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

This book presents an overview of the diagnostic performance of non- or semi-invasive tests for endometriosis in peripheral blood, endometrium, saliva, peritoneal fluid and urine. The value of existing and emerging systems biology technologies for biomarker development is addressed in several chapters on genetics, microarrays, proteomics and metabolomics. Although tests with high sensitivity and acceptable specificity have been developed, sometimes validated in independent populations and seem promising, more research is needed to translate these data into clinical benefit for patients and coordinate efforts internationally to standarize analysis, reports and operating procedures. The gold standard to diagnose endometriosis is currently through laparoscopic inspection with histological confirmation, a surgical procedure with rare but significant potential risks for the patients. A non-invasive test for endometriosis would be critical for the early detection of endometriosis of symptomatic women with pelvic pain and/or subfertility with normal ultrasound. This would include nearly all cases of minimal-mild endometriosis, some cases of moderate-severe endometriosis without a clearly visible ovarian endometrioma and cases with pelvic adhesions and/or other pelvic pathology, who might benefit from surgery to improve pelvic pain and/or subfertility. Such a test would also be useful in symptomatic women with ultrasound imaging suspicious for endometriosis, since it may be difficult to differentiate an ovarian endometrioma from other ovarian cysts and since the quality of ultrasound imaging is highly variable worldwide.

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

The standard-setting text in oncology for 40 years, DeVita, Hellman and Rosenberg's Cancer: Principles and Practice of Oncology, 12th Edition, provides authoritative guidance and strategies for managing every type of cancer by stage and presentation. Drs. Vincent T. DeVita, Jr., Theodore S. Lawrence, and Steven A. Rosenberg oversee an outstanding team of expert contributing authors who keep you up to date and fully informed in this fast-changing field. This award-winning reference is also continually updated on Health Library and VitalSource platforms for the life of the edition. Integrates basic science into individual cancer chapters for more efficient reference Features quarterly updates that include late-breaking developments in oncology such as new drugs and clinical trials, as well as new case studies and interactive algorithms Offers balanced, multidisciplinary advice from a surgeon, a medical oncologist, and a radiation oncologist Provides updated content on immunotherapy and genetics throughout Includes important related topics such as cancer screening and prevention, palliative care, supportive oncology, and quality of life issues Now available in a convenient single volume, or a seven-multivolume option for portability and ease of use Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

The Diploma of Royal College of Obstetricians and Gynaecologists (DRCOG) examination recognises a doctor's interest in women's health. Recent changes to the exam now require that candidates answer extended matching questions, single best answers and multiple choice questions. This comprehensive revision guide provides three full papers covering the entire DRCOG syllabus. Each paper is specifically designed for practice under exam conditions. To aid general revision, a detailed subject index enables a more focused approach to individual topics, and the explanatory answers have been fully referenced to assist further study where necessary.

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.

This accessible book uses case studies to explore issues around intimacy, sexual function and sexual development over the lifespan, introducing applied principles and practices when working with sexuality-related issues. Introducing an easy-to-use 'Reflect and Respond' model as a framework for interactions, this book discusses a broad selection of topics and life stages, including hidden loss, gender identity, disability, early years experiences and older age. Exposing anonymized real-life experiences of intimacy, sexual function, and sexual development from birth to end of life, this book develops the reader's insight into sexual wellbeing and confidence in communicating about it. The experiential learning and research-based content in readable style will educate and inspire readers with an interest in sexual wellbeing and how this impacts on physical and mental health. Demonstrating how being open to talk about sex and intimacy can change lives, this guide is suitable for a wide range of health and social care professionals, including nurses, doctors, occupational therapists, social workers, psychologists and counsellors.

Thoroughly revised from analogue examples to digital examples using simultaneous dual channel EEG, "An Atlas of Amplitude-Integrated EEGs" "in the Newborn" is the definitive clinical atlas-textbook on interpreting Cerebral Function Monitor (CFM) tracings. This simplified method of continuous amplitude-integrated EEG (EEG) monitoring increasingly used in neonatal units is a safer, more reliable method.

Clinicians will be guided effortlessly by illustrations of aEEG tracings, while the atlas discusses the difference between aEEG tracings in the healthy and at risk neonate.

Chapters illustrate:

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.

