Oviductal Recognition of Embryonic Signals; H.B. Croxatto, et al. Effect of Progesterone Antagonists on Ovo-Endometrial Interactions; A. Psychoyos. On the Requirement for Estrogen for Establishing Pregnancy in the Non-Human Primate; N.R. Moudgal. Embryonic Loss and Conceptus Interferon Production; R.M. Roberts. In Vitro Models of Implantation; S.R. Glasser, et al. Uterine EGF Ligand-Receptor Circuitry and Its Role in EmbryoUterine Interactions during Implantation in the Mouse; S.K. Dey, et al. Human Uterine Angiogenic Factor (HUAF). The Role of Lymphohematopoietic Cytokines in Signalling between the Immune and Reproductive Systems; T.G. Wegmann. Human Decidual Function in Trophoblast and Uterine interaction; T. Mori, et al. Cytokines at the Maternal Fetal Interface: Colony Stimulating Factor1 as a Paradigm for the Maternal Regulation of Muridae Rodents; C. Tachi. Hormonal Regulation of Uterine Complement; K.B. Isaacson, et al. Insulinlike Growth Factor Binding Proteins: A Paradigm for Conceptus-Maternal Interactions in the Primate; A.T. Fazleabas, et al. The Roles of Growth Factors and Their Receptors in Peri-Implantation Mouse Embryos and at the Embryomaternal Interface; Z. Werb, et al. Ligands and Receptors of the Insulin Family: Role in Early Mammalian Development; S. Heyner, et al. 6 additional articles. Index.

Compiled by two experts in Reproductive Medicine, with contributions from internationally respected specialists, this innovative text lets the whole team in Reproductive Medicine get literally on the same page. Taking a cook-book approach to the operational procedures in the laboratory and in the clinic, it details what needs to be prepared in advance, what needs to be prepared earlier the same day, and what steps to take before, during, and after the procedure itself. This is an essential tool for ensuring all staff - whether experienced or starters - can be confident in their tasks and are in touch with what is expected of them and their colleagues.

Compiled by two experts in Reproductive Medicine, with contributions from internationally respected specialists, this innovative text lets the whole team in Reproductive Medicine get literally on the same page. Taking a cook-book approach to the operational procedures in the laboratory and in the clinic, it details what needs to be prepared in advance, what needs to be prepared earlier the same day, and what steps to take before, during, and after the procedure itself. This is an essential tool for ensuring all staff - whether experienced or starters - can be confident in their tasks and are in touch with what is expected of them and their colleagues.

This book uses global household data to examine the prevalence, trends and geographic variation of female genital mutilation (FGM) around the world. It also addresses the underlying legal and policy aspects as well as explores the medical consequences, both immediate and long term, for those undergoing the practice. The book analyses the position of victims of this gender-based violence both from the medical and legal perspective and adopts a largely practical approach to the study of the practices, offering a fresh thinking into one of the challenges in global health and the law. In addition, it offers some insights into how health professionals can approach this category of victims and how legal practitioners can obtain a good legal result for their clients before domestic and international forums. The book addresses fundamental issues such as state liability and defences in enforcement proceedings for actions or omission of state or non-state actors, and due diligence standard in international human rights law, the main gateways available for obtaining relief for the victims of FGM. This book goes beyond the traditional debate between zero tolerance and those who wish to see the practice medicalised and tolerated and favours an advocacy programme standing firmly in favour of the right of FGM victims. This book offers a unique perspective likely to assist victims and their representatives to secure a remedy against perpetrators and the state. As such this book will be of interest to medical professionals, national and international lawyers, academics and policymakers in the field of public health.

The neoplasms found in the female genital tract are numerous and growing more complex. Cytology and Surgical Pathology of Gynecologic Neoplasms has been written to provide a practical reference for practicing pathologists and cytopathologists in a quick and concise fashion. The primary focus of this book is on gynecological tumors, specifically common ones and their benign mimics. Emphasis is placed on morphologic recognition, resolving common diagnostic problems seen in routine practices, and discussion of current classification of gynecologic malignancies. Special references to the differential diagnosis and pitfalls of each entity are included. The role of cytology and its correlation with histology is richly illustrated and discussed. Also presented is the practical use of ancillary studies such as molecular diagnostic testing and immunohistochemistry. With a unique emphasis on the correlation between cytology and surgical pathology, Cytology and Surgical Pathology of Gynecologic Neoplasms provides a ready reference for both the practicing pathologist and pathologist in training in finding quick answers to their diagnostic challenges.

