Although there are far more opportunities for LGBTQ people to become parents than there were before the 1990s, attention to the reproductive challenges LGBTQ families face has not kept pace. Reproductive Losses considers LGBTQ people's experiences with miscarriage, stillbirth, failed adoptions, infertility, and sterility. Drawing on Craven's training as a feminist anthropologist and her experiences as a queer parent who has experienced loss, Reproductive Losses includes detailed stories drawn from over fifty interviews with LGBTQ people (including those who carried pregnancies, non-gestational and adoptive parents, and families from a broad range of racial/ethnic, socio-economic, and religious backgrounds) to consider how they experience loss, grief, and mourning. The book includes productive suggestions and personal narratives of resiliency, commemorative strategies, and communal support, while also acknowledging the adversity many LGBTQ people face as they attempt to form families and the heteronormativity of support resources for those who have experienced reproductive loss. This is essential reading for scholars and professionals interested in LGBTQ health and family, and for individuals in LGBTQ communities who have experienced loss and those who support them. See additional material on the companion website: www.lgbtqreproductiveloss.org/

Fertility Awareness is key to understanding sexual and reproductive health at all life stages. It can be used to either plan or avoid pregnancy. Fertility Awareness Methods (FAMs) are highly effective when motivated couples are taught by trained practitioners. These methods are in demand for ecological, medical, cultural, religious and moral reasons. The ability to control fertility naturally is a lifestyle choice. The Complete Guide to Fertility Awareness provides the science and methodology suitable for health professionals and a general audience. It covers reproductive physiology and the fertility indicators: temperature, cervical secretions and cycle length calculations. It explores ways to optimise conception and to manage conception delays. Case studies and self-assessment exercises are included throughout. The book addresses the scientific credibility of new technologies including fertility apps, home test kits, monitors and devices. The Complete Guide to Fertility Awareness offers: evidence-based information for general practitioners, practice nurses, school nurses, midwives, sexual health doctors and nurses a unique perspective on subfertility for gynaecologists and fertility nurses an authoritative source of reference for medical, nursing and midwifery students a straightforward and practical reference for new and experienced FAM users the core text for the FertilityUK Advanced Skills Course in Fertility Awareness

Complications that arise during childbirth remain a significant challenge for all healthcare providers. Obstetric Interventions is a richly detailed text that combines traditional obstetrics with the use of innovative birthing techniques. With clear, state-of-the-art color illustrations throughout - all originally produced for this text - this book gives clear insight into the mechanisms of normal childbirth and the alternative techniques of obstetric intervention that may need to be used in the delivery room. In addition to being highly illustrated, the book is accompanied by over fifty animated simulations of obstetric interventions that are available online. These highlight the different birth mechanisms in truly unique detail and will aid understanding of anatomy and technique. Obstetric Interventions is aimed at obstetricians, obstetric trainees, and midwives. This book provides an evidence-based insight into the choices that obstetricians and midwives face every day at all stages of the birthing process.

As the knowledge required for efficient delivery of quality women's healthcare continues to grow, disease-specific textbooks are required to specifically address all aspects of a condition. A general textbook may not be able to address this need due to space constraints. This book is written to fill this gap as it relates to amenorrhoea, a common challenge for women within the reproductive age. The reader is offered a comprehensive knowledge of amenorrhoea, its burden, causes, presentation and management in one book. The book covers all aspect of amenorrhoea, which ordinarily is not covered by general textbooks of gynaecology. This compilation addresses various causes of amenorrhoea, from common causes such as hyperprolactinaemia to rare causes like Kallmann's syndrome and female athlete triad. The chapters are arranged in a logical and easy-to-follow style from general to specific issues making the book a daily guide as well as a reference text on amenorrhoea. The book's multi-author design is deliberate to ensure not only depth and breadth, but diversity as well. It also ensures that the experience and expertise of over twenty authors is brought to bear concerning the content. In addition, the authors utilise the available evidence moderated by their experience to produce a simple and straightforward guide for the practising gynaecologist, resident, general medical practitioner and others interested in providing quality reproductive health care to women in low, middle and high-income countries. Experienced gynaecologists and trainers will also find this book a very useful companion and guide.

Ovarian cancer is the third most diagnosed gynecologic cancer and the first leading cause of death from all of gynecological malignancies. High mortality of the patients is usually associated with the progression of the disease. Most patients are diagnosed within the advanced stages due to lacking relevant diagnostic and screening markers. This handbook discusses several risk factors of ovarian cancer. It also examines the different therapies provided to ovarian cancer patients, and the prognosis of the cancer.

