According to the Latina health paradox, Mexican immigrant women have less complicated pregnancies and more favorable birth outcomes than many other groups, in spite of socioeconomic disadvantage. Alyshia Galvez provides an ethnographic examination of this paradox. What are the ways that Mexican immigrant women care for themselves during their pregnancies? How do they decide to leave behind some of the practices they bring with them on their pathways of migration in favor of biomedical approaches to pregnancy and childbirth? This book takes us from inside the halls of a busy metropolitan hospital's public prenatal clinic and to the Oaxaca and Puebla states in Mexico to look at the ways Mexican women manage their pregnancies. The mystery of the paradox lies perhaps not in the recipes Mexican-born women have for good perinatal health, but in the prenatal encounter in the United States. Patient Citizens, Immigrant Mothers is a migration story and a look at the ways that immigrants are received by our medical institutions and by our society.

Low- and middle-income countries have seen a dramatic rise in the incidence of breast and gynecological cancers in the past decade. Organized cancer screening programs are not widely available in developing countries, leading to disproportionately higher mortality rates compared to those in the developed world. This book addresses cost-effective strategies for implementing programs aimed at screening for the early detection of breast, cervical, endometrial, and ovarian cancers. A well woman clinic concept providing such services as part of women's health examinations is proposed, aiming to ensure patient compliance by limiting clinic visits required for initial testing and diagnosis of screen positive cases.

This textbook considers the medical, surgical, legal and ethical aspects of establishing and maintaining an office-based egg donation programme. Chapters discuss: indications and success rates; screening and demographics of recipients and donors; preparation of the endometrium; synchronization of cycles; obstetrical outcomes; risks and complications; gestational carriers; consents and contracts; and ethics.

A growing majority of women in the western hemisphere have been delaying initiation of childbearing to later in life. Consequently, more women in their late 30s to early 40s are attempting to get pregnant for the first time than ever before. Since the incidence of most cancers increases with age, delayed childbearing results in more female cancer survivors interested in fertility preservation. In this book, the editors provide strategies for fertility preservation in women and men who require gonadotoxic treatment. In addition, epidemiologic, ethical, medico-legal, psychologic, and social aspects of fertility preservation are discussed. Using a format that combines concise scientific background with practical methodological information and easy-to-grasp algorithms, the chapters all conform to a uniform structure, including a brief abstract, keyword glossary, step by step protocol of laboratory procedures, key issues in commentary and a list of references. The result is a unique, practical reference guide for reproductive endocrinologists, urologists, embryologists, reproductive scientists, and oncologists.

Realistic patient cases to help sharpen clinical decision-making skills The 60 cases in Case Files Obstetrics & Gynecology feature realistic clinical scenarios designed to help you enhance and hone your clinical decision-making skills. Each case includes an easy-to-understand discussion correlated to key concepts, definitions of key terms, clinical pearls, and Board-style review questions to reinforce learning. The format allows you to review a patient vignette and then explore/examine the case in a contextual, application-based manner. The book is ideal for both quick-access and slow and careful study.

The discipline of obstetrics and gynaecology, which dates back many centuries, is unique in that care is extended to every stage in a woman's life. More recently there have been significant scientific advancements and technological inventions that have transformed the health and care of women. Essential Gynaecology aims to deliver core knowledge aligned with clinical application for the treatment of relevant gynaecological conditions. Essential Gynaecology is written by various specialists from South African obstetrics and gynaecology departments. Each chapter is written with dedication and has been carefully selected to fulfil curriculum requirements. Topics covered include gynaecological history and examination, contraception, abnormal uterine bleeding, gynaecological infections, benign and malignant gynaecological conditions, infertility, female urinary incontinence and pelvic organ prolapse, menopause, sexual violence against females and termination of pregnancy. In addition to covering basic content, the text also includes colour photos and multiple choice questions for self-assessment. Essential Gynaecology offers fundamental information for the MBChB programme in gynaecology and responds to a need for a defined focus area. It is recommended for medical students, medical officers, associate clinicians, interns, medical practitioners and OB-GYN registrars.

Nutrition and Diet in Menopause is a single comprehensive source that will provide readers with an understanding of menopause. Holistic in its approach, this volume is divided into five sections covering psychological, endocrine and lifestyle factors, metabolism and physiology, bone and nutrition, cancer and nutrition, cardiovascular factors and dietary supplements in menopause. In-depth chapters review the potential long term consequences of menopause on the overall health of women, not only at the physical level including hot flushes (flashes) , alterations to the genitourinary system, skin changes, decreased cardiovascular functions, hypertension, headache, back pain, and constipation. Written by international leaders and trendsetters, Nutrition and Diet in Menopause is essential reading for endocrinologists, cardiologists, nutritionists and all health care professionals who are interested in women's health.