Part of the comprehensive Biopsy Interpretation Series, the second edition of Biopsy Interpretation of the Uterine Cervix and Corpus provides an easy-to-follow, practical approach to normal histology, non-neoplastic conditions, and neoplasia of the cervix and uterine body. Focusing on the most common biopsies, this up-to-date bench reference emphasizes morphologic features and immunohistochemistry in the diagnostic material, with close attention paid to differential diagnosis, including benign mimics of tumors.Key Features Stay up to date with what's new in gynecologic pathology with an all-new chapter on metastatic tumors, plus updated references and terminology throughout. Focus on differential diagnosis and frequently encountered pitfalls of the most common entities observed in the cervix, endometrium, and myometrium. Clearly visualize the specimens you're likely to see with hundreds of high-quality images, both in the text and online. Get up-to-date guidance on ancillary tests such as in situ hybridization for HPV and molecular studies for microsatellite instability assessment and molar pregnancy. Test your knowledge online with over 50 questions ideal for self-assessment. Now with the print edition, enjoy the bundled interactive eBook edition, offering tablet, smartphone, or online access to: 50 questions for review and self-assessment, plus over 1,000 additional full-color images available only online. Complete content with enhanced navigation Powerful search tools and smart navigation cross-links that pull results from content in the book, your notes, and even the web Cross-linked pages, references, and more for easy navigation Highlighting tool for easier reference of key content throughout the text Ability to take and share notes with friends and colleagues Quick reference tabbing to save your favorite content for future use

Vitrification in Assisted Reproduction presents standard and new cryopreservation techniques in detail, outlining those that have resulted in success, and providing recommended means for overcoming typically encountered problems. This new edition provides a much broader range of clinical application and data to demonstrate its contribution to the use of vitrified oocytes and embryos. The book also discusses new areas in the field of assisted reproductive technology such as oocyte banking, preimplantion diagnostics at the blastocyst stage, and the burgeoning adoption of elective single embryo transfer. Written by expert scientists and clinical embryologists, this book will help you to consistently and predictably apply vitrification as an important therapeutic strategy in assisted reproduction.

Strive for health equity and surmount institutional oppression when treating marginalized populations with this distinct resource!This unique text provides a framework for delivering culturally safe clinical care to LGBTQIA populations filtered through the lens of racial, economic, and reproductive justice. It focuses strongly on the social context in which we live, one where multiple historical processes of oppression continue to manifest as injustices in the health care setting and beyond. Encompassing the shared experiences of a diverse group of expert health care practitioners, this book offers abundant examples, case studies, recommendations, and the most up-to-date guidelines available for treating LGBTQIA patient populations. Rich in clinical scenarios that describe best practices for safely treating patients, this text features varied healthcare frameworks encompassing patient-centered and community-centered care that considers the intersecting and ongoing processes of oppression that impact LGBTQIA people every day--particularly people of color. This text helps health providers incorporate safe and culturally appropriate language into their care, understand the roots and impact of stigma, address issues of health disparities, and recognize and avoid racial or LGBTQIA microaggressions. Specific approaches to care include chapters on sexual health care, perinatal care, and information about pregnancy and postpartum care for transgender and gender-expansive people. Key Features: Emphasizes patient-centered care incorporating an understanding of patient histories, safety needs, and power imbalances Provides tools for clinician self-reflection to understand and alleviate implicit bias Fosters culturally safe language and communication skills Presents abundant patient scenarios including specific dos and don'ts in patient treatment Includes concrete objectives, conclusions, terminology, and references in each chapter and discussion questions to promote critical thought Offers charts and information boxes to illuminate key information

First published as Mastering the DRCOG, this highly acclaimed revision text has been completely updated and revised to follow the syllabus of the DRCOG examination. This book: Provides relevant content arranged in seven chapters, following the DRCOG curriculum Delivers useful information such as references to guidelines and research Presents content relevant to the real world in the busy GP clinic-it is written by GPs for GPs Includes sample MCQs, SBAs, and EMQs, all closely matched to the exam This book is an excellent revision guide that will help you achieve success in the DRCOG exam. It also forms a succinct and highly readable guide for all general practitioners with an interest in women's health as well as those preparing for revalidation.

