This book is the first comprehensive and detailed study of early modern midwives in seventeenth-century London. Midwives, as a group, have been dismissed by historians as being inadequately educated and trained for the task of child delivery. The Midwives of Seventeenth-Century London rejects these claims by exploring the midwives' training and their licensing in an unofficial apprenticeship by the Church. Dr. Evenden also offers an accurate depiction of the midwives in their socioeconomic context by examining a wide range of seventeenth-century sources. This expansive study not only recovers the names of almost one thousand women who worked as midwives in the twelve London parishes, but also brings to light details about their spouses, their families and their associates.

Reproductive Immunology is a growing area in both immunology and reproductive sciences and is helping us to better understand several complications of pregnancy. Immunology of Pregnancy is the first book to give a complete and up to date review of our knowledge related to the role of the immune system during pregnancy and the interactions between the placenta and the maternal immune system. This new title covers in detail all the different hypotheses and studies related to the immunology of implantation and provide a practical approach for the application of basic reproductive immunology research to pregnancy complications such as preeclampsia, pre-term labor and IUGR."

Postnatal PTSD, often referred to as birth trauma, is an underdiagnosed and misunderstood condition. Often mistaken for postnatal depression and with 4% of women developing the condition after giving birth, it is essential that health professionals learn to recognise and prevent postnatal PTSD. The book supports professionals to better understand, recognise, treat and help prevent birth trauma. It covers the impact of postnatal PTSD on bonding and relationships, birth trauma in Black, Asian and minority ethnic communities, how to support women having another baby and more. An accessible guide to supporting parents with postnatal PTSD, this book is essential reading for healthcare professionals and those involved with the birthing process.

Hysterectomy is the second most common major surgical procedure performed on women in the United States. For some women, the decision to have a hysterectomy is an easy one; for others, it is a difficult choice associated with concerns about risks, discomfort, and female identity. Yet many disorders of the uterus-fibroid tumors, uterine and cervical cancer, pelvic inflammatory disease, endometriosis, adenomyosis, and uterine prolapse-may require surgical treatment. In this thoroughly updated edition of Hysterectomy: Exploring Your Options, gynecologists Edward E. Wallach, Esther Eisenberg, Isabel Green, and Stacey A. Scheib describe and explain every aspect of the procedure, including, Symptoms of gynecological disorders that may require uterine fibroid removal or hysterectomy; the full range of diagnostic and therapeutic imaging techniques, including MRI-focused ultrasound; thorough explanations of specific alternative measures that may be used to avoid the need for hysterectomy; the various techniques for hysterectomy, including single-incision surgery and robotic hysterectomy; how to prepare for surgery and what to expect while in the hospital; details on the surgery and postoperative recovery, including information about pain medications, when to resume daily activities, how sexual function may be affected, future reproductive possibilities, and the benefits and risks of hormone replacement therapy. Included in this compassionate, comprehensive guide to treatment and recovery for women having - or deciding whether to have - a hysterectomy are stories of women whose own experiences with hysterectomy offer useful advice for anyone considering the procedure.

Early Life Origins of Health and Disease is a new book which presents and discusses the many factors that may have impact on normal development. In a concise and readable manner, the authors consider both the proven and suggestive evidence that the high prevalence of hypertension, diabetes, obesity and, in some populations, kidney disease, may not be all due to genetics or adult environment alone. There is good evidence that stress and more subtle dietary deficiencies, as well as placental malfunction, may increase the risk that the offspring will develop these problems in later life. Finally, new and emerging evidence for other areas of human health and disease such a motor control and mental health is critically reviewed for the first time. The book is a 'must' for all scientists interested in researching these areas, as there is a critical evaluation of the methodology used and suggestions for the 'optimal' way in which to investigate these phenomena.

