In January 1979, Robert Edwards and Patrick Steptoe delivered a lecture detailing the ten-year clinical and scientific research programme that led to the birth of Louise Brown, the first baby born utilising IVF. This thoroughly-researched book provides both a full annotated transcript of the lecture as well as recorded reminiscences from those who attended, detailing the contemporary understandings of the event. An essay on the lecture's historical context adds fresh insight into the biographies of Edwards and Steptoe and highlights sources from print and broadcast media that have received scant attention in earlier publications. Current and future implications of the advances in IVF since the first procedure are also explored, examining future medical and scientific possibilities as well as ethical issues that may arise. A foreword by Louise Brown herself places this remarkable leap of science in a personal context, one that so many families have since experienced themselves.

Afflicting more than 300 million women across the globe, obesity has profound effects on health during pregnancy and on the wellbeing of the unborn child. In the face of such a challenging pandemic, this book reviews the latest research and provides up-to-date advice on clinical management. Maternal Obesity addresses the adverse effects of obesity among women of childbearing age, including infertility, medical complications, problems in labor, and adverse birth outcomes, and it reviews evidence that the obese mother's in utero environment has long-lasting influences on the health of the developing child. Chapters cover basic, clinical, and population perspectives, providing a range of valuable information from mechanistic insight through to public health and policy implications. Invaluable for obstetricians, gynaecologists, paediatricians, general and family physicians, subspecialists in obstetric and paediatric medicine, midwives, and dietitians, as well as researchers and public health policy makers seeking to tackle the burden of maternal obesity-related illness.

This book is a comprehensive and easy-to-read guide to obstetrics and gynecology in developing countries. Although significant progress has been made towards the reduction of maternal mortality and morbidity globally, they are still unacceptably high in developing countries. This can be directly or indirectly tied to poor quality maternal health care and lack of access to cost-effective, comprehensive healthcare. Health practitioners in developing countries also contend with trying to keep abreast of recent developments in obstetrics and gynecology while dealing with lack of time, resources, and access to relevant information. This textbook was thus created by experts in obstetrics and gynecology with extensive experience in African clinical settings and consultants in developed countries to teach proper and accurate diagnosis, treatment and management of gynecologic and obstetric health issues within the context of developing countries. This second edition has been fully updated throughout with an added 25+ chapters that cover topics such as reproductive health, gynecological cancers and research methods. The book is divided into six sections: Women's Reproductive Health; Obstetrics; Medical and Surgical Disorders in Pregnancy; General Gynecology; Gynecological Malignancies; Health Systems Organization, Research Methodology and Biostatistics. These section topics have been carefully covered by expert authors with the use of valid scientific data, policy instruments, and adapted to the cultural and social context of developing countries, with particular in depth coverage of conditions that have greater prevalence and incidence in developing countries. Each chapter also focuses on filling gaps in knowledge with a distinct pedagogical approach, starting with a set of learning objectives and ending with key takeaways for the chapter. This is an ideal guide for residents, medical students, practitioners of obstetrics and gynecology, midwives, general practitioners, and pediatricians, particularly those working in developing companies.

This book initiates the descriptions of the practical performance of different hysterectomies with conventional and robotically assisted laparoscopy, laparotomy and vaginal surgery. Laparoscopic hysterectomy has been out as an additional technique for hysterectomies for the last couple of decades. As the necessary light, augmentation and advanced skill has only been introduced into this already 200 year old surgical procedure within the last few decades by laparoscopy, the editors aim to look at the laparoscopic procedures followed by the traditional techniques of hysterectomy with laparotomy and vaginal surgery.

Schwangerschaft bei Diabetes? Dank neuer Therapien konnen sich Diabetikerinnen heutzutage ihren Kinderwunsch erfullen. Voraussetzung ist allerdings die kompetente, luckenlose Begleitung der Schwangerschaft. Experten bieten hierfur alle notwendigen Informationen (inkl. Gestationsdiabetes) - praxisbezogen, ubersichtlich und verstandlich. Exakt erlautern sie welche Massnahmen, wann und wie einzusetzen sind. Alles rund um die Pravention sowie Begleit- und Folgeerkrankungen: wichtige Parameter und deren Uberwachung, Diagnose, Therapie, medikamentose Intervention. Ein hilfreicher Ratgeber fur werdende Mutter sowie alle Fachleute, die sie betreuen."