'Hormone balance is within reach, and this is the definitive guide for reaching that goal.'-David Perlmutter, MD, author of Grain Brain Prepare to thrive. As women approach menopause, many start to experience the physical and emotional indignities of hormonal fluctuation: metabolic stall and weight gain, hot flashes and night sweats, insomnia, memory loss or brain fog, irritability, low libido, and painful sex. Too often, doctors tell us that these discomforts are to be expected and that we will have to wait them out during "the change". But Dr Anna Cabeca's research and experience with thousands of her patients show that there is a fast-acting and non-pharmaceutical way to dramatically and permanently alleviate these symptoms. The Hormone Fix introduces Dr Cabeca's unique Keto-Green protocol, a plan that pairs the hallmarks of ketogenic (low-carb/high fat) eating with diet and lifestyle changes that bring the body's cellular pH to a healthy alkaline level. The proven result: balanced cortisol and reduced output of insulin, the hormones most responsible for belly fat and weight gain, plus an increase in oxytocin, the "love and happiness" hormone. Whether you are perimenopausal, menopausal, or postmenopausal, The Hormone Fix offers an easy-to-follow program, including - A 10-day quick-start detox diet to jump-start weight loss and reduce symptoms immediately - Daily meal plans and weekly shopping lists to take the guesswork out of a month's worth of Keto-Green eating - 65 delicious and easy-to-make recipes for breakfast, lunch, dinner, smoothies, and soups - Detailed information on vitamin and mineral supplementation that optimizes hormone balance and gut health - Simple self-assessments and recommended optional lab testing for a better understanding of your hormonal status - Tested and trusted stress-reduction and oxytocin-amplifying advice and techniques With The Hormone Fix you can expect to trim down, tap into new and unexpected energy levels, enhance intimacy, and completely revitalize your life! Ready for your fix?

By the mid-twentieth century, two things appeared destined for extinction in the United States: the practice of home birth and the profession of midwifery. In 1940, close to half of all U.S. births took place in the hospital, and the trend was increasing. By 1970, the percentage of hospital births reached an all-time high of 99.4%, and the obstetrician, rather than the midwife, assumed nearly complete control over what had become an entirely medicalized procedure. Then, seemingly out of nowhere, an explosion of new alternative organizations, publications, and conferences cropped up, documenting a very different demographic trend; by 1977, the percentage of out-of-hospital births had more than doubled. Home birth was making a comeback, but why? The executive director of the American College of Obstetricians and Gynecologists publicly noted in 1977 the "rising tide of demand for home delivery," describing it as an "anti-intellectual-anti-science revolt." A quiet revolution spread across cities and suburbs, towns and farms, as individuals challenged legal, institutional and medical protocols by choosing unlicensed midwives to catch their babies at home. Coming Home analyzes the ideas, values, and experiences that led to this quiet revolution and its long-term consequences for our understanding of birth, medicine, and culture. Who were these self-proclaimed midwives and how did they learn their trade? Because the United States had virtually eliminated midwifery in most areas by the mid-twentieth century, most of them had little knowledge of or exposure to the historic practice, drawing primarily on obstetrical texts, trial and error, and sometimes instruction from aging home birth physicians to learn their craft. While their constituents were primarily drawn from the educated white middle class, their model of care (which ultimately drew on the wisdom and practice of a more diverse, global pool of midwives) had the potential to transform birth practices for all women, both in and out of the hospital.

