Dr. Caughey has recruited top experts to address the current questions and thinking with regard to the management of labor and delivery. Authors have presented current clinical reviews on the following topics: Defining and managing normal and abnormal first stage of labor; Defining and managing normal and abnormal second stage of labor; Laborist models on labor and delivery; Quality Improvement on Labor and Delivery; Fetal Malposition; Is there a place for outpatient pre-induction cervical ripening; Management of twins on labor and delivery; Cervical ripening techniques: Which is the best; Augmentation of labor: What are the approaches; Elective induction of labor: What is the impact; VBAC trends: Which way is the pendulum swinging; and Update on fetal monitoring. Readers will come away with the current clinical trends and information they need to successfully manage labor and delivery.

The acquisition and implementation of new findings for clinical care in obstetrics and gynecology is at a more rapid pace than ever before. More understanding of the pathophysiology of disease coupled with improved screening technology and genetic information requires physicians to constantly update their knowledge-base and familiarize themselves with guidelines and advances in techniques as well as question old euphemisms. Medical specialties, including obstetrics and gynecology have moved from board certification as a solitary achievement to maintaining current knowledge- a continuous lifelong learning process. This issue of Obstetrics and Gynecology Clinics is dedicated to clinical care for patients with evidence-based recommendations: "state of the art" advice and updates. Articles are specifically devoted to Contraception: menarche to menopause; Vaginitis: beyond symptoms; Abnormal uterine bleeding; Recognition and therapeutic options for malignancy of the cervix and uterus; Gestational diabetes: Diagnosis, classification and clinical care; Hypertensive disorders in pregnancy; Obstetric emergencies: Shoulder dystocia and postpartum hemorrhage; Prenatal diagnosis: tools and tests for screening; Clinical recognition and screening for common breast disorders and malignancy; and Recognizing and managing common urogynecologic disorders.

Translational Advances in Gynecologic Cancers straddles the bench and bed divide by highlighting important and interesting research that is translatable to the clinic. The contents of this book cover the entire spectrum, from promising laboratory based research, to clinical trial efforts. Further, new therapeutic indications based upon randomized phase III trials are also included. Clinicians will learn about lab-based science that is about to enter the clinic, along with the rationale behind translational endpoints in trials. Researchers will be able to identify and understand the clinical needs of patients with these types of tumors to improve their research focus.

The discipline of obstetrics and gynaecology, which dates back many centuries, is unique in that care is extended to every stage in a woman's life. More recently there have been significant scientific advancements and technological inventions that have transformed the health and care of women. Essential Gynaecology aims to deliver core knowledge aligned with clinical application for the treatment of relevant gynaecological conditions. Essential Gynaecology is written by various specialists from South African obstetrics and gynaecology departments. Each chapter is written with dedication and has been carefully selected to fulfil curriculum requirements. Topics covered include gynaecological history and examination, contraception, abnormal uterine bleeding, gynaecological infections, benign and malignant gynaecological conditions, infertility, female urinary incontinence and pelvic organ prolapse, menopause, sexual violence against females and termination of pregnancy. In addition to covering basic content, the text also includes colour photos and multiple choice questions for self-assessment. Essential Gynaecology offers fundamental information for the MBChB programme in gynaecology and responds to a need for a defined focus area. It is recommended for medical students, medical officers, associate clinicians, interns, medical practitioners and OB-GYN registrars.

Biomechanics of the Female Pelvic Floor, Second Edition, is the first book to specifically focus on this key part of women's health, combining engineering and clinical expertise. This edited collection will help readers understand the risk factors for pelvic floor dysfunction, the mechanisms of childbirth related injury, and how to design intrapartum preventative strategies, optimal repair techniques, and prostheses. The authors have combined their expertise to create a thorough, comprehensive view of female pelvic floor biomechanics in order to help different disciplines discuss, research, and drive solutions to pressing problems. The book includes a common language for the design, conduct, and reporting of research studies in female PFD, and will be of interest to biomechanical and prosthetic tissue engineers and clinicians interested in female pelvic floor dysfunction, including urologists, urogynecologists, maternal fetal medicine specialists, and physical therapists.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Henry Galan and Patricia Huguelet bring their considerable expertise to the topic of Emergencies in Obstetrics and Gynecology. This issue provides a comprehensive overview of obstetric and gynecologic emergencies, with emphasis on standards of practice and interdisciplinary collaboration. Expert authors discuss how to arrive at a differential diagnosis and how to prevent, manage, and treat an emergency. Contains 15 practice-oriented topics including hypertensive crisis in pregnancy; sexual assault/domestic violence; evaluation and management of heavy vaginal bleeding (non-cancerous); first trimester miscarriage; simulation in Ob/Gyn emergencies; and more. Provides in-depth clinical reviews on emergencies in obstetrics and gynecology, 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 ERAS (R) Society Handbook for Obstetrics & Gynecology covers all aspects of enhanced recovery care for disciplines of general gynecology, gynecologic oncology, urogynecology and obstetrical surgery. Written by renowned experts in the field, chapters discuss foundational knowledge on ERAS and provide specific worked examples, ERAS order sets, and practical implementation tools. This book is an indispensable resource to researchers interested in ERAS, but it is also ideal for anesthesiologists, gynecologists and obstetricians interested in initiating an ERAS program. Enhanced Recovery After Surgery (ERAS) is a global surgical quality improvement initiative that originated in colorectal surgery and has now spread to numerous other disciplines, including gynecology (benign and malignant) and obstetrics (caesarean delivery). ERAS is associated with improvements in clinical outcomes (reduction in length of hospital stay, complications, readmissions), cost savings for the healthcare system, and patient satisfaction, hence the addition of this comprehensive resource on the topics is a welcomed addition to the available literature.

