Targeted intraoperative radiotherapy is a major advance in the management of cancer patients and has been attracting massive interest worldwide following publication of the results of an important randomized controlled trial in The Lancet. This textbook is designed to introduce this innovative technology in a comprehensive manner to clinicians dealing with cancer patients. Throughout, the emphasis is on practical aspects, and the text is supported by many excellent illustrations. The editors of the book have extensive experience in targeted intraoperative radiotherapy and include co-directors of the TARGIT Academy, which runs international training courses on the technology in the United Kingdom and Germany. They have brought together multidisciplinary contributors from different centers across the world who have wide experience in the field and whose work has been recognized internationally. It is the editors' hope that this book will succeed in ensuring that targeted intraoperative radiotherapy is used effectively worldwide.

Providing clinicians with a comprehensive, evidence-based summary of musculoskeletal health in pregnancy and postpartum, this is the first book of its kind to describe the physiologic changes, prevalence, etiology, diagnostic strategies, and effective treatments for the most common musculoskeletal clinical conditions encountered during this phase of life. Lumbopelvic pain, upper and lower extremity diagnoses, labor and delivery considerations, including the impact on the pelvic floor, and medical therapeutics will be discussed. Additionally, the importance and influence of exercise in pregnancy, the long-term implications of musculoskeletal health in pregnancy and current and future directions for research will be addressed. The childbearing period is a time of remarkable reproductive and musculoskeletal change, predisposing women to potential injury, pain, and resultant disability. Musculoskeletal Health in Pregnancy and Postpartum offers musculoskeletal medicine specialists, obstetricians and any clinicians involved in the care of pregnant or postpartum women the tools necessary to prepare for, treat and prevent these concurrent injuries during an already challenging time.

'Breast is best' is today's prevailing mantra. However, women - particularly first-time mothers - frequently feel unsupported when they come to feed their baby. This new experience often takes place in the impersonal and medicalized surroundings of a hospital maternity ward where women are 'seen to' by overworked midwives. Using a UK-based ethnographic study and interview material, this book provides a new, radical and critical perspective on the ways in which women experience breastfeeding in hospitals. It highlights that, in spite of heavy promotion of breastfeeding, there is often a lack of support for women who begin to breastfeed in hospitals, thus challenging the current system of postnatal care within a culture in which neither service-user nor provider feel satisfied. Incorporating recommendations for policy and practice on infant feeding, Breastfeeding in Hospital is highly relevant to health professionals and breastfeeding supporters as well as to students in health and social care, medical anthropology and medical sociology, as it explores practice issues while contextualising them within a broad social, political and economic context.

For more than a decade, there has been no resource to guide the practitioner, trainee or allied health professional in this important field of pediatrics. These disorders are addressed every day with children admitted to the neonatal intensive care unit, pediatric intensive care unit, inpatient units, day hospitals, surgical units (inpatient and ambulatory), emergency rooms or in the outpatient setting.

Fluid and Electrolytes in Pediatrics: A Comprehensive Handbook is a complete compendium of ready access information for pediatricians, family practitioners, residents, students and allied health professionals. The manual will be a "go to" source for tables or information on any aspect of fluid, electrolyte and acid-base metabolism for general pediatrics/ family practitioners/residents/medical students/nurses or the medical or surgical specialties.

In order to achieve the goal as the "THE" textbook in this discipline, each chapter of the book will be divided into the following areas: Definition and Pathophysiology, Symptoms, Diagnosis and Causes, Treatment and Representative Scenarios. Case presentations/problems (6-10) to illustrate the key points within the chapter. The scenarios will attempt to cover the most common problems that present in pediatrics.

This book will have unique information with extensive tables, lists, and algorithms that detail clinical features of the entire spectrum of water metabolism, disorders of electrolytes, and disturbances in acid-base homeostasis by age (infants/newborns, children and adolescents) that is not available in any other textbook.

