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.

Get Through MRCOG Part 2: Short Answer Questions is an essential revision guide for candidates preparing for the MRCOG Part 2 exam. This comprehensive collection of practice Short Answer Questions (SAQs) is designed to help candidates test and assess their own knowledge, aiding thorough preparation for the exam. The book opens with an introduction to the exam and includes advice on how to prepare for it, information on what to expect, and guidance on how to write excellent answers. This is followed by two sections: the first provides a wide range of SAQs divided into obstetric and gynaecological topics, and the second presents six practice exams set out in the format of the actual exam. For each question, the authors highlight the key words in the question, followed by a brief essay plan and then give a worked example answer. The specimen answers indicate how many marks the candidate would obtain for each point made, and are supplemented with valuable extra information and further reading, to enhance understanding and aid further revision.

In ancient Greece, gynaecology originated in the myth of the first woman Pandora, whose beautiful appearance was seen to cover her dangerous "insides". This book demonstrates how ancient Greek healers read the signs offered by their patients' bodies, arguing that medicine was based on ideas about women and their bodies found in myth and ritual. Helen King deploys a wide range of comparative material from the social sciences to discuss religious healing, chronic pain and the creation of a powerful self-image by aspiring healers. She outlines how nursing and midwifery have tried to create their own versions of the ancient Greek past to give themselves great status, and presents a detailed account of how doctors twisted ancient Greek texts into ways of controlling women's behaviour. Finally she analyzes how later medicine, by diagnosing "hysteria" and by recommending practices such as clitoridectomy, gave its decisions authority by claiming ancient Greek origins which never existed. The text provides an insight into the origins of gynaecology and the influence of the early study and medical texts on later medical practices and theories up to the Victorian era.

Hippocrates' Woman demonstrates the role of Hippocratic ideas about the female body in the subsequent history of western gynaecology. It examines these ideas not only in the social and cultural context in which they were first produced, but also the ways in which writers up to the Victorian period have appealed to the material in support of their own theories.
Among the conflicting tange of images of women given in the Hippocratic corpus existed one tradition of the female body which says it is radically unlike the male body, behaving in different ways and requiring a different set of therapies. This book sets this model within the context of Greek mythology, especially the myth of Pandora and her difference from men, to explore the image of the body as something to be read.
Hippocrates' Woman presents an arresting study of the origins of gynaecology, an exploration of how the interior workings of the female body were understood and the influence of Hippocrates' theories on the gynaecology of subsequent ages.

An analysis of cell death in reproductive physiology. It examines topics such as the control of apoptosis in the uterus during decidualization and stern cell factor regulation of apoptosis in mouse primordial germ cells.

This timely resource offers extensive discussions on the pharmacological, environmental, endocrinological, and natural factors that alter reproductive or developmental processes-elucidating the effects of toxicants on mechanisms of reproduction. Describing biological actions common to both genders as well as gender-specific processes, Reproductive and Developmental Toxicology -provides an overview of the basic biology and physiology of organ systems affected by toxicants -furnishes detailed examples of developmental toxicology -analyzes germ cell toxicity and infertility -covers the developmental effects of neurotoxicity -considers periods of exposure and long-term toxicological consequences -explains how gonadal processes may be susceptible to toxicants in other reproductive organ systems -and more! With over 3700 bibliographic citations and more than 100 photographs, drawings, and tables, Reproductive and Developmental Toxicology is a useful reference for toxicologists; reproductive, developmental, cell, and molecular biologists; endocrinologists; biochemists; obstetricians/gynecologists; pediatricians; pharmacists and pharmacologists; physiologists; geneticists; poison control specialists; and upper-level undergraduate, graduate, and medical school students in these disciplines.

