'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.

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 volume provides a broad background of the basic sciences, clinical and therapeutic aspects, and management of uterine cervical cancer. It offers state-of-the-art information on the molecular genetics, biology, and clinical aspects of premalignant lesions of the uterine cervix, and provides a better understanding of the molecular and cellular events that underlie uterine cervical cancer. Uterine Cervical Cancer: Clinical and Therapeutic Perspectives contains extensive, updated information on the promising new developments in the diagnosis and management of uterine cervical cancer. It will serve as an invaluable resource for all clinicians and basic medical scientists caring for women with uterine cervical cancer, including attending surgeons, physicians, clinical fellows, and residents in the disciplines of gynecologic oncology, medical oncology, and surgical oncology.

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.

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.

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.

Risk management is a relatively new process that can sometimes evoke feelings of suspicion among clinicians. However, when used proactively, it offers the opportunity to act at the root cause of an incident to expose de? ?ci- cies in the system rather than in individuals. This process encourages a s- portive approach to patients, relatives, and staff. The overall aim should be to learn lessons rather than to attribute blame. References 1. Vincent C, Neale G, Woloshynowych M. Adverse events in British hospitals: a p- liminary retrospective record review. Br Med J. 2001;322:517-519. 2. Neale G, Woloshynowych M, Vincent C. Exploring the causes of adverse events in NHS hospital practice. J R Soc Med. 2001;94:322-330. 3. Walshe K. The development of clinical risk management. In: Vincent C, ed. Clinical Risk Management. London: BMJ Publishing Group; 2001, p. 45-60. 4. Department of Health. An Organization with a Memory. London: HMSO; 2000. 5. National Patient Safety Agency. Reporting incidents. Available at: http://www.npsa. nhs.uk/health/reporting. Assessed June 25, 2007. 6. National Con? ? dential Enquiry into Perioperative Deaths. Changing the way we operate. The 2001 Report of the National Con? ? dential Enquiry into Perioperative Deaths. London: National Con? ?dential Enquiry into Perioperative Deaths; 2001. Available at: http://www.ncepod.org.uk. Assessed June 25, 2007. 7. General Medical Council. Good Medical Practice. London: General Medical Council; 2006. Available at: http://www.gmc-uk.org/guidance/good_medical_practice/index. asp.

Is Menstruation Obsolete? argues that regular monthly bleeding is not the "natural" state of women, and that it actually places them at risk of several medical conditions of varying severity. The authors maintain that while menstruation may be culturally significant, it is not medically meaningful. Moreover, they propose that suppressing menstruation has remarkable health advantages. Because of cultural changes, shorter durations of breast feeding, and birth control, the reproductive patterns of modern women no longer resemble that of their Stone age ancestors. Women have moved from the age of incessant reproduction to the age of incessant menstruation. Consequently, they often suffer from clinical disorders related to menstruation: anemia, endometriosis, and PMS, just to name a few. The authors encourage readers to recognize what has gone previously unnoticed that this monthly discomfort is simply not obligatory. They present compelling evidence that the suppression of menstruation is a viable option for women today, and that it can be easily attained through the use of birth control pills. In fact, they reveal that contraceptive manufacturers, knowing that many women equate menstruation with femininity and that without monthly bleeding would fear that they were pregnant, engineered pill dosage regimens to ensure the continuation of their cycles. Indeed, throughout history societies have assigned menstruation powerful meaning, and Is Menstruation Obsolete? presents a fascinating history of how menstruation inspired doctors to try therapeutic bleeding for a variety of ailments, and how this therapy remained dominant in Western medicine until the early 20th century. Is Menstruation Obsolete? offers women a fresh view of menstruation, providing them with the information they need to make progressive choices about their health. This is a message whose time has come.

This atlas is an invaluable aid for pathologists and trainees who have worked with conventional smear cytology but need to familiarize themselves with the appearance seen in liquid-based cytology, which has largely replaced conventional smears for cervical screening. It includes state of the art information on normal Pap smears, normal glandular constituents, smear patterns, and inflammation, reactive changes, and repair; it also covers pathological changes, such as typical and atypical squamous cell abnormalities, high-grade intraepithelial lesions, and glandular cell abnormalities. It will be a useful guide for practitioners who need a quick reference on cytological specimens.

The contexts for becoming a parent are ever-changing, bringing new opportunities and new challenges. Becoming a Parent examines the transition to parenthood from diverse perspectives - it is about becoming, rather than being a parent. Drawing on a large body of theory and research, the book explores universal psychological journeys as well as the specific challenges faced by those whose pathways to parenthood are non-traditional or medically complicated. It also examines the unprecedented reproductive choices in contemporary society and provides a comprehensive overview of the personal and social impact of reproductive technologies. Pregnancy, childbirth, and early parenthood (the so-called 'fourth trimester') are discussed in detail and illustrated with case anecdotes and personal stories of people with 'high-risk' pregnancies, fathers as well as mothers, adoptive parents, and LGBTQ as well as heterosexual adults. It concludes with social and policy initiatives that can better support positive adaptation during this crucial life transition.

