This practical guide covers all aspects of gynaecological ultrasound, focusing on good technique, the ultrasound machine and reporting. Written by experts with a strong reputation for training in the field, this book takes a 'tips and tricks' approach. Chapters cover topics such as equipment familiarization, principles of transvaginal ultrasound, the awkward uterus, the difficult ovary, and ART-related procedures. The authors discuss the use of both basic ultrasound and 3D machines, and provide tips on how to optimize the image and gain useful clinical information even in the most challenging of assessments. With a multitude of images included to train the eye to identify normal anatomy and common pathologies, chapter summary boxes and case-based examples also provide an easy reference for assessing conditions and lesions. This book will greatly improve the scanning technique of trainees in obstetrics and gynaecology, sonographers, reproductive medicine practitioners, and gynaecologists of any level.

In der Gynakologie und Geburtshilfe nehmen naturliche wie auch synthetische Prostaglandine zunehmend einen breiteren Raum ein. Auf- grund der rasch voran schreitenden Entwicklung ist die Anwendung dieser Substanzen nicht nur im deutschen Sprachraum uneinheitlich. Die noch verhaltnismassig junge Forschung ist im letzten Jahr- zehnt im Aufbruch in alle medizinischen Fachrichtungen. Zeugnis dieser sturmischen Entwicklung sind etwa 100 Originalpublikationen pro Monat, die sich mit der pharmakologischen Wirkung auf physio- logische und pathophysiologische Prozesse, mit der Neusynthese von Prostaglandinderivaten und mit neuen Anwendungs- und Applikations- moglichkeiten befassen. 8 Jahre nach den von Hickl und Brunnberg (Upjohn) veranstalteten Hamburger Prostaglandin-Gesprachen(l6./17. 11.1973) halten wir es fur angezeigt und notwendig, eine kritische Bilanz der klinischen Bedeutung der Prostaglandine im Sinne einer Bestandsaufnahme fur unser Fachgebiet im deutschsprachigen Raum zu ziehen. Gleichzeitig wollen wir die verschiedenen Arbeitsgruppen in den wissenschaftlichen Dialog fUhren, um vielleicht die Basis fur die weitere Grundlagen- und klinisch-wissenschaftliche Forschung zu verbreitern. Die vorliegende Monographie will in dieser Richtung ei- ne Zusammenfassung des Homburger Prostaglandin-Symposiums (22./23.5.1981) und eine Orientierungshilfe sein. Sie entstand aus den Referaten und Vortragen, die sich auf 4 Hauptthemen bezie- hen: I. Theoretische Grundlagen in der klinischen Anwendung von Prostaglandinen, 11. Prostaglandine zur Geburtseinleitung, III. Anwendung von Prostaglandinen in der Gynakologie und IV. Prostaglandine zur Abortinduktion.

This new, fully revised edition of Colposcopy: A Practical Guide is a state-of-the-art guide to colposcopy, directly applicable to daily clinical practice, and a key text for all those involved in the screening and management of women with cervical cytological abnormalities. All chapters have been updated for this new edition with the latest nomenclature, staging, classification and evidence-based treatment guidelines, as well as important new material on HPV testing and vaccination. Concise text is enhanced by full-colour illustrations and flow-diagrams throughout. Colposcopy: A Practical Guide is essential reading for the British Society for Colposcopy and Cervical Pathology colposcopy training programme and is also an important practical guide for all gynaecologists, nurse colposcopists and gynaecological oncologists.

During the past 3 years, little has been added to our funda mental knowledge of hormonal disorders in gynecology. Diagnostically, however, there has been an almost com plete departure from traditional chemical methods in favor of radioimmunoassay techniques. As a result, diagnostic capabilities which previously were restricted to large cen ters have now been extended to the office and small clinic. Accordingly, the chapters dealing with these techniques have been revised and updated. There is also new material on advances in the hormonal treatment of endometriosis and hyperprolactinemic states. Finally, the bibliography has been extensively revised to include a number of recently published books and survey articles of general interest. Paul J. Keller v Preface to the First German Edition Menstrual disorders and sterility are among the most com mon complaints noted by both the specialist and general practitioner. For many patients they are far more distress ful than is generally assumed. Recent years have brought our knowledge. While this has led to great advances in major improvements in the results of treatment, it has made it difficult for the nonspecialist to keep abreast of developments in the field of gynecologic endocrinology.

