This book offers a critical review of the pelvic sciences past, present and future from an anatomical and physiological perspective and is intended for researchers, medical practitioners and paramedical therapists in the fields of urology, gynecology and obstetrics, proctology, physiotherapy, as well as for patients.

The book starts with a construction plan of the pelvis and shows its structural consequences. The historical background of pelvic studies proceeds from medieval and early Italian models to the definitive understanding of the pelvic anatomy in the Seventeenth century. During these eras of pelvic research, concepts and approaches developed that are illustrated with examples from comparative anatomy and from mutations, also with regard to the biomechanics of pelvic structures. Perceptions of the pelvis as an important element in sexual arousal and mating conduct are discussed, as well as attitudes to circumcision, castration and other mutilations, in its anthropological, social context.

The anatomy and physiology of the pelvic wall and its organs as well as the development of these pelvic organs are covered as a prerequisite to understanding, for example, the spread of pelvic carcinoma and male and female bladder muscle function. Connective pelvic tissue is examined in its reinforcing capacity for pelvic structures, but also as a hiding place for infections. Innervations and reflexes relayed through the pelvic nerves are discussed in order to explain incontinence, sphincter function and the control of smooth and striated muscles in the pelvis.

Catheters and drugs acting on pelvic function are described, and a critical review of alternative clinical methods for treating pelvic dysfunctions is provided."

It is vital that healthcare practitioners understand the psychological impact of childbirth when caring for women. This accessible guide is designed to improve the care that women receive and, as a result, public health outcomes related to maternal and infant wellbeing. This book outlines how clinicians can offer practical support to women after birth. It: discusses what we know about how women adapt to motherhood and develop a post-childbirth identity; outlines some of the causes and manifestations of post-traumatic stress following childbirth; provides practical guidance for setting up postnatal pathways for women traumatised by birth and how to communicate effectively; equips practitioners with the knowledge and skills to support pregnant women with a fear of birth; incorporates narratives from women to demonstrate how their births and related events were perceived and processed, before discussing how women's views can be used to inform future practice; highlights the importance of restorative supervision for healthcare professionals working in this area to promote staff resilience and sustainability. Drawing together theoretical knowledge, evidence, practical skills and women's narratives to help clinicians understand the psychology of childbirth and support women, it is of significant value to all healthcare practitioners engaged in maternity services.

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

This book presents expert opinions on a variety of key topics related to the management of breast cancer, with a focus on the implications of recent advances and research findings for clinical practice. It also explores the controversy regarding mammography screening and reviews the contribution of new imaging modalities. Considerable attention is paid to developments in surgical procedures, including the potential for the safe and effective use of sentinel lymph node dissection alone-even in patients with positive nodes-and to the advantages and contraindications of new radiotherapy techniques. Genetic aspects are discussed in detail, including an assessment of the role of genetic testing and the potential impact of genetic signatures on breast cancer management. New systemic strategies, such as anti-HER2 therapy, endocrine agents, and agents to reverse endocrine resistance, are considered, and the optimal use of chemotherapy for early-stage and advanced-stage disease is addressed. In closing, the book shares important new insights into lifestyle risk factors, risk reduction strategies, and survivor issues, including sexual dysfunction and fertility maintenance.

This cutting-edge text for surgeons specializing in Reproductive Medicine details how the latest minimally invasive developments impact on operations in their repertoire. Illustrated with color photographs and surgical videos, this will be an essential reference in a fast-moving field.

This easy-to-understand pocketbook in the highly respected Clark's stable of diagnostic imaging texts is an invaluable tool for students, sonographers and other ultrasound practitioners, providing practical guidance on clinical ultrasound procedures, summarising current relevant literature and professional body guidelines. The content is arranged by anatomical system and organ for ease of reference, with each section comprising a short introduction, the indications for the procedure, patient preparation, the imaging procedure itself, along with an image analysis, supported throughout by positioning photographs and clinical images. Clark's Essential Guide to Clinical Ultrasound is ideal for all users of clinical ultrasound at both undergraduate and postgraduate level and will also provide a convenient distillation of the latest best practice and guidelines for sonographers, midwives, vascular technologists, ECG technologists, medical doctors, sports injury specialists, paramedics, and other health professionals.

Originally published in 1986, this book examines the history of midwifery, concentrating on 19th and 20th Century Britain. It shows how the evolution of the midwife has been influenced by cultural waves which started in the Near East and Egypt in pre-classical times and slowly spread Northwards and Eastwards over Europe. The authors emphasize the effects of specialization and professionalization upon midwifery and also the influence of male authority and interest group politics. The evolution of the educated qualified midwife of the 20th Century is recorded, leading up to the ongoing debates about high technology birth vis-a-vis natural birth and home deliveries.

