it's also useful for obstetricians and medical students who wish to provide more holistic maternity care and promote optimum childbirth. With case studies and helpful summaries of points for practice, this is the go-to text for those looking for up-to-date guidance on maximizing normal physiology and also normalizing or humanizing challenging or complex childbirth in midwifery practice. An essential read for today's midwife. Includes a Foreword by Professor Soo Downe, University of Central Lancashire, UK. "Normalizing Challenging or Complex Childbirth, edited by Karen Jackson and Helen Wightman, provides an insightful and informative perspective on an array of midwifery issues pertinent to today's society, including: obesity, VBAC and diabetes. Karen Jackson's first chapter 'The concept of normality in the context of challenging or complex childbirth' sets the standard for additional eminent contributing authors; and they follow with an engaging exploration and explanation of the issues which is seamless in terms of application to practice and is supported by real life case studies and key practice points. This is a must read resource for midwives, students and educators." Janet Israel, Midwifery Lecturer, Cardiff University, UK "Normalizing Challenging or Complex Childbirth provides midwives and students with a refreshingly practical and sensitive approach to caring for women when pregnancy and birth bring additional physiological challenges. New and emerging evidence on important clinical scenarios is presented with great compassion in the context of contemporary midwifery care. This book will be an important resource to midwives wishing to provide individualised sensitive care to women facing the challenge of an unexpected, or complex, pregnancy path." Julia Sanders, PhD Consultant Midwife and Reader in Midwifery, Cardiff University, UK

Overcoming Drug Resistance in Gynecologic Cancers provides up-to-date information related to important gynecologic cancers and focuses on mechanisms of drug resistance, genetics, signaling, immunology, health disparities, nanotechnology, economic considerations and financial impacts. The book covers not only drug resistance but also important means to reverse resistance both in the laboratory and clinic. The book discusses topics such as lifestyle, nutrition and risk of gynecologic cancers, the financial impact of drug resistance, chemosensitizing agents and targeted therapies in cervical, endometrial and ovarian cancer, immunotherapy to overcome drug resistance, and genetic polymorphisms in gynecologic cancers. Additionally, it discusses ethnic and racial health disparity perspectives and future developments in chemosensitizing activities to reverse drug resistance in gynecologic cancers. It is a valuable resource for cancer researchers, oncologists, clinicians and other biomedical field members who are interested in new approaches to improve chemotherapy outcome in patients with gynecologic cancers.

Reproductive health care professionals in fields such as Obstetrics and Gynecology, Family Medicine, and Pediatrics face difficult ethical issues because they work at the crossroads of patient decision-making, scientific advancement, political controversy, legal regulation, and profound moral considerations. The dilemmas these professionals face expose big-picture bioethics questions of interest to everyone. Yet for clinicians striving to deliver excellent patient care, the ethical questions that make daily practice challenging can be just as nuanced. This volume presents a carefully curated compilation of essays written by leading experts in the fields of medicine, ethics, and law, who address key issues at the forefront of reproductive ethics. It is organized into three main sections: I. Contraception and Abortion Ethics - Preventing Pregnancy and Birth, II. Assisted Reproduction Ethics - Initiating Pregnancy, and III. Obstetric Ethics - Managing Pregnancy and Delivery. Each section begins with a short introduction by the editors providing an overview of the area and contextualizing the essays that follow. This volume's primary aim is to be useful to practicing clinicians, students, and trainees by providing short and practical essays covering urgent topics-from race, religion and abortion, to legal liability, violations of confidentiality and maternal choices that risk future children's health. This collection provides clinicians at all levels of training with frameworks they need to approach the intimate and high-stakes encounters central to their profession.

Epigenetics is the study of how certain genes are activated without modification at the DNA sequence level, resulting in genetically similar individuals having different clinical outcomes. As contemporary medicine increasingly aims to personalize the medical approach to a patient's genetic profile, the factors that can affect which genes are expressed also increase in importance and relevance to the clinician. This text from experts will give the clinician in Reproductive Medicine a reliable grounding in current thinking and research on this fast-moving topic, with many clinical implications.

This book is composed of three chapters about eclampsia, which is a condition involving seizures that occur during a woman's pregnancy or shortly after giving birth. Chapter One analyses the clinical profile, neurological manifestations, imaging features, prognosis and risk factors which can predict neurological complications in eclampsia patients. Chapter Two describes the discovery of phosphoester steroid conjugates and proposes a role for them in pre-eclampsia. Chapter Three discusses postpartum eclampsia and describes which medications should be used for management of symptoms in patients who show signs of pre-eclampsia.

This book provides advice, guidance and sample questions for the new question format introduced for the March 2012 Part 1 MRCOG examination: single best answer questions (SBAs). Essential reading for all Part 1 MRCOG candidates, the book offers key insights into the new style of paper, including: * an introduction to SBAs and why they have been introduced * a guide to how to approach and answer SBAs * over 300 sample questions covering all domains and modules of the Part 1 curriculum * two sample SBA examination papers.

