approaches to the experimental problems that still face us in understanding this most fascinating of organs. Too many people contributed to the completion of this volume to allow acknowledg ment of all the individual efforts, but we particularly thank the reviewers whose input into the editorial process was invaluable and the authors of these chapters who revised their text, sometimes more than once, to bring it to the high standards set by the Editors. The Com mittee gratefully acknowledges the support ofVysis, Inc. , in the publication of a color figure in Chapter 19, by S. Weber-Hall and Trevor Dale. Finally, we wish to express our heartfelt appreciation to Margot Ip and Bonnie Asch, who worked long and hard to bring this volume to fruition. Margaret C. Neville for the Committee on Mammary Gland Biology Preface One of the most exciting and beneficial developments in research on mammary gland biology and breast cancer has been the influx of increased funding to support this work. This influx, which has been due primarily to the tireless efforts of breast cancer activists to gamer addi tional money from various federal and state sources, has led to a rapid expansion of research efforts by attracting numerous new investigators into the field. These new investigators include students, postdoctoral fellows, and scientists from other fields.

Many obstetricians do not have adequate skills to control hemorrhaging, transferring critically-ill mothers are suboptimal and infrastructural deficiencies have a profound impact on the outcome for the mother and the fetus. The chapters cover the technical, nontechnical and organizational skills and requirements needed to 'eliminate' morbidity and mortality related to obstetric hemorrhage. The authors are well-renowned for expertise in the area in which they have contributed the chapter. This book will help consultants, postgraduates and obstetric intensivists in updating their knowledge and skills. This book is a firm step forward to establish protocols and guidelines for developing countries. Contributors have been chosen carefully based on their work profile and experience. The chapters are crafted to elaborate on cost-effective newer technologies for management of obstetric hemorrahge. The book enhances skill and builds capacity for our fraternity in tackling matters of critical care in such patients.

Practical guide to diagnosis and management of infertility Step by step, algorithm-based approach Each topic presented on one page for easy reference Covers all aspects of infertility management, from basic to advanced procedures Highly illustrated with clinical photographs and flowcharts

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

Amenorrhea: A Case-Based Clinical Guide is a comprehensive review of the current knowledge regarding normal female reproductive physiology. Replete with interesting case vignettes and providing diagnostic algorithms and therapeutic strategies for amenorrhea, Amenorrhea: A Case-Based Clinical Guide is divided into three sections. The first section is composed of two chapters that provide a thorough review of basic science and clinical knowledge about the organ systems responsible for normal physiology of the menstrual cycle. The second section includes discussion about menstrual cycle disruption as it relates to hypothalamic-pituitary dysfunction, surgical and natural menopause, genetic defects, premature ovarian failure/insufficiency and the effects of caloric excess and restriction. The third section offers an update on the physiological effects of prolonged amenorrhea induced surgically or by hypothalamic dysfunction and also includes an original chapter that focuses solely on the impact of race and ethnicity on the prevalence and diagnosis of amenorrhea. Amenorrhea: A Case-Based Clinical Guide brings together chapters from renowned experts who offer state-of-the-art, clinically useful information in a case-based, reader-friendly fashion. This title will be a welcome addition to the bookshelves of all clinicians who practice in women's health settings.

Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1969 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.

A unique guide to operative decision-making techniques in female endoscopic pelvic surgery, this new edition is a landmark in the realm of gynecological endoscopy. It is divided into four sections: basics and anatomical aspects of endoscopic surgery, specific gynecological laparoscopic procedures, specific hysteroscopic procedures, and complications in laparoscopic and hysteroscopic surgery. After basic aspects in Section 1, the main chapters in Sections 2 and 3 deal with step-by-step laparoscopic and hysteroscopic surgery. The fourth section explains complication and is important for the management of the gynecologist whose surgical background may not include gastrointestinal or urinary tract surgery. Although the book has been written for gynecologic residents-in-training and practising gynecologists, it is also of use to general surgeons who perform gynecologic operations and to all physicians who perform ambulatory gynecologic procedures. Covers the entire gamut of gynecologic surgery. Provides practical advice on the correct implementation of the minimal invasive surgical procedures. Describes the anatomy, preoperative evaluation, surgical strategy, techniques and instruments, postoperative management, results, and complications. Interaction with urologists and general surgeons are detailed. Discusses injuries to the adjacent organs, such as bowel, urinary system, and pelvic vessels. Tips and Tricks have been provided for individual surgical procedures. Enriched with diagrams, tables and clinical photographs.

This is the ideal resource for keeping abreast new developments in the fast moving field. Written by expert authors and featuring topics such as hereditary cancer in gynaecology and caesarean scar ectopic pregnancy, each chapter highlights the latest developments of relevance to clinical practice. This book is an invaluable update and revision tool for trainees preparing for postgraduate examinations. Practical and clinically-relevant content enhanced by Key Points for Clinical Practice at the end of chapters. Chapters focus on important recent developments in the field of obstetrics and gynaecology. Effective revision tool for candidates sitting for postgraduate obstetrics and gynaecology examination.