The main focus of this book is on ruptured uterus which is a potentially fatal complication during pregnancy. The risk factors and clinical presentation of ruptured uterus vary widely. This book gives an insight into the various possible causes and their presentation. This book aims to sensitize the practicing obstetricians about the need for high level of caution in the deceptive scenarios. The readers would be able to translate the clinical experience and shelf knowledge into every day practice. The cases with similar risks and background will be compiled together under one chapter and at the end of each chapter key points will be highlighted.

Different technologies have been introduced to improve management of labor. To date there is no single text that aims at covering all these technologies that address different problems and issues in labor management. The book reviews new technologies and devices aimed to improve labor management and outcomes. These diverge between looking at a better way to use fetal heart rate monitors (that are used in 90% of labours); using new monitors to detect the <1% of babies that are damaged in labor and account for 99% of the medico-legal costs in labor; and early detection of non-progressive labors that complicate 30-50% of labors. This is the only book about all these technologies from the perspectives of new devices and technologies in labor.

This 13th edition covers the entire field of gyneecology with a simple holistic approach to cater to the needs of students. After a high-yield synopsis of topics in each chapter, there are detailed explanations of the MCQs from AIIMS (2000-2019), All India (2000-2019) and PGI (2000-2019). Keeping in mind the recent trend, new AIIMS Pattern Questions, NEET Pattern Questions, Image-based questions and color plates of instruments, specimens and radiology are included to enhance the utility of the book. This 13th edition includes annexures for last minute revision. A brief description of instruments is added along with the photograph to help not only the postgraduate aspirants but also the undergraduate students during their viva voce.

This fully revised and updated 13th edition covers the entire subjects of obstetrics with a simple, holistic approach to cater to the needs of students.

This practical handbook aims to improve a clinician's knowledge by putting forth the latest advances in the understanding of recurrent pregnancy loss and the management options. The various chapters have been authored by dedicated academicians and clinicians. Recent modalities of management, such as PGD, assisted reproductive technologies and immunotherapy have been covered. The book will also help the clinician to cater to the emotional needs of the distressed couple as chapter on 'setting up a RPL clinic' and 'tender loving care' have been included. Different chapters on genetic causes, the impact of cervical factor, the effects of antiphospholipid antibodies, male factor and infections on recurrent pregnancy losses are presented. A separate chapter on the endocrinological perspective in recurrent pregnancy losses has been included. Investigative modalities proposed for the management of recurrent pregnancy losses such as ultrasound and hysteroscopy have also been dealt with in detail. Proposed treatment options for this condition such as progesterone therapy and heparin treatment have been discussed in this book. Newer management options which are picking up pace like preimplantation genetic diagnosis (PGD) and immunotherapy have been separately dealt with. The option of assisted conception techniques to help couples has also found mention in a separate chapter. Special chapters on setting up of an exclusive RPL clinic and tender loving care (TLC) are included as the emotional health of the sorrowing couple is equally important.

This book provides the first clinically comprehensive and practical approach to ethical challenges in perinatal medicine.The first chapter introduces and explains the professional responsibility model of perinatal ethics.The professional responsibility model is based on the medical ethics of two major physician-ethics in the history of Western medical ethics, Dr. John Gregory (1724-1773) of Scotland and Dr. Thomas Percival (1740-1804) of England.The professional responsibility model is used to articulate the ethical concept of the fetus as a patient and to operationalize the ethical principles of beneficence and respect for autonomy.The book provides practical guidance for clinical judgment and decision making with patients about the responsible clinical management of the wide range of issues encountered by perinatologists in clinical practice and research.Topics included: periviability; feticide; intrapartum management; maternal-fetal conflict; innovation for fetal benefit; research for fetal benefit; non-aggressive obstetric management; managing the transition from pregnancy to birth; destructive procedures such as cephalocentesis; critical care for the pregnant patient; home birth; patient-choice cesarean delivery; neonatal care as a trial of management; and setting limits on neonatal care on the basis of clinical judgments of futility.