This book highlights the impact of nutrients on early placentation processes and their relevance for fetal growth and pregnancy outcome. The role of maternal nutrition on fetal growth and development has been evidenced in many epidemiological studies that included infamous Dutch famine, Helsinki Birth cohort and others. Fetal programming hypothesis states that the nutritional and other environmental conditions under which an individual develops from pre-conception to birth has a major impact on the future health of the newborn child. The developmental environment of the fetus is primarily dependent on two major factors that are maternal nutritional state (excess/low/imbalance) and placental function. Placentation is characterized by the extensive remodeling of the maternal uterine vasculature producing low-resistance blood vessels that facilitate the exchange of nutrients and wastes between the mother and the fetus. Cellular and molecular mechanisms involved in human placental blood vessel formation, which are now well established, are discussed.

A first in Midwifery publishing! No other book advises midwives on the special needs of mothers with disabilities. Although an increasing number of women with disabilities are having children, the needs of this minority group are not always being effectively met. Disability in Pregnancy and Childbirth provides essential practical information to healthcare professionals working with this group. The first book on maternity care for women with additional or alternative needs A practical resource for all working with pregnant women and mothers Reflects the lived experiences of women with disabilities Written by experts in the field Holistic content Looks at professional attitudes as well as the woman's needs

Hysterectomy is the second most common major surgical procedure performed on women in the United States. For some women, the decision to have a hysterectomy is an easy one; for others, it is a difficult choice associated with concerns about risks, discomfort, and female identity. Yet many disorders of the uterus-fibroid tumors, uterine and cervical cancer, pelvic inflammatory disease, endometriosis, adenomyosis, and uterine prolapse-may require surgical treatment. In this thoroughly updated edition of Hysterectomy: Exploring Your Options, gynecologists Edward E. Wallach, Esther Eisenberg, Isabel Green, and Stacey A. Scheib describe and explain every aspect of the procedure, including, Symptoms of gynecological disorders that may require uterine fibroid removal or hysterectomy; the full range of diagnostic and therapeutic imaging techniques, including MRI-focused ultrasound; thorough explanations of specific alternative measures that may be used to avoid the need for hysterectomy; the various techniques for hysterectomy, including single-incision surgery and robotic hysterectomy; how to prepare for surgery and what to expect while in the hospital; details on the surgery and postoperative recovery, including information about pain medications, when to resume daily activities, how sexual function may be affected, future reproductive possibilities, and the benefits and risks of hormone replacement therapy. Included in this compassionate, comprehensive guide to treatment and recovery for women having - or deciding whether to have - a hysterectomy are stories of women whose own experiences with hysterectomy offer useful advice for anyone considering the procedure.

Extensive reviews have been published on the mor aspects, anatomy, ultrastructure, physiology, bio phology, anatomy, and physiology of the mam chemistry, endocrinology, pharmacology, and physiopathology of the mammalian ovary. The malian ovary. However, little attention has been given to the gaps between the physiological, endo contributors, who prepared their chapters metic ulously, are recognized experts in their respective crine and histochemical parameters of the ovary as disciplines and their writings reflect extensive per it relates to clinical aspects. There is a wealth of sonal experience and unpublished data of both publications concerning the biology of the ovary: basic and clinical sciences. Without the assistance of the purpose of this volume is to integrate this information with emphasis on modern concepts in good friends and permission to draw extensively microanatomy, physiology, methodology, clinical from investigations, this volume would not have complications, and therapeutic approaches. An been possible. attempt is made to place fundamental research in Thanks are due to G. F. Franchitto, F. Barberini, clear perspectives. P. Stoops. Lori Rust and J. Squiers for their editorial It is hoped that this volume will fulfil a long skills and for checking the references to the original standing need and serve as an important source for sources. Thanks are particularly due to 1. K. Smith investigators and clinicians concerned with the of Martinus Nijhoff Publishers BV for his excellent physiopathology of the ovaries for years to come. It cooperation during the production of the book."

This book presents the contemporary history and dynamics of Mexican midwifery - professional, (post)modern or autonomous, traditional and Indigenous - as profoundly political and embedded in differing societal stratifications. By situated politics, the authors refer to various networks, spaces and territories, which are also constructed by the midwives. By politically situated, the authors refer to various intersections, unsettled relations and contexts in which Mexican midwives are positioned. Examining Mexican midwiferies in depth, the volume sharpens the focus on the worlds in which midwives are profoundly immersed as agents in generating and participating in movements, alliances, health professions, communities, homes, territories and knowledges. The chapters provide a complex panorama of midwives in Mexico with an array of insights into their professional and political autonomy, (post)coloniality, body-territoriality, the challenges of defining midwifery, and above all, into the ways in which contemporary Mexican midwiferies relate to a complex set of human rights. The book will be of interest to a range of scholars from anthropology, sociology, politics, global health, gender studies, development studies, and Latin American studies, as well as to midwives and other professionals involved in childbirth policy and practice.