This is an updated comprehensive guide about the latest developments in the field of ART. Eminent international experts have contributed their knowledge and practice protocols. Every chapter has been carefully written by respective authors who are paramount in the concerned subjects. This book endeavors to provide an in-depth insight into every aspect of reprodcutive technology. With a compilation of the most recent advances of infertility, the book stimulates its reader for future scientific research. The contributors involved are acknowledged pioneer in their respective fields. Includes experience-based treatment protocols. Take home messages provide the gist of the topics of each chapter. Ready resource for all practicing infertility experts, clinicians, embryologists and postdoctoral fellows, etc.

The world's population is growing at an unsustainable rate. From a baseline ?gure of one billion in 1800, global population is predicted to exceed nine billion by 2050 and 87. 8% of this growth will be localized in less developed countries. Such uneven population growth will yield a harvest of poverty, malnutrition, disease and en- ronmental degradation that will affect us all. Amongst the complex mixture of political, social, cultural and technological changes needed to address this issue, the development of improved methods of fertility regulation will be critical. The inadequacy of current contraceptive technologies is indicated by recent data s- gesting that the contraceptive needs of over 120 million couples go unmet every year. As a direct consequence of this de?cit 38% of pregnancies are unplanned and more than 50% end in an abortion, generating a total of 46 million abortions per annum particularly among teenagers. If safe, effective contraceptives were ava- able to every couple experiencing an unmet family planning need, 1. 5 million lives would be saved each year (UNFPA 2003). Progress in contraceptive technology should not only generate more effective methods of regulating fertility, but should also provide a range of methods to meet the changing needs of the world's population. Contraceptive practice was revo- tionized in 1960 in the US and 1961 in Europe by the introduction of the oral contraceptive pill by Gregory Pincus, MC Chang and colleagues, based on fun- mental hormone research conducted in Germany.

Gynaecological Nursingis a comprehensive practical guide to many women health issues, written by nurses for nurses. This is a concise, clinically focused text on disease and disorders, which are unique to or are more common, in women. Medical technology is moving forward with resulting changes in practice and new techniques. Nurses need to be aware of these changes and advances and maintain our knowledge base. We need to be able to provide sound, accurate and consistent information. To maintain the trust patients have in nurses we must maintain an up to date knowledge and feel confident in this knowledge. Therefore this book provides thorough coverage of the latest medical advances and new techniques but with a sensitive holistic approach based on the requirements of nurses.Provides in-depth comprehensive, practical information with a sensitive approach based on requirements of nurses Covers latest medical advances and new techniquesPractical information on common gynae issues and how they are managed A reliable source for continuing educationA post basic reference book Places particular emphasis on gynaecological endocrinology and cancer

For counselor Nancy Wainer Cohen, this book is the sibling to "Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean "(Bergin & Garvey, 1983) her critically-acclaimed expose on America's growing reliance on cesarean sections. "Open Season "provides fresh insights and new information on the subject, offering guidance to childbearing couples, educators, health professionals, and scholars who value the natural path of childbirth.

Readers will find this book timely, informative, shocking, irreverent, and extremely readable. Cohen's intimate writing style presents a compendium of knowledge on childbirth in the fashion of a personal letter. Her aim is to lower America's alarming reliance on cesarean section, which is currently at 25 percent of all births, and to return the responsibility for childbirth to women by encouraging them to choose the kind of birthing experience they wish to have. In addition to cesarean section, Cohen discusses many other generally unnecessary interventions performed on women during pregnancy and childbirth--such as fetal monitoring and routinized hospital procedures.

This book has been launched to commemorate the 24th Annual Conference of Indian Society for Assisted Reproduction. It is a unique effort to gather experiences from experts from all over the world - all of whom are authorities in their respective field, to provide concise and updated information and integrated management approach to deal with different situations.

This book is a simple guide to the diagnosis, investigation, and treatment of all gynaecological cancers. It discusses the management of patients with gynaecological malignancies; considers the principles of chemotherapy, radiotherapy, and surgery; explains when and why each modality is used in treatment; covers the pathology of gynaecological cancer; discusses treatment of the advanced disease; and includes a chapter on the role of palliative care. The multidisciplinary approach reflects the cooperative practice in combined clinics.

This book explores how the links between midwifery research and practice can be developed and strengthened, in order to lead directly to care based on the best available evidence. Based on the realities of midwifery practice, contributions by researchers, practitioners and consumers explore the core issues, which challenge midwives in their practice, and how these challenges may be met. Comprising two sections, the book deals clearly and in detail with the complex issues involved in developing evidence-based practice. The first section considers the context of research in todays healthcare structure, after reflecting on the current and past positions of research in midwifery. Issues such as ethical decisions and the involvement of women and babies in research are explored prior to a discussion of the different stages of the research process. Continual professional and practice development through education and audit are also examined. Section Two highlights some of the core skills for research in midwifery and offers guidance and tips from experts in their fields. Throughout the book, examples from practice and reflective exercise illustrate and underpin theoretical points.Explores the key issues in midwifery research which a midwife has to understand before being able to interpret research accurately Focuses on how research can drive and improve everyday practiceHelps the reader to be clear about what issues have to be understood form research findings in order to build future research projects Gives a clear guide to how midwifery research fits the national picture, how research priorities affect maternity services, and the importance of collaborating with other professionals in developing research

