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.

The advent of robotic surgery brought a rise in the proportion of minimally invasive surgery in gynecology. This book provides a practical guide to this innovative field. First it introduces the basics of robotic surgery and then focuses on specific gynecology-related surgeries. Gynecologists currently practicing robotic surgery as well as those who would like to include robotic surgery in their practice will benefit greatly from this book.

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

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.

Now in its fourth volume, the Biennial Review of Infertility brings together the most up-to-date research and clinical information on male and female infertility, emerging assisted reproductive techniques and evolving controversies in reproductive medicine. An impressive panel of contributors presents cutting-edge information in a clear and well-balanced manner. Volume 4 discusses hot topics in contemporary reproductive medicine, including stem cell technologies for male infertility, the current state of ovarian tissue cryopreservation and time-lapse video microscopy of embryos. The expanded section on controversies allows for point/counterpoint discussion between experts with differing opinions on topics like eSET and the use and role of dietary supplements in IVF cycles. Created to provide an ongoing appraisal of current knowledge, the Biennial Review of Infertility stimulates communication amongst all clinicians and researchers working to help couples resolve their infertility.

With the increased prevalence of subfertility (any form of reduced fertility with prolonged time of unwanted non-conception) and the number of subfertile patients turning to assisted reproductive clinics for help, Subfertility: Recent Advances for Management and Prevention is a much-needed resource for today's health care providers. Written by doctors with extensive expertise in the areas of reproductive physiology and endocrinology, it provides a description of the methods for achieving conception, an overview of the causes of subfertility and how to detect them, a review of the psychological impact of subfertility, guidelines for the treatment of subfertility, and a look at assisted reproductive technologies. Provides a holistic approach to the causes and treatment of subfertility, with guidance on selecting patients on the basis of ovarian reserve/sperm parameters and the management of special endocrine abnormalities like polycystic ovarian syndrome, endometriosis, and thyroid disorders. Offers a concise review of the most recent advances for improving assisted reproductive techniques. Covers reproductive physiology and the causes of subfertility, with special focus on endocrine abnormalities that lead to subfertility. Consolidates today's available information on this timely topic into a single, convenient resource.

Together with Consulting Editor Dr. William Rayburn, Drs. D. Michael Nelson and Leslie Myatt have put together a unique issue that discusses The Human Placenta in Health and Disease. Expert authors have contributed clinical review articles on the following topics: Why obstetricians know the future health of the babies they deliver; How obstetricians can predict the future health of mothers after a complicated pregnancy; What obstetricians need to know about placental pathology; Immunology of the placenta; Diabetes mellitus, obesity, and the placenta; Intrauterine growth restriction and placental dysfunction; The placenta as the root cause for preeclampsia; Placental anatomy and function in twin gestations; Placental implantation disorders: accreta, previa, and abruptio placentae; Key infections in the placenta; Chorioamnion function in normal and abnormal pregnancy; The future for imaging modalities of the human placenta; Artificial reproductive technologies and the decidual and placental development interface; and When the fetus goes still and the birth is tragic: The role of the placenta in stillbirths. Readers will come away with the clinical information they need to improve outcomes in the women, mothers, and infants.

Acupuncture in Pregnancy and Childbirth is a concise highly illustrated and practical guide to using acupuncture to treat women throughout their pregnancy and labour. Drawing on an unparalleled wealth of experience as a midwife and an acupuncturist, the author has produced a book accessible to both acupuncture students and practitioners covering physiology related to pregnancy and childbirth, illuminating links between Western knowledge and acupuncture approaches and suggesting points and point combinations for particular stages and actions during pregnancy and labour. Many practitioners are reluctant to treat pregnant women as they feel they lack a full understanding of pregnancy and fear harming the baby. This exciting new edition provides the practical advice and instruction required to bridge that gap in knowledge and give practitioners the confidence they need. Highly illustrated with summary boxes and guidelines Covers nutritional aspects of pregnancy Gives practical advice and instruction on the use of acupuncture through the four trimesters of pregnancy and labour Uses case examples to further illustrate the text Covers recent advances in relation to the effects of aspirin and heparin to the immune system and pregnancy Includes IVF pregnancies Glossary and appendix of useful addresses Fully updated and revised throughout to include recent research Nutrition and its effect on the foetus (new and developing area of research)