This full-colour, richly-illustrated book is an excellent source of rapidly retrievable information on aspects of relevance in daily clinical practice in the outpatient breast clinic. Expert guidance is provided on a full range of topics, including pitfalls of clinical examination, imaging and related tissue diagnosis, approaches to management decision-making in different disorders, the role of surgery and adjuvant therapy, follow-up and rehabilitation. In outpatient breast clinics, effective communication with patients must be established in order to address symptoms that in most cases are not serious but can be very worrying and sometimes lead to misdiagnosis and also to litigation. Outpatient consultations also offer an opportunity to encourage a healthy lifestyle and to provide information on matters such as risk assessment, screening and the most reliable websites. A well-functioning outpatient clinic is essential to a breast unit's overall proficiency. Readers will find this book an invaluable aid to good practice. The authors place particular emphasis on quality indicators and key priorities for implementation of the main guidelines, at the same time specifying the level of evidence for them and degree of recommendation. Practical measures for achieving the best results are highlighted, and helpful advice is provided on optimizing patient communication and reducing the psychological burden.

This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.

Written by an experienced author of Obstetrics and Gynaecology revision resources and overseen by a well-respected expert in the field. Get Through DRCOG provides candidates with the a definitive one-stop resource to pass the DRCOG exam. The questions are firmly rooted in RCOG guidelines, with explanations provided alongside the answers and useful suggestions for further reading. The topics are well-chosen questions on ectopic and PCOS will almost certainly appear, probably several times, within the exam.

1. Clinical cases set out as questions that are mapped directly to the curriculum and following the order of the RCoA curriculum 2. A focus on clinical anaesthesia with common cases, that can be used in the clinical environment either for teaching or as a refresher 3. Short, quick-fire cases that enable learning and retention of information with a summary of key points to remember for each question

Regarded as the leading textbook in obstetrics and gynaecology for over 50 years, Fundamentals of Obstetrics and Gynaecology is an ideal introduction to the basic principles of this specialty for medical students, trainees, midwives and nurses. Intervention rates continue to climb; women in the developed world embark on pregnancy later in life and with more complex medical disorders. The need to know and apply the best available standards of care is ever more critical. The book comprehensively and clearly presents all the major components of women's reproductive health, from the basics of history and examination through to pelvic anatomy, development of the fetus, and maternal psychosocial issues. Fully updated in its eleventh edition by experts in their field, this much-loved book remains true to the vision of its first author, renowned Australian obstetrician Derek Llewellyn-Jones OBE - to apply the best available standards of care for women throughout their reproductive journey. In his words: 'It is our hope to continue to meet the needs of today's medical students and students of nursing and midwifery; and to encourage self-learning skills while providing essential information in a readable manner'. New chapters on weight and reproductive health and polycystic ovarian syndrome Hot topics covered include changes to cervical screening, disorders of sexual development, and COVID in pregnancy Concise and readable Suitable for students of medicine, midwifery and women's health Clear, integrated approach - easy to follow Highly illustrated in full colour throughout

Preterm infants grow poorly after birth and very commonly develop ex utero growth restriction (EUGR). However, the risks and benefits of catch-up growth in preterm infants must be weighed, and evidence addressing this warrants examination. Perinatal Growth and Nutrition explores the reasons for EUGR and the long-term effects on developmental outcome and on metabolic risks. It provides clear information on the risks and benefits of faster post-natal growth and catch-up growth in preterm infants and offers tools for better assessment of growth and earlier identification of faltering growth. This book is divided into three sections. The first section covers advances in preterm infant growth standards, diagnosis and causes of EUGR, and assessments of preterm infant diets. The second section considers the extensive human literature on the effects of in utero and ex utero growth restriction and catch-up growth on long-term metabolic outcomes-such as obesity, insulin resistance, type 2 diabetes, and cardiac disease-and long-term neurodevelopmental outcomes including cognition. It also examines evidence for the effect of growth on these outcomes in term and preterm infants. The final section of the book considers ways to reduce the incidence of EUGR in preterm infants and when EUGR does occur, to optimize catch-up growth. Topics include assessment of dietary requirements of the diverse population of preterm infants, examination of tools for prescribing nutrition to neonatal intensive care unit patients, consideration of whether to customize or generalize nutrient intake, and fortification of human milk. In addition, the last chapter proposes using a Z-score growth chart for improved interpretation of growth data.

