Across the world, 2 billion experience menstruation, yet menstruation is seen as a mark of shame. We are told not to discuss it in public, that tampons and sanitary pads should be hidden away, the blood rendered invisible. In many parts of the world, poverty, culture and religion collide causing the taboo around menstruation to have grave consequences. Younger people who menstruate are deterred from going to school, adults from work, infections are left untreated. The shame is universal and the silence a global rule.

In It's Only Blood, Anna Dahlqvist tells the shocking but always moving stories of why and how people from Sweden to Bangladesh, from the United States to Uganda, are fighting back against the shame.

Follow the amazing journey of the earliest stages of human life, with month-by-month development shown in unprecedented detail. The complex concepts and processes of emerging life are demystified in clear, jargon-free text, while specially commissioned 3D images, extraordinary photographs, and detailed artworks illustrate every aspect of human pregnancy. The 3D artworks, illustrations, scans, and photographs show exactly how a baby changes and grows during pregnancy, and how the female body adapts to carry it. A chapter on labour and birth explains these processes with step-by-step illustrations and easy-to-grasp text. The Science of Pregnancy also looks at the nature of human pregnancy, including how it evolved, and explores the anatomy and physiology of both the male and female reproductive systems. The mysteries of DNA and genetics are unravelled and explained in clear, illustrated detail, including patterns of inheritance and the interplay of genes and environment. The book also provides straightforward, illustrated information on possible problems before, during, and after birth.

Known and accepted as the leading textbook in its subject area, Clinical Gynaecology is now in its fifth edition. The content of this new edition has been completely revised and updated to include the latest research and continues to provide a comprehensive review of the field of gynaecology. Clinical Gynaecology covers the full spectrum of gynaecological information (basic science, general gynaecology, endocrinology and reproductive medicine, contraception, urogynaecology, and is applicable internationally as well as within southern Africa. (An e-book of a Quick Reference Guide is available as a free download. Instructions on how to download the e-book are on the inside front cover of the book).

The PROMPT (Practical Obstetric Multi-Professional Training) course covers the management of a range of obstetric emergency situations. Over the past five years, there has been increasing evidence that PROMPT training is having significant impact on outcomes in the UK, and internationally. In 2016, PROMPT was recognised in the NHS England: National Maternity Review. The PROMPT training package consists of interactive lectures, drills and workshops, providing hands-on experience of practical skills and team-working in simulated obstetric emergency situations. This third edition has been comprehensively updated in line with recent evidence and national and international guidelines to reflect the latest research and current clinical practice. There are new modules, algorithms, implementation tools, scenarios and videos. The course manual is essential reading for all those attending a local PROMPT course. It is also useful as a stand-alone textbook, providing evidence-based, up-to-date information for any health professional involved in maternity care.

Obstetrics is a unique field of medical care because, in its uncomplicated or natural form, pregnancy, labour and delivery are not diseases, but normal physiological events constituting an integral part of human life. Three equally important facets form the basis of obstetrics: the needs of the pregnant woman, the wellbeing of the baby, and the ability to perform a medical intervention should either of these be threatened — before, during and after birth. Clinical obstetrics is an authoritative and up-to-date textbook dealing with current obstetric practice and focusing specifically on conditions and problems prevailing in South Africa.

Clinical obstetrics covers a wide range of topics from physiological adaptations, diagnosis and management of normal pregnancy and delivery, to teratogenesis, red cell allo-immunisation, congenital abnormalities and pre-term labour. It also discusses the risks involved in poor progress in labour, abnormal fetal lie and presentation, viral infections and multiple pregnancies. There are separate sections for medical and surgical conditions, as well as diagnostic procedures.

Clinical obstetrics is aimed primarily at medical students, but will also be of great value to nurses, registrars in obstetrics and gynaecology, general practitioners and specialists in this field.

This accessible text expands on the recommendations of the American College of Obstetricians and Gynecologists' Well Woman Task Force (WWTF) to provide a practical guide to conducting a successful well-woman visit. Background chapters summarize the history of the WWTF and rationale and evidence supporting periodic health visits, explain the principles of early diagnosis and prevention, and offer advice on the practical side of conducting a visit, including considerations for special populations. Chapters detail each component of the visit, first explaining the scope of a problem, the rationale for screening or prevention, and the factors that alter a screening. The WWTF recommendations are then summarized and advice is offered on how to apply them. Case studies and advice on how to identify and assess new guidelines are also provided, ensuring providers are well-equipped to offer efficient and effective care.