A Davis's Notes Title Perfect wherever you are...in class, in clinical, and in any practice setting! This handy guide delivers quick access to the essential clinical information you need to care for obstetric, gynecological, newborn, and pediatric patients in any setting. The 4th Edition of this popular pocket guide has been thoroughly revised and updated to reflect nursing practice today. New, Updated & Revised! Thoroughly updated and revised throughout to reflect the art and science of nursing today, including the latest guidelines, warning signs, and patient care for common procedures during pregnancy, labor, and delivery. New! Coverage of families dealing with newborn anomaly, birth injury, or fetal demise, the high-risk or ill newborn, and nursing care of children and families dealing with end-of-life issues. New! Content on assessment and nursing care of the opioid-addicted mother/newborn and nursing care of the child with cerebral palsy. New! Content on pediatric blood pressure assessment and charts. Updated & Revised! The most current guidelines, including ACOG Pap Smear, CDC Immunization in Pregnancy, ACOG and ACS Mammography, and ACOG and ACS Breast Self-Exam and Breast Self-Awareness. Updated & Revised! Information on birth control and emergency contraception choices, pain control in labor, breastfeeding, safety teaching tips, and cultural competence guidance. Updated! AWHONN practice guidelines for postpartum hemorrhage and ACOG guidelines for vaginal birth after cesarean section guide. Updated & Revised! Terminology and definitions.

Healthy Babies Are Worth the Wait (R): A Collaborative Partnership to Reduce Preterm Births in Kentucky through Community-based Interventions 2007 - 2009 provides readers with an overview of the problem of preterm birth in the US, also describing in detail the design, implementation, evaluation, and outcomes of the Healthy Babies Are Worth the Wait initiative conducted in Kentucky between 2007 and 2009. The reader will learn about a unique research approach employing a mixed ecologic design that compared outcomes between intervention sites and comparison sites and the use of qualitative surveys and quantitative methods using state vital records data to evaluate outcomes. Consumer messaging and educational materials are discussed, along with the challenges of implementation and key lessons learned.

Complications during and after pregnancy and birth result in hundreds of thousands of deaths each year and can lead to lifelong health problems. Even with these complications, however, early detection and prenatal care can further reduce risk to the mother and baby. However, inadequate medical services, shortage of medical resources, and lack of or misinformation can hinder a woman's ability to successfully manage her pregnancy. This not only affects the health of the people immediately concerned and their families, but also has implications for global stability and the balance between population and resources. Evaluation and Management of High-Risk Pregnancies: Emerging Research and Opportunities is a pivotal reference source that provides vital research on safeguarding mothers and babies through the availability of medical knowledge, cost-effective interventions, and the availability of widespread obstetric services. While highlighting topics such as labor complications, maternal mortality, and reproductive health, this publication explores exposure to sexually transmitted diseases as well as the methods of physical and mental healthcare. This book is ideally designed for obstetricians, gynecologists, world health organizations, policymakers, hospitals, health professionals, reproduction researchers, and physicians.