Covers the most recent advances in gynecologic image-based radiation therapy Includes the changed practice of management of gynecologic brachytherapy Written by an international panel of experts Recent advances in the treatment of gynecologic malignancies led to a new worldwide consensus to introduce image guidance to gynecologic radiation therapy, particularly to brachytherapy. The book summarizes the changed practice of management: treatment planning for cervical cancer, not modified for over 60 years, has been shifted to an image-based approach, endometrial cancer management with an increase in the use of chemotherapy and vaginal brachytherapy, and vaginal cancer therapy including image guidance and high-dose delivery with IMRT. Content Level Professional/practitioner Keywords Brachytherapy - Chemotherapy - Gynecologic Cancer - Radiation Related subjects Oncology & Hematology - Radiology

To Pee or Not to Pee? provides women with the information they need to reduce and stop their bladder leak for good. Shelia Craig Whiteman PT DPT, CLT is a pelvic health physical therapist who has successfully treated hundreds of women with urinary incontinence. Within To Pee or Not to Pee?, she helps women discover the tools needed to stop leaking and start living life again without worry or embarrassment of leaking in public. In To Pee or Not to Pee?, women learn: How to identify their type of urinary incontinence to personalize their program for success How to find and effectively strengthen their pelvic muscles The right exercises to do to stop their type of leakage Simple lifestyle changes to help produce big results How to stop bladder leaks for good

Mind Over Bladder is a trusted and informative guidebook for bladder control, written with respect and humor by a nationally known urogynecologist, revised and expanded for the 21st century woman. Urinary Incontinence plagues millions of women worldwide, vastly more women than men. The reasons for this are many, including we have children, go through menopause and our anatomy is pretty different. Since these issues affect approximately 30-40% or greater of all women, can include issues with prolapsing organs (bladder, uterus, rectum) and can limit a woman's freedom and ability to live a full and active life, an actual guidebook seemed not only necessary but overdue. Mind Over Bladder answers this need. Informative, respectful and written with humor by a leading urogynecologist, Mind Over Bladder asks and answers the question of "What is incontinence and what can I do about it?". This unique approach begins at the beginning takes women through basic bladder and pelvic plumbing to getting a diagnosis and formulating a treatment plan. Mind Over Bladder arms women with information and practical solutions to help lead better, drier and happier lives.

Physician, Care for Thyself teaches doctors how to get their fire and desire back their lives. Jessica Wei, M.D. is a former OB/GYN and functional medicine practitioner who shares the powerful journey of leaving her conventional medical practice. Within Physician, Care for Thyself, Jessica shows doctors the steps they can take to find the energy and clarity they need to discover the life they can fully embrace. In Physician, Care for Thyself, doctors learn how to: Get clear on whether they should quit their job as a conventional doctor See what's standing in their way and creating issues with their job Understand why they're going through this as a doctor in today's world Feel like themselves again and actually fulfill their dream of helping patients Make their decision for their next step and feel great about it

Obstetics and Gynecology aus der Reihe Mount Sinai Expert Guides ist ein Handbuch fur die klinische Praxis. Angehende Facharzte und Assistenzarzte erhalten wichtige Informationen zu aktuellen Themen des Fachgebiets. Dabei liegt der Schwerpunkt durchgangig auf der klinischen Diagnose und dem wirkungsvollen Patientenmanagement. Dieser Leitfaden fur die Praxis ist fur den Einsatz auf gynakologischen Stationen konzipiert und fasst alles Wissenswerte pragnant und ansprechend zum schnellen Nachschlagen zusammen. Zahlreiche didaktisch gut aufbereitete Inhalte, wie Zusammenfassungen wichtiger Punkte, Hinweise auf moegliche Fallstricke, Managementalgorithmen sowie nationale und internationale Behandlungsrichtlinien machen dieses Buch zu einem Muss.