This book, written by leading international experts in the field, offers a comprehensive overview of the latest developments in breast reconstruction. A particular feature is the presentation of a multitude of new clinical techniques, with high-quality supporting illustrations. The opening sections document the history of breast reconstruction, describe the anatomy of the pectoral muscles, pectoral nerves and perforator flaps and provide guidance on preoperative imaging and planning. After full documentation of techniques (including use of autogenous tissues and prosthetic implants), further sections are devoted to the effects of chemotherapy and radiation, the role of angiography and thermography, monitoring, quality of life outcomes and complications and their management. The book will be invaluable both for residents and fellows and for practicing and highly experienced cosmetic surgeons, plastic surgeons, general surgeons, and those in cosmetic surgical subspecialties.

Crib death or sudden infant death syndrome is the most frequent death-causing syndrome during the first year of life, striking one infant in every 700-1,000. Despite a wide spectrum of theories and years of research, crib death remains a great enigma. This book describes systematic studies of the cardiovascular system and autonomic nervous system carried out in a large number of infants, newborns, and fetuses who have died suddenly and unexpectedly, as well as in age-matched control cases. The cardiovascular and neuropathological findings are presented in detail and the relationship between crib death and unexplained perinatal death is discussed. This monograph will aid pathologists, forensic pathologists, pediatricians, obstetricians and neonatologists in recognizing all potential morphological substrata. It puts forward a well-researched standardized postmortem protocol to be applied in all cases of sudden unexpected infant and perinatal death.

Female genital malformations represent miscellaneous deviations from normal anatomy. With a prevalence of approximately 6% in the general population, they might be associated with health problems, potentially dangerous complications or poor reproductive outcome depending on the type and the degree of the anatomical abnormality. During the last two decades the better understanding of their pathogenesis, the availability of new non-invasive techniques for their diagnosis and the increased experience from their treatment have radically changed their management. A new, clinically oriented classification system has now been developed facilitating their evidence-based appraisal. It is a reality that the management of female genital malformations has changed rapidly during the last few years from an experience based and mainly descriptive field to a scientific evidence-based one. This book presents all uterine, cervical and vaginal anomalies in a systematic way and the new ESHRE/ESGE classification system utilised for their categorization. In addition, their embryogenesis and etiology are summarized. The diagnostic work-up of women with female genital malformations is reviewed in an evidence-based fashion and taking into account the availability of new non-invasive diagnostic methods. The treatment strategy and the therapeutic alternatives to restore health and reproductive problems associated with their presence are critically reviewed.

Obstetrics is a unique field of medical care because, in its uncomplicated or natural form, pregnancy, labour and delivery are not diseases, but normal physiological events constituting an integral part of human life. Three equally important facets form the basis of obstetrics: the needs of the pregnant woman, the wellbeing of the baby, and the ability to perform a medical intervention should either of these be threatened - before, during and after birth. Clinical obstetrics: a South African perspective is an authoritative and up-to-date textbook dealing with current obstetric practice, focusing specifically on conditions and problems prevailing in South Africa. Clinical obstetrics: a South African perspective covers a wide range of topics from physiological adaptations, diagnosis and management of normal pregnancy and delivery, to teratogenesis, red cell allo-immunisation, congenital abnormalities and pre-term labour. It also discusses the risks involved in poor progress in labour, abnormal fetal lie and presentation, viral infections and multiple pregnancies. There are separate sections for medical and surgical conditions, as well as diagnostic procedures. Clinical obstetrics: a South African perspective is aimed primarily at medical students, but will also be of great value to nurses, registrars in obstetrics and gynaecology, general practitioners and specialists in this field.

This eagerly awaited book offers a unique, comprehensive scientific study of the anatomy of the organ of female sexual pleasure. The authors use macroscopic and microscopic research to guide the reader from the glans, the visible part of the clitoris, where they explore the impressive sensory corpuscles, to the hidden roots of the bulbo-clitoral organ. They show its complexity, its exact location within the external genitalia and its intimate relationship with the urethro-vaginal pyramid. They also remind us that throughout history there has been a failure to understand this organ, and explain that this misunderstanding remains the cause of persistent excisions, criminal mutilating practices that have not yet been eradicated. Using extensive iconography, they demonstrate throughout this book that the bulbo-clitoral organ is an exceptional natural treasure that every woman possesses and that every man should know well.

