This book promotes an evidence-based paradigm of fetal heart rate monitoring during labour, with a move away from the traditional 'pattern-based' interpretation to physiology-based interpretation. Chapters are presented in a systematic and accessible format, covering topics such as non-hypoxic causes of fetal brain injury, pre-existing hypoxia, types of intrapartum hypoxia, erroneous monitoring of maternal heart rate, fetal scalp blood sampling and fetal ECG (STAN), intermittent auscultation and medico-legal issues. Sections on 'pearls' and 'pitfalls' highlight good practice and common errors to promote best practice. End-of-chapter exercises allow the reader to engage with the theory and test their knowledge of key areas. This is a highly practical manual aimed at obstetricians and midwives, particularly those undergoing CTG training. The book will also be very useful to midwifery and medical students and to all those involved in multiprofessional intrapartum care.

A basic understanding of human genetics is vital for all those working in the field of assisted human reproduction. Genetic makeup can hamper reproduction and insight into this is making genetic diagnosis and counselling increasingly important. This fully updated textbook continues the clear structure of the original edition, beginning with a chapter on the basics of genetics and cytogenetics. Genetic causes of infertility and the effect of epigenetics and transposons on fertility are discussed in detail. Several new chapters are included in this edition, reflecting the advances of the field, including preconception genetic analysis and screening in IVF and mitochondrial genetics. Combining genetics, reproductive biology and medicine, this is an essential text for practitioners in reproductive medicine and geneticists involved in the field looking to improve their knowledge of the subject and provide outstanding patient care.

The Routledge International Handbook of Women's Sexual and Reproductive Health is the authoritative reference work on important, leading-edge developments in the domains of women's sexual and reproductive health. The handbook adopts a life-cycle approach to examine key milestones and events in women's sexual and reproductive health. Contributors drawn from a range of disciplines, including psychology, medicine, nursing and midwifery, sociology, public health, women's studies, and indigenous studies, explore issues through three main lenses: the biopsychosocial model feminist perspectives international, multidisciplinary perspectives that acknowledge the intersection of identities in women's lives. The handbook presents an authoritative review of the field, with a focus on state-of-the-art work, encouraging future research and policy development in women's sexual and reproductive health. Finally, the handbook will inform health care providers about the latest research and clinical developments, including women's experiences of both normal and abnormal sexual and reproductive functions. Drawing upon international expertise from leading academics and clinicians in the field, this is essential reading for scholars and students interested in women's reproductive health.

Recurrent pregnancy loss (RPL) includes recurrent first- and second-trimester abortions and recurrent preterm delivery, second- or third-trimester intrauterine fetal death, intrapartum stillbirth, and early neonatal death. This book includes protocols for case scenarios of early and late pregnancy loss as well as instances of poor obstetric history. Key Features Explores the management of different clinical presentations of RPL Includes preeclampsia, intrahepatic cholestasis of pregnancy, and hypertension-related disorders in pregnancy Includes clinical protocols with flowcharts Features tip boxes with learning points for easy reference

Midwifery Emergencies at a Glance is a succinct, illustrated guide covering the practical skills needed to manage obstetric and midwifery emergencies, as well as high-risk midwifery care. It provides clear guidance on the factors which predispose to complications so that preventative management can be employed whenever possible. Broad-ranging yet easy-to-read, Midwifery Emergencies at a Glance details the underlying physiology and pathophysiology related to the emergency and explores both the physical and psychological care of the woman, partner and newborn during and following the emergency. Key features: Evidence-based, with guidance from the NMC, RCOG, NICE, and The Resuscitation Council Presented in an innovative, visual style that makes the key concepts easy to understand Provides helpful websites that expand on various topics as well as providing information on support groups for the woman and her family Midwifery Emergencies at a Glance is an ideal guide for practising midwives, pre-registration student midwives, general practitioners and junior doctors to support both revision and clinical practice.