Endometrial cancer remains the most frequent gynaecological cancer in first world countries.This bench book on endometrial pathology distils the current literature to provide a practical text on endometrial pathology. Differential diagnosis is emphasised, and the clinical correlates of pathology are also stressed to make this a clinically useful book.Fully updated and including over 400 colour images, this book provides a valuable resource for the practising pathologist in general and community hospitals as well as in teaching hospitals.

The best selling resource for the OB/GYN clerkship Excel on your rotation, impress on the wards, and score your highest on the shelf exams with this best-selling reference. This new edition of First Aid for the OB/GYN Clerkship has been updated with the latest clinical perspectives and research. Ask just about any student who has been through their OB/GYN rotation and they will tell you that THIS was the resource they turned to. It not only aligns with national clerkship curricula, but also follows the shelf exam blueprint and is full of helpful mnemonics, ward tips, exam tips, and integrated mini-cases. The text highlights all of the important topics, presenting a clear, concise review based on the clerkship's core competencies. Thoroughly revised, this new edition will help you prepare for the clerkship and also guide you in the clinical diagnosis and treatment of the many conditions you will see during your rotation. First Aid for the OB/GYN Clerkship features: The latest clinical research and perspectives Helpful mnemonics Ward tips and integrated mini-cases Images, diagrams, and flow charts in a fresh new-full color design Summary boxes with high-yield information needed for exam success

Medical imaging has been transformed over the past 30 years by the advent of computerized tomography (CT), magnetic resonance imaging (MRI), and various advances in x-ray and ultrasonic techniques. An enabling force behind this progress has been the (so far) exponentially increasing power of computers, which has made it practical to explore fundamentally new approaches. In particular, what our group terms "model-based" modalities-which produce tissue property images from data using nonlinear, iterative numerical modeling techniques-have become increasingly feasible.

Alternative Breast Imaging: Four Model-Based Approaches explores our research on four such modalities, particularly with regard to imaging of the breast: (1) MR elastography (MRE), (2) electrical impedance spectroscopy (EIS), (3) microwave imaging spectroscopy (MIS), and (4) near infrared spectroscopic imaging (NIS). Chapter 1 introduces the present state of breast imaging and discusses how our alternative modalities can contribute to the field. Chapter 2 looks at the computational common ground shared by all four modalities. Chapters 2 through 10 are devoted to the four modalities, with each modality being discussed first in a theory chapter and then in an implementation-and-results chapter. The eleventh and final chapter discusses statistical methods for image analysis in the context of these four alternative imaging modalities.

Imaging for the detection of breast cancer is a particularly interesting and relevant application of the four imaging modalities discussed in this book. Breast cancer is an extremely common health problem for women; the National Cancer Institute estimates that one in eight US women will develop breast cancer at least once in her lifetime. Yet the efficacy of the standard (and notoriously uncomfortable) early-detection test, the x-ray mammogram, has been disputed of late, especially for younger women. Conditions are thus ripe for the development of affordable techniques that replace or complement mammography. The breast is both anatomically accessible and small enough that the computing power required to model it, is affordable.

Depending on one's vantage point, breast cancer can be a very different experience, and indeed, a very different concern. It is, for some, a personal struggle; for others, it is a disease posing scientific and environmental challenges; and for others it is a highly charged and politicized issue around which policy wars rage. Beyond Slash, Burn, and Poison brings a unique perspective to breast cancer by recognizing the overlapping relationship of all these realities. Drawing on the writings of Rachel Carson, Betty Ford, Rose Kushner, and Audre Lorde, this book explores the various ways in which patient-centered texts continue to leave their mark on the political realm of breast cancer and, ultimately, the disease itself. Ordered chronologically, the selections trace the progression of discussions about breast cancer from a time when the subject was kept private and silent to when it became part of public discourse. The texts included are personal accounts, written by women struggling to play an active role in their healing process and, at the same time, hoping to help others do the same. Knopf-Newman also shows us how these writings eventually changed public opinion and the underlying tendency to blame women for their illness. She argues that changes in medical practice and public policy are linked to textual interventions, and makes a case for the politicization of cultural studies of disease through personal and literary expression. Passionately written and well-researched, Beyond Slash, Burn, and Poison transforms how we think about breast cancer. Rather than facilitating forums for separate discussions, this book brings conversations into dialog with each other. It is essentialreading for anyone concerned with breast cancer and its history, as well as for those interested in the effect of the environment on public health and the role that literature plays in public policy and medicine.

