This practical, two volume handbook provides a critical look at state-of -the-art ultrasound techniques and equipment. It is a comprehensive reference with numerous black/white and color ultrasonograms, tables and graphs. The volumes include extensive literature citations which assist the investigator in finding more in-depth references. This work focuses on the recent remarkable expansion in both diagnostic techniques and clinical applications. It reports findings based on an unusually large patient population over al long time period. It presents the accuracy and limitations of various aspects of ultrasound.

This issue provides a timely update for for the ob/gyn on genetics in reproductive medicine. Dr. Dugoff has created an issue with the goals of providing the most currently clinical information on genetic screening and prenatal genetics. Top authors have written reviews on the following topics: Genetic counseling overview for the ob/gyn; Cell-free DNA screening for aneuploidy; Cell-free DNA screening for single gene disorders; The use of microarray in prenatal diagnosis; Whole exome sequencing: Applications in prenatal diagnosis; Screening for aneuploidy in multiple gestations: The challenges and available options; Expanded carrier screening; Ethnicity-based carrier screening overview; Prenatal genetic diagnosis and prenatal genetic screening; Ethical issues in prenatal genetics; Ultrasound findings and associated genetic syndromes; Hereditary cancers in gynecology: and What physicians should know about genetic testing, screening and risk reduction. Readers will come away with the knowledge they need to diagnose, treat, and manage patients based on the most current evidence and data.

This study guide offers a systematic, comprehensive and focused approach to preparation for the MRCOG Part 3 Clinical Assessment exam. After an initial introduction, the text divides by OSCE station, beginning with an analysis of what the station is testing and what approaches and preparation are required, supported by tips and examples; this is followed by thoroughly worked practice questions based upon the exam format, with an analysis of how these are likely to be marked. Practice exam 'circuits' with fully worked questions and answers conclude the book.

Pregnancy complicated by neurological disorders is a challenging area for both obstetricians and neurologists. Treatment of the maternal condition often needs to be adjusted because of concerns for the fetus, and some conditions have a major impact on the method, mode, and timing of delivery. Many of the clinical problems that arise in pregnant women with a neurological disease have not been the subject of clinical trials, so management must often be based on what published evidence is available and a good understanding of the likely interactions between the condition and pregnancy and vice versa. The editors and contributors represent a team with considerable experience in this area. They offer their "best practice" advice as how to treat the mother effectively, ensuring fetal safety, as well as embracing a philosophy that the pregnancy of a woman with a neurological disease should be made as enjoyable and rewarding for her as is possible.

Bringing together the most up-to-date information on congenital Mullerian anomalies, this comprehensive text explores advances in understanding the embryological causes of these malformations, the systems used to classify the many types of malformation that may be seen, and the field's current diagnosis, evaluation and management techniques. Surgical strategies, including minimally invasive techniques, are described in detail, with chapters divided into two sections: vertical anomalies, such as imperforate hymen, transverse genital septum, and cervical and Mullerian agenesis; and lateral anomalies, such as septate, unicornate and bicornate uterus, uterus didelphys and obstructed hemivagina. Aimed at helping to maintain the future reproductive needs of the patient utilizing assisted reproductive technologies, this book is an excellent reference for OB/GYN surgeons and reproductive medicine specialists treating both adolescent or adult patients with these congenital malformations.

Despite its universality in human female ageing, the menopause and its biology are not completely understood. New biologic mechanisms by which sex hormones may be detrimental or confer protection are continually being discovered. We are now starting to understand that the role of the oestrogen receptor is not identical in all tissues. Important nongenomic effects for sex hormones have also been described. Hormone replacement therapy (HRT) has produced effects on health risks: some are reduced, some are increased, and the rest remain uncertain. HRT is being used by an increasing number of women to alleviate climacteric symptoms in the perimenopausal period and to prevent osteoporosis and cardiovascular disease later. Positive effects on Alzheimer's disease and dementia on the one hand, and an increase in venous thrombosis on the other, are currently being reported by several groups. Both the preventive benefits and the risk of breast cancer seem to be linked to long-term and current use. HRT requires further testing through specific clinical trials, currently underway in the United States, before confident recommendations may be made about the full range of benefits and risks.

Numerous issues confront women's healthcare today, among them the medicalization of women's bodies, cosmetic genital surgery, violence against women, HIV, perinatal mental health disorders. This volume uniquely explores such difficult topics and others at the intersection of clinical practice, policy, and bioethics in women's health care through a feminist ethics lens. With in-depth discussions of issues in women's reproductive health, it also broadens scholarship by responding to a wider array of ethical challenges that many women experience in accessing health care. Contributions touch on many themes previously tackled by feminist ethics, but in new, contemporary ways. Some chapters expand into new fields in the bioethics literature, such as the ethical issues related to the care of Indigenous women, uninsured refugees and immigrants, women engaged in sex work, and those with HIV at different life stages and perinatal mental health disorders. Authors seek to connect theory and practice with users of the health system by including women's voices in their research. Bringing to bear their experience in active clinical practice in medicine, nursing, and ethics, the authors contemplate new conceptual approaches to important issues in women's healthcare, and make ethical practice recommendations for those grappling with these issues. Topical and up-to-date, this book provides a valuable resource for physicians, nurses, clinical ethicists, and researchers working in some of the most critical areas of women's health and applied ethics today.

