This title includes Foreword by David Taylor, Professor and Vice Dean of Leicester Medical School. Preparing for the Part 2 MRCOG examination remains a daunting and complex task, particularly as learning and revision often need to fit around clinical commitments. Much has been written about how to prepare for and pass exams, yet it remains surprising how often well-read candidates provide unsatisfactory answers in areas which they know well. Clearly, a sound understanding of the topic area is essential, but deeper knowledge also increases uncertainty, and the vast developments in the field mean that proficiency in all areas is next to impossible. Thus a critical point for postgraduate candidates, who more often than not will prepare for the examination in isolation, is to develop a real understanding of what the examination is meant to assess...This revision aid in obstetrics and gynaecology is based on the Extended Matching Question format (EMQ). It contains forty-two questions of varying degrees of difficulty, along with detailed answers. "MRCOG Part 2 Essential EMQs" is an indispensable study and revision aid for postgraduate medical students preparing for Part 2 of the Membership of the Royal College of Gynaecologists (MRCOG) examination or equivalent. "The number of published revision aids including this question format in postgraduate Obstetrics and Gynaecology remains limited. With this book we wanted to produce a comprehensive selection of EMQ, covering broad areas relevant to the speciality, which would be useful those preparing for postgraduate examinations at Part 2 MRCOG level or equivalent." - Marwan Habiba, Andrea Akkad, Justin Konje.

This book explores theologically the practice of hospital chaplains seeking to meet the spiritual needs of parents bereaved by baby death in-utero. The lived experience of bereaved parents, gathered through a series of in-depth interviews, informs such an exploration. Parents describe the trauma of late miscarriage and stillbirth as still being shrouded by silence, myth and misunderstanding in contemporary society. Up-to-date theoretical understandings of grief are also re-examined in light of parents' stories of living with baby death. This book offers suggestions as to how the actual spiritual needs of parents may be met and their grief sensitively facilitated through the sharing of rituals co-constructed by parents and chaplain which seek to have theological integrity yet be relevant in our postomodern age. In our prevalent culture of caring, where increasingly ongoing professional and personal development are regarded as normative, recommendations are made which may aid reflection on current, or shape future, practice for chaplains, pastors, students and various healthcare professionals.

Infertility affects about five million individuals of childbearing age in the United States, yet infertility is a subject about which many people are reluctant to talk. This book discusses extensively many options available to individuals struggling with infertility. Infertility can result from a number of causes and affects men and women in equal numbers. Difficulty conceiving can take a heavy toll on couples both physically and psychologically and can lead to depression and marital discord. There are, however, many options available to those struggling with infertility for having a child. These include innovative medical procedures and powerful drugs as well as a variety of alternative treatment approaches, surrogacy, and adoption. A part of Greenwood's Health and Medical Issues Today series, this book provides an overview of these options and examines the many health, financial, and ethical decisions of each that must be considered when choosing one. Part I explores what causes infertility and the history and evolution of its treatment and then examines the options available today, detailing how they work, their success rates, and their risks. Additionally, it addresses controversial topics such as the legislation of assisted reproductive technologies and the regulation of fertility clinics. Part II delves into the many scientific, economic, and ethical debates that surround infertility treatment, presenting a clear and objective analysis of the issues. Part III provides a variety of useful supplementary materials, including case studies, a timeline of critical events, a glossary, and a directory of resources.

Uterine fibroids are a painful condition that may also create serious limitations on a patient's reproductive options. This new text from an acknowledged expert at a major regional referral center fully reviews the relevant diagnostic factors as well as the potential new medical treatments and current thinking about the various - sometimes controversial - surgical options available for management. Print versions of this book also include access to the eBook version with links to procedural videos.

This book provides an exam-focused revision guide to both anaesthetic and surgical instruments. This is a comprehensive guide to passing an exam station and includes commonly tested knowledge. The Anaesthetic section includes airway, breathing, circulation and analgesia equipment. Surgical instruments include those used in cardiothoracic surgery, ENT, general surgery, orthopaedics and urology. Each instrument entry follows a standard format - description, indications for use, contraindications and complications. The standard format ensures that learning about each instrument and when to use it is faster and easier, thus optimising exam recall. Fully illustrated with all the core anaesthetic and surgical instruments Concise, easy-to-remember text Portable and practical Suitable for a wide range of health professionals The instrument syllabus is a small yet significant part of many exams, and this concise study guide will benefit a wide range of medical and surgical trainees, including those sitting the FRCA and MRCS examinations. Healthcare professionals, including nurses (ward or theatre), operating department practitioners and physician assistants (PAs), will also find the content useful as an on-the-job aide. About the Author: Dr Kelvin Yan, MRCP, AICSM is an NIHR Academic Clinical Fellow, University of Oxford and an Honorary Clinical Research Fellow, Imperial College London.

This title includes Foreword by Sheila Kitzinger, Writer, Researcher, Activist and Honorary Professor, Wolfson School of Health Sciences, Thames Valley University. Birth centres are suitable for every woman whose birth is straightforward, which accounts for around 75 per cent of all women. This inspirational guide shows how small scale maternity provision has a profound clinical and organisational advantage over large scale hospital provision, including saving of time and money by reducing intervention rates. It presents the thoughts and feelings of midwives and patients and how both enjoy the humane and compassionate care of the birth centre ethos. The book is invaluable for midwives, obstetricians, doulas, maternity care assistants and maternity service planners and managers. It also provides enlightening information for general practitioners and other health and social care professionals, maternity service users groups and academics with an interest in midwifery and health services. "What birth centres do best is simply providing humane childbirth care. There are no high tech gadgetry, doctors or dramatic stories of childbirth rescues that make it into the media. Yet 'miracles' happen inside their walls every day as women have their babies after normal labours and births. Until now, there have been very few books detailing what happens in birth centres so that women and childbirth professionals can be introduced to an alternative beyond the large hospital model. This book provides a window in on the birth centre model and there are some exciting things to find there about childbirth care in the 21st century." - Denis Walsh, in the Preface. "Denis Walsh has one of the most incisive, analytical and brilliant minds in nursing and midwifery research today. He demonstrates the difference between a quality environment for birth where a woman can create her own 'nest', and a technocratic, bureaucratically controlled, highly medicalised and risk-oriented birth culture dominated by the clock, which is most women's experience today." - Sheila Kitzinger, in the Foreword.

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.

Pregnant women and their partners often ask healthcare professionals whether sex is safe during pregnancy, and what consequences may result from sexual activity. Many clinicians can also be unsure of the answers to these type of questions, leading to both patient and clinician resorting to the internet for advice, which can be inaccurate and anxiety-inducing. Here, the authors provide clinicians with an insight into the information offered by 'Dr Google' so that they can reassure and advise their patients as necessary. Aimed at obstetricians and other physicians caring for pregnant women, this book reviews the implications of sex during pregnancy such as those complicated by medical conditions, those at risk of preterm birth and multiple pregnancies. Other chapters cover physiological changes during pregnancy that may affect sexual function and intimacy, as well as the differing guidelines provided by various global obstetric societies.

Pelvic floor disorders affect a large proportion of women worldwide. This book is a highly practical guide highlighting all the varying forms of such problems. Included are chapters on the pathophysiology of the female pelvic floor, the evaluation and diagnosis of problems, the practical management of symptoms, and the complications that can arise from surgical and medical treatment.

Written by two urologists and a genitourinary physician, this impeccably researched text provides the reader with a comprehensive overview of sexual health, exploring a range of topics such as: sexually transmitted infections; contraception; urological conditions; genital dermatoses; sexual dysfunction; novel therapeutic options. With a clear, symptom-based format, this is an ideal quick reference guide for the consulting room and the ward.

This highly practical text on gynecologic emergencies includes sonographic findings and laparascopic investigations and management for point-of-care assessment. Gynecologists, emergency physicians, and other providers will find this an invaluable resource for information on what to do in a crisis.

Medical professionals are often involved in the management of the pregnant patient without necessarily being experts on all the complications surrounding pregnancy. The Handbook of Obstetric Medicine addresses the most common and serious medical conditions encountered in pregnancy, including heart disease, thromboembolism, diabetes, skin problems, gastrointestinal disease, neurological problems, hormonal diseases, hypertension and pre-eclampsia, and more. For each condition, the handbook includes a description of incidence, clinical features, pathogenesis, diagnosis, the effect of pregnancy, and management of the condition. The book also includes a detailed section focusing on the differential diagnosis of common symptoms including hypertension, chest pain, palpitations, breathlessness, headaches, dizziness, abdominal pain, and more. The symptoms and differential diagnoses are presented in an easy-to-read tabular format and include a description of important clinical features and potential areas of investigation. For those clinicians understandably reluctant to prescribe drugs during pregnancy, a useful appendix includes a section on prescribing in pregnancy and a list of contra-indicated drugs. In addition, to assist in the interpretation of laboratory tests, a second appendix lists normal laboratory values in pregnancy, broken down by trimester. Pre -pregnancy counselling and postnatal follow up are vital in the holistic management of women with medical problems and this includes appropriate contraceptive advice. A third appendix has therefore been added as a ready reference for clinicians not familiar with effective contraception. The new edition remains a pragmatic and easy-to-use design by including tables, bullets, and "Points to remember" boxes for ease of reference. It is an essential on-the-spot guide for obstetricians, physicians, general practitioners, and midwives in both practice and training. Catherine Nelson-Piercy, MA, FRCP, FRCOG Past President, International Society of Obstetric Medicine, Professor of Obstetric Medicine, King's College London, Co-founding Editor-in-Chief, Obstetric Medicine Praise for previous editions: "This is an excellent handbook of obstetric medicine, which deserves to be on the shelves of all actively practicing obstetricians."-British Medical Association Medical Book Awards "This book gets it just right and is a true handbook, easy to read, accessible and is not too large but packs in a lot of useful and relevant information." - Glycosmedia

Pre-eclampsia, a complication of pregnancy characterized by hypertension and/or edema and/or proteinuria, can have profound effects on the mother as well as the unborn fetus and even threaten their lives. Pre-eclampsia: Prevention, Prediction and Possibilities discusses the possible causes of the condition, its effects on various body systems, current methods of prediction, prevention, and treatment. What makes this book unique is its coverage of the deep intricacies of what causes Pre-eclampsia from examining the role of genetics and exosomes to lipids and their denaturation to endothelial denaturation and reperfusion damage. These extremely complex processes are thoroughly examined and then explained in a simplified way to enhance understanding. The latest concepts in color Doppler in prediction and current measures of prevention and treatment are explained at length. Overall, Pre-eclampsia will provide an updated resource for practicing obstetricians, research scientists, students and professionals involved in the care of pregnant subjects. Key Features Presents the etiopathology of Pre-eclampsia with recent research updates Establishes the link between Pre-eclampsia and other obstetric vasculopathies Covers individual systemic effects of the condition Explores the latest approach in prediction, prevention and treatment of Pre-eclampsia About the Author Dr. Pankaj Desai is a Consultant Obstetrics and Gynecology Specialist at Janani Maternity Hospital, Baroda, India. A prolific writer, he has contributed 43 chapters to different textbooks internationally and nationally. His outstanding academic contributions in the subject have been acknowledged and honored with 7 gold medals and 60 orations.

Establishing the study of multiple pregnancy and the perinatal care of children from multiple births as a recognized specialty within maternal-fetal medicine, the first edition of Multiple Pregnancy was a landmark publication. Fully revised, this new Second Edition has been expanded to include more on epidemiology, biologic mechanisms, the impact of infertility treatments, prenatal diagnosis, and fetal therapy. The book presents all facets of the clinical, psychosocial, and practical issues of multiple gestation and the care of multiplets.

The life and work of Ignaz Semmelweis is among the most engaging and moving stories in the history of science. "Childbed Fever" makes the Semmelweis story available to a general audience, while placing his life, and his discovery, in the context of his times. In 1846 Vienna, as what would now be called a head resident of obstetrics, Semmelweis confronted the terrible reality of childbed fever, which killed prodigious numbers of women throughout Europe and America. In May 1847 Semmelweis was struck by the realization that, in his clinic, these women had probably been infected by the decaying remains of human tissue. He believed that infection occurred because medical personnel did not wash their hands thoroughly after conducting autopsies in the morgue. He immediately began requiring everyone working in his clinic to wash their hands in a chlorine solution. The mortality rate fell to about one percent. While everyone at the time rejected his account of the cause of the disease because his theory was fundamentally inconsistent with existing medical beliefs about how diseases were transmitted, in time Semmelweis was proven to be correct. His work led to the adoption of a new way of thinking about disease, thus helping to create an entirely new theory--the etiological standpoint--that still dominates medicine today.

Gynaecology, Obstetrics, and Reproductive Medicine in Daily Practice is a unique publication aimed at the non-academic practicing gynaecologist, and students alike. The papers included in the book are written by invited speakers who attended the 15th Congress of Infertility, Gynaecology and Obstetrics. All the information is important to both doctors in training as well as qualified gynaecologists. Certain sections are interesting to fertility specialists as well as midwives. This is a useful tool to refresh and enhance skills in the fields of gynaecology, urogynaecology, obstetrics and reproductive medicine. The emphasis has been put on accomplishments achieved as opposed to ongoing controversies in the field. The book has a clear, primary target group. The book provides refresher and enhancing opportunities for all subspecialisations: gynaecology, urogynaecology, obstetrics and reproductive medicine Emphasis on the consensus achieved rather than ongoing controversies

Serious congenital malformations are a major contributor to the infant death rate worldwide. Their nonhereditary causes are multiple and complex, and include infectious and metabolic dangers, disease medication, nutritional inadequacy, medicinal products, environmental agents and pollutants, among them. The cause of many however is still unknown. The wide range of these causes makes the defects of interest to those of a wide range of medical and investigatory backgrounds, especialy clinicians, fundamental scientists, and environmentalists.

The birth of Louise Joy Brown - the world's first baby born following in-vitro fertilization - heralded a medical revolution. Forty years later, many thousands of babies are born each year following IVF. Assisted reproduction is a global industry with a multi-billion dollar turnover. It is a complex mix of science, clinical management, bioethics, and commercial imperatives. Many of the pioneers of IVF are still with us and have a fascinating tale to tell. Here, they relate the story of the development of IVF and related technologies in a way that will prove invaluable to future generations of practitioners seeking to understand the genesis of the specialty. This is not an academic history: rather it takes an informal and anecdotal approach; informing and entertaining for generations of past, present and future medical and scientific specialists of IVF, alongside the millions of parents, who celebrated the successes of IVF treatment worldwide.

Within forty-eight hours after birth, the heel of every baby in the United States has been pricked and the blood sent for compulsory screening to detect or rule out a large number of disorders. Newborn screening is expanding rapidly, fueled by the prospect of saving lives. Yet many lives are also changed by it in ways not yet recognized. Testing Baby is the first book to draw on parents’ experiences with newborn screening in order to examine its far-reaching sociological consequences. Rachel Grob’s cautionary tale also explores the powerful ways that parents’ narratives have shaped this emotionally charged policy arena. Newborn screening occurs almost always without parents’ consent and often without their knowledge or understanding, yet it has the power to alter such things as family dynamics at the household level, the context of parenting, the way we manage disease identity, and how parents’ interests are understood and solicited in policy debates.

Expanded by 30% to explore the latest surgical approaches, techniques, equipment, and perspectives, this Second Edition leads surgeons through new applications in minimally invasive surgery, gynecology, urology, endoscopically-assisted plastic surgery, pediatric surgery, and video-assisted thoracoscopic procedures.

First published in 1998, this book covers a variety of health issues in the contemporary Middle east. Its thirteen chapters, contributed by a total of 23 authors and co-authors, reflect several different disciplines relevant for health studies, including epidemiology, economics and anthropology. In the field of reproductive health, there are chapters on maternal health indicators, fertility, infertility and the utilization of family planning services. In the field of infectious disease there are chapters on schistosomiasis, HIV/AIDS, hepatitis C, and Rift Valley Fever. Several different parts of the Middle East and North Africa are covered, including Tunisia, Egypt, Israel, Palestine and Lebanon. Problems of reproductive health and infectious disease in the region are seen to be more serious than generally recognised. There are significant cultural and political obstacles in both areas. A particular need is for greater empowerment of women as both clients and providers within the health care systems.

Gestational Diabetes Mellitus is becoming an increasingly prevalent disease as obesity and other chronic diseases are on the rise. It requires careful and informed clinical management as the care received during pregnancy affects not only perinatal health but the risk of developing type 2 diabetes even decades into the future, in both the mother and the child.From epidemiology and pathophysiology to diagnosis and management, covering recent breakthroughs in research and up-to-date developments in clinical practice, Gestational Diabetes During and After Pregnancy offers the reader a comprehensive and current look at Gestational Diabetes. Anyone involved in the research, public health or clinical aspects of Gestational Diabetes will find this volume a valuable aid in consolidating all recent developments regarding this disease.

The book examines the major issues in perinatal clinical psychology with the presence of theoretical information and operational indications, through a biopsychosocial approach. The multiplicity of scientific information reported makes this book both a comprehensive overview on the major perinatal mental health disorders and illnesses, and a clinical guide. It covers perinatal clinical psychology through a journey of 15 chapters, putting the arguments on a solid theoretical basis and reporting multiple operational indications of great utility for daily clinical practice. It has well documented new evidence bases in the field of clinical psychology that have underpinned the conspicuous current global and national developments in perinatal mental health. As such, it is an excellent resource for researchers, policy makers, and practitioners - in fact, anyone and everyone who wishes to understand and rediscover, in a single opera, the current scientific and application scenario related to psychological health during pregnancy and after childbirth.

With a focus on how to perform and effectively interpret pelvic ultrasound exams, Pelvic Ultrasound Imaging: A Cased-Based Application offers a unique learning experience that is ideal for ob/gyn and radiology practitioners and residents, urogynecology practitioners and fellows, diagnostic medical sonographers and those who are studying for Board exams. Current cases in gynecology and urogynecology are presented in a step-by-step format based on resident and fellow one-on-one didactic oral case reviews. An expert walk-through for each case's imaging set includes directive questions to help the reader perform proper exam assessment. This workbook: Presents cases in the way a clinical day unfolds, varied and unrelated to the previous case. Cases get progressively harder, increasingly challenging the reader's interpretation skills while moving through the text. Provides step-by-step instruction throughout, including development of 3D volume set skills, reporting nomenclature, discussion of diagnostic criteria, instrumentation topics, and clinical correlation. Highlights the importance of critically assessing, not merely diagnosing based on a presumed classic image appearance for the most common pathologies. Includes examples of common gynecology cases such as ovarian corpus luteum, hemorrhagic corpus luteum, uterine leiomyomata, endometrial polyps, and caesarean section scars, as well as more uncommon cases. Includes examples of common pelvic floor cases such as normal anal sphincter complex and thickened bladder wall, as well as more uncommon urogynecology pathologies such as rectal vaginal fistula, rectal prolapse, and mesh assessment. Walks the reader through each case with directive questions to improve diagnostic appraisal. Includes up to five images per case along with exam findings and brief clinical correlations. Provides videos on Elsevier eBooks for Practicing Clinicians that illustrate typically encountered real-time dynamic changes. Enhanced eBook version included with purchase. Your enhanced eBook allows you access to all of the text, figures, reporting templates, and references from the book on a variety of devices.

The impact of hormones on deep venous thrombosis is one of the most charged and debated subjects in contraceptive medicine. Female hormonal balance is primarily affected by the use of either oral contraceptives or HRT. For a long time it has been recognized that oral contraceptives can raise the incidence of DVT; however, there has been an enormous controversy as to whether all progestins do this equally or whether some have a greater impact than others where oral contraception is concerned. Written by a world leader on the subject, this book offers the latest clinical information about the effects of pregnancy, the contraceptive pill, and hormone replacement therapy on thrombotic problems in women.