Human Assisted Reproductive Technology: Future Trends in Laboratory and Clinical Practice offers a collection of concise, practical review articles on cutting-edge topics within reproductive medicine. Each article presents a balanced view of clinically relevant information and looks ahead to how practice will change over the next five years. The clinical section discusses advances in reproductive surgery and current use of robotic surgery for tubal reversal and removal of fibroids. It looks into the refinement of surgical procedures for fertility preservation purposes. Chapters also discuss non-invasive diagnosis of endometriosis with proteomics technology, new concepts in ovarian stimulation and in the management of polycystic ovary syndrome, and evidence-based ART. The embryology section discusses issues ranging from three-dimensional in-vitro ovarian follicle culture, and morphometric and proteomics analysis of embryos, to oocyte and embryo cyropreservation. This forward-looking volume of review articles is key reading for reproductive medicine physicians, gynecologists, reproductive endocrinologists, urologists and andrologists.

Women most fully experience the consequences of human reproductive technologies. Men who convene to evaluate such technologies discuss "them": the women who must accept, avoid, or even resist these technologies; the women who consume technologies they did not devise; the women who are the objects of policies made by men. So often the input of women is neither sought nor listened to. The privileged insights and perspectives that women bring to the consideration of technologies in human reproduction are the subject of these volumes, which constitute the revised and edited record of a Workshop on "Ethical Issues in Human Reproduction Technology: Analysis by Women" (EIRTAW), held in June, 1979, at Hampshire College in Amherst, Massachusetts. Some 80 members of the workshop, 90 percent of them women (from 24 states), represented diverse occupations and personal histories, different races and classes, varied political commitments. They included doctors, nurses, and scientists, lay midwives, consumer advocates, historians, and sociologists, lawyers, policy analysts, and ethicists. Each session, however, made plain that ethics is an everyday concern for women in general, as well as an academic profession for some.

In July 1978 a group met in Aberdeen to discuss the whole range of new proteins recently isolated from the human placenta. With the exception of Yuri Tatarinov all the main pioneers in the field were present, and this book arose from the discussions which took place. Each author was asked to bring a written man uscript corresponding to but not necessarily identical with their verbal presentation. Nobody was given a specified remit, for the reason that the subject is so new that it would be impossible to design the meeting or the book in advance. Each speaker was left free to put on display whatever he thought was interesting or important about the newly isolated proteins. Inevitably this has led to much overlap, since everybody tends to follow the same path at first. Nevertheless, we shall probably never achieve so much agreement again. Only Vernon Stevens was set a fixed title out side the immediate field of new placental proteins. This arose from the very exciting possibility that the new proteins could be used to induce an autoimmune state to products of conception and thus serve as the basis for a new method of contraception. There are few findings at present which bear specifically on this proposal, but the experience of Vernon Stevens with hCG could serve as a model of the problems that might be encountered with SP and PAPP-A."

Female genital plastic surgery has become an increasingly sought-after option for women seeking improvement in genital appearance, relief from discomfort, and increased sexual pleasure. These surgeries are a combination of gynecologic, plastic, and cosmetic procedures. Every year sees a higher demand for physicians properly trained and able to perform them. This unique text from the acknowledged experts in the field covers; * the anatomy of the area * the specific surgical procedures and all their variations * patients' rationales for surgery * training guidelines and ethical issues * outcome statistics * sexual issues * patient selection * potential risks and complications. Examining the issues from individual patient's perspectives, it is written in an academic but easy-to-read style with understandable and unambiguous drawings and photographs. It contains a step-by-step surgical approach, how to best select the right surgical candidates, how to treat this select group of patients, the sexual issues involved, how to individualize techniques for each specific patient, how to deal with criticism from colleagues or journalists, psychosexual issues, and patient protection.

It has been our privilege to edit this volume which is complementary to the first book on Carbohydrate Metabolism in Pregnancy and the Newborn and which is based on work presented at the 2nd Aberdeen Colloquium bearing the same title held in April, 1978. The growth of knowledge of this subject in the 5-year period since the 1st Aber- deen Colloquium in 1973 is truly remarkable and fully justifies this second exposition of current ideas in this field at the present time. For example, the 1973 meeting failed to cover such recent to- pics as H. L. A. typing, glycosylated haemoglobin, control of glycae- mia in labour with the use of the artificial pancreas, fetal brea- thing and pregnancy specific B-glycoprotein and this volume provi- des such an opportunity. The scope of this book is broader and in- cludes data on placenta and fetal congenital anomaly related to ma- ternal diabetes and many aspects of birthweight while there is also a section on maternal weight and nutrition in pregnancy. In a wider prospective one of the stimuli for such work has been the impetus given by the regular meetings starting in 1969 of the Diabetic Preg- nancy Study Group of the European Association for the Study of Dia- betes. This has allowed much more effective integration of research on diabetic pregnancy. The work of the members of the Diabetic Preg- nency Study Group is widely represented in this publication.