Written by a world-renowned expert in perinatal pharmacology, this essential reference contains current, complete, and evidence-based information on the transmission of maternal drugs into human milk. Because so many women ingest medications while breastfeeding, one of the most common questions encountered in pediatrics is: Which drugs are safe and which are hazardous for the infant? This 2019 edition has been extensively revised, and now includes 39 completely new and 331 updated medications, and state-of-the-art coverage of multiple diseases, vaccines, and syndromes. It addresses the use of radiopharmaceuticals, chemotherapeutic agents, and vaccines in breastfeeding mothers, and covers adult concerns, methods of reducing risk to infants, and infant monitoring. New to the 2019 Edition: An updated design for easier access to information Drug names in running heads for easier reference The latest information on the impact of prescription medications, over-the-counter drugs, herbs, and street drugs Updates to existing drug monographs Key Features: Evidence-based, current information on over 1300 drugs, diseases, vaccines and syndromes Dr. Hale's renowned "Lactation Risk Categories" Adult concerns, adult dose, pediatric concerns, infant monitoring, and alternatives Key points and savvy tips about breastfeeding and medications for quick reference Succinct information about evaluation of the infant Common abbreviations and drugs listed in alphabetical order

Approximately five million children have been born worldwide as a result of assisted reproductive technology (ART). These techniques are now practised independently in most of the world's nations. Although the vast majority of ART parents and children are healthy following the procedures involved, there is an imperative to maintain a high standard of practice and monitor outcomes carefully. Interpretation of outcome data is difficult for a variety of reasons. As ART technologies evolve and new variants are established, the need for robust assessment of outcomes increases. This book gives a thorough review of potential complications of ART, with detailed analysis of outcome data for the various conditions described. A worldwide perspective is given throughout, with an international team of chapter authors.

Bestselling health authors present must-have information for managing endometriosis

Endometriosis is a serious disease associated with pain, immune dysfunction, infertility, cancer, and autoimmune diseases that can be managed only through active, informed decision making. Developed by the Endometriosis Association, Endometriosis provides new information on treatments and lifestyle changes that gives women with endometriosis and their families the tools they need to successfully manage the disease.

This authoritative guide contains groundbreaking new discoveries on endometriosis and its relationship to autoimmune problems, chronic fatigue syndrome, fibromyalgia, and other poorly understood diseases.

Endometriosis also includes new information on:

• Cutting-Edge Therapies for Pain Relief
  
• New Information on Nutrition and Alternative Treatments
  
• The Latest Research on Medical Therapies
  
• Special Sections on Menopause, Teens with Endo, Cancer, and Environmental Toxins
  

Birgit Kumbrink's bestselling guide to K-Taping - now available in its 2nd edition! This richly illustrated hands-on guidebook features a highly successful therapeutic approach to treating orthopedic, traumatological, and many other conditions has now been extended to include 20 additional application techniques for the fields of neurology and gynecology (including pre- and post-natal). This practical guide provides all the background information physiotherapists, sports physiotherapists, medical doctors, occupational therapists and health care professionals need. It serves both as a perfect companion to training courses and as a reference book and refresher and shows how to use the specially developed elastic K-Tape most effectively. A brief introduction to the basic principles of K-Taping, the special elastic tapes used and the method's history is followed by 9 chapters highlighting treatment techniques and their application to nearly 70 frequently seen conditions. Each is featured on a double page with up to five color photos, brief instruction, practical information about symptoms, dosage, progress to be expected and tips regarding variations of techniques. As the benefits of K-Taping in enhancing the effects of other conservative care and surgical treatments are getting more and more appreciated, Birgit Kumbrink's "K-Taping - An Illustrated Guide", developed by Germany based K-Taping Academy, has rapidly established itself as the ultimate reference book for therapists and clinicians in an ever expanding range of medical disciplines.

Obstetric emergencies are unplanned and often unanticipated. Management requires a clear understanding of the life-saving and damage-limiting treatments that can be implemented.

This book presents the current trends and practices in breast imaging. Topics include mammographic interpretation; breast ultrasound; breast MRI; management of the symptomatic breast in young, pregnant and lactating women; breast intervention with imaging pathological correlation; the postoperative breast and current and emerging technologies in breast imaging. It emphasizes the importance of fostering a multidisciplinary approach in the diagnosis and treatment of breast diseases. Featuring more than 800 high-resolution images and showcasing contributions from leading authorities in the screening, diagnosis and management of the breast cancer patient, "Breast Cancer Screening and Diagnosis" is a valuable resource for radiologists, oncologists and surgeons.

An A-Z practical guide on the pharmacology and toxicology of pregnancy and nursing

"Medication Safety in Pregnancy and Breastfeeding: The Evidence-Based, A-to-Z Clinician's Pocket Guide" gives you comprehensive, authoritative coverage on the effects of prescription and over-the-counter drugs as well as herbals, chemicals, and radiologicals, on the mother, fetus, and nursing child. Organized A-Z for ease of use, this hands-on resource also includes evidence-based recommendations from the renowned Motherisk Program at the Hospital for Sick Children in Toronto.

