Preterm delivery is a major public health concern. Recent developments, such as the preventive use of progesterone, and new data on possible mechanisms of initiation of parturition, have placed the topic at the forefront of the interests and preoccupation of many in maternal-fetal medicine and obstetrics. This balanced, authoritative, and well-referenced work offers a rigorous underpinning of basic science, highlighted translational science sections, and evidence-based clinical guidelines.

This work includes Foreword by Phillip J S Steer, Professor of Obstetrics, Faculty of Medicine, Imperial College London. It includes Introduction by Gwyneth Lewis, National Clinical Lead for Maternal Health and Maternity Services, Department of Health, England and Director of the UK Confidential Enquiries into Maternal Deaths. 'The reductions in maternal mortality over the last half century are an eloquent testimony to the value of the technical expertise in life support that anaesthetists bring to the management of labour complications. Many direct causes of maternal death have been substantially reduced as a result of anaesthetic innovations ranging from advances in regional anaesthesia to the panoply of techniques used in intensive care. This book is essential reading.' - Phillip J Steer, in his Foreword. Offering a unique insight into real cases, this book covers the physiology, pharmacology and organisational factors involved in previous maternal deaths, highlighting key lessons to be learnt. This practical guide provides an ideal introduction for new anaesthetists and up-to-date information for senior practitioners, particularly those who cover labour wards. It is also invaluable for anaesthetic nurses, obstetricians and midwives. 'For more than 50 years the Confidential Enquiries into Maternal Deaths in the UK have collected together invaluable information about why mothers die in pregnancy and childbirth. For the first time ever, this unique book collects together all the valuable lessons into one volume. Experts in their fields provide a physiological, pharmacological, and evidence based commentary on the events of each death. The overall result pays homage to the value of collecting together lessons from the past, and we hope will help people avoid repetition of these situations in the future.' - Daryl Dob, Anita Holdcroft and Griselda Cooper, in the Preface.

Reproductive Endocrinology and Infertility provides an overview of the most frequently encountered clinical challenges faced by medical students and residents. Part I begins with chapters on reproductive hormonal physiology and development to provide a basis for understanding the management of the most common reproductive clinical problems that confront obstetrician-gynecologists and other practitioners in women's health. Several of the chapters, including obesity, premenstrual syndrome, menopause and imaging, provide a cross-disciplinary approach to endocrine related problems common among reproductive aged women. Part II includes chapters on the evaluation of infertility, as well as surgical and medical approaches to treating infertility in men and women. The chapter on alternative medicine provides a basis for understanding the increasingly popular use of therapies such as acupuncture and herbal treatments. The last chapter discusses the influence of environmental factors on fertility, an important field that is often ignored in the traditional approach to infertility. This text is meant to be used as a portable reference with readily accessible information including a summary of key points in each chapter. All of the contributors are involved in residency training programs and understand the kinds of patient management questions that are encountered in a busy practice. Our goal with this book is to provide information that will support solid patient management and hopefully pique the appetite to learn more.

This is a new edition of one of the modern classics of gynecological surgery. Providing an extensive and beautifully illustrated guide to laparoscopic and hysteroscopic techniques, the book has been extensively revised and updated since publication of the Second Edition. There are few texts that so adequately provide in-depth information on minimally invasive gynaecologic surgery. This informative and thorough work of reference provides both practicing surgeons and trainees with an atlas, a textbook of gynecology, and a surgical manual. The coverage is comprehensive, including extensive sections on gynaecologic oncology, urogynecology, basic principles, and instrumentation. Complications are highlighted with authoritative guidance on how to avoid and manage them.