In Memoriam xiii Preface xvii Chapter 1 Development, Mechanisms of Action and Evaluation of IUD Performance 2 Chapter 2 IUD Insertion 28 Chapter 3 Uterine Perforation 54 Chapter 4 Pelvic Inflammatory Disease 92 Chapter 5 Bleeding 138 Chapter 6 Cervical and Uterine Pathology 158 Chapter 7 Intrauterine Pregnancy 172 Chapter 8 Ectopic Pregnancy 194 Chapter 9 Return to Fertility after IUD Discontinuation 222 Chapter 10 IUD Complications in Perspective 232 Appendices 243 Index 253 Foreword Ever since Hippocrates observed that foreign bodies placed in the uterus would help to prevent pregnan cy, periodic interest in this information and its use has resulted in attempts to control unwanted fertil ity. Prior to the 1900s, this interest was somewhat episodic. Because of anxiety about infection, early attempts flourished only briefly and then were no more. In the twentieth century, however, as a result of renewed interest in intrauterine contraception, particularly in the developing countries, a number of individuals throughout the world began experiment ing with a variety of new intrauterine devices. Since then, a great number of these devices have been studied; a few have survived careful scrutiny, and IUDs now represent the second most commonly used form of medical contraception. It is estimated that approximately 15 million devices are in use at the present time, 3 to 4 million of them in the United States."

Der vorliegende Supplementband enthalt Beitrage zum Thema "Aktuelle Probleme der padiatrischen Endokrinologie". Dabei handelt es sich urn erwei- terte Fassungen von Vortragen, die auf dem 1. Symposium des Ludwig-Boltz- mann-Institutes fur padiatrische Endokrinologie im September 1976 in Wien gehalten wurden. Die Reihenfolge der Veroffentlichung entspricht der Vor- tragsfolge auf dem Symposium. Der Bogen der abgehandelten Themen ist weit gespannt und spiegelt da- mit den groiSen Bereich wider, den die padiatrische Endokrinologie - ein relativ junges Spezialgebiet der Kinderheilkunde - he ute bereits umfaiSt. Durch die sturmischen Fortschritte der Biochemie und der Labormethoden wurden und werden einerseits standig neue Erkenntnisse gewonnen, anderer- seits aber auch standig neue Problemstellungen eroffnet. Durch die Beteiligung international bekarinter Experten am Vortragsprogramm, und damit am Inhalt des Supplements, wurde das Gesamtkonzept hinsichtlich seiner Qualitat wie auch seiner Aktualitat entscheidend bereichert. W. SWOBODA H. ZIMPRICH Inhaltsverzeichnis SAENGER, Po, LEVINE, L. So, WIEDEMANN, Eo, SCHWARTZ, Eo, KORTH-SCHUTZ, So, PAREIRA, Jo, HEINIG, Bo, NEW, Mol.

Verified by current World Health Organization and country-specific classifications, this comprehensive single volume effectively engages with the diagnosis and management of viral, bacterial, fungal and parasitic diseases that affect women in pregnancy. This comprehensive book provides focused, relevant information on newer viruses causing epidemics, including Dengue, Chikungunya and the Zika virus. With today's ease of world migration, this text covers infections found in both tropical and temperate climates, highlighting newer and rapid diagnostic methods, particularly for resource-poor settings, and clinicians working in remote and diverse locations. Designed for professionals with busy schedules, this guide provides efficient solutions and relevant information regarding investigation, diagnosis and treatment of common maternal infections, worldwide.

