Dr. Iglesia has created an issue devoted to pelvic floor disorders that has a strong focus on the evidence behind current treatments and diagnostic methods. The authors are top experts in their areas and have contributed reviews on the most important topics in pelvic floor disorders, including Stress Urinary Incontinence; Urge Urinary Incontinence; Pelvic Organ Prolapse Native Tissue repairs; Pelvic Organ Prolapse Vaginal and Laparoscopic Mesh; Fecal Incontinence; PFDR Pelvic Floor Disorders Registry; Ultrasound Imaging of the Pelvic Floor; and Childbirth/Pelvic Floor Epidemiology to name a few.

For 30 years, the highly regarded Secrets Series (R) has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Ob/Gyn Secrets, 4th Edition, by Drs. Amanda Mularz, Steven Dalati, and Ryan A. Pedigo, features the Secrets' popular question-and-answer format that also includes lists, tables, and an easy-to-read style - making reference and review quick, easy, and enjoyable. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice. The proven Secrets (R) format gives you the most return for your time - concise, easy to read, engaging, and highly effective. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. NEW: Expert Consult access provides an enhanced e-book version with the print, available online or on mobile devices. This edition features updated content to keep you current with what's new in obstetrics and gynecology, including new technologies that can improve your patient care. A new author team leads a team from prominent institutions, bringing a fresh perspective to this best-selling review.

The Ob/Gyn Hospitalist, the newest subspecialist in the field of obstetrics and gynecology, has the potential to improve patient safety, patient and provider satisfaction, workforce challenges and clinical outcomes. Programs are exploding across the country, mirroring the growth of the internal medicine hospitalist programs 10 years ago. Ob/Gyn hospitalist jobs are the most sought after in the field. We will present the history of the Ob/Gyn Hospitalist movement, available evidence to date supporting Ob/Gyn Hospitalists, and where we believe the field is going.

This issue will focus on the most common reproductive endocrine conditions encountered by healthcare providers. This series is timely and will be of interest to readers as there are many recent updates to the recommendations for appropriate evaluation and treatment of several reproductive conditions. Each chapter will address specific anatomic and hormonal conditions and will examine reproductive function from puberty to menopause. A thorough summary of abnormal uterine bleeding including recent 2012 updates for evaluation and management will be emphasized. Individual chapters on anatomic causes of bleeding, such as uterine fibroids and endometriosis, will be included with a focus on new treatment options. Polycystic ovarian syndrome (PCOS), a common hormonal cause of irregular bleeding and infertility, will also be reviewed. Recent studies provide insight into new fertility treatments for patients with PCOS including the use of aromatase inhibitors for ovulation induction. Other fertility related chapters include the evaluation of the infertile woman, ovulation induction, recurrent pregnancy loss, and age-related infertility. Finally, a transition to premature ovarian insufficiency and menopause will be provided. The Women's Health Initiative publication in 2002 reported an association between hormone replacement therapy and breast cancer. There are several updates since this controversial publication and recent literature will be summarized. Attention will focus on appropriate evaluation and management of these common reproductive endocrine topics reviewing recent recommendations on best practices for clinicians.

The Guests Editors have assembled expert authors to present clinical reviews on the current knowledge and best practices for high-risk pregnancies. Authors are writing on Genetics: update on prenatal screening and diagnosis; Screening for congenital heart disease; What you need to know when managing twins; Short cervix dilemma; preterm labor: approach to decreasing complications of prematurity; Optimizing outcomes for the growth-restricted fetus; Preeclampsia: short- and long-term implications; pregnancy risk associated with obesity; prevention of first cesarean delivery, and diagnosis and management of placenta accreta.

Legal Concepts and Best Practices in Obstetrics provides valuable information on the medical legal aspects of obstetrics, offering an important learning opportunity for obstetricians and trainees, as well as midwives, nurses, attorneys, and hospital administrators. Written by Dr. Steven Warsof, a seasoned maternal-fetal medicine specialist with extensive experience in the legal aspects of obstetrics, this unique resource not only familiarizes readers with today's medical legal process, but also presents case studies on common medical legal issues with commentary on how outcomes might have been improved. Provides a comprehensive summary of each case along with the clinical outcome, perspectives of the plaintiff and defendant, outcome of the case (when known), best practices for prevention (with a focus on preventable vs. non-preventable risk), standard points of care, and key takeaway points. Offers best practices for prevention and highlights key learning points for minimizing preventable risk. Includes chapters by notable maternal-fetal medicine specialists and attorneys with expertise in this complex area. Enhance 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.