This book is a comprehensive guide to addressing, working with, and healing from emotional struggles related to fertility and eating disorders. Covering the emotional, psychological and physical impact of anorexia nervosa, bulimia and binge eating disorder, this book explores the lived experience of numerous women and men who have lived with eating disorders, fertility, and parenthood. It delves into research on medical complications that can affect fertility, attachment, the experience of shame, adjustment to the postpartum period, and offers clinical tools for therapists to use to support clients from a weight and body neutral perspective. Those who read this book will come away with a renewed sense of hope for recovery and healing from serious mental illnesses, and the notion that the value of having a family may be stronger than the eating disorder itself. The only book of its kind, The Clinical Guide to Fertility, Motherhood and Eating Disorders will be useful to practitioners, therapists, and scholars alike.

Why is it that women suffer far more than men from insomnia? What is the connection between the hormonal changes that a woman undergoes during her lifetime, and difficulty in falling asleep? What is the effect of cell phones on sleep? Should women engage in sports before going to sleep? What do women primarily dream about? In which country do people sleep the most? How do depression and anxiety affect sleep? And why is it inadvisable to resort to a "little pill" to provide unworried sleep? This clear and readable book, illustrated with short quotations of poetry and prose about sleep and dreams, provides a glimpse into the wonderful mechanism of sleep, explains how correct treatment of sleep disturbances results from understanding their causes, and shows the right path to a pleasant and satisfying night's sleep; it will be of great interest for all women and clinicians dealing with female patients. In particular, because of the connection between sleep and hormones, problems with sleep have repercussions for women's reproductive life cycle. This pioneering text will therefore be of particular interest to gynecologists working in Reproductive Medicine.

With mesh surgery for prolapse sometimes proving problematic, there has been a resurgence of professional medical interest in more traditional methods for the management of prolapse and of stress urinary incontinence. This concise guide to the practical aspects of pessary use will be of interest to all gynecologists involved in the clinical management of the patient with these problems. Contents: Historical review * Pessaries for pelvic organ prolapse * Incontinence pessaries * Pessary fitting * Pessary care * Outcomes of pessary use * Current clinical studies on vaginal pessaries Cover image of vaginal pessaries (c) 2019 Rick Hicaro, Jr., Chicago, IL 60647, USA

This accessible text expands on the recommendations of the American College of Obstetricians and Gynecologists' Well Woman Task Force (WWTF) to provide a practical guide to conducting a successful well-woman visit. Background chapters summarize the history of the WWTF and rationale and evidence supporting periodic health visits, explain the principles of early diagnosis and prevention, and offer advice on the practical side of conducting a visit, including considerations for special populations. Chapters detail each component of the visit, first explaining the scope of a problem, the rationale for screening or prevention, and the factors that alter a screening. The WWTF recommendations are then summarized and advice is offered on how to apply them. Case studies and advice on how to identify and assess new guidelines are also provided, ensuring providers are well-equipped to offer efficient and effective care.

Titles in the Pocket Tutor series give practical guidance on subjects that medical students and foundation doctors need help with 'on the go', at a highly-affordable price that puts them within reach of those rotating through modular courses or working on attachment. Topics reflect information needs stemming from today's integrated undergraduate and foundation courses: Common presentations Investigation options (e.g. ECG, imaging) Clinical and patient-orientated skills (e.g. examinations, history-taking) The highly-structured, bite-size content helps novices combat the 'fear factor' associated with day-to-day clinical training and provides a detailed resource that students and junior doctors can carry in their pocket. Key points Logical, building-block approach to content: initial chapters outline the basic approach to gynaecological history and examination, and essential pelvic anatomy Subsequent chapters describe physiology and pathology of women at all stages of life from puberty, to reproductive age, to menopause; and associated disorders such as congenital disorders, menstrual disorders, genital diseases, and pelvic organ prolapse Concludes with chapter on gynaecological oncology Disorders are accompanied by medical images, examination photos and practical artworks Focuses on the conditions medical students and junior doctors are most likely to see