Infertility Comics and Graphic Medicine examines women's graphic memoirs on infertility, foregrounding the complex interrelationship between women's life writing, infertility studies, and graphic medicine. Through a scholarly examination of the artists' use of visual-verbal codes of the comics medium in narrating their physical ordeals and affective challenges occasioned by infertility, the book seeks to foreground the intricacies of gender identity, embodiment, subjectivity, and illness experience. Providing long-overdue scholarly attention on the perspectives of autobiographical and comics studies, the authors examine the gendered nature of the infertility experience and the notion of motherhood as an ideological force which interpolates socio-cultural discourses, accentuating the potential of graphic medicine as a creative space for the infertile women to voice their hitherto silenced perspectives on childlessness with force and urgency. This interdisciplinary volume will be of interest to scholars and students in comics studies, the health humanities, literature, and women's and gender studies, and will also be suitable for readers in visual studies and narrative medicine.

Mindfulness in the Birth Sphere draws together and critically appraises a raft of emerging research around mindfulness in healthcare, looking especially at its relevance to pregnancy and childbirth. Divided into three parts, this reflective book: * Investigates the phenomena of mindfulness through discussions of neuroscience, an indigenous worldview and research methods. * Develops the concept of mindfulness for use in practice with women/and babies across the continuum of childbirth. It includes chapters on birth environments, intrapartum care, mental health, fertility, breastfeeding and parenting among others. * Explores mindfulness as a tool for birth practitioners and educators, promoting self-care, resilience and compassion. Each chapter discusses specific research, evidence and experiences of mindfulness, including practical advice and an example of a mindfulness practice. This is an essential read for all those interested in mindfulness in connection to pregnancy and childbirth, including midwives, doulas, doctors and birth activists, whether involved in practice, research or education.

First principles chapter clearly explains the key concepts, processes and structures of the female reproductive system. Clinical essentials chapters provide an overview of the symptoms and signs of obstetric and gynaecological disease, relevant history and examination techniques, investigations and management options. Disease-based chapters give concise descriptions of all major disorders, e.g. complications of pregnancy, gynaecological tumours and subfertility, each chapter introduced by engaging clinical cases that feature unique graphic narratives. Emergencies chapter covers the principles of immediate care in situations, such as ectopic pregnancy and eclampsia. Integrated care chapter discusses strategies for the management of chronic conditions across primary and other care settings. Self-Assessment - 80 multiple choice questions clinical SBAs.

Praise for the previous edition: this textbook is a useful resource for medical students it will provide them with the basic information they need to survive clinics and to pass exams Clear, concise and colourful; perfect for easy learning and revision Times Higher Education Obstetrics and Gynaecology by Impey and Child continues to be an invaluable and authoritative resource for healthcare and medical students. This comprehensive guide provides the perfect level of detail on history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics. Fully updated in accordance with NICE and other national guidelines, this fifth edition now includes: * New sections on FGM and influenza * Expanded areas in medical disorders in pregnancy and mental illness * Improvements to the popular management section along with a new section on sepsis * Colour coded sections on obstetrics and gynaecology for ease of use This new edition of Obstetrics and Gynaecology will be an indispensable support to help not only students to revise for exams, especially OSCEs, but also healthcare practitioners and practising doctors to structure their knowledge and improve their practice.

Meningitis and Encephalitis are associated with high rates of mortality and neurological sequelae. The differential diagnosis includes a wide spectrum of infectious and non-infectious etiologies, some requiring urgent therapy for survival. The current management challenges in patients with meningitis and encephalitis include a low sensitivity of meningeal signs, overutilization of unnecessary screening cranial imaging, delays in diagnosis of urgent treatable causes, a large proportion of unknown etiologies, low sensitivity of current microbiological techniques especially in the setting of previous antibiotic therapy, underutilization of available molecular diagnostic tests, and empiric antibiotic therapy and hospitalization for viral meningitis cases. Even though there are published guidelines, compliance with them is not optimal and physicians do not follow standardized algorithms in their empirical approach. As meningitis and encephalitis is associated with high rates of adverse clinical outcomes, prevention, when feasible is of upmost importance. Adherence to protocols to prevent health-care associated meningitis and ventriculitis are effective but compliance with them is not uniformly performed. This book seeks to improve outcomes for meningitis and encephalitis cases handled by physicians who may or may not be thoroughly trained for these challenges. The text introduces the current guidelines but also discusses the gaps that leave clinicians struggling to implement the most appropriate approaches for these particular neurological infections. Each chapter delivers the tools necessary to identify and adhere to the most appropriate diagnostic technique, management protocols, and prevention approach for each situation. All chapters conclude with discourse on future directions in research and quality improvement. Written by experts in infectious diseases, the book covers topics that are the most devastating, including healthcare-acquired infections, autoimmune encephalitis, and infections as they present in HIV patients. Meningitis and Encephalitis is a well-rounded resource for all medical professionals encountering these neurological syndromes, including infectious disease specialists, neurologists, primary care physicians, and immunologists.