Written by two experienced RCOG examiners, both of whom have been involved in the development of the new Part 3 MRCOG examination, this book is essential reading for any trainee preparing to sit the exam. The authors clearly describe the breadth and depth of the curriculum modules and the professional behaviours that will be assessed in the five clinical skills domains. The text includes written examples of every module, links to eight videos showing candidates attempting four real Part 3 tasks, examiners' comments, and a detailed discussion of each example. The content will help candidates understand what is required to pass the examination and how to demonstrate their knowledge and skills to best effect. The book will also be useful for trainers preparing their trainees for the new exam. Based on the principles of good medical practice, there are practical tips here for doctors and obstetricians at all levels.

Macrosomia is a term used to describe a neonate with excessive birth weight and is diagnosed when the birth weight exceeds a threshold. Macrosomia is associated with numerous maternal as well as neonatal complications and is, therefore, a major cause of adverse pregnancy outcomes. This book addresses several risk factors, outcomes and potential health complications that may be caused by macrosomia.

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.

Trophoblasts (from Greek trephein: to feed, and blastos: germinator) constitute a particular population of cells forming the outer layer of the blastocyst, providing the embryo with nutrients and giving rise to the outer chorionic sac and the foetal component of the placenta. The trophoblast facilitates embryonic implantation via its inner layer of mononuclear cytotrophoblasts and its outer layer of multinuclear cytoplasm, the syncytiotrophoblasts, forming the early connections between the embryo and the maternal endometrium. The cells of the trophoblast have many qualities, exhibit important functions and have an important role in the development of the placenta; also, they work as a regulator during early growth of the embryo. This volume provides a detailed summary of knowledge regarding the development of the trophoblast during the First Trimester of Pregnancy, the process of placenta apoptosis and the factors causing aging of the placenta. The pathology of trophoblast can manifest itself in several clinical conditions during pregnancy such as intrauterine foetal growth restriction (IUGR), gestational trophoblastic disease and pre-eclampsia. The analysis of the pathogenetic mechanisms involved in these critical conditions are discussed in this book. These aspects are analysed with scientific methodology on the basis of updated studies. "Development of Human Trophoblast" can be considered a reference book for every pathologist, obstetrician and resident.

There is a group of women that have a greater chance of pregnancy complications due to pre-existing health conditions or the occurrence of a specific disease related to pregnancy. Although some of these conditions are common, others have a low prevalence and the management raises a number of concerns to health care providers. This book, whose chapters have a similar structure focused on the clinical, diagnostic and therapeutic features will become an important tool to display the most appropriate clinical management in high risk cases.

Menorrhagia is defined as heavy menstrual loss. Its main determinant of management is the impact of menorrhagia on the woman's quality of life. This book examines the history of menorrhagia, which should elucidate the temporal aspects of the heavy menstrual blood loss and may shed light on the etiology of menorrhagia. The authors further provide instructions on how to examine and treat women with menorrhagia. Furthermore, the book outlines a diagnostic approach and concentrates on different therapies like combined oral contraceptive pills in contrast with surgical management. With an effective treatment management, it is possible to better achieve the diagnostics of heavy menstrual bleeding (HMB) although areas that need further research are highlighted. The clinical use of NF-kappaB (NF-kB) inhibitors, which play an important role in the regulation of the amount of menstrual bleeding and pain are also explored. In addition to menorrhagia, the authors of this book examine dysmenorrhea, pain associated with menstruation. It is also the most prevalent symptom in women with the painful condition of endometriosis. Ilaria Erasmo and Simone Ferrero examine the types of therapy for endometriosis-related dysmenorrhea and the various hormonal treatments shown to effectively and safely relieve pain, which they argue should be based on the preference of the patients, on the incidence of adverse effects and on the costs of treatment.

An estimated 41% of pregnancies are unintended. Globally, 86 million pregnancies are unintended. These unintended pregnancies resulted in 41 million abortions, 33 million unplanned births and 11 million miscarriages. Nearly half of all pregnancies in the U.S. are unintended, which is defined as any pregnancy either mistimed, unplanned or unwanted. Safe and effective contraception is clearly one of the most important areas of reproductive health for women. In this book, the authors review a number of topics in this important subject area. In the section on unmet needs, the authors reviews the unmet needs for contraception in the U.S., UK, Europe, Asia and the developing world as well as unmet needs in special populations such as adolescents, women with medical conditions and women living with HIV. The authors review the current options for contraception with special emphasis on efficacy, side effects and patient selection and identifies gaps in contraception options. Finally, the authors review some of the latest advances and innovations in contraceptive technology.