This issue of Medical Clinics of North America, Guest Edited by Joyce E. Wipf , MD is devoted to Women's Health. Dr. Wipf has assembled a group of expert authors to review the following topics: Breast Cancer Screening; Cervical Cancer and HPV; Oral Contraception; IUD and Other Contraception; Menopause; Cardiovascular Risk Factors and Disease in Women; Vulvar-vaginal Disorders; Hepatitis C in Women; Osteoporosis Screening, Prevention, and Management; Sexual Dysfunction in Women; Domestic Violence and Trauma; Care of Women Veterans; and Medical Conditions During Pregnancy.

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 polycystic ovary syndrome (PCOS). Beginning with an introduction to the pathophysiology and diagnosis of the condition, the following sections discuss associated disorders including menstrual abnormalities, obesity and metabolic syndromes, fertility problems, pregnancy complications, depression and anxiety, and more. 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, Recurrent Miscarriage, Contraception, Ovulation Induction, Perimenopausal Health, Postpartum Hemorrhage, Preeclampsia, and Preterm Labor. Key points Latest volume in the World Clinics: Obstetrics & Gynecology series Presents latest advances in the diagnosis and management of PCOS and associated disorders Each article concludes with a summary and comments by the editors Enhanced by photographs and figures throughout

Bei der Bluttransfusion handelt es sich um die Transplantation eines fremden flussigen Organs. Blutkomponenten und Plasmaderivate sind dabei verschreibungspflichtige Arzneimittel und durfen nur auf arztliche Anordnung abgegeben werden. Von dem am Patienten tatigen Arzt werden damit grundlegende klinisch-transfusionsmedizinische Kenntnisse fur den differenzierten Umgang mit Blutkomponenten und Plasmaderivaten gefordert. Das vorliegende Werk gibt diese Hilfestellung und vermittelt Basiswissen zu Blutprodukten und Transfusionen fur Nicht-Transfusionsmediziner. Es beschreibt u.a. die Risiken von Bluttransfusionen, die Grundlagen der Blutgruppenserologie und die Zusammensetzung von Blut und Blutprodukten sowie das Management bei Transfusionszwischenfallen; es geht auf das aktuelle Transfusionsgesetz ein und die Richtlinien zur Bluttransfusion sowie auf die Verordnung und Gabe von Blut und Blutprodukten. Das Werk ist praxisnah und ubersichtlich gestaltet mit vielen konkreten Tipps, Flussdiagrammen und Tabellen. Die 2. Auflage erscheint komplett aktualisiert erweitert, u.a. zu juristischen und arzneimittelrechtlichen Aspekten autologer Transfusionsverfahren und zum Effektivitatsvergleich autologer Verfahren wie Eigenblutspende versus Hamodilution versus maschinelle Autotransfusion. Das Werk richtet sich an klinisch tatige AErzte aller Fachdisziplinen, die keine ausgewiesenen Transfusionsmediziner sind.

This book is a complete guide to the diagnosis and management high risk pregnancy and associated disorders. Presented as a series of question and answer case-based discussions, the thirty chapters cover many different disorders including diabetes, HIV, neurological disorders, renal diseases, multifetal pregnancy, antepartum haemorrhage, and much more. The accompanying DVD ROM demonstrates general physical examination, obstetric examination, normal delivery, and low segment caesarean section. The comprehensive text is further enhanced by clinical photographs, diagrams and tables to assist learning. Key points Comprehensive guide to high risk pregnancy and associated disorders Presented as question and answer case-based discussions Includes DVD ROM demonstrating examination techniques and basic obstetric procedures Highly illustrated with clinical photographs, diagrams and tables

This issue of Obstetrics and Gynecology Clinics of North America provides a summary of several more common maternal-fetal-infant infectious diseases. Several experts in the field of maternal and perinatal infection have contributed to this issue to provide an overview of the up-to-date preventive strategies, screening and diagnostic methods, and treatment guidelines. While guidelines such as universal vaccination to prevent influenza during pregnancy are fairly well justified by supporting data, there is much uncertainty about the appropriate screening guidelines for conditions such as cytomegalovirus, where the lack of a proven effective treatment diminishes the value of screening. Moreover, increasing issues of antibiotic resistance and the lack of significant advancement in developing newer effective agents imply that both providers and health care facilities must follow guidelines of antimicrobial stewardship (ie, coordinated efforts to improve and measure the appropriate use of antimicrobials). It is our hope that this issue will aid providers in navigating these complex issues while also understanding the current state-of-the-science