This book reveals how giving birth is an inherently safe, relatively painless process that is best performed without the assistance of doctors or midwives, and how confidence and a positive attitude reduces fear-and therefore the pain-of labor. According to Laura Kaplan Shanley, a renowned leader in the natural-birth movement, human birth is inherently safe and relatively painless-provided we refrain from physical or psychological interference. The problems often associated with birth can be traced to three main factors: poverty, unnecessary medical intervention, and fear. When these causes are eliminated, most women can give birth either alone or with the help of a partner, friends, or family. This second edition of Unassisted Childbirth leads with a history of childbirth and then describes how most deliveries occur today, detailing why these processes don't serve mothers or babies. The information in this unique book gives women yet another legitimate choice in childbirth that doesn't rely on doctors and technology, and allows parents, birth professionals, and general readers to reexamine their most basic ideas about birth and learn to think in new ways. A bibliography of unassisted childbirth resources

In this issue, guest editors bring their considerable expertise to this important topic. Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Reproductive tract infections (RTis) have become a silent epidemic that is devastating women's lives. Each year, thousands of women die needlessly from the consequences of these infections, including cervical cancer, ectopic pregnancy, acute and chronic infections of the uterus and the fallopian tubes, and puerperal infections. For many women, this happens because they receive medical attention too late, if at all. The terrible irony of this tragedy is that early diagnosis of and treatment for many RTis do not require high-technology health care. For the hundreds of millions of women with chronic RTis acquired from their sexual partners, life can become a living hell. Infection is a major cause of infertility, and it leads to scorn and rejection in many countries. These women may experience constant pain, have festering lesions of the genital tract, be at enhanced risk of second ary diseases, and endure social ostracism. The problems associated with RT s have grown even greater in the past decade with the emergence of human immunodeficiency virus (HIV) and AIDS. Preexisting sexually transmitted disease, particularly when associated with genital tract ulcers, raises women's vulnerability to the transmission of HIV 3-5 fold."

In this issue of Obstetrics and Gynecology Clinics, guest editors Patrice Weiss and Jessica F. Partin bring their considerable expertise to the topic of Management of Benign and Malignant Breast Disease. Provides in-depth reviews on the latest in Management of Benign and Malignant Breast Disease. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

The Essential Reference for Professionals Working with Breastfeeding Mothers - Now Published by Springer Publishing Company Medications & Mothers' Milk is the worldwide-bestselling drug reference on the use of medications in breastfeeding mothers, providing you with the most current, complete, and evidence-based information. Extensively updated throughout, the 17th Edition includes hundreds of new drugs, diseases, vaccines, and syndromes. The appendices provide information on radioactive drugs and tests, and over-the-counter drugs. Written by world-renowned Clinical Pharmacologist, Dr. Thomas Hale, and assisted by Dr. Hilary Rowe, this drug reference provides everything that is known about the transfer of various medications into human milk, the use of radiopharmaceuticals, the use of chemotherapeutic agents, and vaccines in breastfeeding mothers. Features: Updated throughout with new data on 1,115 drugs, syndromes, vaccines, and herbals. Contains new tables to compare the suitability of psychiatric medications and pain medication. Includes many new radiocontrast agents and other diagnostic procedures.

The changes that are happening within midwifery are of concern to those within the health care system, the academic world and those whose lives are touched by midwifery care. Failure to Progress reflects on the current situation and questions whether it is the most appropriate way of providing care for the childbearing woman. The book discusses what is happening both within midwifery as well as to midwifery as a profession in the context of social change. Topics covered include:
* the evolution of the midwifes role
* women's issues
* the functioning of the midwife within the health care system
* the effects of organisational change
* the relationships of the midwife with the woman she cares for and with medical practitioners.

All of the contributors to Failure to Progress are actively involved with the provision of care to the childbearing woman, and most are practising midwives. Together they build up a comprehensive picture of midwifery today which will be relevant to all midwifery students, practitioners and policy makers and not least to the consumers of midwifery care.

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.