This book presents symptom-orientated teaching of gynecology, illustrated with a wide range of photographs to simulated real-world learning in clinic settings. The content of the book consists of 23 common clinical scenarios which cover the entire spectrum of gynecologic entities. This book is suitable for learning of clinical gynecology by medical students, residents of gynecology and family physicians, as well as gynecology nurses.Teaching of clinical medicine is the process that transforms a student into a practising physician who makes diagnosis and formulates management strategies. Exposure of learners to wide-ranging clinical conditions is essential. This book, generously illustrated with 225 colored photographs of a large number of gynecology entities, bridges the gap of restricted time and accessibility of learners to gynecology patients in the current clinical settings.Related Link(s)

Ein ubersichtliches Kompendium mit dem notwendigen Wissen fur die Ausbildung und tagliche Praxis: Mutterschaftsvorsorge, Vorbereitungskurse, risikofreie Geburt, Stillberatung, Elternschule oder Hausbesuche am Wochenbett. Neben den Grundlagen der regelrechten Geburt erlautert es Risikominimierung, Geburtsatmosphare, Schmerzausschaltung, Gebarhaltung sowie die Geburt unter Wasser. (Angehende) Hebammen in Klinik und Praxis finden hier viele Anregungen. Eine Lehrhebamme, eine in freier Praxis tatige Hebamme, eine Hebammenlehrerin und der arztliche Leiter einer Hebammenschule geben ihr Wissen weiter, das sie uber viele Jahre erworben haben."

This book concisely presents the essential information in the field of gyneco logic endocrinology. Textual material is extensively supplemented by schemes, tables, and diagrams to elucidate etiologies, pathophysiologic mechanisms, and natural histories of the various clinical disorders in the field. The most timely and up-to-date laboratory procedures and physiologic manipulations for diagnosis are presented. Management rationales based on the definitive diagnostic studies and on knowledge of the natural histories are also presented. Special emphasis is placed on the roles of suprahypothalamic as well as extragonadal and peripheral factors in the pathogenesis of many of the disorders of the menstrual cycle. These include the influence of diseases, altered physiologic states, and drugs-areas which are largely neglected in other presentations of this field. The material presented is based on courses in gynecologic endocrinology presented at the Lorna Linda University School of Medicine and at other institutions over the past several years. Extensive use is made of authoritative reviews in this field, and only highly controversial material is authenticated by specific references. I am deeply grateful to Mrs. Lucille Innes of the Audiovisual Department at Lorna Linda University for the artwork. The loyal secretarial help of Alice Hickman, Carol Guzman, and Robbie Cleek is gratefully acknowledged. Habeeb Bacchus, Ph.D., M.D., F.A.C.P.

The PROMPT (Practical Obstetric Multi-Professional Training) Course covers a range of obstetric emergency situations. There is increasing evidence that PROMPT training is having significant impact on maternal and neonatal outcomes, delivering immense benefits for healthcare providers at all levels. The PROMPT training package consists of interactive lectures, drills and workshops, providing hands-on experience of practical skills and team working in simulated obstetric emergencies. This second edition of the Australia and New Zealand PROMPT Course Manual has been fully updated in line with recent evidence and national and international guidance. There are new modules, algorithms and implementation tools. The Course Manual is essential reading for all those attending a local multi-professional PROMPT Course. It is also useful as a stand-alone textbook for obstetricians, anaesthetists and midwives, providing evidence-based, up-to-date information for any health professional involved in maternity care.

This textbook has its ongm in a longstanding international profes sional and personal relationship of the authors. The success of the German edition was a result of the interest of the German authors, Dr. K. Knorr and Dr. C. Lauritzen, in synthesizing basic and clinical information in a textbook, the size and scope of which are appropriate to the modern undergraduate medical student. A unique feature of the volume was the addition of American gynecological thinking by Dr. F. K. Beller, who spent 12 years at New York University before returning to Germany. The English edition, which is aimed at the American medical student, has enlisted the services of Dr. R. M. Wynn, whose academic career has been in the United States, although he is thoroughly familiar with principles and practices of German gynecology. The English edition is not merely a translation of the German text. Rather, it incorporates most of the material, but with judiciOUS deletions, additions, and substitutions it brings the teaching into the mainstream of American medical education. We acknowledge with gratitude the expert editional assistance of Dr. Henriette Knorr-Gartner. Dr. R. Schuh mann and Mr. H. Brandt of Springer-Verlag were responsible for the histological sketches. The late Dr. H. Roemer prepared the section on psychosomatic disorders; Dr. F. W. Ahnefeld assisted in the section on shock; and Dr. H. Breinl helped to prepare the chapter on anatomy in the German edition."