In this book, world-renowned experts describe the latest advances in minimally invasive gynecologic surgery and explain why endoscopy is of key importance in so many conditions. Hysteroscopic instrumentation is described and the application of hysteroscopic techniques in patients with polyps, fibroids, malformations and infertility is explained and evaluated. Individual chapters are devoted to the current minimally invasive treatment of endometriosis, endometrial polyps and adenomyosis. The role of laparoscopy in gynecologic oncology and the laparoscopic approach to hysterectomy are fully discussed. Various other applications of laparoscopy are considered, with coverage of techniques including traditional straight stick laparoscopy, barbed suture and robotic and single port surgery. Neurophysiology and the use of laparoscopic therapy to restore vital function are discussed and complications of laparoscopic surgery are also addressed.

This handbook is a humble attempt to bring together a diverse range of authors ranging from general gynecologists to basic infertility practitioners and fertility physicians practicing assisted reproductive technology (ART) to contribute their knowledge, experience and expertise on all the available drugs and formulations being used in fertility practice today. We hope this book will serve as a ready reckoner and a single go-to reference for the dosages, duration and practical applications for therapeutic alternatives in various clinical scenarios. The aim of this book is to highlight the utility of the available drug treatment options available to us in the practical management of fertility issues. Contribution from various experts ranging from general gynecologists to basic infertility practitioners and fertility physicians practicing ART. Helps to keep abreast of the latest developments in this field. Provides valuable tips and pointers which you can be implemented in day-to-day practice.

The manual provides a complete overview of the clinical assessment, diagnosis and rehabilitation of pelvic floor dysfunctions. The book will help physical therapist students, practicing physical therapists or medical professionals to reinvent the world of pelvic floor rehabilitation with needful details about the anatomy, physiology, causes of pelvic floor dysfunctions, associated pathologies, types of pelvic floor muscle dysfunctions and sexual dysfunction in female and male along with different pelvic floor dysfunctions in female, male and pediatric population. This book also mentions different efficient techniques of pelvic floor evaluation, methodologies and treatment options for common pelvic floor muscles condition. A complete overview of functional anatomy, dysfunctions, causes, types of dysfunctions (hypertonus, hypotonus, incoordination, visceral), clinical assessment, diagnosis and rehabilitation of pelvic floor conditions in female, male and children. Evaluation and rehabilitation for conditions like vaginal laxity, urinary incontinence (stress urinary incontinence, urge urinary incontinence and mixed incontinence), pelvic organ prolapse, sexual dysfunction, pelvic pain, endometriosis, interstitial cystitis, vaginismus and dyspareunia in female. Evaluation and rehabilitation for conditions like erectile dysfunction, premature ejaculation, postvoidal dribbling, prostatitis, postprostatectomy rehabilitation and pelvic pain in male have been discussed. Evaluation and rehabilitation for conditions like enuresis and encopresis in children. Het's MMT, Het's SERF Assessment, Het's Ring Clock Assessment, Het's RR Scale and HPP guidelines. Most simplified practical approach to noninvasive, transvaginal and transrectal evaluation and rehab. Functioning of multiple types of biofeedback and rehabilitation devices like ultimate noninvasive, smart and extremely efficient technology PF360 for urogenital/urogynec/ anorectal rehabilitation. Basics of medical and surgical management of conditions related to pelvic floor dysfunctions.

Practical guide to diagnosis and management of gynaecological emergencies Fully revised second edition featuring latest advances and many new topics Covers disorders in all age groups, from adolescence and puberty, to reproductive age and post-menopausal Includes discussion on ethical and medicolegal issues Highly illustrated with diagrams, flowcharts and tables

Practical guide to care of mothers and unborn babies, and management of potential emergency situations Fully revised third edition featuring latest advances and many new topics Covers a range of emergencies, from smaller but urgent issues, to immediately life-threatening problems Includes discussion on ethical and medicolegal issues Highly illustrated with diagrams, flowcharts, tables and algorithms

Salient Features: - Pictorial description of surgical steps. - More than 411 color photographs. - Covers all established and newer procedures in general surgery and gynecology. - Streaming videos from live surgeries. - This textbook is a comprehensive coverage of the laparoscopic entry techniques to make laparoscopic entry safer. - This book highlights the use of non-umbilical approach in general surgery as well as in gynecology. - This book has seven sections detailing anatomy of abdominal wall, other entry ports, about the Jain point and its usage in diverse clinical situations, entry related complications and precautions. Great care has been taken to add every possible application in gynecology by means of high resolution surgical pictures which explains every surgery in great detail. - The text is further supplemented by streaming videos with audio narration, showing entry by outside pictures and videos, as well as the whole surgery