In recent years, the advancing science and increasing availability of assisted reproduction have given new hope to infertile couples. However, the use of IVF and ART has also led to marked increases in the number of multiple-infant live births. This poses a public health concern, as these neonates have a higher rate of pre-term delivery, compromising their survival chances and increasing their risk of lifelong disability. By optimizing the selection of gametes and embryos with high probabilities of implantation, it is possible to reduce the number of embryos transferred and, by extension, the number of high-risk multiple gestations, while maintaining or increasing pregnancy rates. Human Gametes and Preimplantation Embryos: Assessment and Diagnosis provides a broad yet concise overview of established and developing methodologies for assessment of gamete and embryo viability in assisted reproduction. This book elucidates the best practices for precisely selecting viable specimens based on morphology and cleavage rate and covers the spectrum of emerging adjunctive technologies for predicting reproductive potential. The authors present their extensive knowledge of "omics" approaches (genomics, transcriptomics, proteomics, and metabolomics), with unbiased delineation of the associated advantages and potential pitfalls. This valuable clinical resource is well suited to infertility specialists, Ob/Gyn physicians, IVF laboratory technicians, and researchers in the fields of embryology and reproductive medicine.

Aegean Conferences is an independent, nonprofit, educational organization directed and managed by the scientific community. The board is made up of nine researchers/scientists in various disciplines from Harvard, Brown, University of Pennsylvania, UCSD, Princeton, Biovista and the Foundation for Biomedical Research Academy of Athens. The board both invites and approves unsolicited proposals for Conferences in all fields of Science, Engineering, Arts, and Humanities. The purpose of the Conferences is to bring together individuals with common interests to examine the emerging and most advanced aspects of their particular field.

The Symposium on Ovarian Cancer: State of the Art and Future Directions intends to bring together international experts interested in the development of novel diagnostic, prognostic and therapeutic tools for ovarian cancer. The meeting will function as a think tank where clinicians, translational and basic scientists, and parties from the biotechnology and pharmaceutical industry will get together to review recent advances in clinical research and translational science in ovarian cancer and define areas of future research opportunities and priorities.

There has been a rapid increase in the interest of safe complementary and alternative approaches to healthcare in pregnancy and childbirth. For those working in maternity care who seek the evidence base for therapeutic approaches, this book offers a comprehensive guide to the principles and practice of complementary therapies, and their application to expectant andnew mothers and their babies.History and background are given for each therapy, using a specifically midwifery perspective Contraindications and appropriate conditions to treat are specified Up-to-date research is included, as more research is available than ever before and so the midwife has to be able to make accurate assessments based on evidence. Legislative and professional conduct issues are covered ,putting the information into a clear midwifery context and giving guidelines to enable the midwife to deal confidently with new therapeutic approachesComprehensively updated with new research studies where available New chapters on chiropractic, hypnotherapy, Bach flower remedies, Alexander technique

This book, part of the series Rare Diseases of the Immune System, offers comprehensive, up-to-date coverage of the pathophysiology and management of the antiphospholipid syndrome (APS). Immunologic and genetic aspects are discussed and the pathogenic mechanisms responsible for such phenomena as APS-mediated thrombosis and pregnancy loss/complications are explained. The main clinical manifestations, classification criteria and diagnostic tools are identified, and close attention is paid to the nature of the involvement of various organs or organ systems in APS. Specific chapters describe the treatment of the different symptoms, therapies of value in avoiding recurrences, and innovative treatment approaches. The authors are senior experts in the field who are aided by younger fellows, ensuring that the book is also educationally oriented. This handy volume will be a valuable tool for postgraduates in training and professionals wishing to extend their knowledge of this specific syndrome.

Peritoneoscopy and culdoscopy were first introduced in the second edition of TeLinde's Operative Gynecology in 1953. TeLinde noted, "In many instances we find peritoneoscopy to be a useful procedure. Nevertheless it often left something to be desired." During the subsequent four decades, enormous progress has allowed the expansion of the application of laparoscopy and hysteroscopy throughout gynecol- ogy. Thus, it is appropriate and quite useful to have a text devoted solely to this rapidly advancing specialty. In its second edition, the text Practical Manual of Operative Laparoscopy and Hys- teroscopy is a complete and honest overview of the field providing the reader with a critical appraisal of the current literature on technique, development, and long- term follow-up. Refreshingly, the authors include not only the American experi- ence but also advances from Europe and Asia. Ricardo Azziz and Ana Alvarez Murphy have carefully organized the text into general concepts and laparoscopic and hysteroscopic operative techniques. The editors have selected authors of national and international stature to prepare chap- ters in their areas of expertise. The edited text carefully analyzes the advantages and disadvantages of each operative technique so as to allow readers insight as to the proper place for a particular endoscopic technique in their surgical practices.