Disorders of the spinal cord are diverse and potentially devastating. They can present as acute, subacute and chronic disorders causing a variety of symptoms. Patients can present to pediatricians, internists, OBGYNs, emergency room physicians and neurologists requiring a diversity of clinicians to be familiar with the signs, symptoms, recommended testing and treatment options. This book comprehensively addresses myelopathies, the broad spectrum of potential pathologies. Chapters cover approaches to acute, subacute and chronic myelopathies; individual myelopathic disorders; the pathobiology, epidemiology, signs, and symptoms of the disorder; diagnostic approach, and therapeutic options. This comprehensive review is beneficial to any clinician, with special emphasis for neurologists, neurosurgeons, neuroradiologists and physiatrists.

This issue of Obstetrics and Gynecology Clinics of North America attempts to provide an overview of the more common causes of chronic pelvic pain in women. It brings together experts in various fields of gynecology, gastroenterology, physical therapy, and urogynecology in an attempt to discuss the wide variety of common clinical conditions that can manifest as pain. The intent is to enable the physician to consider not only the common gynecologic causes but also the common nongynecologic causes based on certain symptom profiles and targeted clinical examination. Should the physician not feel comfortable in treating the nongynecologic causes, it would enable them to target their referral to a more appropriate physician rather than the patient being referred back to a general primary care physician. It is our hope that it will enable the reader to see the pelvis not as an ovary or a uterus but as a whole system of interacting organs, muscles, and nerves. In addtiion, there is very little in the Obstetrics and Gynecology literature about the treatment of the pain component with opioid and nonopioid medications. As one of my colleagues frequently states, we can treat the pain but not necessarily alleviate the suffering. The overview of complementary and alternative medications and opioid use will hopefully be useful to the practicing physician as it provides an evidence-based approach to the use of these therapies specifically for chronic pelvic pain.

Access to high quality abortion care is essential to women's health, as evidenced by the dramatic decrease in pregnancy-related morbidity and mortality since the legalization of abortion in the United States, and by high rates of maternal death and complications in those countries where abortion is still provided under unsafe conditions. The past two decades have brought important advances in abortion care as well as increasing cross-disciplinary use of abortion technologies in women's health care. Abortion is an important option for pregnant women who have serious medical conditions or fetal abnormalities, and fetal reduction techniques are now well-integrated into infertility treatment to reduce the risks of multiple pregnancies resulting from assisted reproductive technologies. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the textbook of the National Abortion Federation, and serves as the standard, evidence-based reference text in abortion care. This state-of-the-art textbook provides a comprehensive overview of the public health implications of unsafe abortion and reviews the best surgical and medical practices for pregnancy termination, as well as managing ectopic and other abnormal pregnancies. Management of Unintended and Abnormal Pregnancy: Comprehensive Abortion Care is the leading source for a comprehensive understanding of issues related to unintended and abnormal pregnancy. This textbook:* is authored by internationally-known leaders in women's health care;* addresses unintended pregnancy and abortion from historical, legal, public health, clinical, and quality care perspectives;* includes chapters on pregnancy loss, ectopic pregnancy, gestational trophoblastic disease, and multifetal pregnancy reduction;* covers treatment of pregnancies in the first and second trimester by both medical and surgical techniques; and* provides resources for clinical, scientific, and social support for the abortion provider and patient.

Now in a completely revised and expanded fourth edition, including two new chapters, this user-friendly textbook offers a succinct overview of both the medical and surgical management of reproductive disorders, as well as coverage of associated imaging modalities. Included here are updated chapters on major reproductive endocrinology and infertility issues, such as polycystic ovary syndrome (PCOS), pubertal disorders, amenorrhea, menopause, management of endometriosis and fibroids (including interventional radiology), laboratory and clinical aspects of assisted reproductive technologies (ART), imaging modalities such as ultrasonography and sonohysterography, hysteroscopic and laparoscopic techniques, an expansion of female infertility and fertility, preimplantation diagnosis and screening, osteoporosis, and contraception and sterilization. Chapters new to this edition discuss third-party reproduction and uterine transplantation. In addition, chapters opens with a list of bulleted key points and end with multiple choice review questions, and most include vibrant clinical case material to illustrate important concepts. Residents, fellows, and new clinicians in obstetrics and gynecology interested in reproductive endocrinology and infertility will find this fourth edition of Clinical Reproductive Medicine and Surgery: A Practical Guide a valuable and focused reference.