This book provides those studying for the MRCOG Part 2 examination with welcome practice in answering Extended Matching Questions (EMQs). Updated throughout to map onto the MRCOG syllabus from September 2016, the book is designed to test the candidate's theoretical and practical knowledge of obstetrics and gynaecology. An introductory section on exam techniques is followed by a collection of 41 EMQ themes, split into obsterics and gynaecology. The questions are based on common clinical scenarios and cover a variety of topics. Answers are included after each topic, and these include explanatory material and useful references.

It is no surprise that women and men experience biological and physiological differences fundamentally and throughout the lifecycle. What is surprising is that faced with such a self-evident truth, there should be so little consideration to date of how these differences affect susceptibility to disease and metabolic response to dietary treatment. Understanding these differences and developing a gender-based approach focusing on the specific needs and conditions of women is crucial to achieve effective nutritional strategies for women's health. Expanding the knowledge-base regarding sex, nutrition, and medicine, Optimizing Women's Health through Nutrition presents the biology, physiology, and metabology unique to women. The book demonstrates in a practical, accessible manner the scientific application of this data addressing lifecycle changes, disease prevention, and treatment. Based on sound research and supported by extensive references, it begins by describing recent research on biological and physiological differences and how these differences translate into varying disease trends between the sexes. Contributions describe the nutritional needs of women during the lifecycle, particularly during adolescence, pregnancy and lactation, premenopause, and menopause and midlife stages. The bulk of the book addresses each of the common major diseases or conditions that specifically affect the health of women. It emphasizes the role of nutrition in disease risk reduction as well as management and treatment of disease. Specific disease selection was dictated by those in which women are more vulnerable or have a higher incidence than men. The concluding section identifies areas for future research and strategic areas of investigation for researchers and health professionals, government regulators, and food industry professionals involved in creating novel foods that enhance women's health.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Jean R. Anderson and Grace Chen bring their considerable expertise to the topic of Global Women's Health. The goal of this unique issue is to explore some of the challenging health problems that affect women worldwide and to make a positive impact on the global health of women. Multinational authors provide up-to-date reviews that address key clinical issues and critical topics in the field. Contains 13 practice-oriented topics including contraception and preconception care; interpersonal violence; quality care for women; interprofessional care in obstetrics and gynecology; surgical burden of disease in women; nonmedical factors that impact women's health; and more. Provides in-depth clinical reviews on global women's health, offering 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 clinically significant, topic-based reviews.

The best selling resource for the OB/GYN clerkship Excel on your rotation, impress on the wards, and score your highest on the shelf exams with this best-selling reference. This new edition of First Aid for the OB/GYN Clerkship has been updated with the latest clinical perspectives and research. Ask just about any student who has been through their OB/GYN rotation and they will tell you that THIS was the resource they turned to. It not only aligns with national clerkship curricula, but also follows the shelf exam blueprint and is full of helpful mnemonics, ward tips, exam tips, and integrated mini-cases. The text highlights all of the important topics, presenting a clear, concise review based on the clerkship's core competencies. Thoroughly revised, this new edition will help you prepare for the clerkship and also guide you in the clinical diagnosis and treatment of the many conditions you will see during your rotation. First Aid for the OB/GYN Clerkship features: The latest clinical research and perspectives Helpful mnemonics Ward tips and integrated mini-cases Images, diagrams, and flow charts in a fresh new-full color design Summary boxes with high-yield information needed for exam success

First Prize, BMA Medical Book Awards 2013 The Medicine on the Move series provides fully flexible access to subjects across the curriculum in a unique combination of print and mobile formats ideal for the busy medical student and junior doctor. No matter what your learning style, whether you are studying a subject for the first time or revisiting it during exam preparation, Medicine on the Move will give you the support you need. This innovative print and app package will help you to connect with the topics of obstetrics, gynaecology and women's health to learn, understand, and enjoy them, and to cement your knowledge in preparation for exams and future clinical practice. By using this resource in print or as an app, you really will experience the opportunity to learn medicine on the move.