Prepare for—and excel on—the American Registry for Diagnostic Medical Sonography (ARDMS) and American Registry of Radiologic Technologists (ARRT) certification exams! Steven M. Penny’s Examination Review for Ultrasound: Abdomen & Obstetrics and Gynecology, 3rd Edition, focuses only on the information that you’ll see on these exams, saving you valuable study time. Now in full color throughout, it uses a concise, narrative approach and features an online exam simulator with hundreds of registry-style questions.  60 review questions for each chapter—1,920 total—plus an online exam simulator with even more sophisticated mock exams customizable for both the ARDMS Abdomen and OB/GYN and the comprehensive ARRT exams  Full alignment with ARDMS and ARRT revised content outlines, with pathology coverage in each chapter and new topics throughout  More than 1,000 sonographic images and diagrams—many new to this edition—increase your understanding of anatomy and the physiologic principles crucial to optimal sonographic practice and the comprehension of vital information  Organized boxes and charts, that include lab values, pair clinical findings with sonographic findings, allowing for summary, retention, and demonstrates the progression from clinical presentation to the utilization of sonographic imaging in the diagnosis of disease  Highlighted key terms throughout with definitions help you retain critical information and solidify your understanding of the material  ​ 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 Guest Editors have assembled expert authors to provide current clinical views and recommendations for patients with medical disorders in pregnancy. Clinical reviews are devoted to the following topics: Obstructive sleep apnea in pregnancy; Pregestational Diabetes; Gestational Diabetes; Maternal mortality in the 21 century; Infections in pregnancy and the role of vaccines; Peripartum cardiomyopathy; Update on HIV in pregnancy: Thromboprophylaxis; Opiate abuse in pregnancy.

*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

Since 2006, when the "morning-after pill" Plan B was first sold over the counter, sales of emergency contraceptives have soared, becoming an $80 million industry in the United States and throughout the Western world. But emergency contraception is nothing new. It has a long and often contentious history as the subject of clashes not only between medical researchers and religious groups, but also between different factions of feminist health advocates. The Morning After tells the story of emergency contraception in America from the 1960s to the present day and, more importantly, it tells the story of the women who have used it. Side-stepping simplistic readings of these women as either radical feminist trailblazers or guinea pigs for the pharmaceutical industry, medical historian Heather Munro Prescott offers a portrait of how ordinary women participated in the development and popularization of emergency contraception, bringing a groundbreaking technology into the mainstream with the potential to alter radically reproductive health practices.

Written with the MRCOG examination requirements at its core, this book offers an extensive and up-to-date review of the full range of gynaecological cancers. The principles of epidemiology, imaging and treatment modalities are presented in a succinct and clinically focused manner. Each gynaecological cancer features in a stand-alone chapter, incorporating information on clinical issues, staging and principles of management. Genetic conditions and surgical principles are analysed, as well as topics such as palliative care, holistic approaches and communication. RCOG guidelines and Scientific Advisory Committee advice feature throughout the book. While authoritative and factual, the text is concise and clear. Flow-charts and diagrams support the assimilation of complex information, while practical tips, management algorithms, and clinical images enhance each chapter. Essential for those preparing for the MRCOG examination, this book is a comprehensive resource for health professionals working with gynaecological cancers, and those who want to further understand gynaecological oncology.