Fertility Awareness is key to understanding sexual and reproductive health at all life stages. It can be used to either plan or avoid pregnancy. Fertility Awareness Methods (FAMs) are highly effective when motivated couples are taught by trained practitioners. These methods are in demand for ecological, medical, cultural, religious and moral reasons. The ability to control fertility naturally is a lifestyle choice. The Complete Guide to Fertility Awareness provides the science and methodology suitable for health professionals and a general audience. It covers reproductive physiology and the fertility indicators: temperature, cervical secretions and cycle length calculations. It explores ways to optimise conception and to manage conception delays. Case studies and self-assessment exercises are included throughout. The book addresses the scientific credibility of new technologies including fertility apps, home test kits, monitors and devices. The Complete Guide to Fertility Awareness offers: evidence-based information for general practitioners, practice nurses, school nurses, midwives, sexual health doctors and nurses a unique perspective on subfertility for gynaecologists and fertility nurses an authoritative source of reference for medical, nursing and midwifery students a straightforward and practical reference for new and experienced FAM users the core text for the FertilityUK Advanced Skills Course in Fertility Awareness

In the last 15 years, fertility treatment has become mainstream medical practice. With this evolution has come a change in focus from effectiveness ('success rates') to safety, patient acceptability and ethical questions. It is recognized that effectiveness also depends crucially on safety and good risk management. The purpose of this book is to address this wider change in focus. Reducing Risk in Fertility Treatment examines risk in assisted conception, covering a wide range of topics and areas. 'Risk' refers to situations in which an outcome of value to people is uncertain. Specifically for the purpose of this book, 'Risk' means situations where patients or professionals or society as a whole is at risk of an adverse outcome in relation to fertility treatment. It therefore encompasses clinical complications, risks inherent in laboratory practice, reputational and business risks to clinics and ethical risks to society as a whole. It will be an essential resource for all clinic staff to consult in reducing the risk associated with their work. It will provide practical resources such as 'how to' guides, but also a theoretical discussion of uncertainty where this exists. The book is primarily directed to practitioners in the area of fertility treatment, namely clinicians, embryologists, nurses, counsellors and administrators. However, it is likely also to be relevant to policy-makers, commissioners of health services, researchers in this field and biomedical ethicists.

This work features a Foreword by David Taylor, Vice Dean, Leicester Medical School. "This book is the first to assist students with a new format of testing knowledge and clinical skills, i.e., the extended matching question. I am delighted my colleagues here in Leicester, where undergraduate education is given the very highest priority, have found the time and energy to write this book. This book comprehensively tests a whole range of obstetrics and gynaecology and I congratulate them for it." - David Taylor, in the Foreword. This revision aid in Obstetrics and Gynaecology is based on the Extended Matching Question format (EMQ). It contains over 200 patient vignettes arranged in topic areas covering a broad range of themes and degrees of difficulty. It provides test EMQs and detailed answers at the completion of each section. "EMQs in Obstetrics and Gynaecology" is an indispensable study and revision aid for undergraduate medical students preparing for in-course assessment in obstetrics and gynaecology as well as final exams. It also provides a vital review for specialist trainees in obstetrics and gynaecology preparing to take postgraduate exams.

This source is an excellent introduction for the medical student, intern, resident, and private practitioner trying to learn a new Ob/Gyn procedure. The sections on important procedures teach how to perform the surgery and how it needs to be transcribed for the medical record. This revised, up-to-date guide will be essential for Ob/Gyn surgeons for performing common, uncommon, and new surgical procedures.

'Breast is best' is today's prevailing mantra. However, women - particularly first-time mothers - frequently feel unsupported when they come to feed their baby. This new experience often takes place in the impersonal and medicalized surroundings of a hospital maternity ward where women are 'seen to' by overworked midwives. Using a UK-based ethnographic study and interview material, this book provides a new, radical and critical perspective on the ways in which women experience breastfeeding in hospitals. It highlights that, in spite of heavy promotion of breastfeeding, there is often a lack of support for women who begin to breastfeed in hospitals, thus challenging the current system of postnatal care within a culture in which neither service-user nor provider feel satisfied. Incorporating recommendations for policy and practice on infant feeding, Breastfeeding in Hospital is highly relevant to health professionals and breastfeeding supporters as well as to students in health and social care, medical anthropology and medical sociology, as it explores practice issues while contextualising them within a broad social, political and economic context.

This reference provides an authoritative overview of the role of ultrasonography and MR imaging technologies in the examination and assessment of the central nervous system of the fetus and neonate. Spanning advancements in fetal ultrasound, in-utero MR, the imaging of the neonatal brain, and the analysis of normal and abnormal brain development, this guide paints a vivid picture of the utilization and development of imaging technologies in modern prenatal and pediatric medicine.

