Too often, in the debate over reproductive rights and technologies, we lose sight of the fundamental emotional and psychological issues that define the experience of pregnancy. Robin Gregg here draws on the words and stories of over thirty women to provide a first- hand perspective on pregnancy in the modern age.

In an age where a new advance in reproductive technology occurs seemingly every month, pregnancy has come to be defined by such medical procedures as prenatal screening, amniocentesis, fetal monitoring, induced labor, and cesarean sections. Public policymakers, ethicists, religious figures, and the medical establishment control the debate, drowning out the voices of women who grapple in the most immediate sense with the issues. Even feminist theorists often overlook the nuances and paradoxes of the reproductive revolution as experienced by individual, particular women.

The reader follows these thirty women as they speak about whether to become pregnant, and by what means; how to choose a health provider; what meaning they attribute to their pregnancies; and how they navigate their way through the contradictory pressures they face during pregnancy. The intimate nature of Gregg's research, consisting as it does largely of women's pregnancy narratives, lends her book a vibrancy often lacking in academic writing about reproduction.

Topics?in this issue?include: Genetic Risk and Gynecologic Cancer; Current Management of Preinvasive Cervical Neoplasia; Current Surgical Management of Cervical Neoplasia; Current Surgical Management of Ovarian Cancer; Current Management of Trophoblastic Disease; and New Developments in Radiation Management and Gynecologic Cancers.

Rheumatic (or systemic autoimmune) diseases disproportionately affect young women: the female-to-male ratio for patients with systemic lupus erythematosus during the reproductive years is approximately 9:1. In the mid- to late-twentieth century, women with rheumatic disease diagnoses were often advised to avoid pregnancy due to fear of disease exacerbation and adverse outcome. In more recent years, many women with rheumatic disease have deferred childbearing until a later age due to active disease or unsafe therapies. However, with advances in rheumatology therapies, obstetric monitoring, and reproductive medicine technologies, increasing numbers of women with rheumatic diseases are pursuing pregnancy. As a result, obstetricians and rheumatologists need to be aware of the current state of knowledge and the recommendations for management of pregnancy in these patients. Contraception and Pregnancy in Patients with Rheumatic Disease explains the basics of contraception, fertility treatment, and pregnancy in rheumatic disease patients and serves as a guide and reference tool for both rheumatologists and OB/GYNs. Most general rheumatologists and OB/GYNs have limited experience in caring for rheumatic disease patients during pregnancy, and many do not have ready access to expert colleagues in this area. This book summarizes the current state of knowledge and presents a general approach for assessment of the rheumatic disease patient considering pregnancy, hormonal contraception or infertility treatment.

Iron deficiency anaemia in pregnancy Megaloblastic anaemia in pregnancy Sickle cell disease in pregnancy Thalassemia in pregnancy Cardiac diseases in pregnancy Hypertensive disorders in pregnancy Gestational diabetes Thyroid disorders in pregnancy Renal disease in pregnancy Epilepsy in pregnancy Acquired coagulation disorders in pregnancy Antiphospholipid antibody syndrome HIV in pregnancy Liver diseases in pregnancy Febrile illness in pregnancy Skin diseases in pregnancy TORCH in pregnancy Preterm labour Pre labour rupture of the membranes - PROM Cervical insufficiency Post term pregnancy (prolonged pregnancy) Placenta praevia Abruptio placentae Rh alloimmunization IUGR Intrauterine foetal demise Multifetal gestation Induction of labor Pregnancy after previous cesarean section Ectopic pregnancy Hyperemesis gravidarum Gestational trophoblastic disease Cesarean section Rupture of the uterus Contracted pelvis and cephalopelvic disproportion Non immune hydrops fetalis Amniotic fluid embolism Immunization in pregnancy Obstetric analgesia and anaesthesia in high risk pregnancies Cord around neck Trisomy 21 Amniotic fluid abnormalities Obesity and pregnancy Fetal distress in pregnancy Corticosteroids for lung maturity Progesterone in pregnancy Varicose veins in pregnancy Pregnancy after organ transplants Human milk banking - need of the time Oncofertility Partogram Nonstress test Sildenefil Citrate in Obstetrics

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Pelvic Floor Dysfunction is reviewed in this issue of Obstetrics and Gynecology Clinics, guest edited by Dr. Joseph Schaffer. Authorities in the field have come together to pen articles on Anatomy of the Pelvic Floor Dysfunction; Epidemiology of Pelvic Floor Dysfunction; Clinical Approach and Office Evaluation of the Patient with Pelvic Floor Dysfunction; Pathophysiology of Urinary Incontinence, Voiding Dysfunction, and Overactive Bladder; Behavioral Management of Urinary Incontinence, Voiding Dysfunction, and Overactive Bladder; Pharmacologic Management of Urinary Incontinence, Voiding Dysfunction, and Overactive Bladder; Surgery for Urinary Incontinence and Overactive Bladder; Pathophysiology of Pelvic Organ Prolapse; Non-Surgical Management of Pelvic Organ Prolapse; Vaginal Surgery for Pelvic Organ Prolapse Repair; Abdominal, Laparoscopic, and Robotic Surgery for Pelvic Organ Prolapse Repair; Use of Mesh and Materials in Pelvic Floor Surgery; Obliterative Surgery for Pelvic Organ Prolapse Repair; Pathophysiology of Anal Incontinence, Constipation, and Defecatory Dysfunction; Evaluation and Treatment of Anal Incontinence, Constipation, and Defecatory Dysfunction Pathophysiology of Pelvic Floor Related Pelvic Pain; and Evaluation and Treatment of Pelvic Floor Related Pelvic Pain.