Endometriosis is a chronic health complaint that is experienced by up to 10% of women of reproductive age. Endometriosis results in significant psychological and financial burden. Surgical and pharmacological management can alleviate symptoms, but recurrence of endometriosis within one year is common. Many women use complementary and alternative therapies when the response to conventional medical treatments is inadequate.The latest book in the Evidence-based Clinical Chinese Medicine series uses a 'whole evidence' approach to summarise the management of endometriosis with Chinese medicine treatments. The current understanding of endometriosis - including symptoms, diagnosis and treatment - is summarised from conventional medicine and Chinese medicine perspectives. Next, a systematic approach is used to understand how endometriosis was treated with Chinese medicine in past eras.Internationally recognised scientific methods are used to identify and evaluate the clinical evidence for Chinese herbal medicine, acupuncture and related therapies. The potential mechanisms of herbal medicines are identified from experimental studies. The final chapter synthesises the evidence from the different literature sources and offers suggestions for contemporary clinical practice and future research.This book is a handy desktop reference for both clinicians and students of Chinese and integrative medicine. It provides a comprehensive synthesis of both traditional and contemporary knowledge that can inform clinical decision-making.

Endometriosis is a chronic health complaint that is experienced by up to 10% of women of reproductive age. Endometriosis results in significant psychological and financial burden. Surgical and pharmacological management can alleviate symptoms, but recurrence of endometriosis within one year is common. Many women use complementary and alternative therapies when the response to conventional medical treatments is inadequate.The latest book in the Evidence-based Clinical Chinese Medicine series uses a 'whole evidence' approach to summarise the management of endometriosis with Chinese medicine treatments. The current understanding of endometriosis - including symptoms, diagnosis and treatment - is summarised from conventional medicine and Chinese medicine perspectives. Next, a systematic approach is used to understand how endometriosis was treated with Chinese medicine in past eras.Internationally recognised scientific methods are used to identify and evaluate the clinical evidence for Chinese herbal medicine, acupuncture and related therapies. The potential mechanisms of herbal medicines are identified from experimental studies. The final chapter synthesises the evidence from the different literature sources and offers suggestions for contemporary clinical practice and future research.This book is a handy desktop reference for both clinicians and students of Chinese and integrative medicine. It provides a comprehensive synthesis of both traditional and contemporary knowledge that can inform clinical decision-making.

For pelvic symptoms, ultrasound is the initial imaging modality of choice in today s cost-conscious climate. Employing a practical, problem-based approach Gynecologic Ultrasound is the only medical reference that provides a stepwise method in the diagnosis of gynecological abnormalities. Abundantly illustrated and easily accessible, it is an ideal resource for a clinical setting. "...an excellent text, well-illustrated and well worth having in any library." Reviewed by RAD Magazine, Dec 2014 Expedite and confirm diagnosis of gynecological abnormalities. An easily accessible format-organized by both entity and differential diagnosis-facilitates searches and zeroing in on the one correct entity. Master the nuances of using ultrasound through the visual instruction of more than 600 clear images including 3D and Doppler - important and necessary tools for pelvic ultrasound. Glean all essential, up-to-date, need-to-know information about Mullerian Duct Abnormality, Endometriosis, Ovarian cancer, and Uterine Sarcoma as well as normal pelvic ultrasound and common normal variants. Consult this reference where and when you need it at Expert Consult.

Detect and identify breast lesions at the earliest possible stage with Making the Diagnosis: A Practical Guide to Breast Imaging. Dr. Jennifer Harvey and Dr. David E. March utilize a practical, case-based approach to help you select and make optimal use of today's imaging options. Learn the right questions to ask when viewing a mammogram, MRI, or ultrasound. Zero in on the key information you need to know with highly templated, concise chapters followed by case studies that reinforce and expand your knowledge. Distinguish normal variants and lookalike lesions from cancer thanks to expert, highly visual guidance on all relevant imaging modalities. Interpret the findings you're likely to see in practice with the aid of high-quality images, enhanced with arrows and labels to help you recognize and identify suspicious lesions. Access the entire text and images online at www.expertconsult.com.

Overcoming Drug Resistance in Gynecologic Cancers provides up-to-date information related to important gynecologic cancers and focuses on mechanisms of drug resistance, genetics, signaling, immunology, health disparities, nanotechnology, economic considerations and financial impacts. The book covers not only drug resistance but also important means to reverse resistance both in the laboratory and clinic. The book discusses topics such as lifestyle, nutrition and risk of gynecologic cancers, the financial impact of drug resistance, chemosensitizing agents and targeted therapies in cervical, endometrial and ovarian cancer, immunotherapy to overcome drug resistance, and genetic polymorphisms in gynecologic cancers. Additionally, it discusses ethnic and racial health disparity perspectives and future developments in chemosensitizing activities to reverse drug resistance in gynecologic cancers. It is a valuable resource for cancer researchers, oncologists, clinicians and other biomedical field members who are interested in new approaches to improve chemotherapy outcome in patients with gynecologic cancers.