Part 2 MRCOG: SBA Questions contains invaluable preparation and practice for candidates undertaking the Royal College of Obstetricians and Gynaecologists Part 2 MRCOG examination. It contains 400 practice questions written by a highly experienced team of MRCOG question writers, alongside detailed answers referencing each question to either an RCOG, NICE or WHO guideline, or an article in the professional journal The Obstetrician & Gynaecologist . This will enable candidates to understand the reasoning and knowledge base behind the question, as well as giving them a clear reference should they wish to read further around the subject. The first part of the book introduces and explains the new format of the Part 2 MRCOG exam, giving insightful advice on the skills required to write a good SBA question. The second part of the book contains chapters matched to the 15 of the 19 modules of the core curriculum, giving a comprehensive range of questions and answers with detailed explanations and references. For anyone preparing for the Part 2 MRCOG exam, this book will provide extensive and comprehensive practice and guidance from an expert author team.

This compact, illustrated handbook is a concise but comprehensive resource that introduces medical students, general medical practitioners and gynecologists to the significance of the human papillomaviruses in the etiology of cervical cancer. All chapters are fully referenced and written by experts in the field. The content review virus structure, the epidemiology of HPV, the latest advances in HPV vaccination, and new markers for cervical disease.

Perinatal factors are critical in the 'programming' of behavioral, endocrine and immunologic outcomes of adult life. Exposure to many factors in utero can drive fetal development along specific trajectories. Perinatal factors can also affect many diverse systems that have significant implications for long-term health outcomes. The findings from basic research are so diverse and suggest implications in many different arenas. Bringing together these findings, this book explores the evidence linking the role of early life events to long-term physical and psychological health outcomes. It pulls the research together and communicates the findings to the wider scientific and clinical communities.

With notable expansion in the clinical interaction between hematologists and obstetricians over the last decade, understanding and managing the clinical manifestations of hemato-obstetric science has become increasingly important. A new reference work in this growing field, this text is a key tool in the diagnosis and treatment of these conditions, providing the reader with a user-friendly, authoritative source of information, which incorporates best practice within internationally accepted guidelines. Clearly presented and easy to use, each chapter includes: * pathophysiology * presentation * differential diagnosis * diagnostic tests and difficulties * maternal, fetal, and potential management complications * implications for screening and future management * tables summarizing the key points in diagnosis and management. A practical, reader-friendly book, this text will be an important resource for clinical staff involved in the management of pregnancy - from trainees in obstetrics, hematology and vascular medicine, to general practitioners involved in day-to-day maternity care, as well as midwifery staff and specialists in hematology, obstetrics and vascular medicine.

The first, definitive text on female sexual dysfunction, this major new book summarizes the current body of knowledge in the field, traces the history of developments in the area, and identifies work still needed in the future. Reflecting a multidisciplinary approach to the subject, the book details the methods and materials for ensuring the appropriate management of women with sexual health problems, and concentrates on the presentation of evidence-based data concerning the physiology, pathophysiology, diagnosis and treatment of sexual function and dysfunction in women. The inclusion of 'difficult cases' also enhances the use of text as a practical guide to all disciplines concerned with the field of female sexual dysfunction. This important work will become a key resource for basic science researchers, endocrinologists, gynecologists, psychologists, urologists, health care clinicians, and anyone else interested in women's sexual health. All proceeds are donated to the International Society for the Study of Women's Sexual Health.

A new, full color book on the integrated management of vulvovaginal disease, The Vulva and Vagina Manual presents the most complete published classification of vulvovaginal disease, based on the etiology of 275 conditions. Covering the management of benign, malignant, and functional diseases, including those of a psychosexual nature, each disease featured has a descriptive summary, pathological features, and treatment guidelines, thus ensuring that the book is easy to use and follow. Written by authors from a variety of backgrounds - gynecology, dermatology, pathology and psychology -- and backed by the International Society for the Study of Vulvovaginal Disease, this multidisciplinary work is undoubtedly an important resource for gynecologists, dermatologists, obstetricians, midwives, genitourinary physicians, STD physicians and all those treating vulvovaginal disease.