Covering every aspect of fetal heart examination and all major cardiac malformations, A Practical Guide to Fetal Echocardiography is widely acknowledged as the definitive text in this challenging field. This award-winning title clearly depicts examples of commonly seen abnormalities and day-to-day cases, as well as rare pathology. Authored by renowned experts, the fully updated fourth edition is a lavishly illustrated, easy-to-read text designed to serve as a comprehensive reference for all practitioners involved in cardiac imaging. Features significant revisions including several new chapters, new artwork, and updated reference lists. Discusses disorders in terms of the ultrasound findings with key points summarized at the end of each chapter. Images are accompanied by clear, colorful schematic drawings that depict cardiac abnormalities. Features the addition of Approach to Diagnosis, an algorithm at the end of each chapter to assist providers in reaching the proper diagnosis. Includes numerous tables that outline common and differentiating features of various cardiac malformations. Covers the technical aspects of the cardiac exam in the first half of the text; the second half features detailed discussions of fetal cardiac malformations, each presented in a practical, methodical format that includes the definition, spectrum of disease and incidence, the use of gray scale, color Doppler, 3D and early gestation ultrasound in diagnosis, followed by the differential diagnosis, prognosis, and outcome. Features a practical, concise, easy-to-use format, making it indispensable for both physicians and sonographers in the detection of congenital heart disease. Winner of British Medical Association Awards 2016: BMA Medical Book of the Year and Obstetrics and Gynecology - First Prize. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

The human egg - the rarest and most rapidly aging cell in the body - is a topic of intense scientific study. Assisted reproduction clinics are constantly vying to improve success rates - choosing the best gametes is a key step in this process. This new edition of what one reviewer of the first edition described as 'possibly the definitive work on the oocyte' covers the development, biology and pathology of the oocyte, and technologies to manipulate, enhance and control fertility. These technologies are used to overcome infertility, avoid inherited diseases, and create genetically engineered embryos from stem cells and cloning. This progress would have been impossible without the myriad of scientific and technical developments covered in this book. The new edition is thoroughly updated and includes major new research on reprogramming, oocyte molecular development, cryopreservation and viability. We are in exciting times for the egg.

The Royal College of Obstetrics and Gynaecologists has recently introduced extended matching questions (EMQs) into the format of their MRCOG Part 1 exam. All candidates need to sit this exam and therefore need to be well rehearsed in the art of answering such EMQs. This book gives the candidate 300 practice EMQs with answers and explanations for these answers. It is divided into 3 sections. The first section provides the essential knowledge each candidate must have - it deals with anatomy, physiology, embryology, endocrinology, epidemiology, molecular biology and genetics, all highly relevant in the RCOG syllabus. This information is supplied with the help of useful figures and illustrations which are included to assist greater understanding and help the candidate revise. Section two contains 300 questions, grouped in clusters per topic, and section three provides the answers, along with the relevant reasons for them. Dr Prabha Sinha is herself an examiner for the DRCOG and MRCOG Part 2 exam, and is therefore the perfect choice for supplying the requisite information in this book. Along with her two colleagues, she has produced an excellent revision guide that will be an invaluable resource for all MRCOG candidates.

Our book aims to provide those working in the maternity services, including those in general practices, with an understanding of what it means to be on the receiving end of care. Together with a description of various types of traumatic birth, we explain some of the reasons why women vary in terms of how traumatised they are by their birth experience. We provide information, encouragement and support for maternity staff to help them lessen the incidence of birth trauma, and to develop the confidence to help women when birth trauma does occur. The authors are a senior counsellor and an obstetrician, each with a long experience of helping women who have had difficult births. The approach of each to the subject is different but complementary. The book covers the psychological and emotional aspects of traumatic birth as well as the medical issues and includes a section on the effect of traumatic birth on the staff themselves. The market for this book is practising midwives and obstetricians, who by understanding the prevalence of traumatic birth and some of its causes can contribute to its reduction. Those in their training years will find it helpful at the outset of their practice. It will also be of interest to general practitioners, health visitors and counsellors.