Part of the World Clinics: Obstetrics & Gynecology series, this new volume presents clinicians and trainees with the latest developments in the diagnosis and management of anaemia. Beginning with an introduction to the classification, pathology and diagnosis of the condition, the following chapters cover different types of anaemia including iron deficiency, folic acid and Vitamin B12 deficiency, haemolytic, aplastic, sickle cell, and more. The book concludes with discussion on special situations such as severe anaemia in labour and antepartum haemorrhage. Presented as a collection of evidence-based reviews, each article is enhanced by photographs and figures, and concludes with a summary and comments by the editors highlighting their own clinical experience. Other volumes in the series include: Endometriosis, Polycystic Ovary Syndrome, Recurrent Miscarriage, Contraception, Ovulation Induction, Perimenopausal Health, Postpartum Hemorrhage, Preeclampsia, and Preterm Labor. Key points Latest volume in the World Clinics: Obstetrics & Gynecology series Covers diagnosis and management of different types of anaemia Each article concludes with a summary and comments by the editors Enhanced by photographs and figures throughout

This book is a guide to the diagnosis and management of gynaecological disorders for clinicians and trainees. Divided into 22 sections, the text begins with discussion on normal and abnormal puberty, then the physiology and symptoms of menopause. The following sections cover numerous gynaecological disorders, their symptoms, investigation, diagnosis, and treatment. The book covers both normal and abnormal symptoms, and offers guidance on when treatment may not be needed if a condition is benign. The comprehensive text is further enhanced by clinical photographs, diagrams and tables. Key points Comprehensive guide to diagnosis and management of common gynaecological conditions Covers both normal and abnormal symptoms Offer guidance on benign conditions where treatment may not be necessary Highly illustrated with clinical photographs, diagrams and tables

Given that millions of women have entered menopause each year since the dawn of time, it's bizarre that it still feels like uncharted territory for the women who are going through it. Dr. Heather Hirsch is committed to changing that. Unlock Your Menopause Type helps women cut through the informational noise and learn how to manage their symptoms most effectively by identifying their personal Menopause Type(s). This is not a one-size fits all solution. Unlock Your Menopause Type features a helpful quiz to identify women's individual Menopause Type(s) such as: -Premature -Sudden -Full-Throttle -Mind-Altering -Seemingly Never-ending -Silent Each type gets a full prescription for exercises, diet and strategies to regain mental focus and make menopause a routine part of maturity rather than a rollercoaster ride of unexpected symptoms and discomfort. The book also includes: -The last word on whether to replace declining hormones -What to do if you're a combination of types -How to get on top of (as it were) changes in your sex life -Crowd-sourced tips and tricks from Dr Hirsch's friend group and patients Dr Hirsch addresses the physical and emotional challenges of menopause and provides solutions from her years of practice. With knowledge, priorities and a plan, you can feel great through midlife and beyond.

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.

As our understanding of the human body broadens, so does the need for a comprehensive text that encompasses all aspects of human development. Essential Human Development is a great course companion that focuses on the human life cycle, ideal for the undergraduate student new to these fields, or for qualified practitioners looking for a reference guide. Featuring key information points and self-test assessments in each chapter, the book is organised in an accessible manner, beginning with fertilisation and embryology, then moving on to obstetric medicine, neonatal care and child health, with the final section exploring gynaecological medicine. Ensuring that information is placed in context to aid understanding, Essential Human Development is the perfect support for the modern medical school curriculum, as well as a vital reminder of the core information needed whilst on a women or child health clinical placement.

Minimally Invasive Gynecologic Surgery provides a complete, practical and timely review of the minimally invasive surgical techniques used to treat gynaecologic diseases and conditions. Recent advances in technology and instrumentation, particularly the use of robot-assisted surgery, mean that minimally invasive approaches have become increasingly established as alternatives to traditional open surgeries. This book describes the full range of minimally invasive procedures in current gynaecologic practice, with discussion of the indications and contraindications and a summary of available evidence. The book opens with a section describing instrumentation, electrosurgery, how to avoid and manage complications and single port surgery. Subsequent sections cover procedures for benign and malignant conditions and relevant robotically assisted surgeries. Highly structured chapters provide practical guidance to key steps of each procedure, alternative management options; contraindications and available evidence Stellar contributors from leading centers in the USA, Brazil, Chile, Canada, France, Italy and Belgium ensure coverage reflects global best practice

This book aims to provide updated facts and treatments for practicing gynecologists and postgraduate doctors to enhance their understanding of pathogenesis, pathology, symptoms and diagnostic imaging technology of adenomyosis, such as to select appropriate treatments, to improve the symptoms, fertility and the quality of life of women with adenomyosis. This book also particularly introduces the new treatment for adenomyosis using the non-invasive High Intensity Focused Ultrasound ablation treatment. Hopefully, it will provide a better understanding of its operation, effectiveness, and pregnancy outcome, to formulate a more successful treatment strategy for this disease.