This is a book about the psychological journey women make when they become pregnant, give birth and adjust to life after childbirth. The focus of the book is on three main issues: The experience for women, their families and caregivers, the psychologicalneeds of women and their families at this time and the best way for caregivers to meet these psychological needs. The contributions in this book should provoke thought, discussion and debate about the psychological side of maternity care, and ultimately enhance the psychological care that is given to women and their families before, during and after childbirth.Multidisciplinary approach to subject Includes key points for caregivers in each chapter Includes new researdch findings fron qualitative and quantitative studies Includes comprehensive reviews of current literature

This is a comprehensive, up-to-date, authoritative research text and clinical reference work the menopause. It contains over 90 contributions covering every conceivable topic in the management of the menopause in women and related issues in the aging male. The book contains many illustrations and a wealth of references.

Female Puberty: A Comprehensive Guide for Clinicians is a practical reference, covering the full range of issues related to pubertal development. Developed to answer pointed clinical questions and to provide a thorough review of the literature, the book covers both the basics and the complexities of puberty, encompassing psychosocial development to pubertal nuances in highly specialized populations. Comprehensive in scope, this title offers concepts that are concisely conveyed and chapters that complement each other well. Complex subjects such as details of the hypothalamic-pituitary-ovarian axis are covered in a readily understandable manner and bullet points throughout the text serve as helpful reminders to the reader. An invaluable contribution to the literature, Female Puberty: A Comprehensive Guide for Clinicians will be of great interest to all health providers concerned with female reproductive health - including obstetrician gynecologists, reproductive endocrine specialists, pediatricians, pediatric specialists, family practitioners and allied health professionals.

Unlike most previous publications that focus on menstruation, just a part of the cycle, The Menstrual Cycle presents a well researched study of the entire menstrual cycle and its relationship to women's lives. Anne Walker shows that women are neither the victims of raging hormonal fluctuations nor entirely unaffected by them. Women's own experiences in different culture are contrasted with medical textbook descriptions and the "normal" is found to be rather elusive.
Of particular interest to health psychologists, discourse analysts and women's studies, this book should also be read by doctors, nurses and any woman who has felt curious about her menstrual cycle and its possible effects.

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In recent years, there has been extensive analysis of the health effects of menopause and the safety and efficacy of the various "treatments". There has also been rising concern about the appropriation and pathologization of menopause by medicine and its effects on women. At the same time, however, there has been relatively little reflection on the social, cultural, philosophical and ethical issues raised by both menopause itself and the way it has been handled by medicine. This text brings together a number of reflections from a broad range of areas including feminism, cultural studies, clinical medicine, sociology, philosophy and political science and includes the voices and experiences of menopausal women themselves. In an innovative series of essays, current thinking about medicine, society and the body is examined critically. Particular attention is given to the medical representations of menopause, biology and ageing, the history of medical approaches to women and the tensions between bio-medical models and other explanations of menopause. The issue of hormonal therapies is explored in the context of the connections between women, medicine, representation and cultural politic

In recent years, there has been extensive analysis of the health effects of menopause and the safety and efficacy of the various "treatments". There has also been rising concern about the appropriation and pathologization of menopause by medicine and its effects on women. At the same time, however, there has been relatively little reflection on the social, cultural, philosophical and ethical issues raised by both menopause itself and the way it has been handled by medicine. This text brings together a number of reflections from a broad range of areas including feminism, cultural studies, clinical medicine, sociology, philosophy and political science and includes the voices and experiences of menopausal women themselves. In an innovative series of essays, current thinking about medicine, society and the body is examined critically. Particular attention is given to the medical representations of menopause, biology and ageing, the history of medical approaches to women and the tensions between bio-medical models and other explanations of menopause. The issue of hormonal therapies is explored in the context of the connections between women, medicine, representation and cultural politic