Practicing specialists in pathology, laboratory medicine, and obstetrics comprehensively summarize the latest scientific findings and their experiences in the use and interpretation of laboratory testing in patients who are pregnant or experiencing recurrent pregnancy loss. Topics of interest include the effects of normal physiological changes on test results, test selection for diagnosis, changes in reference ranges, monitoring the pregnant patient, new technologies, and the limitations of laboratory testing. The authors not only clearly explain currently used test methods and technologies for the nontechnical reader, but also provide comprehensive details for laboratory professionals. The comprehensive appendix that compiles published normal reference ranges by first, second, and third trimester consttitutes an excellent resource for professionals caring for pregnant women.

This book is an accessible guide to caring for survivors of sexual and gender-based violence (SGBV). Sexual violence is broadly defined in order to include sexual assault, but also often forgotten subjects such as female genital cutting, sex trafficking, and military sexual violence. The average practitioner, gynecologist or otherwise, will undoubtedly encounter a victim of some sexual violence during their time in practice and this guide is designed to answer all questions on how to approach, treat, and understand a survivor of sexual violence. Written by a multidisciplinary team of medical, psychological, and legal experts, the book is organized into four sections. The first section begins with a scholarly analysis of trauma and how to discuss that trauma with patients. The second section covers types of violence and populations at risk, including intimate partner violence, sex trafficking, and LGBTQ considerations. The third section provides critical focus on the examination procedure, providing strategies for speaking to survivors and conducting a sensitive medical examination. Within each of these chapters, the reader will find experts sharing their tips, best practices, and understandings of exactly how trauma affects care. The final section covers medicolegal legal issues, providing a basic introduction to general legal processes regarding sexual violence matters in the US in order to serve as a resource for any practitioner presented with legal questions by a patient. This book gives a comprehensive overview of clinical care for survivors of SGBV. The clinical focus of this book goes beyond emergency room and crisis intervention protocol described in other books and makes it an ideal guide for all general health practitioners treating this population.

As research in neuroscience increasingly points to the unparalleled influence of the first 1000 days of life from conception to two years of age in determining the baby's life trajectory, the need for high-quality early parenting education delivered by knowledgeable and dedicated professionals becomes ever more apparent. This book describes the global aims of early parenting education. It identifies the key areas that research suggests are important: building a relationship with the unborn and newborn baby; preparing for labour and birth; supporting parents' mental health; protecting the couple relationship across the transition to parenthood; and education for special groups such as same-sex couples, women with fear of birth, prisoners, military wives and parents from black and minority ethnic backgrounds. All practitioners providing early parenting programmes - midwives, health visitors, family link workers, children's centre staff and voluntary sector teachers - will gain new ideas for their practice in this book. Students taking midwifery and early childhood courses will find much to support their studies. Ultimately, the book provides inspiration for all those who are committed to the role of parenting education in reducing social inequalities.

At last, here is a user-friendly guide to gynecologic surgery. The authors' guiding principle is that each woman for whom any kind of surgery is recommended should be well informed about the indications, the risks, and the expected results. Only with such knowledge can a woman make a sensible decision for herself. Using anecdotes drawn from a combined fifty years of experience, doctors Moore and de Costa provide clear and accurate information about women's anatomy, physiology, common gynecological ailments, diagnosis, alternative treatments, and, finally, full details about surgery itself. Among the surgeries discussed are removal of the uterus (hysterectomy), removal of the ovaries (oophorectomy), and removal of fibroids. The various ways of performing these procedures are examined, including minimally invasive surgery done through the laparoscope. The authors also help the patient through the postoperative phase, revealing what to expect, how to make the recovery easier, and how to take care of herself after the surgery. The result is a book that empowers women as they weigh their options with regard to gynecologic surgery.