?er 1000 Stichworte: Wer schnelle Information ?er Krankheitsbilder, Ursachen, Symptome, Behandlung und Vorbeugung sucht, findet hier verst?dliche Antworten und Rat.

The Oxford Textbook of Obstetrics and Gynaecology is an up-to-date, objective and readable text that covers the full speciality of Obstetrics and Gynaecology. This comprehensive and rigorously referenced textbook will be a vital resource in print and online for all practising clinicians. Edited by a team of four leading figures in the field, whose clinical and scientific backgrounds collectively cover the whole spectrum of Obstetrics and Gynaecology with particular expertise in fetomaternal medicine and obstetrics, gynaecological oncology, urogynaecology, and reproductive medicine, the textbook helps inform and promote evidence-based practice and improve clinical outcomes worldwide across all facets of the discipline. The editors are supported by contributors who are internationally renowned specialists and ensure high quality and global perspective to the work. Larger sections on the Basics in Obstetrics and Gynaecology, Fetomaternal medicine, Management of Labour, Gynaecological problems, Gynaecological oncology are complimented by specialist sections on areas such as Neonatal Care & Neonatal Problems, Reproductive medicine, and Urogynaecology and Pelvic Floor Disorders to name a few. The evidence-based presentation of current diagnostic and therapeutic methods is complemented in the text by numerous treatment algorithms, giving the reader the knowledge and tools needed for effective clinical practice. The Oxford Textbook of Obstetrics and Gynaecology is essential reading for specialist obstetricians and gynaecologists, subspecialists, and O&G trainees across the world.

Take charge of your pregnancy. For trusted advice, turn to Your Pregnancy and Childbirth: Month to Month from the American College of Obstetricians and Gynecologists. This fully revised edition of Your Pregnancy and Childbirth: Month to Month offers the latest medical guidelines in straightforward, easy-to-read language to help you make the best decisions for you and your pregnancy. You can trust that the information you read is supported by medical research and the everyday experience of ob-gyns who have cared for millions of pregnant women.

This is a critical exploration of historical perspectives to modern controversial topics in gynaecology; from birth control to sterilisation, to episiotomies and the "husband stitch," to "educational" pelvic exams, shackling labouring convicts, gender affirming surgery, human embryo research, assisted reproduction and much more. This book poses questions for us to consider about the current and future reproductive ethical decisions. Does reproductive health need more or less regulation? Who should be deciding? The Thin Pink Line: Regulating Reproduction is a brave and honest look at where we have been, so we can figure out where we want to go. The Thin Pink Line: Regulating Reproduction is intended to educate a wide audience of womynx, men, femmes, gender non-conforming folks, uterus owners, and everyone in between. It has a specific intersectional focus on the impact that the current reproductive regulatory framework has on disenfranchised groups, such as people of colour, LQBTQ individuals, and the lower socioeconomic strata.

Deliver safe, effective obstetric care with the go-to guide for doctors, nurses, and midwives Updated and revised, Oxorn Foote Human Labor and Birth provides comprehensive, authoritative coverage of obstetric care. This popular guide offers proven best practices and step-by-step guidance to obstetric procedures, techniques, and patient management. Oxorn Foote Human Labor and Birth reviews anatomy and patient examination; details variations of fetal presentation and birthing technique; explains how to manage complications and delivery scenarios, including hemorrhage, fetal concerns, preterm and prolonged labor, and dystocia; and covers preliminary neonatal care. This unparalleled resource is organized into six sections: *Clinical Anatomy, including the pelvis, bones, joints, perineum, and fetus *First Stage of Labor, including examination, mechanisms of labor, fetal health surveillance, and abnormal cephalic presentations *Second Stage of Labor, including operative vaginal delivery and shoulder dystocia *Third Stage of Labor, including delivery of the placenta, retained placenta, postpartum hemorrhage, episiotomy, and uterine rupture *Complicated Labor, including cesarean section, obesity in pregnancy, breech presentation, transverse lie, and compound presentation *Other Issues, including preterm labor, antepartum hemorrhage, maternal complications, intrapartum infections, post-term pregnancy, and obstetric anesthesia and analgesia Nearly every two-page spread features original four-color images clearly illustrating the techniques described, and key points are bulleted throughout to help you find critical information quickly and easily. No other book presents so much vital information in such a clearly illustrated manner. Oxorn Foote Human Labor and Birth is an essential resource for anyone performing or assisting in childbirth.

The causative organisms of Urinary Tract Infection are dynamic in terms of their virulence and resistance patterns, leading to challenges in the prevention and treatment of urinary infection. This is of relevance in both primary and secondary care, and many of the challenges are similar in both developed and developing countries alike. UTI is also associated with considerable cost in terms of morbidity, economic and research expenditure. Written by an exceptional and well-known team of clinical experts, the purpose of Urinary Tract Infections addresses key questions facing physicians about this condition. This book is written primarily for general physicians who wish to have a broad understanding of a number of important issues concerning infection in parts of the urinary tract. Specialists may also find the book useful as a quick reference guide.