Featuring a range of commonly encountered and important conditions in women's health, "Obstetrics" "& Gynaecology: Clinical Cases Uncovered" allows the reader to understand normal reproductive physiology and anatomy in the context of clinical practice. It highlights aspects of good practice which in real life are considered beyond the presenting symptom.

This unique case-based approach allows the reader to progress through each stage, gaining an understanding of the rationale for investigation and management and to consider other important aspects for holistic care.

"Obstetrics & Gynaecology: Clinical Cases Uncovered" is ideal for medical students and junior doctors, obstetrics and gynaecology trainees, midwives and nurse practitioners.

Placenta accreta spectrum (PAS), an obstetric emergency associated with significant maternal morbidity and mortality, has increasingly become a global challenge with the rising trend of cesarean deliveries. This book provides a comprehensive review of basic science-related to PAS, discusses modern practice in diagnosis and classification of PAS disorders, and appraise current recommendations on PAS management in view of recent studies, guidelines, and expert opinions. In the last few years, there have been many new updates to practice guidelines including ACOG, RCOG, and FIGO guidelines in addition to several new studies, some of which were unusually multicenter and of large sample size, that are eligible to make major changes in our PAS practice. In addition, the book aims at providing more comprehensive review of all aspects related to PAS from experts, including topics that are deficient in similar books e.g., vascular anatomy, risk reduction, adjuvant treatments. The book provides a single source that provides academic knowledge for researchers and investigators, and clinical guidance to best practice and recent updates in management of women with PAS.

This first-of-its-kind textbook marks a revolutionary effort to reform medical education nationally by providing a comprehensive, high-quality resource to serve as a foundation for lesbian, gay, bisexual, transgender, and queer (LGBTQ) health education across multiple disciplines. Addressing the decades-long unequal weight of medical education generally offered about the care of LGBTQ people, The Equal Curriculum was created to advance clinicians' competencies in optimizing the health of LGBTQ people. This textbook is designed to be integrated into health sciences curricula and offers pointed strategies to evaluate the integration of LGBTQ health topics. Starting with a brief overview, chapters 1 through 4 cover general content that is highly relevant to all health professionals working with LGBTQ people. Chapters 5 through 12 focus on specific patient populations and clinical specialties, and chapters 13 and 14 cover special topics. Key points in each chapter are highlighted to aid in the comprehension, and case vignettes are provided throughout the textbook, allowing learners to apply the content to clinical scenarios in order to evaluate how the application of relevant knowledge may impact health outcomes. Questions similar to National Board of Medical Examiners (NBME) style are provided in most chapters to assist in the application of content. As major addition to the clinical literature, The Equal Curriculum: Student and Educator Guide to LGBTQ Health should be of great interest to health sciences instructors, medical students in their preclinical and clinical phases, and trainees from other disciplines, such as physician assistants, nurses, social workers, and public health professionals.

You've read your textbook and your course notes. Now you need to apply your knowledge to real life clinical situations. The problem-solving approach of Core Clinical Cases guides you to think of the patient as a whole, rather than as a sequence of unconnected symptoms. With its emphasis on everyday practice strongly linked to underlying theory, the series integrates your knowledge with the realities of managing clinical problems, and provides a basis for developing sound analytical and confident decision-making skills. The core areas of undergraduate study are covered in a logical sequence of learning activities: the same questions are asked of each clinical case, followed by detailed explanatory answers. Related OSCE counselling cases, with related questions and answers, also feature in each section. Key concepts and important information are highlighted, and the reader-friendly layout reflects exactly the type of question you will encounter, making these volumes the perfect revision aid for all types of case-based examination. The Obstetrics and Gynaecology volume, fully revised and updated in this third edition, focuses on the following topics: * Early pregnancy problems * Pregnancy dating and fetal growth * Late pregnancy problems * Labour * Medical disorders of pregnancy * Puerperium * Abnormal uterine bleeding * Amenorrhoea and menopause * Incontinence and prolapse * Neoplasia * Discharge and pain* Infertility * Fertility control Volumes in the Core Clinical Cases series remain absolutely invaluable in the run up to clinical, written or OSCE examinations, and ideal course companions for all undergraduate medical students at various stages in their clinical training.