Simulation is becoming an integral part of medical education and has already a well-established role within anaesthesia training, with many examination questions already modelled on simulation scenarios. The clinical diversity and multidisciplinary nature of an obstetric team creates the ideal environment for simulation training. It enables the team to develop their knowledge of clinical emergencies whilst becoming more aware of the importance of human factors. This book is a practical guide to inspire clinical leads to establish simulation within their delivery suite. The book comprises an extensive obstetric scenario library, with each scenario broken down into learning outcomes, a list of staff and equipment needed, specific stages mapped to learning outcomes with appropriate results/investigations and a checklist of ideal actions to enable the post-scenario debrief. Written by consultant obstetric anaesthetists, this book will appeal to medical practitioners interested in facilitating obstetric simulation.

This book explores the use and development of man's symbolizing capacities-those qualities that make him distinctly human. Dr. Whitmont describes the symbolic approach to a dream, which takes into account a symptom's meaning in reference to an unfolding wholeness of personality. He then presents the view that the instinctual urge for meaning is served by the symbolizing capacities, and that this urge has been repressed in our time. In the field of psychology, this symbolic approach is most fully exemplified by the theories of C. G. Jung. The author's contribution includes many differentiations and speculations, especially concerning the problems of relatedness.

This issue of Obstetrics and Gynecology Clinics of North America deals with the timely subject of substance use during pregnancy. Alcohol, tobacco, and illicit drug use is prevalent among reproductive-age women. Even though a reduction in use often occurs during pregnancy, many women continue to use substances until a pregnancy is either actually diagnosed or well underway.This issue consists of a well-qualified team of obstetricians-gynecologists, psychiatrists, and family physicians, focusing on various issues related directly to pregnancies complicated by substance use. Topics of interest include epidemiology and screening for hazardous and harmful substance use, teratogenic risks, psychiatric comorbidities, comprehensive treatment approaches before and after delivery, fetal surveillance, and team-based perinatal management. Particularly new information relates to prescribing buprenorphine, neonatal abstinence syndrome, and adolescent substance use.

Finalist, C. Wright Mills Award, Society for the Study of Social Problems

Drinking during pregnancy has come to be considered a pervasive social problem, despite the uncertainties surrounding the epidemiology and etiology of fetal alcohol syndrome (FAS).

Sociologist Elizabeth M. Armstrong traces the evolution of medical knowledge about the effects of alcohol on fetal development from nineteenth-century debates about drinking and heredity to the modern diagnosis of FAS and its kindred syndromes. She argues that issues of race, class, and gender have influenced medical findings about alcohol and reproduction and that these findings have always reflected broader social and moral preoccupations -- in particular, concerns about a woman's role and place in society. Medical beliefs about drinking during pregnancy have often ignored the poverty, chaos, and insufficiency of some women's lives -- factors that may be more responsible than alcohol for adverse outcomes in babies and children.

"Armstrong draws attention to some important questions about our perceptions of responsibility for alcohol-related harm sustained during pregnancy... I hope that her book will lead to a healthy debate and a more objective ethical, medical, and scientific approach to this field in the future." -- Addiction

"There is much to admire in Armstrong's account: her clever deconstruction of the advocates' invented history of FAS, her sure-handed discussion of the politics of reproduction, and her often fascinating interview material." -- Perspectives in Biology and Medicine

"In this well-written book, Armstrong provides an in-depth analysis of fetal alcohol syndrome as a social problem." -- AmericanJournal of Sociology

"A well-researched, highly readable, and convincing example of the ways in which modern medicine continues to create myths, stigmatize the poor, and pathologize gender." -- Social History of Medicine

Elizabeth M. Armstrong is an associate professor of sociology and public affairs at Princeton University.