Together with Consulting Editor Dr. William Rayburn, Dr. Curtis Lowery has put together a unique issue that discusses the telemedicine in obstetrics and gynecology. Expert authors have contributed clinical review articles on the following topics What is telehealth and what do I need to know about it; Licensing, reimbursement and regulatory issues in the delivery of telemedicine and connected health; Telemedicine for low-risk obstetrics; Telemedicine In high-risk obstetrics; Telemedicine for gynecology; Telemedicine and Connected Health for GYN oncology; Telemedicine and connected health for contraception; Maternal Health and monitoring devices for obstetrics and gynecology; Telepsychiatry and drug treatment in obstetrics; Telemedicine as a method to reduce perinatal mortality; and Telemedicine and distance learning for OB/GYN provider education. Readers will come away with the information they need to incorporate telemedicine into their care of gynecologic or obstetric patients.

Doctors and the general public are increasingly recognising diseases of the vulva and vagina as a cause of sexual dysfunction, morbidity and death, yet the wide but sometimes rare range of conditions involving this area are poorly represented in most textbooks of pathology. As the first volume in the Essentials of Diagnostic Gynecological Pathology series sponsored by the British Association of Gynecological Pathologists, Pathology of the Vulva and Vagina is one of the very few dealing wholly with this subject. Pathology of the Vulva and Vagina introduces the topic with a stylishly illustrated description of the embryology and development which is fundamental to understanding the pathogenesis and symptomatology. Subsequent chapters cover infections and non- infectious dermatoses, specifying those that can predispose to cancer. The precancerous conditions of vulval intraepithelial neoplasia, melanocytic proliferations and extra-mammary Paget's disease are integrated respectively with accounts of human papilloma virus, malignant melanoma and recent awareness of ano- genital mammary-like glands. Advances in the recognition of potentially confusing benign conditions, prognosis and staging update the pathology of squamous and adenocarcinoma in these organs. The difficulties of sentinel node biopsy are explored and a comprehensive chapter clearly highlights the difficult differential diagnosis of mesenchymal lesions. As most histopathology departments receive many gynecological specimens, Pathology of the Vulva and Vagina has been written to be useful diagnostically to general as well as specialist gynecological histopathologists and pathologists in training. Gynecologists, oncologists, dermatologists, genitourinary physicians and cancer nurse specialists will find expert insights here that will help in treatment and counselling of their patients.

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:

Get Through MRCOG Part 1, Second Edition, provides a selection of questions covering the basic and applied sciences relevant to the clinical practice of obstetrics and gynaecology and mapped to the RCOG Knowledge Areas in the MCQ style. With appropriate explanations of the answers and references to the relevant guidelines, this is a definitive resource for those taking the MRCOG Part 1 examination.

Get Through MRCOG Part 1, Second Edition, provides a selection of questions covering the basic and applied sciences relevant to the clinical practice of obstetrics and gynaecology and mapped to the RCOG Knowledge Areas in the MCQ style. With appropriate explanations of the answers and references to the relevant guidelines, this is a definitive resource for those taking the MRCOG Part 1 examination.

This revised edition of Managing Hot Flushes and Night Sweats offers up-to-date and evidence-based information about the menopause and about hot flushes and night sweats, which are the main reason that women seek medical help. The four-week self-help guide uses cognitive behavioral therapy, providing information and strategies for managing hot flushes and night sweats, as well as stress and sleep. The guide is interactive with exercises and homework tailored to women's individual circumstances and lifestyles. It challenges myths about menopause and aging and provides better understanding of flushes which in turn reduces stress and improves post-menopausal well-being. The various chapters discuss processes of identification and modification of triggers of hot flushes and offers tips to women on dealing with hot flushes in social and work situations. The guide can be as effective as eight hours of group CBT and will help women who want to try a non-medical treatment that is brief and effective without side effects, or just want to be better informed.

This book is one woman's funny, moving, and sometimes awkward quest to fix her sex life, but it's the story of millions of women everywhere - half of all women have felt pain during sex. During award-winning writer and performer Fran Bushe's journey towards building a better relationship with her genitals, doctors advised her to have a glass of wine to loosen up, and male friends suggested she simply hadn't 'tried' the right penis yet. Unsurprisingly, neither worked. After a visit to Sex Camp and many attempts to fix her 'broken' vagina, Fran decided to share her own hilarious, excruciating, and sometimes upsetting experiences. With the help of her 16 year old self's diary, expert advice, candid and enlightening interviews with others about sex, and some self-care exercises, Fran sets about trying to make herself, and other people, feel like they're not being gaslit by their own vaginas.