Obstetric and Gynaecological Ultrasound is a highly illustrated manual ideal for both the trainee and experienced sonographer that covers the full range of obstetric and gynaecological ultrasound examinations undertaken within a secondary referral setting. It combines the practicalities of how to perform these examinations with the information needed to interpret the findings and construct a clinically useful report. The new edition of this well-established book expands its scope to provide an understanding of ultrasound imaging within the clinical management of the gynaecological patient. Elsewhere, its obstetric content has been fully updated with the latest technological, clinical and medico-legal information relevant to routine practice. Furthermore, its experienced sonographer authors continue to advise on the practical aspects of scanning as well as the role, value and limitations of ultrasound in the diagnosis of different diseases thus providing firm foundations in both obstetric and gynaecological imaging. Explains the principles of grey scale ultrasound, Doppler ultrasound and instrumentation Addresses problems from both practical and clinical viewpoints Provides comparative images showing results of good and bad scanning techniques Advises on how to communicate findings to a pregnant woman or gynaecological patient Discusses both the normal and abnormal ultrasound appearances for each of the relevant anatomical areas together Scope fully expanded to cover gynaecological ultrasound imaging including: the physiological changes taking place during the menstrual cycle the effects of exogenous hormones on the various ultrasound appearances during the menstrual cycle the ultrasound appearances of common abnormalities of the uterus, ovaries and adnexae the ultrasound assessment of an adnexal mass using a standardized approach New images to reflect the improvements in imaging technology New chapter on screening for Down's syndrome and Edwards' and Patau's syndromes in accordance with current national screening recommendations New chapter on the medico-legal issues relevant to performing and reporting ultrasound examinations

Reproductive biologists, evolutionary biologists, demographers and social scientists all have a common interest in the business of human reproduction. Their perspectives, however, are very different and have traditionally prevented them from having much to do with each other. The conference on which this book is based brought together contributors from each of these disciplines in an attempt to explore the common ground that they share and so generate a better understanding of the factors that influence human fertility.

It is over two decades since the first test-tube baby was born. During this period a new belief that all infertile women can now have babies has become widely accepted; indeed, infertile couples may feel great pressure to seek a medical solution. However, the psychological and social effects of the changing experiences of infertility remain confusing, both for those who experience infertility and for wider society. In this book, a distinguished range of contributors, including novelist Hilary Mantel and Germaine Greer, examine the experience of infertility from both male and female perspectives, the psychological aspects of infertility diagnosis and treatment, and the often radical and unexpected effects on kinship.
Drawing from a wide range of theoretical backgrounds including Jungian, analytical, and compelling personal reflections, this book aims to unravel the implications of advancing reproductive technology for our understanding of ourselves and our families.

Related link: Free Email Alerting

Obtaining good quality oocytes and preparing them for in-vitro fertilization (IVF) is a key stage in assisted reproduction. This is a complex process with many pitfalls, making good clinical preparation and laboratory technique essential for success. Illustrated throughout, this book will be valuable to clinical embryologists, laboratory personnel wishing to redefine or develop technique and improve outcomes, IVF quality managers, and gynecologists performing oocyte retrieval. Featuring descriptions of the underlying science along with practical advice on methods and trouble-shooting, this comprehensive manual will aid all those involved in this complex process of oocyte retrieval and preparation in navigating towards optimal outcomes.

This practical handbook of gynecologic oncology provides a comprehensive and concise guide to the diagnosis and management of gynecologic cancer, including breast and colon cancers. Edited and written by the faculty of the gynecologic oncology programs of MD Anderson Cancer Center and Memorial Sloan-Kettering Cancer Center, the second edition reviews and updates the various chapters, including new developments in management and a new chapter on germ cell and sex cord-stromal tumors.

The text is aimed at fellows and residents in gynecologic oncology, radiation oncology and medical oncology as well as residents in obstetrics and gynecologic surgery and medicine. It will also be a handy guide for medical students and practising physicians.

Now in its second edition, this book remains a vital reference manual for those pathologists whose work involves them in the interpretation of endometrial biopsies. A full account is given of the appearances of the endometrium during the menstrual cycle, of the effects of hormones, the changes induced by steroid contraceptives and intrauterine devices, of functional disorders and of inflammatory disease. Particular attention is given to the various forms of hyperplasia and neoplasia, with special emphasis being placed upon the differential diagnosis of these conditions. Other chapters deal with sampling techniques, the anatomy and histology of the normal endometrium, descriptions of the tissue in normal and abnormal pregnancy, and gestational trophoblastic disease. This fully revised second edition reflects the fact that numerous new entities have been defined, the classification of many disease states has altered and new understanding of many endometrial diseases has been gained. This edition also discusses the changing pattern of endometrial biopsies resulting from modified clinical practice. Biopsy Pathology of the Endometrium provides the pathologist and gynaecologist with a highly illustrated and practical manual whose high quality photomicrographs will be an indispensable reference during the interpretation of endometrial biopsies.