First Edition Named a 2013 Doody's Core Title! First Edition Second Place AJN Book-of-the-Year Award Winner in Maternal and Child Health! With more women than ever seeking obstetric triage and emergency services in obstetric triage units, obstetric providers need to be aware of triage assessment and evaluation protocols. This prize-winning pocket guide, containing management guidelines for obstetric triage/emergency settings, delivers critical information on obstetrics, midwifery, emergency, and family care for both students and seasoned clinicians. As with the first edition, all of the newly revised chapters take a strong collaborative and interprofessional approach to clinical conditions in the obstetric triage setting. With specific clinical protocols for more than 30 clinical situations, this fully updated second edition includes two completely new chapters on sepsis in pregnancy and triage acuity tools, along with updated guidelines for hypertension, sepsis, and postpartum complications. Each protocol comprises presenting symptomatology, patient history and data collection, physical exam findings, laboratory and imaging studies, differential diagnosis, and clinical management protocol/follow up. Plentiful figures and images, reference tables and standardized forms for reference and usage, algorithms, and clinical pathways illustrate chapter content. Esteemed contributors include midwives, nurse practitioners, obstetricians, gynecologists, and maternal fetal medicine faculty who evaluate nearly 30,000 OB visits per year. New to the Second Edition: New chapters on sepsis in pregnancy and triage acuity tools Key updates on ectopic pregnancy, nausea and hyperemesis in pregnancy, severe preeclampsia, sexually transmitted and other infections, substance abuse, and psychiatric disorders in pregnancy Expanded information on periviable obstetric management Information on Zika and Ebola Clinical callouts in each chapter highlighting key points Enhanced narrative protocols Key Features: Provides interprofessional triage protocol guidance for ED and OB triage settings Delivers protocols and guidelines for over 30 emergent care situations Includes plentiful diagnostic and imaging guidelines with accompanying figures Formatted consistently for quick access Offers algorithms, protocols, diagnostic imaging, and best evidence for each condition

In the last decades, major advances have been made in assisted reproductive technologies (ART) and the public demand for these procedures has increased globally. All ART clinics, from those just starting out to the well established, must employ the latest equipment and implement the best practices, while ensuring that their resources are effectively engaged to optimize patient outcomes. This is a tenet of the fiduciary role of physicians and it is increasingly recognized as a quantifiable goal regulated by formal certifications and accreditations. Quality management protocols such as those proposed by the International Organization for Standardization (ISO) are being rapidly adopted as standards of measure. Quality Management in ART Clinics: A Practical Guide provides easily adoptable ways to implement and improve formalized quality management systems. Essential to any clinic to achieve best practices and maintenance of formal regulatory certifications, this book brings together the know-how of experienced opinion leaders operating in key areas worldwide. The book offers an overview of primary regulations in the ART field, with attention to quality management demands, and links specific requirements to practical steps for implementation. Filled with process and procedure examples, flow diagrams and administrative form templates, this book is the first of its kind, gathering the necessary elements for optimizing practice, management, and quality assurance.

Gives a convenient summary of trials in Gynecologic Oncology Supplies an invaluable revision primer for those undertaking certification Provides a uniquely up-to-date resource

This practical, two-volume handbook is the first to illustrate the use of transvaginal color doppler in obstetrics and gynecology. It provides a critical look at state-of-the-art ultrasound techniques and equipment and serves as a comprehensive reference with numerous black/white and color ultrasonograms, tables and graphs. The volumes include extensive literature citations which assist the investigator in finding more in-depth references. This work focuses on the recent remarkable expansion in both diagnostic techniques and clinical applications. It reports findings based on an unusually large patient population over a long period of time. It presents the accuracy and limitations of various aspects of ultrasound. This important publication is especially helpful for clinicians and researchers.

This easy-to-understand pocketbook in the highly respected Clark’s stable of imaging texts is an invaluable tool and training aid, providing essential information for mammographic positioning, technique and interpretation for mammography practitioners at all levels. Adopting a systematic and structured approach facilitating rapid reference in the clinical setting, the book covers general principles and all routine mammographic projections, including additional and adapted projections covered in a separate section, and is highly illustrated with clear explanatory line diagrams and imaging photographs. Clark’s Essential Guide to Mammography is ideal as an educational tool for trainee mammographers, trainee assistant and associate apprenticeship mammographers, mammography training teams and universities delivering mammography education and a convenient clinical guide for practising mammographers, including assistant and associate apprenticeship mammographers.

Cervical cancer is a major disease worldwide, with 500,000 new cases diagnosed every year. Through aetiological studies, an association has been established with human papilloma virus (HPV) infection throughout the pathological spectrum of this disease. Studies of the molecular and biological basis for the role of HPV in cervical lesions involve clinicians, virologists, cell and molecular biologists, and most recently immunologists. This book is a review of HPV infection in cervical cancer, providing the background to the potential for immunological intervention. Individual chapters have been written so that the reader, irrespective of level or discipline, can follow the text, and each is integrated so that the book as a whole provides a detailed insight into the most relevant scientific issues of HPV and cervical cancer. This book should provide an interface for students, scientists and clinicians with a realistic and critical evaluation of the advances and problems in the implementation of immunologically based prophylactic and therapeutic strategies in HPV-associated disease. This book should be of use to postgraduate students, research scientists and clinicians involved in eith

Rare gynecological cancers kill all too commonly Gynecological cancer is a frightening prospect for women. It is terrifying also for physicians who need, but often can t find, guidance on how to investigate and appropriately treat the tumors. Rare cancers provide greater challenges as information can be harder to find and more difficult to verify. Rare Gynecologic Cancers: Diagnosis and Management brings together all you need to know on these life-threatening diseases. Straightforward summaries of pathophysiologic processes lead to the investigations that will improve your diagnostic accuracy. This provides the basis for you to identify effective treatment strategies for your patients. Written by a world-leading team of Editors and Authors and covering cancers of the Ovaries Uterus Vulva Vagina Cervix Rare Gynecologic Cancers: Diagnosis and Management will guide you to the best life-saving treatment for your patients.