Clinical case studies have long been recognized as a useful adjunct to problem-based learning and continuing professional development. They emphasize the need for clinical reasoning, integrative thinking, problem-solving, communication, teamwork and self-directed learning - all desirable generic skills for health care professionals. This volume contains a selection of cases on assisted reproduction that will inform and challenge reproductive medicine practitioners at all stages in their careers. Both common and uncommon cases are included. The aim is to reinforce diagnostic skill through careful analysis of individual presenting patterns, and to guide treatment decisions. Each case consists of a clinical history, examination findings and special investigations, before a diagnosis is made. Clinical issues raised by each case are discussed and major teaching points emphasized. Selective references are provided. The book provides a useful complementary adjunct to existing textbooks of reproductive medicine, and an excellent resource for teaching and continuing professional development.

Practitioners of obstetrics, maternal-fetal medicine and consultants in other branches of medicine who help provide excellent care to pregnant patients with hypertensive complications of pregnancy will welcome this compendium about HELLP Syndrome. Drawing upon the expertise of 37 contributors from 15 institutions and four countries, this book summarises the state of the science and practice for patients with HELLP syndrome. On a global basis, what we call HELLP syndrome accounts for hundreds to thousands of maternal deaths and is responsible for many more thousands of patients that suffer "near miss" mortality, which we more properly term "severe maternal morbidity". Our understanding of this pregnancy scourge -- the basic science or bench aspects -- is still relatively inadequate to fully comprehend the pathogenesis and the pathophysiology of this condition as it relates to its close relative, the syndromic disorder of preeclampsia. Although a corticosteroid-based management scheme has shown great promise in practice and has a strong physiologic basis, there remains a need for a high quality, large-scale (1000+ patients) constructed, prospective placebo-controlled clinical trial involving a heterogeneous patient population to fully and objectively evaluate this approach to practice. The need and the urgency are great given the risk of HELLP to mothers and babies.

This book has been launched to commemorate the 24th Annual Conference of Indian Society for Assisted Reproduction. It is a unique effort to gather experiences from experts from all over the world - all of whom are authorities in their respective field, to provide concise and updated information and integrated management approach to deal with different situations.

A complete and well-written manual that covers a large range of topics from basic physiology and primary management of infertility to the very latest in implantation and embryo selection and screening. The chapters are authored by the acknowledged masters in their field. Sections on polycystic ovarian syndrome (PCOS), male infertility, laboratory procedures in ART have been added to make it a comprehensive and easy daily reference book. The book ends with very thought provoking chapters dealing with adoption, counseling, medicolegal and ethical aspects, third party and cross border reproduction.

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

This splendid volume presents numerous aspects of preterm labor and delivery, from its fundamental mechanism to clinically focused approaches. The incidence of preterm delivery is 6-7% in Japan, while globally up to 10% of pregnancies with preterm labor result in premature delivery. The rates of overall survival and intact survival of the premature infants are also excellent in Japan. Thus Japan's approach to preterm labor and delivery has long attracted attention. In each chapter, experts describe specific issues unique to conditions in Japan, including diagnosis, tocolytic agents, definition of clinical chorioamnionitis, treatment of bacterial vaginosis, role of amniocentesis, management of preterm premature membrane rupture and also placental pathology, presenting definitive evidence of the reduced incidence of preterm delivery in Japan. This book benefits not only obstetricians, pediatricians and gynecologist, but also midwives, nurse practitioners, and medical and associated staffs in the field of obstetrics, pediatrics, as well as neonatal and perinatal medicine who are involved in delivery.

Selected as a Doody's Core Title for 2022! One of the world's most widely read gynecology texts for nearly 50 years, Speroff 's Clinical Gynecologic Endocrinology and Infertility provides a complete explanation of the female endocrine system and offers practical guidance for evaluation and treatment of common disorders. In this fully revised ninth edition, the editorial and author team from Yale School of Medicine have assumed the reins of Dr. Speroff's landmark work, retaining the clear, concise writing style and illustrations that clarify and explain complex concepts. This classic text remains indispensable for students, residents, and clinicians working in reproductive endocrinology and infertility, bringing readers up to date with recent advances that have occurred in this fast-changing field. Remains the definitive text on reproductive endocrinology, offering authoritative coverage of reproductive physiology, clinical endocrinology, contraception, and infertility. Contains two new chapters on transgender medicine and fertility preservation. Features many full-color illustrations, algorithms, and tables throughout. Retains Dr. Speroff's clear, user-friendly writing style while ensuring content is up to date with today's best clinical practices. 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.