This book is a practical guide to imaging techniques in obstetrics and gynaecology. Beginning with an overview of the ultrasound machine, 3D and 4D ultrasound, and examination of the female pelvis, the next chapters cover the role of colour flow and Doppler, and ultrasound, in infertility, and the use of ultrasound for the diagnosis of gynaecological disorders. The following chapters provide in depth discussion on the use of ultrasound in obstetrics, for both general pregnancy progress and health check-ups, and for abnormal conditions such as bleeding, placenta problems, and malformations. The final sections provide guidance on ultrasound report writing and how to train ultrasound techniques. The comprehensive text is further enhanced by ultrasound and Doppler images, diagrams and tables. Key points Practical guide to imaging techniques in obstetrics and gynaecology Clearly explains interpretation of images for accurate diagnosis Includes guidance on ultrasound report writing and ultrasound training techniques Highly illustrated with ultrasound images, diagrams and tables

This book is a concise guide to the diagnosis and management of reproductive health issues in adolescents that may lead to future fertility problems. Beginning with an overview of female adolescence and reproductive development, the following chapters cover different disorders including PCOS (polycystic ovary syndrome), endometriosis, anaemia, menstrual abnormalities, teenage pregnancy and abortion, STIs and more. Each section provides step by step guidance from history taking, signs and symptoms, and clinical examination, to diagnosis and therapy. A complete chapter covers the 2012 POCSO (Protection of Children from Sexual Offences) Act. Key points Concise guide to reproductive health issues in adolescents, subsequently leading to fertility problems Discusses investigation, diagnosis and management of numerous disorders Covers POCSO Act 2012 Includes clinical images and figures to assist learning

This handbook is a guide to infertility and ultrasound for gynaecologists and infertility specialists. The second edition has been fully revised and includes many new topics, providing the latest information in the field. Divided into two sections, the first half of the book covers infertility. Beginning with discussion on assessment of an infertile couple, the following chapters examine different hormone treatments, sperm preparation, and ovulation induction, including in patients with polycystic ovary syndrome. The remaining chapters cover male infertility, recurrent pregnancy loss, and practical tips for infertility management. The second part of the book covers ultrasound. Beginning with discussion on transvaginal sonography and ultrasound in different uterine diseases, the following chapters cover ultrasound in infertility treatment, as well as in the different trimesters of pregnancy. Screening for foetal abnormalities is also discussed in depth. The comprehensive text is highly illustrated with more than 700 ultrasound images, diagrams and photographs. Key points Practical guide to infertility and ultrasound for specialists in gynaecology and infertility Fully revised, second edition featuring many new topics Highly illustrated with more than 700 ultrasound images and diagrams Previous edition (9789351528562) published in 2015

For anyone who treats postmenopausal women, this latest edition of Rogerio Lobo's classic work combines the best from two well-known references: "Menopause," and the second edition of "Treatment of the Postmenopausal Woman." By adding significant discussions of the basic science behind menopause, it is possible to objectively assess the clinical value and limitations of current approaches to treatment and provide a basis and rationale for strategies that will result in better individualized and specialized care. Not only does the third edition discuss diagnosis and treatment of menopause but it covers biological, anatomical, physiological, pathobiological, and pharmacological aspects as well bringing together, in one source, all of the information needed to understand and treat postmenopausal conditions.
* Over 50% new material representing the vast amount of information available since the Women's Health Initiative (WHI) clinical trials were completed making this the most up-to-date reference on postmenopausal women
* Includes several new sections on comparisons between clinical trials and observational data, urology, and pelvic support
* Each section is preceded by a preface to put the area into context with many chapters having suggested treatment regimens

This book is a comprehensive guide to imaging techniques for the diagnosis and management of diseases and disorders of the breast. Divided into 13 sections, the text begins with an overview of breast anatomy and the pathophysiology of breast diseases. The next sections discuss different imaging techniques - mammography, ultrasound and magnetic resonance imaging (MRI). The following sections cover common and less common breast disorders and imaging in different circumstances such as with breast implants and post-surgery. A complete section is dedicated to screening for breast cancer. The book concludes with a selection of cases of varying complexity for self-evaluation. The text is highly illustrated with line diagrams and figures, as well as radiological images to enhance learning. Key points Comprehensive guide to breast imaging techniques Covers mammography, ultrasound and MRI Includes case discussions of varying complexity for self-evaluation Highly illustrated with radiological images, line diagrams and figures

Liu's Labour Ward Manual has for many years been the standard work for all personnel working on the labour ward. It gives instruction on the best application of technical procedures employed in the labour ward whilst promoting the ethos that the labouring mother and the unborn child must be the prime focus of attention. Offers a one-stop guide to all aspects of labour and birth in a hospital environment Covers everything from admittance procedures through to emergency drills and multiple births User-friendly layout with clear diagrams provide easy access to information Panel of international specialists ensure contemporary and representative content Incorporation of latest NICE and RCOG Guidelines as well as those of CNST New section on Emergency Drills Expanded segment on mental health

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.

