Placental Toxicology examines placental transfer and toxicology of drugs and environmental agents to placenta, as well as to fetus. For the first time in a single volume, placental and fetal consequences of exposure of pregnant women to drugs, environmental chemicals, and infections, such as HIV, are discussed. Topics include:
The art of in vitro perfusion of human placenta
Abuse of alcohol, nicotine, morphine, and cocaine during pregnancy, their placental transfer and fetal growth retardation
Placental transfer and fetal toxicities of environmental insecticides
Placental hormones and fetal well-being
Placental transfer of HIV and treatment of pregnant women with anti-HIV drugs

Neither legalization of abortion nor scientific and political advances in contraception and abortion ensure that training and research in family planning are routinely integrated into medical education. Without integration, subsequent generations of healthcare professionals are not prepared to incorporate evidence-based family planning into their practices, teaching, or research. Omission of this crucial component prevents the cultural and professional normalization of an often stigmatized and embattled aspect of women's health. Taking the successful US-based Ryan and Family Planning Fellowship programs as templates for training, teaching, and academic leadership, this book describes the integration of family planning and pregnancy termination into curricula with an international outlook. With an evidence- and systems-based approach, the book is a unique and practical guide to inspire and train the next generation of healthcare professionals.

Selected as a Doody's Core Title for 2022! Essential for ob/gyn physicians, primary care physicians, and any health care provider working with pregnant or postpartum women, Drugs in Pregnancy and Lactation: A Reference Guide to Fetal and Neonatal Risk, 12th Edition, puts must-know information at your fingertips in seconds. An easy A-to-Z format lists more than 1,400 of the most commonly prescribed drugs taken during pregnancy and lactation, with detailed monographs designed to provide the most essential information on possible effects on the mother, embryo, fetus, and nursing infant. Each templated monograph includes: Generic US name (trade names in index) Risk factors Pharmacologic class Pregnancy and breastfeeding recommendations Pregnancy, fetal risk, and breastfeeding summaries Updated references NEW in the 12th Edition: 100 new drugs, with thorough updates of all existing drugs Subheadings with each review for faster reference List of cross-referenced combination drugs List of drugs contraindicated in breastfeeding women List of drugs contraindicated in pregnancy List of drugs that affect human development Quarterly updates, available online, to keep you at the forefront of the field Greatly improved eBook searchability Enrich 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.

New edition of the most comprehensive Chinese Medicine Obstetrics and Gynecology textbook in the English language World-renowned author and teacher Giovanni Maciocia gives a clear, detailed explanation of the physiology, pathology and aetiology of women's disorders in Traditional Chinese Medicine (TCM) and adapts these to Western conditions and patients. Seventy gynecological conditions are discussed in detail with consideration given to differentiation between conditions, the advised treatment using acupuncture and herbs, prevention and prognosis. Guidelines on lifestyle and use of the eight Extraordinary Vessels are provided, with case studies allowing easy application of theory to practice throughout. New for this edition: New attractive two-colour layout with book marks to ease navigation Endometriosis and its treatment now included and fully covered in a new chapter Infertility chapter includes recent research highlighting factors in infertility All prescriptions now removed from the text and attractively presented in three appendices: Patient Remedies, Prescriptions and Three Treasure Remedies "Obstetrics and Gynecology in Chinese Medicine is a paradigmatic work. It is tempered with reverence and innovation, meticulous archival attention and detailed modern clinical insight. When future generations look back at this worka?|they will find not only knowledge and wisdom but also reasons for inspiration and awe." From the Foreword to the first edition by Ted J. Kaptchuk, Associate Director, Centre for Alternative Medicine Research, Beth Israel Hospital; Instructor in Medicine, Harvard medical School, Boston, USA. . Physiology and pathology of women's disorders in Chinese medicine . Aetiology and diagnosis of women's disorders . Differentiation and treatment - including acupuncture, herbs and patent remedies - of 64 gynecological conditions . Prevention and prognosis for each disease . Approximately 100 case histories from the author's own practice . A detailed discussion of the use of the eight extraordinary vessels in gynecology