The National Institute of Health interrupted their huge HRT study in July 2002 when they found that the drug Prempro, a combination of estrogen and progestin, had detrimental health effects. The women who took the drug exhibited an increased risk for breast cancer, heart disease, and stroke.
Women can lose up to 20% of their bone mass in the first seven years after menopause. Post-menopausal women are twice as likely as men to die of a heart attack. Natural estrogen is the answer.
In this book the authors provide a healthy and natural alternative to HRT. They not only provide nutritious, healthy and delicious recipes; they also explain why phytoestrogens -- plant estrogens -- can alleviate the symptoms of menopause and promote a woman's health. THE NATURAL ESTROGEN DIET AND RECIPE BOOK is the answer to women who are seeking to retain their health through and after menopause in a completely safe, effective and natural way. It also shows women of any age how to make healthy food a permanent part of their lives.

A discussion of all the key issues in the use of human pluripotent stem cells for treating degenerative diseases or for replacing tissues lost from trauma. On the practical side, the topics range from the problems of deriving human embryonic stem cells and driving their differentiation along specific lineages, regulating their development into mature cells, and bringing stem cell therapy to clinical trials. Regulatory issues are addressed in discussions of the ethical debate surrounding the derivation of human embryonic stem cells and the current policies governing their use in the United States and abroad, including the rules and conditions regulating federal funding and questions of intellectual property.

Cervical laminoplasty for the treatment of ossification of the posterior longitudinal ligament was developed and refined in Japan during the 1970s. Since that time, various cervical laminoplasty techniques have been further analyzed and modified, and have proven to be clinically successful. Until now cervical laminoplasty has been practiced primarily in Japan, and surgeons outside Japan had only limited access to the detailed English literature needed to make full use of the procedures. This book fills that gap in English information and provides a detailed, up-to-date guide to performing safe and effective cervical laminoplasty. Drawing on the latest knowledge from Japan, the book covers the history of cervical laminoplasty, surgical anatomy, basic procedures, modified procedures, possible complications, and perspectives on the future of expansive laminoplasty. This volume by leaders in the field is an excellent guide for all surgeons interested in laminoplasty.

Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology focuses and highlights the pivotal role these two techniques play in modern obstetrics and gynaecology. Taking a problem-orientated approach, the book includes sections on menorrhagia, postmenopausal bleeding, endometrial malignancy, urogynaecology, ovarian masses, endometriosis, early pregnancy complications and infertility. A multi-contributed book with short, practical chapters, the book is well illustrated with more than 60 colour illustrations. Ultrasound and Endoscopic Surgery in Obstetrics and Gynaecology uniquely combines these two fields to demonstrate management of common gynaecological conditions based on accurate ultrasound diagnosis and minimal access treatment. An authoritative practical 'how-to' guide, this book will be invaluable for practitioners to learn and perfect both techniques and use them to their maximum potential.