All persons, while different from one another, have the same value: this is the author's relatively uncontroversial starting point. Her end point is not uncontroversial: an ideal of justice as human flourishing, based on each person's unique set of capabilities. Because the book's focus is women's health care, gender justice, a necessary component of justice, is central to examination of the issues. Classical pragmatists and feminist standpoint theorists are enlisted in support of a strategy by which gender justice is promoted. Two features of the book are unique: (1) the topics presented cover the entire life span of women, not just those related to reproduction; (2) a range views about moral status are applied not only to fetuses but also to individuals already born. Attention to these features is intended to facilitate ethical consistency or moral integrity and respect for those who hold different moral views. While delineating and defending the book's perspective, the first section provides an overview of bioethics, critiques prevalent approaches to bioethics and models of the physician-patient relationship, and sketches distinguishing aspects of women's health care that are prevalently neglected. Positions about moral status are also presented. The second section identifies topics that are indirectly as well as directly related to women's health, such as domestic violence and caregiving. Brief cases illustrate variables relevant to each topic. Empirical and theoretical considerations follow each set of cases; these are intended to precipitate more expansive and critical examination of the issues raised. The last section is devoted to an egalitarian ideal that may be pursued throughan ethic of virtue or supererogation rather than obligation. By embracing this ideal, according to the author, moral agents support a more demanding level of morality than guidelines or laws require.

This book deals with the management of labour, guiding the readers to recognize problems by keen monitoring, based on anatomical and physiological understanding of labour. In this era of technology, this book revives the fading art of identification of clinical signs and symptoms. The chapters are well-structured, covering different aspects from suspicion to identification of the problems by recognizing subtle warning signals by the fetus and the uterus. Operative deliveries and common obstetric emergencies with their appropriate management are also covered. It provides practical points to prevent, anticipate, recognize, and manage problems during labour. Key Features Helps to identify clinical signs and symptoms that infuses the reader with confidence to identify and manage abnormal situations during labour and childbirth through the feel of their fingers and awakened understanding. A must have book for all postgraduate trainees and practitioners of obstetrics, eager to learn the fundamentals of labour management. Features illustrated cases helpful in learning management of normal labour and pick abnormal labour, at the earliest possible deviation from normalcy.

Uniquely designed to reflect the physician's decision-making process, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of female pelvic medicine and reconstructive surgery. This practical, atlas-style resource covers everything from basic concepts through to clinical and urodynamic evaluation, management, and treatment, equipping you to make the best clinical decisions and optimize outcomes. Edited and authored by renowned experts in the field, this updated 5th Edition is an ideal resource for urogynecology fellows and practitioners, urologists, and OB/GYNs who need a step-by-step, comprehensive reference on the latest procedures and research to evaluate and treat female pelvic floor disorders. Offers a comprehensive approach to all urogynecologic disorders, including genuine stress incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection. Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of clear surgical illustrations, photographs, and radiographs. Features an all-new video collection to clearly demonstrate key procedures. Contains new chapters on Urology for the Urogynecologist and Interstitial Cystitis/Bladder Pain Syndrome. Contains timely discussions of surgical complications, the psychosocial issues associated with treating patients with female pelvic floor disorders, and female sexual function and dysfunction. Includes case presentations from leading experts in urogynecology and urology that allow you to apply the information presented to everyday clinical situations. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

The advent of hormonal infertility treatments and in vitro fertilization techniques have led to a sharp increase in the number of quadruplet and higher-order conceptions in recent years. Improved neonatal care and nutrition have meant that many more of these babies survive. Yet it appears that very little research has been done into the lives of such children and the psychodevelopmental consequences of their multiple status. In this book, Marie M. Clay brings together what is known from historical records and reports in the medical, psychological, and popular press. She points to the contribution that research studies on higher multiple sets could make to our understanding of genetic-environmental interactions and gives valuable methodological advice for those wishing to initiate such a study. Changes in social practices and medical knowledge are highlighted, various aspects of pregnancy and birth are discussed, and the practical and emotional problems faced by families of multiple sets are sensitively described. Appended to the book are an illustrated 'Catalog' of quadruplet case reports gleaned from the literature, including birth details and postnatal histories, plus a directory of multiple birth associations, support groups, and study centers around the world.

h America: Equine Practice h America: Equine Practice

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.