For pelvic symptoms, ultrasound is the initial imaging modality of choice in today s cost-conscious climate. Employing a practical, problem-based approach Gynecologic Ultrasound is the only medical reference that provides a stepwise method in the diagnosis of gynecological abnormalities. Abundantly illustrated and easily accessible, it is an ideal resource for a clinical setting. "...an excellent text, well-illustrated and well worth having in any library." Reviewed by RAD Magazine, Dec 2014 Expedite and confirm diagnosis of gynecological abnormalities. An easily accessible format-organized by both entity and differential diagnosis-facilitates searches and zeroing in on the one correct entity. Master the nuances of using ultrasound through the visual instruction of more than 600 clear images including 3D and Doppler - important and necessary tools for pelvic ultrasound. Glean all essential, up-to-date, need-to-know information about Mullerian Duct Abnormality, Endometriosis, Ovarian cancer, and Uterine Sarcoma as well as normal pelvic ultrasound and common normal variants. Consult this reference where and when you need it at Expert Consult.

Guest edited by Christopher Comstock of Memorial Sloan-Kettering, this issue of Radiologic Clinics will provide all of the latest guidelines and techniques for breast imaging. Modalities include MRI, MR-CAD, digital tomosynthesis, and ultrasound.

Gynecology is a procedure-related field that, like other specialties, has moved toward minimally invasive procedures that can be performed in the office setting. This issue of the Obstetrics and Gynecology Clinics covers the most commonly performed gynecologic procedures performed in the office setting. Colposcopy, Cryosurgery, LEEP, sterilization, D and C, and Urogynecologic procedures are all covered, along with articles on surgically implanted contraceptives and surgical abortion.

This issue of the Obstetrics and Gynecology Clinics in North America will focus on the advances in the evaluation and management of Recurrent Pregnancy Loss (RPL) that have emerged within the last few years. Although spontaneous pregnancy loss occurs in approximately 15% to 20% of clinically recognized pregnancies in reproductive-aged women, RPL occurs in 2% to 5% of the same population. Recent reports on large populations of women with RPL have helped to characterize the incidence and diversity of this heterogeneous disorder, and a definite cause of pregnancy loss can be established on over 50% of all couples after a thorough evaluation. New diagnostic strategies, which include 23-chromosome microarray genetic testing of the products of conception in failed pregnancies, offer the promise of understanding the cause of most pregnancy losses. These recent advances, combined with the contributions from the authors in this issue of Clinics and many others interested in this field, lead to the publication of the long-awaited publication on evaluation and treatment of RPL from the Practice Committee of the American Society for Reproductive Medicine. A complete evaluation will include investigations into genetic, anatomic, immunologic, endocrinologic, and iatrogenic factors. "Generally the book is well written by internationally recognized and dedicated specialists, informative, updated and well-illustrated. I can recommend this book for physicians, scientists and also interested medical students who want to understand more about high risk early pregnancy." Reviewed by: Acta Obstetricia et Gynecologica Scandinavica, January 2015

This book offers a valuable clinical resource for health professionals and researchers. It gives an overview about the pivotal role played by High Molecular Hyaluronic Acid (HMW-HA) during pregnancy and its applications in the gestational period. Hyaluronic acid is a critical component of the extracellular matrix (ECM) and one of the most interesting, versatile and useful natural molecules in almost all areas of biology. As widely reported, HA has a pivotal role in several phases of pregnancy, from fertilization to labour and it displays several regulatory activities and functional properties based on its different molecular weight. While low molecular weight hyaluronic acid (LMW-HA) is widely used in gynaecology for menopause-related symptoms or in association with physical treatments (e.g., radiation therapy) to counteract the onset of adverse events, HMW-HA has been poorly evaluated as clinical treatment. Its physiological presence in the extracellular matrix of all the main organs and tissues involved in pregnancy (uterus, cervix, placenta, decidua, chorion, amnios, ovarium etc..) suggests the importance of this molecule for a successful gestation. Several papers, in particular, shed light on its importance for blastocyst adhesion and implantation, for an efficient immune tolerance and for the correct development of haemo-lymphatic system. It has been demonstrated that HMW-HA has regulatory activity on the PGRMC1 expression, a specific progesterone receptor expressed in maternal and foetal-maternal interface tissues, involved in uterine quiescence. On these premises, the administration of HMW-HA may represent an interesting treatment opportunity for the prevention of recurrent miscarriage and pre-term birth (PTB) in patients with risk factors. The high safety profile of HMW-HA further supports its administration in pregnancy. All these interesting topics will be discussed and deepened in this book, giving the opportunity to explore in detail every aspect of this effective and attractive molecule, thus helping physicians to assess the state of connective tissues in pregnancy and to evaluate the risk for the onset of gestational complications.