For medical students, generalists, and specialists alike, Netter's Obstetrics & Gynecology, 4th Edition, provides superbly illustrated, up-to-date information on the conditions and problems most often encountered in OB/GYN practice. Classic Netter images are paired with concise, evidence-based descriptions of common diseases, conditions, diagnostics, treatments, and protocols. Large, clear illustrations and short, to-the-point text provide quick, authoritative access to expert medical thinking-perfect for gaining knowledge of this complex field, for everyday clinical practice, or for staff and patient education. Features concise, exquisitely illustrated coverage of Anatomy and Embryology, Gynecology and Women's Health, and Obstetrics. Contains more than 300 exquisite Netter images, as well as new, recent paintings by Carlos Machado, that provide a quick and memorable overview of each disease or condition. Includes eleven new chapters, including Sexuality and Gender Dysphoria, Alcohol Abuse in Women, Anal Incontinence, Cardiovascular Disease in Women, Genitourinary Syndrome of Menopause, Hereditary Cancer Syndromes, External Cephalic Version, and more. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Experimental and clinical researchers from a wide range of disciplines present a wealth of fresh scientific information on the biochemistry, molecular biology, pharmacology, and clinical activity of SERMs. The basic science chapters of the book focus-with an eye to the development of the ideal SERM-on the complex mechanisms of estrogen action, including ligand-dependent conformational changes in alpha and beta, and the recruitment of co-activators and co-repressors which modulate the estrogen receptor transcriptional activity and contribute to its crosstalk with growth factor signaling. The clinical presentation reviews the data accumulated on currently available SERMs, primarily tamoxifen and raloxifene, in cancer treatment and prevention, as well as their effects on the reproductive, vascular, skeletal, and central nervous systems. A tentative approach to menopause-related health issues is also provided for women with and without a previous diagnosis of localized breast cancer.

Updated, revised, and reorganized, the Second Editions in the Clinical Sciences reflect the format of the USMLE Step 2. Each volume systematically presents the core information of a single segment of the medical curriculum, from Family Medicine to Psychiatry. You will also learn time-honored tricks of the trade, as well as the latest advances in clinical medicine: new diagnostic tools, new therapeutic interventions, and new pharmacologic options.

Epigenetics is the study of how certain genes are activated without modification at the DNA sequence level, resulting in genetically similar individuals having different clinical outcomes. As contemporary medicine increasingly aims to personalize the medical approach to a patient's genetic profile, the factors that can affect which genes are expressed also increase in importance and relevance to the clinician. This text from experts will give the clinician in Reproductive Medicine a reliable grounding in current thinking and research on this fast-moving topic, with many clinical implications.

This authoritative textbook provides a much-needed guide for postgraduate trainees preparing for the European Board and College of Obstetrics and Gynaecology (EBCOG) Fellowship examination. Published in association with EBCOG, it fully addresses the competencies defined by the EBCOG curriculum and builds the clinical practice related to these competencies upon the basic science foundations. Volume 1 covers the depth and breadth of obstetrics, and draws on the specialist knowledge of four highly experienced Editors and over 100 contributors from across Europe, reflecting the high-quality training needed to ensure the safety and quality of healthcare for women and their babies. It incorporates key international guidelines throughout, along with colour diagrams and photographs for easy understanding. This is an invaluable resource, not only for postgraduate trainees planning to sit the EFOG examination, but also for practising specialists looking to update their knowledge and skills to meet the ever-evolving complexity of clinical practice.

The female patient with chronic kidney disease often requires care that differs from the male patient. Particularly in the pregnant patient, a specialized body of knowledge is required to provide optimal care. This book focuses on such issues encountered during pregnancy including physiology and pathophysiology of pregnancy, hypertension, preeclampsia, various electrolyte disorders, nephrolithiasis, pharmacological management in the pregnant patient with kidney disease and during breastfeeding, acute kidney and chronic kidney disease, dialysis of the pregnant patient, lupus nephritis, thrombotic microangiopathy, glomerular disease management, use of renal biopsy during pregnancy, care of the female transplant patient, contraceptive counseling and postpartum care, various endocrine disorders, and bone disease in the female patient with chronic kidney disease. This book features the latest evidence and clinical approaches for the beginner or for the experienced practitioners who care for pregnant woman or even for those who require expertise in women's health. Written by experts in the field, Obstetric and Gynecologic Nephrology: Women's Health Issues in the Patient with Kidney Disease is a valuable resource for clinicians and practitioners involved in the care and treatment of obstetric and gynecologic patients afflicted with kidney disease.