Female genital plastic surgery has become an increasingly sought-after option for women seeking improvement in genital appearance, relief from discomfort, and increased sexual pleasure. These surgeries are a combination of gynecologic, plastic, and cosmetic procedures. Every year sees a higher demand for physicians properly trained and able to perform them. This unique text from the acknowledged experts in the field covers; * the anatomy of the area * the specific surgical procedures and all their variations * patients' rationales for surgery * training guidelines and ethical issues * outcome statistics * sexual issues * patient selection * potential risks and complications. Examining the issues from individual patient's perspectives, it is written in an academic but easy-to-read style with understandable and unambiguous drawings and photographs. It contains a step-by-step surgical approach, how to best select the right surgical candidates, how to treat this select group of patients, the sexual issues involved, how to individualize techniques for each specific patient, how to deal with criticism from colleagues or journalists, psychosexual issues, and patient protection.

Edited by premier researchers in the field, this is a unique book that comprehensively covers the important topic of uterine leiomyomas from biology, health disparity challenges, impact on fertility, novel risk factors, imaging as well as innovative minimally-invasive to non-invasive treatment options with over eleven chapters by leading practitioners and medical investigators of this disease. Although all areas of uterine leiomyoma are reviewed and updated, with a focus on the medical treatment of this common condition, which offers promise to millions of patients with symptomatic uterine leiomyoma. This book describes important facets of this disease such as the role of vitamin D deficiency as a novel risk factor and its higher incidence in women of color. Novel approaches for treatment using green tea extract or radiofrequency volumetric thermal ablation are also described in detail. This book is essential reading for gynecologists, family doctors, physician assistants, nurse practitioners, medical students, OB/GYN residents and fellows, reproductive biologists, as well as other health care providers who care for women with this common disease.

Male factor infertility is receiving greater emphasis in IVF programs. This book reviews the scientific evidence for various medical, environmental and lifestyle factors that can affect male fertility, such as chromosome abnormalities, age, anti-sperm antibodies and endocrine disruptors. Part of a four-book series on improving IVF success, this volume subsequently explores a range of treatments and strategies to improve sperm quality, including FSH treatment and antioxidants. It also discusses methods to prevent male infertility from childhood through to adulthood. Concise, practical and evidence-based - and with insights from global experts in the field - this text will enable gynecologists, urologists and andrologists to make evidence-based decisions that can influence the success rate of fertilization in subsequent IVF cycles.

Chesley's Hypertensive Disorders in Pregnancy continues its tradition as one of the beacons to guide the field of preeclampsia research, recognized for its uniqueness and utility. Hypertensive disorders remain one the major causes of maternal and fetal morbidity and death. It is also a leading cause of preterm birth now known to be a risk factor in remote cardiovascular disease. Despite this the hypertensive disorders remain marginally studied and management is often controversial. The fourth edition of Chesley's Hypertensive Disorders in Pregnancy focuses on prediction, prevention, and management for clinicians, and is an essential reference text for clinical and basic investigators alike. Differing from other texts devoted to preeclampsia, it covers the whole gamut of high blood pressure, and not just preeclampsia.

Practical, up-to-date, and ready-to-apply coverage of more than 1,000 diseases and disorders CURRENT Diagnosis & Treatment Obstetrics & Gynecology, Twelfth Edition is a concise, yet comprehensive textbook on the medical and surgical management of obstetrics and gynecology. It succinctly covers more than 1,000 diseases and disorders, the latest screening guidelines, and underlying pathophysiology when relevant. The twelfth edition is enriched by contributions from more than 85 world-renowned contributors *NEW CHAPTERS: Cardiac Disorders in Pregnancy, Pulmonary Disorders in Pregnancy, Benign Disorders of the Uterine Corpus and Endometrium; ALL CHAPTERS UPDATED to better adhere to the acclaimed CURRENT format*Thoroughly reviews all of obstetrics and gynecology*Focuses on the practical aspects of clinical diagnosis and patient management *Covers pathophysiology when relevant to diagnosis and treatment*Emphasizes disease prevention and evidence-based medicine*Includes more than 500 anatomic drawings, image studies, and diagrams*Completely updated to reflect the latest research and advances*Consistent presentation includes Clinical Findings, Diagnosis, Treatment, and Complications and Prognosis*Quick-access design facilitates use at the point of care*Updated to include the latest screening and management guidelines

This handbook is designed to introduce trainee obstetricians and gynaecologists to safe surgical techniques and obstetric skills in a structured workshop environment. It is the course manual for the Basic Practical Skills in Obstetrics and Gynaecology course offered by the Royal College of Obstetricians and Gynaecologists, successful completion of which is mandatory to obtain an ST3 post. The manual consists of modules covering basic open general surgical techniques (such as instrument handling, suturing and knot tying); basic obstetric skills (such as pelvic anatomy, instrumental delivery and shoulder dystocia); and basic gynaecological procedures, including hysteroscopy and laparoscopy. This revised and fully updated edition is in line with the latest course, and includes new sections on human factors and basic ultrasound. The course and the manual provide a valuable early step towards building safe and sound surgical and obstetric skills, giving trainees a firm foundation for their future careers in obstetrics and gynaecology.