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.

"I still have the confidence of that whole period. And I think that will stay with me for the rest of my life. Definitely a great sense of triumph really. It's incredible." Being a midwife today requires not only good clinical skills but also a broad understanding of the social and emotional changes a woman goes through before and after birth. The New Midwifery Second Edition looks at combining scientific knowledge with the more intangible skills needed in sensitive communication to provide the best possible care for the mother and her family. "There was a kind of silence in the relationship, a stillness which was very important. And we'd done all the talking in the build up. So the talking was done. I felt confident that she [the midwife] knew where I was coming from and vice versa. It was like we'd done all our dress rehearsal - what if, what if. And on the day there was nothing left to say really. So it just felt very calm, and I think that was the most important thing." The second edition of this celebrated text explores vividly the various skills and approaches that lead to successful midwifery practice and uses care stories to bring these to life. Building on a thorough grounding of theory and research evidence, The New Midwifery will enable all midwives to practise with a more effective range of skills and, as these real-life quotes from mothers bear out, provide unique professional support before, during and after birth. "I think we had a really good relationship actually. It was more of a friend relationship, but a friend you could trust in - a professional friend you could rely on." Provides a refreshingly new approach to key areas of midwifery practice in a way that brings practice to life. Illustrates and supports the fundamental changes currently taking place in midwifery around the world. Builds on the most up-to-date, evidence-based research to suggest guidelines for best practices. Explores the impact of parenthood and offers strategies for effectively supporting individuals during this period of transition. Includes "care stories" - case studies that highlight positive midwifery care and successful childbirth experiences. Offers contrasting stories from around the world, illustrating how maternity care in industrialized society differs from that in a non-industrial or third world environment. Provides up-to-date research and reference material.

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.

A woman's childbirth care choices have a profound effect on her pregnancy and childbirth experience. Today, some pregnant women have three different options to choose from: obstetrical care and a hospital birth, a midwife-assisted birth in a hospital, and a midwife-assisted birth at an out-of-hospital birthing center. By using a combination of qualitative and quantitative methods, this volume examines how and why 200 women made their choices, how satisfied they were with the care they received, and the impact of their choices on the availability of options in the future. Although most women in the U.S. still choose an obstetrician and a hospital setting, the number of women who choose to be assisted by a Certified Nurse Midwife is growing, with the result that this profession is acquiring new strength and jurisdiction over childbirth care.

'Maisie's knowledge of hormones changed my life... you need this book' Anna Jones 'Hill's advice is straightforward and no-nonsense' The Guardian 'An informative must-read for any woman - whatever their age' Vogue online During perimenopause three quarters of women will experience symptoms such as mood changes, insomnia, hot flushes, and night sweats, but there is little in the way of evidence-based information out there to help and guide us. Perimenopause Power is the essential handbook to understanding what the hell's going on and to empower us to improve our experience of the dreaded 'change'. Maisie Hill, the highly qualified women's health expert, best-selling author of Period Power and founder of The Flow Collective, takes us through the physiological changes of perimenopause and menopause, step by step, with calm positivity. In this invaluable guide she shares tips and advice to support women through the challenge of wildly fluctuating hormones. A must-read for anyone looking for a well-researched, evidenced-based book on perimenopause and menopause that gives women the information they need to address their hormonal needs. Perimenopause Power will help women to understand what's going on with their bodies and how to deal with troublesome symptoms, and share valuable insights into making it a positive and powerful experience. 'Maisie Hill helps you understand the changes in your body and psyche during the lead-up to menopause and how to handle symptoms.' Top Sante 'Maisie Hill gets rid of myths, sheds light and allows for an open, honest and much-needed conversation' Mind

Providing the latest evidence-based information on etiology, evaluation and treatment, this unique text provides an in-depth, comprehensive discussion of the epidemiology, genetic and endocrinologic factors and medical and surgical management of recurrent pregnancy loss (RPL). Taking a multidisciplinary approach including psychological treatment and patient perspectives, all aspects of current RPL prevention and treatment are elucidated. Detailed chapters provide real-world illustrative material and cover the set-up and management of RPL clinics and databases, containing practical tips. Recurrent Pregnancy Loss will be an excellent resource for OB-GYN specialists, general and reproductive endocrinologists, radiologists, hematologists, psychiatrists, psychologists, and any other investigators or clinicians treating patients confronted with this emotionally and physically trying condition.

This volume will explore the latest findings in research into the genetics of breast and reproductive cancers, covering the epidemiological aspects of these cancers, their etiology, the effect of environment on genes and cancer etiology, and how research in this area can lead to development of preventative measures and treatments.

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 comprehensive guide covers all aspects of mastopexy and breast reduction, ranging from anatomy to the variety of procedures in mastopexy, mastopexy/breast reduction, and breast reduction, preoperative care, complications, breast tumors (benign and malignant), and medicolegal aspects.