The second edition of this book has been extensively revised and updated. There have been numerous scientific advances in the radiology, pathology and risk assessment of benign breast lesions since the publication of the first edition. The first edition concentrated on screen-detected lesions, which has since been rectified; new symptomatic and screen-detected lesions are discussed in the second edition and include: mastitis and breast abscesses, idiopathic granulomatous mastitis, diabetic mastopathy, phyllodes tumours, gynaecomastia and pseudoangiomatous stromal hyperplasia. The chapters on columnar cell lesions and mucocele- like lesions have been extensively updated. Where applicable, genetic analysis of the benign lesions, which is becoming part of personalised medicine in the field of breast cancer, has been included. The book also presents detailed analyses of the main models, such as the Gail Model, used to assess the subsequent risk of breast cancer in individuals. The current trend in the management of all cancers is preventative. Screening mammography detects early curable cancers as well as indeterminate lesions, the latter of which are invariably pathologically benign. The author has collated important benign lesions and, based on peer-reviewed publications, has documented the relative risk of subsequent cancer to allow the patient and the clinician to implement preventative measures where possible. This book will therefore serve as an essential component of multidisciplinary management of patients with symptomatic and screen-detected benign breast lesions.

Important advances have been achieved in vertical scar mammaplasty since the successful first edition of this book, which described the fundamentals of the technique. This new, completely revised and updated edition fully reflects the evolution in vertical scar mammaplasty during the past decade. Previously published procedures have been refined, and a variety of newer techniques are presented, including several breast reduction procedures using a short scar and techniques of mastopexy that pay specific attention to enhancement of breast projection and upper fullness. Extensive consideration is also given to the management of complications and suboptimal treatment outcomes. An impressive list of international authors have contributed to the book, each describing their own technique step by step in the manner of a manual. The surgical techniques are precisely depicted in high-quality illustrations, and readers will also have access to videos that will shorten the learning curve.

‘Fascinating and moving.' - Adam Kay, author of This is Going to Hurt

This is a story about the cutting-edge medicine that has saved a generation of babies.

It's about the love and fear a parent feels for a child they haven’t yet met.

It's about doctors, mothers, fathers and babies as together they fight for the first breath.

The First Breath is the first popular science book about the pioneering fetal and neonatal medicine bringing a new generation into the world – a generation of babies without precedent, who would not have lived if they had been born only a few decades ago.

Olivia Gordon explores the female experience of medicine through her own personal story and sensitive, intimate case histories of other mothers’ high-risk births. She details the relationship mothers develop with doctors who hold not only life and death in their hands, but also the very possibility of birth.

From the dawn of fetal medicine to neonatal surgery and the exploding field of perinatal genetics, The First Breath tells of fear, bravery and love. Olivia Gordon takes the reader behind the closed doors of the fetal and neonatal intensive care units, resuscitation rooms and operating theatres at some of the world’s leading children’s hospitals, unveiling the untold story of how doctors save the sickest babies.

As the second volume in the Essentials of Diagnostic Gynecological Pathology series sponsored by the British Association of Gynecological Pathologists, Pathology of the Ovary, Fallopian Tube and Peritoneum is one of the very few dealing wholly with this subject. Pathology of the Ovary, Fallopian Tube and Peritoneum introduces the topic with a discussion of the anatomy, development, histology and normal function of the ovary, followed by chapters on non- neoplastic disorders of the ovary; surgery and medical management of ovarian cancer; and the use of imaging, frozen sections and cytology in ovarian pathology. The book then goes on to describe specific disorders of the ovary, fallopian tube and peritoneum in detail, and finishes with a chapter on specimen cut-up. Pathology of the Ovary, Fallopian Tube and Peritoneum has been written to be useful diagnostically to general as well as specialist gynecological histopathologists and pathologists in training. Gynecologists, oncologists, genitourinary physicians and cancer nurse specialists will find expert insights here that will help in treatment and counselling of their patients.

This is a study of the work and life of district midwives from 1948 to 1972 in Nottingham, which was one of the last UK cities to build a central maternity unit. The author statistically examines the outcome of home births in the area, taking into account the Parliamentary Reports of 1992 and 1993 and demonstrating the safety and value to society of district midwives.

Reports on the study of drug consumption by 602 pregnant women.

This book provides a comprehensive account of the cellular pathology of glandular lesions and uncommon neoplasms of the cervix and places these in a contemporary clinical context. The book features comprehensive, detailed descriptions and a consistent approach to each tumor or tumor-like condition with clear color illustrations. Cytological/histological correlation is emphasised and diagnostic pitfalls are highlighted. Cellular Pathology of Glandular Lesions and Uncommon Neoplasms of the Cervix is aimed at both trainee and consultant pathologists.