Part 2 MRCOG: SBA Questions contains invaluable preparation and practice for candidates undertaking the Royal College of Obstetricians and Gynaecologists Part 2 MRCOG examination. It contains 400 practice questions written by a highly experienced team of MRCOG question writers, alongside detailed answers referencing each question to either an RCOG, NICE or WHO guideline, or an article in the professional journal The Obstetrician & Gynaecologist . This will enable candidates to understand the reasoning and knowledge base behind the question, as well as giving them a clear reference should they wish to read further around the subject. The first part of the book introduces and explains the new format of the Part 2 MRCOG exam, giving insightful advice on the skills required to write a good SBA question. The second part of the book contains chapters matched to the 15 of the 19 modules of the core curriculum, giving a comprehensive range of questions and answers with detailed explanations and references. For anyone preparing for the Part 2 MRCOG exam, this book will provide extensive and comprehensive practice and guidance from an expert author team.

This study guide offers a systematic, comprehensive and focused approach to preparation for the MRCOG Part 3 Clinical Assessment exam. After an initial introduction, the text divides by OSCE station, beginning with an analysis of what the station is testing and what approaches and preparation are required, supported by tips and examples; this is followed by thoroughly worked practice questions based upon the exam format, with an analysis of how these are likely to be marked. Practice exam 'circuits' with fully worked questions and answers conclude the book.

This manual encompasses a comprehensive approach to the management of labour. Based on the simple proposition that effective uterine action is the key to normal delivery, Active Management of Labour covers all aspects of delivery for nulliparous women with vertex presentation and single foetus. This is an accessible and practical guide for obstericians and midwives as well as anaesthetists and the auxiliary staff of maternity units. Encourages an active interest in labour by all professional staff Emphasises the importance of constant personal attention and good communication in labour Discusses in detail the need to distinguish between: - first and subsequent births - single cephalic and all other pregnancies - induction and acceleration of labour Fosters the development of a team spirit between midwife and obstetrician Demonstrates how good labour ward organisation can improve care Proves the importance of audit in ensuring quality of care Updated chapters on dystocia and caesarean section New key points summary at the end of each chapter Updated review of clinical outcomes at the National Maternity Hospital

Heart disease is currently the leading cause of maternal mortality in developed countries and is expected to increase further due to advanced maternal age and conditions such as type 2 diabetes. Maternal Cardiac Care: A Guide to Managing Pregnant Women with Heart Disease is an up-to-date, multidisciplinary resource for physicians and advanced practice nurses caring for pregnant patients with a variety of preexisting and emerging cardiac issues. Offers comprehensive information on caring for women with heart disease, in an easy-to-follow, quick-access format. Shares knowledge from a multidisciplinary group of experts who are well versed in the team approach needed to treat this high-risk patient population. Includes extensive references for readers who want to delve more deeply into specific subjects. Ideal for obstetricians, internists, cardiologists, critical care specialists, and advanced practice nurses involved in caring for pregnant patients, as well as institutions and departments that need detailed guidance on establishing a maternal cardiac care program. 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 PROMPT (Practical Obstetric Multi-Professional Training) course covers the management of a range of obstetric emergency situations. Over the past five years, there has been increasing evidence that PROMPT training is having significant impact on outcomes in the UK, and internationally. In 2016, PROMPT was recognised in the NHS England: National Maternity Review. The PROMPT training package consists of interactive lectures, drills and workshops, providing hands-on experience of practical skills and team-working in simulated obstetric emergency situations. This third edition has been comprehensively updated in line with recent evidence and national and international guidelines to reflect the latest research and current clinical practice. There are new modules, algorithms, implementation tools, scenarios and videos. The course manual is essential reading for all those attending a local PROMPT course. It is also useful as a stand-alone textbook, providing evidence-based, up-to-date information for any health professional involved in maternity care.

Infertility can have devastating physical, emotional and financial effects on people affected. It is a common problem, but can be hard to talk about, and hard to understand. In this concise book, Dr Kovacs, a reproductive gynaecologist who has spent the past 40 years working with patients facing fertility problems, focuses on and unpicks key misconceptions. In his clear explanations, he covers the basic physiology of conceiving, and describes the areas that have to be explored for those who have not yet been able to conceive. Specific chapters cover the three major problem areas: lack of releasing eggs, sperm problems, and abnormalities of the female passages. Treatment options are discussed for each of these areas, including technical details and a brief readable overview of their history. The many ways of parenting which are now available are also detailed. This is a recommended read for couples wanting to conceive, their friends and families, and anyone who wants to understand fertility.