Cardiac disease is one of the leading causes of maternal morbidity and mortality. Catastrophic outcomes typically encountered are due to gaps in knowledge and communication between health care providers. There is a great need for a standardized approach for care of this very high-risk group of pregnant women. The book encompasses detailed obstetrics and cardiology perspectives that are crucial in the management of the commonly encountered cardiac conditions in pregnancy. This text aims to provide guidance to the whole team caring for a pregnant cardiac patient consisting of obstetricians, maternal-fetal medicine, hospitalists, cardiologists, obstetric anaesthesiologists, emergency physicians, primary care providers and nurses. Features: Cardio-Obstetric team organization Preconception counselling and family planning considerations Cardiovascular disease screening and risk stratification of a pregnant cardiac patient Management of a wide spectrum of cardiovascular diagnoses through use of checklists and algorithms in a simple format Essential key points for each cardiac diagnosis

Cardiac disease is one of the leading causes of maternal morbidity and mortality. Catastrophic outcomes typically encountered are due to gaps in knowledge and communication between health care providers. There is a great need for a standardized approach for care of this very high-risk group of pregnant women. The book encompasses detailed obstetrics and cardiology perspectives that are crucial in the management of the commonly encountered cardiac conditions in pregnancy. This text aims to provide guidance to the whole team caring for a pregnant cardiac patient consisting of obstetricians, maternal-fetal medicine, hospitalists, cardiologists, obstetric anaesthesiologists, emergency physicians, primary care providers and nurses. Features: Cardio-Obstetric team organization Preconception counselling and family planning considerations Cardiovascular disease screening and risk stratification of a pregnant cardiac patient Management of a wide spectrum of cardiovascular diagnoses through use of checklists and algorithms in a simple format Essential key points for each cardiac diagnosis

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.

New methods, new approaches and advanced technologies have started to be used for patients to gain access to less costly and more quality diagnosis and treatment services in a shorter time. This book, which includes new approaches in health sciences, has been written by successful and expert researchers who work in different health disciplines of health sciences.

Genital prolapse, or pelvic organ prolapse, occurs when the structures of the pelvis protrude into the outside vaginal canal. Genital Prolapse and Urinary Incontinence is the first book of its kind dedicated specifically to genital prolapse and is filled with every different type of prolapse, including the bladder, uterus, rectum, and the mucosal fold containing the intestine. Covering all aspects of this defect while emphasizing the managed care of genital prolapse, this text also explores both surgical and non-surgical treatments, which include methods for the diagnosis and treatment of all abnormalities. This source examines:

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 2 examination now consists of two papers made up of Single Best Answer (SBA) questions and Extended Matching Questions (EMQ). This invaluable resource consists of 400 SBA questions (200 in Obstetrics and 200 in Gynaecology), followed by 400 EMQs (200 in Obstetrics and 200 in Gynaecology), grouped into papers, to provide enough material to guide preparations and to give some practice experience of the examination formats. All the questions have answers with explanations and sources of evidence. In preparing for the examination, candidates should make repeated references to these sources of evidence. There is also general advice on how to prepare for the examination and discussion of the reasons why trainees fail the examination.

The first pocket-size resource to guide PA students through their OB/GYN rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The OB/GYN edition of this 7-volume series delineates the exact duties required in obstetrics and gynecology. Written by an experienced PA educator, this guide details the clinical approach to common obstetric and gynecologic presentations such as pelvic pain, abnormal uterine bleeding, and an overview of the initial prenatal visit. It also provides treatment and management details for more than 30 of the most frequently encountered disease entities you will see in this rotation, including cervical dysplasia, dysmenorrhea, and ectopic pregnancy. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during your OB/GYN, including PAP test, colposcopy, labor induction, and cesarean delivery. A special chapter on urgent gynecologic and obstetric conditions, such as placental abruption, sexual assault, and severe uterine bleeding, is also included. Key Features: Provides a pocket-size overview of the PA OB/GYN rotation Describes common clinical presentations, disease entities, and procedures Offers clinical pearls throughout Presents frequently encountered diagnostic studies and their indications Reflects the 2019 NCCPA PANCE blueprint Includes two bonus digital chapters! Three guided case studies to reinforce clinical reasoning plus 25 rotation exam-style questions with remediating rationales Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Emergency Medicine; Surgery; Pediatrics; Behavioral Health.