This practical guide covers all aspects of gynaecological ultrasound, focusing on good technique, the ultrasound machine and reporting. Written by experts with a strong reputation for training in the field, this book takes a 'tips and tricks' approach. Chapters cover topics such as equipment familiarization, principles of transvaginal ultrasound, the awkward uterus, the difficult ovary, and ART-related procedures. The authors discuss the use of both basic ultrasound and 3D machines, and provide tips on how to optimize the image and gain useful clinical information even in the most challenging of assessments. With a multitude of images included to train the eye to identify normal anatomy and common pathologies, chapter summary boxes and case-based examples also provide an easy reference for assessing conditions and lesions. This book will greatly improve the scanning technique of trainees in obstetrics and gynaecology, sonographers, reproductive medicine practitioners, and gynaecologists of any level.

This book is an ideal manual on the use of modern ultrasound in the diagnosis of breast pathology. It provides a comprehensive overview of current ultrasound techniques and explains the advantages and pitfalls of various ultrasound imaging modalities. Detailed attention is devoted to breast carcinoma, with guidance on differential diagnosis and presentation of pre- and postoperative ultrasound appearances. The most important benign breast diseases are also described and illustrated. Age-related features, including those seen in children and adolescents, are carefully analyzed, and an individual chapter is devoted to breast abnormalities in men. All aspects of lymph node appearances are reviewed in detail, with a special focus on the role of ultrasound in the evaluation of lymph node status. Ultrasound-guided breast interventions and imaging of breast implants are discussed in depth. This up-to-date and richly illustrated book will interest and assist specialists in ultrasound diagnostics, radiologists, oncologists, and surgeons.

This book is a complete representation of all the gynecological cancers covering from the anatomical details of the individual gynecological organs along with the epidemiological pathophysiological aspects of the various gynecological cancers. It also covers the diagnostic workup of various gynecological cancers with recent evidence based treatment protocols. All the major gynecological oncological surgeries are described in a simple way along with photographs for easy understanding in all the chapters. In addition, numerous flowcharts and management algorithms are included in every chapters, as a ready reference for the benefits of the trainees and practitioners. This book includes chapters such as critical care in oncology, oncology nursing, benign and malignant breast disease, hormones and gynecological cancer, cancer infections and vaccines, palliative care which are not often found in many text books. Apart from these, this book has also included chapters like principles and practice of Radiation oncology, surgical oncology and medical oncology, recent advances and imaging in gynecological malignancy to make it a complete package. Thus, it will serve as an excellent reference book for surgical oncologists, general gynecologists, medical and radiation oncologists fellows and trainees.

This, the 30th anniversary 5th edition, has been completely revised and updated but continues to provide the clear, concise and practical guidance necessary to manage the obstetric emergencies that confront those on the frontline of the labour ward. The advice, drawn from the author's extensive experience, is authoritative and unequivocal. The book is illustrated and fully indexed with selected references for further reading. Written for trainee and practising obstetricians, midwives and obstetric nurses.

Disorders of the spinal cord are diverse and potentially devastating. They can present as acute, subacute and chronic disorders causing a variety of symptoms. Patients can present to pediatricians, internists, OBGYNs, emergency room physicians and neurologists requiring a diversity of clinicians to be familiar with the signs, symptoms, recommended testing and treatment options. This book comprehensively addresses myelopathies, the broad spectrum of potential pathologies. Chapters cover approaches to acute, subacute and chronic myelopathies; individual myelopathic disorders; the pathobiology, epidemiology, signs, and symptoms of the disorder; diagnostic approach, and therapeutic options. This comprehensive review is beneficial to any clinician, with special emphasis for neurologists, neurosurgeons, neuroradiologists and physiatrists.

The assessment and selection of oocytes and embryos is fundamental to the live birth rate data of all IVF units, the parameter that is used to gauge a clinic's success and credibility. This new atlas contains over 1000 high-quality images of oocytes, zygotes and embryos, presented with accompanying data on indications for treatment, stimulation type and duration, as well as short medical histories of each couple and final outcome of treatment. All images in the book can be downloaded from the accompanying CD-ROM. Structured on a patient-by-patient basis, the atlas describes 100 clinically documented case studies that follow the evolution of oocytes and zygotes between day two and day five. Pronuclear morphology and synchrony as well as embryo morphology are reported and described for each case. Written and produced by experienced embryologists, this practical atlas is an important resource for clinical embryologists and physicians in reproductive medicine.