Prevention and Management of Complications from Gynecologic Surgery is reviewed in this issue of Obstetrics and Gynecology Clinics. Guest Editor Dr. Howard Sharp has assembled a panel of experts to pen articles on topics including Preventing energy-related injuries; Prevention, diagnosis, and treatment of surgical site infections; Major vessel injury; Hysteroscopic complications; Surgical hemostasis; Understanding cognitive errors in laparoscopic surgery; Preventing neurologic injury during surgery; and Gastrointestinal and genitourinary tract injuries.

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.

This book is a comprehensive guide to the management of infertility for gynaecologists and trainees. Divided into seven sections, the text begins with initial patient presentation and various diagnostic investigation techniques including transvaginal sonography, laparoscopy, hysteroscopy, and semen analysis. The following sections cover different causes of anovulation (lack or absence of ovulation), problems with the uterus and fallopian tubes such as polyps and fibroids, and other conditions including endometriosis, pelvic inflammatory disease, and cervical factors. The next section examines male infertility, followed by detailed discussion on the use of IUI (intrauterine insemination) and IVF (in vitro fertilisation), and when each is the more appropriate treatment method. The third edition of this book has been fully revised to provide clinicians with knowledge of the latest advances and technologies in the field. Key points Comprehensive guide to management of infertility Step by step approach to both basic and advanced procedures Fully revised, third edition providing latest advances in the field Previous edition (9789350905319) published in 2013

This popular guide uses illustrations and concise, integrated text to describe the essentials of obstetric practice today. From the physiology of reproduction through antenatal care and disorders in pregnancy to labour and the puerperium period, readers will find an easy-to-grasp presentation of the field's most important issues. Features nearly 20 new line drawings to show the latest in obstetric practice. All other illustrations and content thoroughly revised and updated. New material includes: Current uses and types of IUCDs (including the Mirena IUS); Management of early pregnancy including ectopic pregnancy; Preterm labour; and Ventouse (to include Kiwi-style Ventouse Cup).

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.

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 unique, research-based investigation of the U.S. breast cancer movement compares the "pink" and "green" efforts within the movement and documents their use of similar citizen-science alliances, despite the contention over the use of consumer-based activism and pink products. Breast cancer activism is one of the most flourishing research and health advocacy movements in U.S. history. Yet the incidence of breast cancer is continuing to increase. This critical and revealing text investigates breast cancer activism in its two forms-the "pink movement" that focuses on developing awareness of, coping with, and managing breast cancer; and the "green movement" that strives to determine the possible environmental causes of breast cancer-such as pesticides, chemicals, and water and air pollution-and thereby hopes to prevent breast cancer. What caused this new green movement to develop? Will it replace or merge with the pink movement? Does either approach offer more promise for a solution? And how do the two movements differ in their positions or methodology towards a similar goal? With information culled from interviews with more than 50 industry stakeholders, The Green Solution to Breast Cancer: A Promise for Prevention argues that key attributes such as strategy, mission, and branding have led to a greater convergence between the pink and green wings of the movement and presents information that enables readers to consider if either approach might be the shorter route to beating breast cancer. Examines research findings that suggest that the pink and green aspects of the breast cancer movement are no longer separate but in fact are converging towards a focus on environmental prevention Provides an in-depth examination of advocacy organizations and the ways in which an organization's structure and ideology shape its agenda and strategies Looks critically at controversial aspects of the consumerism of the pink movement, the small portion of sales actually given to cancer research, and other shortcomings of this attempt to shop our way out of a nonetheless still-increasing disease Presents valuable information for upper level undergraduate and graduate students in political science within American politics or health politics courses as well as those studying women's and gender studies, sociology, nursing, and non-profit enterprises

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.

'Essential reading for everyone' - Marian Keyes It's time for us to start talking about the menopause. Cracking the Menopause, from straight-talking broadcaster Mariella Frostrup and health journalist Alice Smellie, has all the information you need, delivered with characteristic wry humour. It's high time we renovated and elevated this life change. Despite the centuries of speculation and propaganda, we are not overheating or inherently cold, we are not hysterics or boiling vats of toxic poisons, we are not dried up or washed up, we are simply menopausal. In this no-holds-barred guide, Mariella shares her own journey through the menopause, along with the latest science, advice from leading experts and humorous illustrations - to provide an informative source of wisdom and enlightenment. Featuring case studies from women in every walk of life and all stages of their menopause journey, Cracking the Menopause opens up the conversation about an urgent topic that half the population will experience, but barely anyone is talking about. Designed to equip you with the knowledge to manage your symptoms from perimenopause onwards, this essential book separates the myths from the reality and offers expertise, hope and advice. 'I inhaled this book, it's fantastic. Women of all ages need to read it.' - Claudia Winkleman 'Mariella and Alice have just written one of the most important books of the year, bravo.' - Gabby Logan

3D ultrasound shows a still image of a foetus, far more detailed than the 2D flat grey scale imaging. 4D ultrasound is more advanced, showing a moving image, allowing obstetricians to evaluate foetal well-being. It is also used by gynaecologists to examine uterine anomalies. This book is a practical guide to the use of 3D and 4D ultrasound in obstetrics and gynaecology. Divided into three sections, the text begins with an introduction to ultrasound, its working and application, its function, software, and volume calculation tools. Section Two covers clinical applications of volume ultrasound in obstetrics, explaining its use during the first trimester, for foetal abnormalities, for functional assessment of foetal brain development, and in labour. The final section discusses the application of ultrasound in gynaecology, covering uterine abnormalities, adnexal lesions, and in infertility. The book concludes with an appendix detailing different terms used by different brands. Key points Practical guide to use of 3D and 4D ultrasound in obstetrics and gynaecology Provides detailed explanation of ultrasound working, function and software Covers different uses of ultrasound for foetal monitoring, gynaecological disorders, and infertility Highly illustrated with detailed ultrasound images

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.