With the global expansion of reproductive technologies, there are ever more ways to create a family, and more family types than ever before. This book explores the experiences of those persons - whether single, in a couple, or part of collective co-parenting arrangements; whether hetero- or homosexual; whether cis- or transgender - who are creating what has been termed 'new family forms' with reproductive 'assistance'. Drawing on qualitative research from around the world, the book is particularly anchored in two bodies of social science scholarship - sociological and anthropological inquiries into the cultural impact of reproductive technologies on the one hand, and parenting culture studies on the other. It seeks to create fertile conversations between these scholarships, highlighting the intersections in the ways we think about conceiving and caring for children in today's 'reproductive landscape'. Focusing specifically on persons whose reproductive journeys do not conform to dominant scripts, the book traces the many ways in which intentions, expectations and technological developments contribute to changing and enduring conceptions of good parenthood in the twenty-first century. Taking a holistic perspective, the book presents deep insights into the experiences not only of (intending) parents, but also of donors, surrogates, medical professionals and activists. The collection will be of interest to an international readership of scholars of gender, reproduction, parenting and family life. The chapters in this book were originally published as a special issue of Anthropology & Medicine.

This book examines the role of psychopharmacological treatment in a range of disorders that may be encountered during pregnancy, including major depressive disorders, anxiety disorders, bipolar affective disorder, schizophrenia, eating disorders and substance abuse. The natural history of each condition pre and post-partum is analyzed and the evidence for the efficacy of drug treatments, evaluated. Special attention is paid to the potential dangers of different treatment options for both mother and fetus, covering risks of malformation, pregnancy and obstetric risks, neonatal risks and possible long-term consequences. The risks of not treating a particular condition are also analyzed. On the basis of the available evidence, management guidelines are provided that additionally take into account non-pharmacological options. Closing chapters consider the value of complementary and alternative medicine and ECT and explore future research directions.

The examination for Membership of the Royal College of Obstetricians and Gynaecologists (MRCOG) remains one of the most internationally recognised postgraduate examinations in the specialty. Over the years, the examination has evolved in keeping with changes in medical education; the Part 3 examination now consists of 14 tasks, each covering one of the 14 core modules in the curriculum and assessing specific skills which may include all or some of Information Gathering, Communication with Patients and Families, Communication with Colleagues, Patient Safety, and Applied Clinical Knowledge. This invaluable resource consists of analyses of different aspects of what is being tested, with general advice on how to prepare for the examination and discussion of the reasons why trainees fail the examination. There follow four sample 'papers' of tasks; in each of them, attempts have been made to cover all 14 modules in the core curriculum. There is also an additional paper with random tasks to help with preparation.

The examination for Membership of the Royal College of Obstetricians and Gynaecologists (MRCOG) remains one of the most internationally recognised postgraduate examinations in the specialty. Over the years, the examination has evolved in keeping with changes in medical education; the Part 3 examination now consists of 14 tasks, each covering one of the 14 core modules in the curriculum and assessing specific skills which may include all or some of Information Gathering, Communication with Patients and Families, Communication with Colleagues, Patient Safety, and Applied Clinical Knowledge. This invaluable resource consists of analyses of different aspects of what is being tested, with general advice on how to prepare for the examination and discussion of the reasons why trainees fail the examination. There follow four sample 'papers' of tasks; in each of them, attempts have been made to cover all 14 modules in the core curriculum. There is also an additional paper with random tasks to help with preparation.

Based on the experience of two Italian referral centers, the book depicts the characteristic findings obtained when using MR imaging to study the male and female pelvis including the obstetric applications. Each chapter provides a comprehensive account of the use of the imaging technique of examination, including the most recent advances in MR imaging, the anatomy and MR possibilities in the identification, characterization and staging of the different pelvic diseases highlighting its diagnostic possibilities. The advances in fetal MRI, representing the cutting edge of pelvic MR imaging, will also be depicted. The text is complemented by numerous illustrations, as well as clinical cases that make this a very practice-oriented work, presenting the role of diagnostic imaging in every-day clinical activity. The volume will prove an invaluable guide for both residents and professionals with core interest in gynecology, obstetrics and urology.