Children With Prenatal Drug Exposure examines new medical approaches for predicting the developmental progress of children who have been exposed to drugs in utero. This book outlines effective methods for intervention and assessment and indicates future directions for investigation. It provides practical and up-to-date information on treatments and research development, while it encourages practitioners to come to their own conclusions through careful documentation and analysis of each case. Children With Prenatal Drug Exposure cuts across many disciplines to provide the reader with a vivid analysis of the complexities and challenges surrounding health care of children who have been prenatally exposed to drugs. This guidebook explores the controversies over treatment and therapy options and the ethics of care. It advocates positive outcome intervention methods that promote the health interests of both mother and unborn child whenever possible, with an emphasis on clinical efforts geared to change maternal behavior.Practical and comprehensive, Children With Prenatal Drug Exposure explores a full range of provoking topics, including: neurological effects and sensory motor delays caused by cocaine exposure foster care and its impact on motor development adolescent pregnancy and the complications of prenatal substance abuse ethical dilemmas multidimensional measurement systems and longitudinal research The book's authors believe that in order to meet the needs of children who have been prenatally exposed to drugs, care providers must know the limitations associated with the process and methodology of assessment and learn to address the shortcomings of evaluation. With this in mind, this book aims to equip psychologists, physical and occupational therapists, researchers, and physicians with the know-how they require for optimizing their health care services and contributing valuable research that the field so urgently needs.

Originally published in 1982 Obstetrics and Gynaecology in Tudor and Stuart England traces the development of obstetrics and gynaecology over the past two centuries. Between the 16th and 18th century midwifery passed from a female mystery, employing traditional medicines and superstitions, to a scientifically-based clinical skill, with both gains and losses to the patient. The case-mortality was high enough to make the increasing involvement of male surgeons socially acceptable, despite sexual taboos. Thus, as scientific knowledge of anatomy and physiology developed and was applied in the form of new techniques, so the midwives, who had less opportunity and inclination to acquire the new knowledge and skills, lost esteem and by the mid-eighteenth century were increasingly relegated to the service of the poor. The book also examines ideas about sexuality, menstruation, conception, pregnancy and lactation and shows how the views of society about femaleness, marital relations and the management of pregnancy and childbearing were influenced by these notions.

The entire span of a woman's reproductive years and beyond is the scope of this volume, which presents research covering events from first menstruation through the post-menopausal years. Special care has been taken to balance basic research and clinical information.

The volume comprises chapters on first menstruation, hypothalamic amenorrhea, implantation and recurrent abortion, XX metabolic syndrome, endometriosis, menopause, osteoporosis, minimally invasive surgery, assisted reproduction, ultrasound imaging in obstetrics, estrogen receptor modulators, and urogynecology. Papers on fertility drugs and gynecologic cancer, contraception today, prenatal genetic diagnosis, cloning and stem cells, transdermal hormone therapy, and estrogen and brain function will also be included.

Authors from the International Federation of Gynecology and Obstetrics will address issues such as, Is there an optimal rate for cesarean section? and fistulas in Africa, as well as perinatal mortality in Europe.

This volume is the latest proceedings of a series of meetings that has been held in Athens for over a decade, and the participants are internationally known authorities in their fields.

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This book outlines the current understanding of how obesity affects female reproductive function across the lifespan. Topics include physiology of the menstrual cycle and early pregnancy, best practices in the delivery of contraceptive and prenatal care and healthcare policy that weighs the evidence in appropriate balance with principles that respect women's rights. Special attention is devoted to the idea that obesity's adverse effects are likely trans-generational; that is, children born to obese mothers are at increased risk for obesity, diabetes and cardiovascular disease later in life. Patients and their physicians need to be aware of the additional risks obesity confers in pregnancy and outline a plan of care that includes counseling preconceptionally, antepartum, intrapartum and postpartum in order to decrease morbidity. Obesity and Fertility provides advice for reproductive medicine physicians and gynecologists to help guide obese patients toward improved reproductive health and outcomes.