Following the format change to single best answer questions (SBAs) for the Diploma of the Royal College of Obstetricians and Gynaecologists, this excellent resource is fully aligned with the new syllabus and exam style. Topics covered include basic clinical and surgical skills, all stages of pregnancy from antenatal care to postpartum problems, and general gynaecological and fertility concerns. Containing 310 single best answer (SBA) style questions, detailed explanations ensure candidates understand the reasoning and evidence-based decision-making behind each answer. With a recommended reading source also provided readers can explore and revise topics in further detail to reinforce their learning. A further 130 questions are included in two mock exam papers, helping candidates to strengthen their time management skills. Written by an author with many years' experience working on the DRCOG, candidates can be sure of the exact question format and how best to prepare for the actual exam.

This book on fibroid uterus focuses on surgical challenges in minimal access surgery that a surgeon faces while treating this condition. This book explores the role of various imaging modalities in both diagnosis and planning of the treatment. Various surgical techniques, such as hysteroscopy, laparoscopy, and robotic are discussed which will help readers to understand the pros and cons of each one. Teaching practical tips from experts regarding these procedures, the book aims to help surgeons make clinical decisions while they choose surgical procedures for their patients in various clinical settings. The book highlights both the conservative (techniques of myomectomy) and hysterectomy by various methods for treating fibroids. Key Features How to use various imaging modalities for preoperative evaluation of fibroids Issues in preoperative counseling and consent before surgery for fibroids Overview of surgical treatment of fibroids Individual chapters on practical tips by experts for various surgical techniques used for both myomectomy and hysterectomy Discusses the controversy in morcellation and how to perform it safely Covers the problem of parasitic fibroids that have increased in recent times Discusses issues like breach in endometrial cavity during myomectomy, surgery for adenomyosis, uterine rupture and recurrence after myomectomy When to call it a day and convert from laparoscopy to laparotomy

Basic Science in Obstetrics and Gynaecology is an essential one-stop, portable revision tool for candidates preparing for Part 1 of the MRCOG specialist examination. Fully updated by experts who are internationally recognised in their fields, the chapters match the syllabus of the exam, combining detailed coverage of the science with related self-assessment questions that you will encounter in the MRCOG. This book is suitable for doctors specialising in obstetrics and gynaecology who want the best chance possible to pass this difficult exam. Covers all topics for the MRCOG Part 1, including basic science and clinical anatomy Contains self-assessment SBA questions to consolidate learning Includes three mock exam papers enabling you to practice for the exam Digital version included Fully revised and updated Completely updated self-assessment chapter, written in the style of the new exam Extensive revision of fetal physiology, biophysics, biochemistry, endocrinology, and physiology New top-quality illustrations to support learning

Reproductive health care professionals in fields such as Obstetrics and Gynecology, Family Medicine, and Pediatrics face difficult ethical issues because they work at the crossroads of patient decision-making, scientific advancement, political controversy, legal regulation, and profound moral considerations. The dilemmas these professionals face expose big-picture bioethics questions of interest to everyone. Yet for clinicians striving to deliver excellent patient care, the ethical questions that make daily practice challenging can be just as nuanced. This volume presents a carefully curated compilation of essays written by leading experts in the fields of medicine, ethics, and law, who address key issues at the forefront of reproductive ethics. It is organized into three main sections: I. Contraception and Abortion Ethics - Preventing Pregnancy and Birth, II. Assisted Reproduction Ethics - Initiating Pregnancy, and III. Obstetric Ethics - Managing Pregnancy and Delivery. Each section begins with a short introduction by the editors providing an overview of the area and contextualizing the essays that follow. This volume's primary aim is to be useful to practicing clinicians, students, and trainees by providing short and practical essays covering urgent topics-from race, religion and abortion, to legal liability, violations of confidentiality and maternal choices that risk future children's health. This collection provides clinicians at all levels of training with frameworks they need to approach the intimate and high-stakes encounters central to their profession.