*Offers a practical guide to treating one of the most complex and challenging clinical events *Equips the entire team of those responding to a maternal cardiac arrest event with the proper evidence-based approaches and techniques to implement *Presents a thorough review, detailed algorithms, and a consolidated discussion of the practical aspects of implementation

The first resource to focus on pediatric and adolescent gynecology from the perspective of frontline health care providers. This one-of-a-kind, quick-access guide for APRNs and Physician Assistants delivers current patient assessment and management information for the specialized field of pediatric and adolescent gynecology (PAG). Underscoring the need to consider the unique questions and concerns of the younger population as distinct from those of adults, this authoritative resource addresses a multitude of common PAG patient questions and chief complaints, including acute and chronic conditions and commonly prescribed medications and their potential side effects. Helping to foster sound decision-making in triage settings, chapters highlight red flags to consider. They include a list of pertinent questions to ask the patient, provide assessment directives, recommend appropriate interventions and/or delegation as needed, and describe commonly prescribed medications. Chapters also present considerations for special populations, particularly those who may be at a higher risk for gynecologic problems, medication side effects, and/or medication interactions. To facilitate ease of use, this guide is organized into chapters based on medication or chief complaint. Appendices deliver useful templates for effective telephone encounters and documentation, home care instructions post-procedure, a supply checklist for office treatments, administration and follow-up care for vaccines and injections, at-home medication instructions, and more. Key Features: Provides a unique focus on common PAG concerns for APRNs and Physician Assistants Describes management guidelines for key complaints Organized in quick-access format with bulleted information, short paragraphs, charts and tables, and references for additional information Covers medication management and side effects Focuses extensively on hormonal contraceptive options Includes information on special pediatric populations Offers several useful Appendices with downloadable practice tools

This text introduces readers to the diverse and unique ways art therapy is used with women who are undergoing various stages of the childbearing process, including conception, pregnancy, miscarriage, childbirth, and postpartum. Art Therapy and Childbearing Issues discusses a range of topics including the role of transference/countertransference, attachment and maternal tasks, and neuropsychology. The book also addresses several motifs that are outside cultural norms of pregnancy and childbearing, such as racial sociopolitical issues, grief and loss, palliative care, midwifery, menstruation, sex-trafficking, disadvantaged populations, and incarceration. Each chapter offers research, modalities, case studies and suggestions on how to work in this field in a new way, accompanied by visual representations of different therapy methods and practices. The approachable style will appeal to a range of readers who will come away with a new awareness of art therapy and a greater knowledge of how to work with women as they enter and exit this universal, psychobiological experience.

Covering the entire spectrum of this fast-changing field, Diagnostic Imaging: Gynecology, third edition, is an invaluable resource for general radiologists, specialized radiologists, gynecologists, and trainees-anyone who requires an easily accessible, highly visual reference on today's gynecologic imaging. Drs. Akram Shaaban, Douglas Rogers, Jeffrey Olpin, and their team of highly regarded experts provide up-to-date information on recent advances in technology and the understanding of pathologic entities to help you make informed decisions at the point of care. The text is lavishly illustrated, delineated, and referenced, making it a useful learning tool as well as a handy reference for daily practice. Serves as a one-stop resource for key concepts and information on gynecologic imaging, including a wealth of new material and content updates throughout Features more than 2,500 illustrations that illustrate the correlation between ultrasound (including 3D), sonohysterography, hysterosalpingography, MR, PET/CT, and gross pathology images, plus an additional 1,000 digital images online Features updates from cover to cover on uterine fibroids, endometriosis, and ovarian cysts/tumors; rare diagnoses; and a completely rewritten section on the pelvic floor Reflects updates to new TNM and WHO classifications, Federation of Gynecology and Obstetrics (FIGO) staging, and American Joint Committee on Cancer (AJCC) TMM staging and prognostic groups Begins each section with a review of normal anatomy and variants featuring extensive full-color illustrations Uses bulleted, succinct text and highly templated chapters for quick comprehension of essential information at the point of care Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

Due to new developments in prenatal testing and therapy the fetus is increasingly visible, examinable and treatable in prenatal care. Accordingly, physicians tend to perceive the fetus as a patient and understand themselves as having certain professional duties towards it. However, it is far from clear what it means to speak of a patient in this connection. This volume explores the usefulness and limitations of the concept of 'fetal patient' against the background of the recent seminal developments in prenatal or fetal medicine. It does so from an interdisciplinary and international perspective. Featuring internationally recognized experts in the field, the book discusses the normative implications of the concept of 'fetal patient' from a philosophical-theoretical as well as from a legal perspective. This includes its implications for the autonomy of the pregnant woman as well as its consequences for physician-patient-interactions in prenatal medicine.

Now in its sixth edition, Infectious Diseases in Obstetrics and Gynecology remains the only book to comprehensively cover infectious diseases in both obstetrics and general gynecology. Distilling complex clinical problems into an easy to use format, this text is divided in four unique sections, and some of these topics include: