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.

Covers gestational and chronic hypertension in addition to severe preeclampsia, eclampsia, and HELLP syndrome and discusses the interaction with the renal, hematological, neurological, and hepatic systems of pregnant women.

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

This book contains a series of clinical cases that address and illustrate difficult problems in obstetric ultrasound. The approach is strongly didactic and will aid trainees in maternal-fetal medicine and obstetrics to appreciate potential pitfalls and recognize rare presentations. Each case sets out one page of text, then one of treatment algorithms, and then presents sample ultrasound scans. Learning objectives are given for each case, together with a short list of references and background reading.

The Diploma of the Royal College of Obstetricians and Gynaceologists (DRCOG) examination consists of 60 multiple choice questions (MCQs) and 22 six minute structured clinical examination stations (OSCEs), of which two are rest stations. This one day examination is designed for General Practice trainees, ideally with six months' experience in obstetrics and gynaecology at the senior house officer grade.This book presents three complete DRCOG MCQ and OSCE circuits and encompasses all the possible MCQ and OSCE topics that can and have been asked in the DRCOG examination. They are presented in an identical way to the exam itself.The author, Mrs Una Coales MD, FRCSEd, DRCOG, trained in medicine in the USA and moved to practise in the UK. She has taken and passed the DRCOG exam herself and has also published popular exam texts for PLAB Parts 1 and 2.

With its trademark clear, concise writing style and evidence-based focus, Comprehensive Gynecology, 8th Edition, remains your #1 choice for practical, in-depth coverage of any women's health issue you're likely to encounter. It covers all key issues in gynecology, now fully updated to include new information on topics such as laparoscopy and innovations in robotic surgery, reversible contraception, and advancements in treating endometriosis. For residents, specialists, primary care doctors, and other healthcare providers, Comprehensive Gynecology is an easy-to-access source of trusted information for everyday practice. Includes helpful features such as key references and terms, key points at the end of each chapter, summary boxes for quick reference, and new bolded text to highlight the most important concepts. Features newly improved artwork; a more cohesive, easy-to-navigate design throughout; and more clinical algorithms. Contains hundreds of illustrations and tables, anatomical figures, radiographs, and photographs, as well as 20 videos that address topics such as Pap smear techniques, hysteroscopic metroplasty, and endometriosis of the bladder. Brings you up to date with the latest applications in diagnostic and interventional ultrasound, issues in infertility, the latest research in menopause, and other essential aspects of today's practice. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

This title is designed to help the candidate in preparation for the short essay paper components of the written MRCOG Part II examination. By providing a section of model answers with bullet points indicating specific points where marks are allocated, this text provides the candidate with a firm grounding in examination principles and technique for the short essay question papers. A section of practice papers is provided, 10 in obstetrics and 10 in gynaecology with marking schemes by which the reader can test their knowledge under examination conditions. Also valuable as a revision aid, this book highlights the core information that is central to all the MRCOG Part II examination components.

This extensively illustrated book provides an accessible and up-to-date introduction to obstetric anaesthesia and analgesia. With only three principal authors, there is a consistency of style within a comprehensive textbook that presents the basic science, pharmacology and clinical practice relevant to obstetric anaesthesia. Chapters cover topics such as analgesia during labour, anaesthesia and postoperative analgesia for caesarean delivery, major obstetric and anaesthetic complications, evaluation of the foetus and resuscitation of the neonate, and common clinical scenarios such as management of pre-eclampsia, obesity, multiple gestation and co-existing disease.

This beautifully illustrated book provides a practical step-by-step guide to all the laparoscopic and hysteroscopic procedures performed by gynecologists. Each procedure is described in detail and fully illustrated with color photographs. The potential complications are described, and the circumstances in which a procedure is contraindicated are examined. The Third Edition of the "Manual of Laparoscopic and Hysteroscopic Techniques" has been expanded and extensively updated with new chapters including: transvaginal hydrolaparoscopy, laparoscopy radical trachelectomy, laparoscopic abdominal cerclage, and hysteroscopy sterilization. "Manual of Laparoscopic and Hysteroscopic Techniques" is an invaluable resource for busy practicing gynecologists who want to learn step-by-step techniques of a surgical procedure.

This collection brings together the leading research in maternity care from the United States, Canada and Europe to discuss systems of care for pregnancy and childbirth. The essays focus on the practical side of "good" social science and "feminist-friendly" research. The text not only looks at maternity, but also the act of childbirth, with the goal of providing not just comparative perspectives of care, but also to integrate the differences in care within each essay for a truly international understanding of maternity care.

This book is a collection of original essays on the meaning of providing care. These essays address not only the work of caring for the elderly, but also the work of caring for children, the infirm and those with disabilities.
The essays approach the topic from an ethical standpoint and also from a more practical, feminist and sociological point of view. The main goal of this book is to re-conceive the notion of care work, beginning with steps as simple as replacing the phrase 'caregiver' with the phrase 'care worker'.

This is a new book on the integrated management of vulvovaginal disease. The authors come from a variety of backgrounds - gynaecology, dermatology, pathology and psychology - and describe a multidisciplinary approach to these conditions. The book has the most complete classification of vulvovaginal disease published, based on the etiology of 275 conditions; coverage includes benign, malignant, and functional (including psychosexual) diseases. Each disease has a descriptive summary, pathological features, and treatment guidelines. The book is illustrated in full color throughout.

The fourth volume in the Atlas of Human Central Nervous System Development series, The Human Brain During the Late First Trimester provides new information about features of the perinatal brain. It deals with brain development during the late first trimester (GW11-GW7.5). The major theme of this volume is the identification of stretches and patches (mosaics) of the NEP matrix along the hypertrophied telencephalic, diencephalic, mesencephalic, and rhombencephalic superventricles. Many putative migratory paths of young nerons on their way to their settling sites are also identified. In the younger specimens, the brain sections are presented as they are embedded in the skull and developing facial structures. The older specimens show the onset of development of some of the large fiber tracts. Like the rest of the series, it contains photographs of the entire brain arranged in companion plates that include two parts: a large, high resolution black and white photograph and a "ghost image" of the photograph with unabbreviated labels. It is a user-friendly survey of the complex structural processes that occur during human CNS development. This volume can be purchased as part of the complete five volume set.

The second title in a series of limited-edition, low-cost books, devised and launched by The Institute of Psycho-Analysis in London, The books feature recent lectures on important psychoanalytic themes as part of the London Public Lecture series, organized by the British Psycho-Analytic Society.

Now in its second edition, this bestselling title has been extensively revised and expanded to include new topics on: obesity and breast cancer induction of anti-hormone and anti-growth factor resistance in breast cancer clinical implications of testosterone and breast cancer insulin-like growth factors discussions on the biological, genetic, and molecular pathways linked to the development and progression of breast cancer analyses on the latest therapeutic strategies, prognostic and predictive factors, and prevention strategies Examining new developments, Breast Cancer: Prognosis, Treatment, and Prevention, Second Edition also covers: the mechanism involved in carcinogenesis the relationship among a fetus, pregnancy, and breast cancer recent developments in endocrine treatment the relationship among hormone replacement therapy, cytotoxic therapy, and other non-hormonal approaches for the treatment of metastases management of locally advanced breast cancer, and the importance of BRCA-1 and BRCA-2 in hereditary breast cancer With new topics and updated chapters, this new edition keeps both oncologists and radiologists abreast of the current trends and advancements in the prognosis, treatment, and prevention of breast cancer.

Rayna Rapp, one of the leading feminist anthropologists in the United States, explores the complex and contradictory nature of prenatal diagnosis and its social impact and cultural meaning through the narratives of the people who have experienced it. Rich with the voices and stories of participants, these touching firsthand accounts examine how women of diverse racial, ethnic, class and religious backgrounds perceive prenatal testing. These moral issues have prompted complex questions such as:
* What do women want and not want from technology in pregnancy?
* What conditions are 'worth' an abortion?
* How do women receiving a 'bad' diagnosis cope with their ultimate decisions?

The discovery of ER by Dr. Elwood Jensen exactly 60 years ago has not only led to the birth of a whole new vital nuclear receptor research field but also made a rapid, direct and lasting impact on the treatment and prevention of breast cancer. Since that landmark discovery, tremendous progress has been made in our understanding of the molecular functions of ER and development of targeted therapies against ER pathways for breast cancer treatment. However, there is currently no book available addressing these discoveries and recent advancement in a historical and systematic fashion. This book is intended to provide comprehensive, most up-to-date information on the history and recent advancement of ER and breast cancer by world renowned leaders in the field. These chapters include the history of the discovery of ER; physiological and pathological roles of ER; recent discovery of ER cistrome, transcriptome and its regulation of noncoding RNAs such as microRNAs and enhancer RNAs in breast cancer; development and clinical practices of the first targeted therapy Tamoxifen and other antiestrogens for breast cancer treatment; structural basis of ER and antiestrogen actions; molecular insights into endocrine resistance; the role of ER mutants, ER-beta and environmental estrogens in breast cancer; and emerging state-of-the-art therapeutic approaches currently in development to overcome treatment resistance and future perspectives. The book will provide undergraduate and graduate students, basic scientists and clinical cancer researchers, residents, fellows, as well as clinicians, oncology educators and the general public a thorough and authoritative review of these exciting topics.

The potential impact of work being conducted in genomics, proteomics, and metabolomics upon clinical practice for gynecologists is immense but not yet completely appreciated. This groundbreaking text from international experts examines the newest topics on the perinatal agenda and gives clinicians a real look into the future via the newest methodologies.

The landmark text that has served generations of obstetrician-gynecologists-fully updated with the most current perspectives of the field Williams Obstetrics has defined the discipline for generations of obstetrician-gynecologists. Written by authors from the nationally renowned University of Texas Southwestern Medical Center and Parkland Hospital, the new edition of this authoritative, evidence-based work maintains its trademark comprehensive coverage and applicability at the bedside, while offering the most current information and insights. The culmination of a century of clinical thought, Williams Obstetrics, 26th Edition delivers expert coverage of obstetrical complications, such as preterm labor, pregnancy-related hypertension, infection, and hemorrhage. It additionally offers foundational content on reproductive anatomy, physiology, and prenatal care. The authors have enhanced this edition with 1,000+ full-color illustrations, plus an increased emphasis on the fast-growing subspecialty of Maternal-Fetal Medicine. No other text matches the long-established scientific rigor and accessibility of Williams Obstetrics. With its state-of-the-art design and review of the newest advances and protocols, this not-be-missed clinical companion brings positive outcomes within reach. New and updated content includes: Increased focus on Maternal-Fetal Medicine Greater coverage of hypertension and hemorrhage Deeper insights into in-utero complications Expanded fetal t section includes cutting-edge fetal imaging, genetics, prenatal diagnosis, and fetal disorders and therapy Basic science, physiology of labor, preterm labor updated with contemporaneous publications in the literature More obstetrical sonography figures Eye-catching illustrations, including updated graphs, sonograms, MRIs, photographs, and photomicrographs

There are many possible causes of pelvic pain in a non-pregnant female patient, and it has been estimated to be responsible for nearly 40% of all visits by female patients to a family doctor and 10% of all referrals to specialist gynecologists. However, the topic of how to investigate and diagnose has been surprisingly neglected in print. This important and much-needed text from internationally respected experts shows how important ultrasound can be as a tool for physicians caring for women's health.

New mothers' feelings of isolation and anxiety that can often accompany the birth of a baby can trigger postnatal depression. If health and social care professionals, counsellors and therapists can find the right ways through groupwork to support women at this time, they can help them overcome these feelings. This book describes setting up and managing a discussion group for new mothers to provide support and introduce women to others at the same life stage in a safe environment. It shows how facilitating this structured activity can be positive and empowering for all concerned. It is practical and stimulating reading for everyone involved professionally with postnatal women. Contents Background and preparations for a postnatal group The world of motherhood Maternal health Planning the group Managing the group Expectations and reality Roles of motherhood Changes in relationships Parenting style Focus on feelings Building self-esteem

A bracing account that challenges current medical thinking. This book makes urgently clear that winning the war on cancer will not be accomplished by physicians, scientists, pharmaceutical corporations, epidemiologists and geneticists, nor by the thousands employed in governmental agencies and universities at home and abroad. It will be won by people who understand the connection between the loss of personal health and the unchecked boundaries of worldwide pollution.

Pregnancy. For many women it is an exhilarating period of their lives. Having already made the decision to conceive, now women are confronted with a more encumbering choice, one riddled with emotional and moral implications: the option to test the health of their fetus prior to birth.
Rayna Rapp, one of the leading feminist anthropologists in the United States, explores the complex and contradictory nature of prenatal diagnosis and its social impact and cultural meaning through the narratives of the people who have experienced it. Rich with the voices and stories of participants, these touching, firsthand accounts examine how women of diverse racial, ethnic, class and religious backgrounds perceive prenatal testing, the most prevalent and routinized of the new reproducing technologies. This Pandora's box of moral issues has prompted complex questions, such as: What do women want and not want from technology in pregnancy? What conditions are "worth" an abortion? How do women receiving a "bad" diagnosis cope with their ultimate decisions?
Based on the author's decade of research and her own personal experiences with amniocentesis, "Testing Women, Testing the Fetus" explores the "geneticization" of family life in all its complexity and diversity.

There are many possible causes of pelvic pain in a non-pregnant female patient, and it has been estimated to be responsible for nearly 40% of all visits by female patients to a family doctor and 10% of all referrals to specialist gynecologists. However, the topic of how to investigate and diagnose has been surprisingly neglected in print. This important and much-needed text from internationally respected experts shows how important ultrasound can be as a tool for physicians caring for women's health.

Get Through MRCOG Part 2: MCQs covers the breadth and depth of the MRCOG Part 2 examination syllabus and is an essential revision tool for candidates preparing for this examination. The comprehensive and wide collection of practice questions is designed to help the candidate test and assess their knowledge of the subject, aiding them in thorough preparation for the exam. The text contains 750 multiple choice stems, each with around four associated questions, providing the reader with a total of 3000 individual questions with which to test themselves. The material is divided up by subject area, allowing candidates to test their knowledge on a particular topic. The 13 'modules' are followed by two mock papers, each containing a selection of questions on different subject areas, which the reader can attempt under timed conditions. Answers are provided, with useful explanatory information for all questions to help the reader understand why their answer is right or wrong. The author, Paul Ayuk, was clinical lecturer in obstetrics and gynaecology at Oxford University for 6 years and has run an on-line MRCOG course for over 5 years, assisting over 8000 candidates worldwide.