The right for every woman to have a 'natural' birth has been recognized for many years, yet surgical interventions continue to rise and, paradoxically, complaints and the degree of litigation for disappointing labor outcomes escalate. Proactive Support of Labor enhances professional skills by providing the expertise for preventing long labors - the root-cause of traumatic birth experiences and the cesarean pandemic. Step-by-step, evidence-based guidance on expert care and support during labor is given. Emphasis is placed on pre-labor education, personal attention, and well-defined birth planning - including strict diagnoses and timely corrective measures in abnormal labor - and constant audit of all procedures and outcomes. Striking a new balance between natural birth and intervention, and invariably enhancing women's satisfaction with the childbirth experience, the fully updated revision of this groundbreaking work will be essential reading for obstetricians, midwives, nurses, and trainees. For peer and reader reviews of the first edition see: www.proactivesupportoflabor.com.

Endometriosis causes a variety of symptoms from painful periods and backache to fertility problems. If you have painful periods and wonder if you might have endometriosis, or if you've already been diagnosed, you need the best possible information, help and support. This book aims to help you understand your symptoms, talk to your doctor without embarrassment, and it explains the tests and the treatment options. There's also sympathetic advice to help you cope with pain, deal with your own feelings about having endometriosis, and talk to your partner about how you feel. "Women with endometriosis need simple, clear information to enable them to decide for themselves which kind of treatment may be right for them. This book is written in a clear question and answer format and covers everything from explanations of symptoms to treatments and self-help. A book aimed directly at women, in a language they can understand." - National Endometriosis Society

This authoritative textbook provides a much-needed guide for postgraduate trainees preparing for the European Board and College of Obstetrics and Gynaecology (EBCOG) Fellowship examination. Published in association with EBCOG, it fully addresses the competencies defined by the EBCOG curriculum and builds the clinical practice related to these competencies upon the basic science foundations. Volume 2 covers the depth and breadth of gynaecology, and draws on the specialist knowledge of four highly experienced Editors and over 100 contributors from across Europe, reflecting the high-quality training needed to ensure the safety and quality of healthcare for women. It incorporates key international guidelines throughout, along with colour diagrams and photographs for easy understanding. This is an invaluable resource, not only for postgraduate trainees planning to sit the EFOG examination, but also for practising specialists looking to update their knowledge and skills to meet the ever-evolving complexity of clinical practice.

The COPD chart presents a detailed overview of the symptoms and causes of Chronic Obstructive Pulmonary Disorder (COPD). Sections help explain the two related respiratory diseases that constitute COPD - emphysema and chronic bronchitis. Heavy gauge 3ml lamination with sealed edges and two metal eyelets for hanging makes chart highly durable. Write-on/wipe-off with dry erase marker (not included).

The last step in the IVF treatment cycle, embryo transfer, is also the process with the highest failure rate. No matter how good the laboratory technique is, a successful pregnancy will not be achieved without meticulous preparation of the uterus to accept the embryo. This book reviews the scientific evidence on endometrial receptivity, including histological, hormonal, biochemical, and immunological factors. Practical and concise, it supports gynecologists and embryologists to make evidence-based decisions that can influence the success rates of implantation and live births. Part of a series of books offering treatments and strategies for fertility and conception to optimize IVF outcomes, this volume is for all clinicians and embryologists working in reproductive medicine.