This book aims to provide an up-to-date review of the literature in each of the major areas relating to the management of older gynecological cancer patients, and makes recommendations for best practice and future research. The authors come from a broad geographic spread including the UK, mainland Europe and North America to ensure a worldwide relevance.

"Engagingly written, rigorously researched, and compellingly argued, this book is] a must-read not only for women's health advocates and scholars of reproduction, but also for those engaged in health care policy."--Susan Markens, author of Surrogate Motherhood and The Politics of Reproduction Cut It Out examines the exponential increase in the United States of the most technological form of birth that exists: the cesarean section. While c-section births pose a higher risk of maternal death and medical complications, can have negative future reproductive consequences for the mother, increase the recovery time for mothers after birth, and cost almost twice as much as vaginal deliveries, the 2011 cesarean section rate of 33 percent is one of the highest recorded rates in U.S. history, and an increase of 50 percent over the past decade. Further, once a woman gives birth by c-section, her chances of having a vaginal delivery for future births drops dramatically. This decrease in vaginal births after cesarean sections (VBAC) is even more alarming: one third of hospitals and one half of physicians do not even allow a woman a trial of labor after a c-section, and 90 percent of women will go on to have the c-section surgery again for subsequent pregnancies. Of comparative developed countries, only Brazil and Italy have higher c-section rates; c-sections occur in only 19% of births in France, 17% of births in Japan, and 16% of births in Finland. How did this happen? Theresa Morris challenges most existing explanations of the unprecedented rise in c-section rates, which locate the cause of this trend in physicians practicing defensive medicine, women choosing c-sections for scheduling reasons, or women's poor health and older ages. Morris's explanation of the c-section epidemic is more complicated, taking into account the power and structure of legal, political, medical, and professional organizations; gendered ideas that devalue women; hospital organizational structures and protocols; and professional standards in the medical and insurance communities. She argues that there is a new culture within medicine that avoids risk or unpredictable outcomes and instead embraces planning and conservative choices, all in an effort to have perfect births. Based on 130 in-depth interviews with women who had just given birth, obstetricians, midwives, and labor and delivery nurses, as well as a careful examination of local and national level c-section rates, Cut It Out provides a comprehensive, riveting look at a little-known epidemic that greatly affects the lives, health, and families of each and every woman in America. Theresa Morris is Professor of Sociology at Trinity College in Hartford, Connecticut. She is the mother of two children, the first born by c-section and the second by vaginal delivery.

This volume examines one health issue -- breast implants -- across a series of contexts often thought to be separate -- media coverage, doctor-patient interaction, doctor-doctor professional communication, support group dialogues, public relations campaigns, and more. In so doing, it provides a narrative of how communication shapes the individual perceptions of health, government, and social policy concerning health care.
At the core of the silicone breast implant controversy is the need for people to act amid uncertainty about the health risks involved. This need to weigh action in the midst of uncertain risk characterizes a large number of health issues. The attempts of patients, physicians, drug manufacturers, and others to seek and provide both information and influence makes communication central to these issues. Consequently, the questions explored in this volume will interest a diverse group of readers. This audience includes plastic surgeons in particular, physicians in general, and anyone involved with women's health issues. As the medical profession struggles with its identity amid changes in public attitudes, government regulations, and medical practices, this volume's findings concerning media portrayals of doctors and medical devices become even more important.
Finally, this study reveals how interrelated public information and private decisions are, and how closely media and interpersonal relationships fit. Tracing one medical issue across interpersonal, organizational, public relations, and mediated forums has clearly demonstrated the multiple ways those communication channels overlap and inform one another.