This book deals with the management of labour, guiding the readers to recognize problems by keen monitoring, based on anatomical and physiological understanding of labour. In this era of technology, this book revives the fading art of identification of clinical signs and symptoms. The chapters are well-structured, covering different aspects from suspicion to identification of the problems by recognizing subtle warning signals by the fetus and the uterus. Operative deliveries and common obstetric emergencies with their appropriate management are also covered. It provides practical points to prevent, anticipate, recognize, and manage problems during labour. Key Features Helps to identify clinical signs and symptoms that infuses the reader with confidence to identify and manage abnormal situations during labour and childbirth through the feel of their fingers and awakened understanding. A must have book for all postgraduate trainees and practitioners of obstetrics, eager to learn the fundamentals of labour management. Features illustrated cases helpful in learning management of normal labour and pick abnormal labour, at the earliest possible deviation from normalcy.

A much-needed overview of the available information now accumulating to indicate that assisted reproductive technologies are generally safe for both babies and mothers. However, the literature abounds with reports of a higher risk of obstetric and perinatal complications; regarding the long term outcomes for both women and children, the data are still scarce. The chapters summarized in this book review the current knowledge on long term safety of assisted reproduction and indicate the need for continued research to cover the lack of data in some specific patient groups and for recently developed treatments that only have a short period of follow-up.

Key Features Explains normal physiology of pregnancy in addition to the physiology, evaluation, and management of endocrine diseases in pregnancy, and in the pre- and post-partum periods. Explores from a clinical standpoint with practical applications, useful for students, residents, fellows, mid-level providers, and practicing physicians. Discusses special considerations and emerging topics including pregnancy in transgender men, obesity and metabolism, and endocrine emergencies.

This textbook takes a new, dynamic approach to the basic sciences in obstetrics and gynaecology. It teaches candidates all they need to know for the MRCOG Part 1 examination by extending the understanding of the basic medical sciences and their relevance to obstetrics and gynaecology. Like conventional textbooks it teaches what is 'true', but it also what is 'false', and why. The most complex concepts are discussed in a problem-based format so that the relevant basic sciences are taught and drawn together in context.

As wars and other conflicts increase on a worldwide scale, the alleged 'new wars' of the present day have taught that military victory does not necessarily result in a sustained state of peace. Rather, societies in conflict experience a 'status mixtus' - a transformative period that includes substantial changes in economy, politics, society and culture. Focusing on these decades of reconstruction in Europe and North America, this book examines the transformation of state systems, international relations, and normative principles in international comparison. By putting the postwar decade after 1945 into a long-term historical perspective, the chapters illuminate new patterns of transition between war and peace from the eighteenth to the twentieth century. Experts in the field show that states and societies are never restituted from a 'zero hour'. They also demonstrate that foreign and domestic policy are intermixed before and after peace breaks out.

Summary of Puerto Rican Migration; C.E. Rodriquez. Entromundos; I. Zavala-Martinez. Maternal and Child Health and Health Care in Puerto Rico; P.J. Santiago-Borrero, M. Valcarcel. Acquired Immune Deficiency Syndrome in Women and Children in Puerto Rico; C. Zorrilla, et al. Demographic and Health Characteristics of Puerto Rican Mothers and Their Babies; S.J. Ventura. Characteristics of Childbearing Hispanic Women in New York City; S. Lederman, D. Sierra. HIV Infection and AIDS Among Women; B. Kilbourne, et al. Physical Growth, Sexual Maturation, and Obesity in Puerto Rican Children; R. Martorell, et al. The Cultural Context of Adolescent Childrearing in Three Groups of Urban Minority Mothers; G. Wasserman, et al. The Cognitive, Behavioral, and Health Status of Mainland Puerto Rican Children in the Infant Health and Development Program; G. McCarton, et al. Distinguishing Among Proficiency, Choice, and Attitudes in Questions About Language for Bilinguals; K. Hakuta. 4 additional articles. Index.