This volume examines one health issue -- breast implants -- across a series of contexts often thought to be separate -- media coverage, doctor-patient interaction, doctor-doctor professional communication, support group dialogues, public relations campaigns, and more. In so doing, it provides a narrative of how communication shapes the individual perceptions of health, government, and social policy concerning health care.
At the core of the silicone breast implant controversy is the need for people to act amid uncertainty about the health risks involved. This need to weigh action in the midst of uncertain risk characterizes a large number of health issues. The attempts of patients, physicians, drug manufacturers, and others to seek and provide both information and influence makes communication central to these issues. Consequently, the questions explored in this volume will interest a diverse group of readers. This audience includes plastic surgeons in particular, physicians in general, and anyone involved with women's health issues. As the medical profession struggles with its identity amid changes in public attitudes, government regulations, and medical practices, this volume's findings concerning media portrayals of doctors and medical devices become even more important.
Finally, this study reveals how interrelated public information and private decisions are, and how closely media and interpersonal relationships fit. Tracing one medical issue across interpersonal, organizational, public relations, and mediated forums has clearly demonstrated the multiple ways those communication channels overlap and inform one another.

First published in 1996. Routledge is an imprint of Taylor & Francis, an informa company. Surveys important issues in the history of medicine Although there is substantial literature on childbirth, it typically lacks the full medical, historical, and social context that these volumes provide. This series fills the gap in many institutions' libraries by bringing together key articles on the expectant mother, the attendants of her delivery, and the health of the newborn infant. The articles are from British and American publications that focus upon childbirth practices over the past 300 years and are selected from both primary and secondary sources. Some are classic works in medical literature; others are from historical, sociological, anthropological and feminist literature that present a wider range of scholarly perspectives on childbirth issues. Charts the progress of childbirth, midwifery, and obstetrics The series provides readers with key primary sources that illuminate the history of childbirth, midwifery and obstetrics. For example, general historical texts note that childbed (puerperal) fever claimed hundreds of thousands of maternal lives, and provoked much fear in Britain and America. The articles in this series, in addition to historical facts, also provide discussion of the causes and consequences of particular fever cases taken from the medical literature of the 19th and 20th centuries, and reveal what a challenge this disorder was to the medical profession. Includes more primary sources than other collections The articles serve as a resource for students and teachers in various fields including history, women's studies, human biology, sociology and anthropology. They also meet the educational needs of pre-medical and nursing students and aid pre-professional, allied health, and midwifery instructors in lesson preparations. The series examines a wide range of practical experience and offers a historical perspective on the most important developments in the history of British and American childbirth, midwifery, and obstetrics.

Combining detailed descriptions of pelvic anatomy with easy-to-follow instructions for gynecologic procedures, Atlas of Pelvic Anatomy and Gynecologic Surgery, 5th Edition, is a comprehensive, up-to-date atlas that reflects current practices in this fast-changing field. Pelvic anatomy and surgical operations are depicted through full-color anatomic drawings, correlative surgical artwork with step-by-step photographs, and computer-assisted hybrid photo illustrations. Complete coverage of both conventional and endoscopic surgeries helps you master the full spectrum of surgical procedures. Covers all frequently performed gynecologic operations including laparotomy, laparoscopic, robotic, hysteroscopic, vaginal, vulvar, and cystoscopic procedures. Includes expanded sections on gender reassignment surgery and vulvar and cervical surgery, as well as a new chapter devoted to laparoscopic techniques. Contains a revised anatomic section with updated figures, plus high-quality artwork and clinical photographs throughout-now entirely in full color. Features numerous videos of surgeries and cadaver dissection. Ideal for practicing obstetricians-gynecologists, obstetrics-gynecology residents, general surgeons, subspecialists, nurses, and medical students with an interest in gynecology. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices.

This book describes the principles and skills of counselling. It provides practical guidelines which show, by example, how to communicate effectively, how to offer counselling and support, and how to face and deal with difficult situations. Detailed attention is given to issues such as preparing women for surgery, breaking bad news, and providing information and support before, during and after childbirth. The book aims to increase the awareness of health workers by describing a broad range on women's experiences and reactions to their particular problems and health concerns, as well as the ways in which these are treated.