Today, we are exposed to an increasing number of chemicals in the environment and there is a growing awareness of the effects of these chemicals on the ovaries. Infertility resulting from environmental exposures may not be obvious until the reproductive life span is waning. As such, the potential for xenobiotic-induced infertility needs to be better understood. In recent years, research into chemicals that have the potential to cause early menopause by destroying pre-antral ovarian follicles is gaining greater appreciation. Ovarian Toxicology, Second Edition represents a compilation of chapters prepared by researchers who have substantially contributed to our understanding of the impact of xenobiotics and environmental factors on ovarian function. The second edition substantially updates newly investigated ovotoxicants as well as improved mechanistic insights that have emerged since the first edition. Topics include: Ovarian physiology and the metabolism of xenobiotics The effect of pesticides, heavy metals, phthalates, BPA, and cigarette smoking on the ovaries Ovarian cancer, including endocrine effects and new perspectives on chemoresistance Epidemiology and human health risk assessment for environmental chemicals and pharmaceuticals The first book to focus specifically on ovarian toxicology, this resource is ideal for scientists in academia, regulatory agencies, and industry who would benefit from a survey of the impact of xenobiotic chemicals on ovarian function.

This practical, two volume handbook provides a critical look at state-of -the-art ultrasound techniques and equipment. It is a comprehensive reference with numerous black/white and color ultrasonograms, tables and graphs. The volumes include extensive literature citations which assist the investigator in finding more in-depth references. This work focuses on the recent remarkable expansion in both diagnostic techniques and clinical applications. It reports findings based on an unusually large patient population over al long time period. It presents the accuracy and limitations of various aspects of ultrasound.

This practical manual on sperm analysis presents the diagnostic and therapeutic procedures that are used in andrology laboratories to analyse and assess male infertility. Diagnostic areas include: semen analysis and the biochemical, immunological and microbiological examination of human semen and spermatozoa; computer-aided sperm motility analysis; sperm ultrastructure; and assessment of sperm transport through the female tract and sperm fertilizing ability. The clinical relevance of various diagnostic procedures is also discussed. Therapeutic topics include sperm washing techniques, semen cryopreservation, and insemination procedures. The volume also covers safety in the andrology laboratory, technician training, and quality control. The text is extensively illustrated and will be an invaluable resource to all scientists and technicians who diagnose male infertility. It will also be of interest to researchers working in human gamete biology and reproductive physiology. The detailed methods described in the book are relevant to all hospital, commercial, and university laboratories involved in infertility diagnosis and treatment.

This book aims to assist the acquisition of 'evidence-based' core knowledge of obstetrics and gynaecology and can be used by the trainee as a self-assessment aid throughout training and during revision for the Membership of the Royal College of Obstetricians and Gynaecologists (MRCOG) examination.

The subject of medicalisation of childbirth in colonial India has so far been identified with three major themes: the attempt to reform or 'sanitise' the site of birthing practices, establishing lying-in hospitals and replacing traditional birth attendants with trained midwives and qualified female doctors. This book, part of the series The Social History of Health and Medicine in South Asia, looks at the interactions between childbirth and midwifery practices and colonial modernities. Taking eastern India as a case study and related research from other areas, with hard empirical data from local government bodies, municipal corporations and district boards, it goes beyond the conventional narrative to show how the late nineteenth-century initiatives to reform birthing practices were essentially a modernist response of the western-educated colonised middle class to the colonial critique of Indian sociocultural codes. It provides a perceptive historical analysis of how institutionalisation of midwifery was shaped by the debates on the women's question, nationalism and colonial public health policies, all intersecting in the interwar years. The study traces the beginning of medicalisation of childbirth, the professionalisation of obstetrics, the agency of male doctors, inclusion of midwifery as an academic subject in medical colleges and consequences of maternal care and infant welfare. This book will greatly interest scholars and researchers in history, social medicine, public policy, gender studies and South Asian studies.

This issue of the Surgical Pathology Clinics, edited by Drs. Blaise Clarke and Glenn McCluggage, focuses on Gynecologic Pathology. Topics covered in the issue include, but are not limited to: Gynecologic manifestations of the DICER1 syndrome; Prophylactic gynecologic specimens from hereditary cancer carriers; Lynch syndrome associated endometrial cancer; Peutz-jeghers syndrome associated gynecologic tumors; Gynecologic manifestations of less commonly encountered hereditary syndromes; and Clinical testing for hereditary predisposition.