Challenge your knowledge of ultrasound to address sexual health abnormalities and early pregnancy issues, alongside identifying, classifying and managing a wide range of gynaecological conditions, with this essential manual. Authored by experts in reproductive health, this bespoke guide delivers practitioners of all levels with a broad scope of sexual and reproductive disorders, as captured by ultrasound. Presenting operational issues and suggested training, this textbook ensures high-quality care in gynaecology, sexual and reproductive health and pregnancy advisory services. For use in a traditional hospital setting through to more remote locations, this guide provides an invaluable toolkit for trainees, sonographers, nurses and clinicians worldwide. Offering clear clinical ultrasound images and extensive case studies with a focus on pregnancy advisory services, this adaptable textbook provides reliable support for those who are in contact with common, rare and understudied reproductive conditions, wishing to achieve successful diagnosis and optimal imaging first time.

With the fall in mortality from infectious diseases, the* impact of childhood cancer in the Western World has increased to become the second commonest cause of death in the age group 1-14 years, being surpassed only by accidents. However, even in those countries in which paediatric cancer is attracting increasing interest, the disease is relatively uncommon, and the number of cases seen by any one physician, even in a large general hospital, is often limited to one or two a year. The widely held view by parents and even by many doctors that cancer in childhood is usually untreatable and inevitably fatal is no longer tenable. With improvement in the therapeutic response or in the actual survival rates of children with such lesions as Wilms' tumour, brain tumours, rhabdomyosarcomas, Ewing's sarcoma, retinoblastoma, lym phoma and even leukaemia, there is a real hope of achieving a substantial reduction in the mortality of childhood cancer. Paediatric oncology is, in fact, providing a vigorous stimulus to the much wider field of cancer treatment and research, and is demonstrating the advantages of a multi-disciplinary cooperation in the management of this disease.

In writing this book I have attempted to follow the gen eral pattern of the lectures which I have given to pupil midwives at Worcester Royal Infirmary for the past 21 years. In hospital it has been possible to illustrate what I have had to discuss by reference to cases at present in the wards. This unfortunately is not possible to the same extent in a book, but I have no doubt that my readers will be able to apply the principles described to cases under their care. I am sure that this is a most helpful way of fixing in one's mind the information which is required not only for examination purposes but so much more importantly for the better understanding of the clinical problems with which one is faced, and for the purpose of bringing to them the best possible management. The chapter headings and the arrangement of the chapter content may be regarded as unorthodox, but I have presented the topics in the way in which they seem to me to arise in clinical practice. This, I hope, will make easier the understanding of all aspects of a problem. [ have tried to avoid duplication, and when a topic appears in more than one place, it does so in order to discuss its relevance in a differ ent context. Cross-references have been used throughout the text, in order to facilitate reference to the other facts of importance.

Sexualit t und ihre St rungen haben in den letzten Jahrzehnten einen tief greifenden normativen Wandel erfahren. Dennoch herrscht ein Versorgungsnotstand in der Behandlung sexueller St rungen. Immer mehr Personen w nschen sich Beratung und therapeutische Hilfe. Manche rzte haben jedoch Probleme, sie darauf anzusprechen.

"Sexualst rungen" stellt Diagnostik, Beratung und Behandlung von sexuellen St rungen in den verschiedenen Lebensabschnitten praxisnah dar. Des Weiteren werden sexueller Missbrauch, geschlechtsspezifische Dysfunktionen, Fertilit tsst rungen und forensische Aspekte der Sexualit t thematisiert und neurobiologische Faktoren der Sexualit t diskutiert.

The provision of the best possible anesthetic care to the-greatest number of patients all over the world has always been the main goal of the World Federation of Societies of Anaesthesiologists. In addition to the establishment of Regional Anesthesiology Training Centers and the organization of Regional and World Congresses, the distribution of practical monographs on some important aspects of anesthesiology were considered important for the attainment of this objective. In 1968, on the occasion of the Fourth World Congress of Anesthesiology, held in London, a monograph on "Emergency Resuscitation", compiled by the Committee on Cardiopulmonary Resuscitation, chaired by Professor HENNING POULSEN, was made available to our membership. Subsequent ly, this excellent monograph was translated into Spanish, Russian, Ger man and French and to this date over 100,000 copies of it have been distributed to anesthesiologists and other interested physicians the world over. When looking for a suitable topic for a second monograph to commem orate the 1972 World Congress of Anesthesiology to be held in Kyoto this September, the subject of Obstetric Analgesia and Anesthesia was the first choice of almost everyone consulted. For reasons that are hard to condone, obstetric analgesia and anesthesia has often been the step child among the anesthetic subspecialties.