Im internationalen Vergleich ist die deutsche Perinatalmedizin stark fragmentiert. Der Autor unternimmt eine vergleichende Qualitatsbeurteilung dieses Leistungsbereiches. Struktur- und Prozessspezifika einzelner Krankenhauser dienen dabei als unabhangige Variablen, Ergebnisqualitatsindikatoren als abhangige Variablen. Als Datengrundlage nutzt der Autor deutsche Krankenhausqualitatsberichte, die sich als kaum konsistent erweisen. Es zeigt sich, dass Unterschiede in den Strategien der Anbieter bestehen. Im Leistungsbereich Neonatologie ist von einem Volume-Outcome-Effekt auszugehen. Auch fur Geburten mit niedrigem Risikoprofil liegen in der Gesamtschau Hinweise darauf vor, dass eine weitere Konzentration des Leistungsgeschehens die Qualitat insgesamt erhoehen koennte.

This text provides a comprehensive, state of the art review of this field and will serve as a resource for urologists, colorectal surgeons, geriatricians, and gynecologists as well as researchers interested in neuromuscular phenomena in the pelvis. The book also reviews new data regarding risk factors for pelvic floor muscle dysfunction and profiles new minimally invasive surgical strategies for well known pelvic disease processes. Each chapter is chock full of data from landmark trials which have been published over the past few years and placed in context with respect to current management techniques for pelvic floor disorders. Written by experts in their field, Pelvic Floor Dysfunction and Pelvic Surgery in the Elderly: An Integrated Approach provides a concise yet comprehensive summary to help guide patient management.

This book will help readers gain vital guidance and support when treating the high-risk, high-reward population of women confronting (or battling) opioid-use disorders during pregnancy. Large numbers of pregnant women are dependent on opioids and require comprehensive non-judgemental care to replace traditional approaches of incarceration and child welfare involvement that worsen outcomes for both mother and infant. Invaluable and comprehensive, this toolkit provides the key to non-judgemental care for both mother and baby, throughout labor, delivery management and postpartum care. It bridges the important treatment gap through evidence-based, caring approach; standardizing exceptional care, for obstetricians, pediatricians, addictionists, and anyone caring for pregnant women with opioid-use disorders. Edited by a Board-certified expert in obstetrics, gynecology and addiction medicine, and a team of internationally-acclaimed leaders in women's health, this guide provides high-quality advice, guidelines and vital skills to tackle a currently expanding opioid epidemic.

Covering every aspect of fetal heart examination and all major cardiac malformations, A Practical Guide to Fetal Echocardiography is widely acknowledged as the definitive text in this challenging field. This award-winning title clearly depicts examples of commonly seen abnormalities and day-to-day cases, as well as rare pathology. Authored by renowned experts, the fully updated fourth edition is a lavishly illustrated, easy-to-read text designed to serve as a comprehensive reference for all practitioners involved in cardiac imaging. Features significant revisions including several new chapters, new artwork, and updated reference lists. Discusses disorders in terms of the ultrasound findings with key points summarized at the end of each chapter. Images are accompanied by clear, colorful schematic drawings that depict cardiac abnormalities. Features the addition of Approach to Diagnosis, an algorithm at the end of each chapter to assist providers in reaching the proper diagnosis. Includes numerous tables that outline common and differentiating features of various cardiac malformations. Covers the technical aspects of the cardiac exam in the first half of the text; the second half features detailed discussions of fetal cardiac malformations, each presented in a practical, methodical format that includes the definition, spectrum of disease and incidence, the use of gray scale, color Doppler, 3D and early gestation ultrasound in diagnosis, followed by the differential diagnosis, prognosis, and outcome. Features a practical, concise, easy-to-use format, making it indispensable for both physicians and sonographers in the detection of congenital heart disease. Winner of British Medical Association Awards 2016: BMA Medical Book of the Year and Obstetrics and Gynecology - First Prize. Enrich 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.