Gynaecologists Catherine and Reg Hamlin left Australia in 1959 on a short contract to establish a midwifery school in Ethiopia. Over 40 years later, Catherine is still there, running one of the most outstanding medical programmes in the world. The Hamlins dedicated their lives to women suffering the catastrophic effects of obstructed labour. The awful injuries that such labour produces are called fistulae, and until the Hamlins began their work in Ethiopia, fistula sufferers were neglected and forgotten - a vast group of women facing a lifetime of incapacity and degradation. Catherine and Reg, with their team of dedicated fistula surgeons, have successfully operated on over 25,000 women, and the Addis Ababa Fistula Hospital, the hospital they opened in 1974, has become a major teaching institution for gynaecologists from all over Ethiopia and the developing world. Since Reg's death, Catherine and her team have continued the work.

This book presents the latest evidence-based guidelines for perinatal management and is designed to help obstetricians and neonatologists minimize complications and offer patients the best possible care. Since 1960, there has been a significant increase in basic and clinical investigations on normal and pathological pregnancy in the developed world. This has provided insights into the physiopathology of pregnant women, fetuses and newborns and led to the development of new technologies, bringing about a new medical subspecialty: perinatal medicine. The book is divided into eight main sections: The first examines basic periconceptional care and discusses the ethical aspects of perinatology. The next section focuses on prenatal considerations, such as the nutritional aspects of gestation and puerperium, physical exercise during pregnancy, routine laboratory tests, prenatal care of multiple gestations and the role of the neonatologist in prenatal care. The third and fourth sections then explore fetal evaluation, and clinical intercurrences in pregnancy, respectively. The next section addresses pregnancy complications: prevention, diagnosis and management. The sixth section covers the basic aspects of congenital infections and the seventh examines labor and delivery aspects. Lastly, the final section includes chapters on neonatal assistance. Written by leading experts in obstetrics, neonatology, and perinatology, this thoroughly updated, comprehensive resource reflects the latest information in all areas, including genetics and imaging.

Is women's destiny rooted in their biology? Since the end of the eighteenth century the science of gynecology has legitimized the view that women are "naturally" fitted for activities in the private sphere of the family. This book argues that the definition of femininity as propounded by gynecological science is a cultural product of a wider, more political context. Providing a unique account of gynecology in practice, it shifts the historical focus from the use to the production of ideas about "women's nature." Dr. Moscucci traces the origins of gynecology to the emergence of a predictable "science of man" in the late eighteenth century and charts the ideological, professional and institutional development of the subject up to the foundation of the Royal College of Obstetricians and Gynaecologists in 1929. Case-studies of Victorian gynecological practice at two London hospitals illustrate the changing pattern of institutional gynecology, affording valuable insight into the relationship between gynecologists and patients. The book also stresses the equal importance of class and gender ideology in shaping medical views about women's diseases and their treatment.

Most women initially discuss health-related matters with a medical practitioner in a primary care setting, whether they have specific concerns or are seeking advice and guidance. This practical and comprehensive guide will help primary care practitioners to deliver holistic women's health care to patients throughout different life stages. Contraceptive choices, infertility, pregnancy, and menopause are covered, along with specific diseases such as ovarian cysts, breast conditions, and ovarian cancer. All of the authors are GPs, consultants and nurses with experience of the requirements for healthcare delivery in the primary care setting. Each chapter is written in a practical style, including a list of key points and using cases to illustrate the application of the content. This will be invaluable reading for GPs, doctors in training roles, and nurses with an interest in women's health. It will be particularly useful for candidates preparing for the DRCOG or MRCGP examinations.

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.

Dieses Buch gibt einen Uberblick uber die aktuellen Moglichkeiten der Praimplantationsdiagnostik, der pranatalen Diagnostik und die intrauterinen Behandlungsmoglichkeiten.

Neben den invasiven Methoden wurden in den vergangenen Jahren immer mehr pranatale nicht-invasive Untersuchungsmethoden etabliert, die als grosser Fortschritt in der Pranatalmedizin angesehen werden: Bluttest auf Trisomie 21 Array-CGH (vergleichende Gen Hybridisierung)Ultraschall

Weiterhin nehmen auch die Moglichkeiten intrauteriner Therapien zu: Chirurgische EingriffeMedikamentose Behandlungen

Herausgeber und Autoren stellen nicht-invasive und invasive Methoden vor. Sie setzen sich neben der Beschreibung der Methoden kritisch mit ethischen und rechtlichen Aspekten auseinander und diskutieren Moglichkeiten und Grenzen."

This book is a practical guide for medical practitioners as they navigate through breastfeeding problems that occur in day-to-day practice. If mothers have a breastfeeding complication they are often directed to their GP. In complex situations, medical staff will be making decisions around what treatment plan to follow and whether a mother can keep breastfeeding. In recent years there has been growing evidence that medical professionals often advise mothers to stop breastfeeding while undergoing treatment, when in reality this was not a necessary step. In a time when breastfeeding rates are decreasing, it is important that medical professionals give accurate advice and support a mother's choice to breastfeed if the situation allows it. A Guide to Supporting Breastfeeding for the Medical Profession includes contributions from a wide range of medical professionals and each chapter is written with the practitioner in mind. Contributors include GPs, paediatricians, neonatologists, lactation specialists and midwives. Doctors have a vital role to play in supporting and facilitating breastfeeding, and without the appropriate knowledge they can often inadvertently sabotage it. This book will be of interest to GPs and paediatricians as well as nurse prescribers, midwives and health visitors.

Die arztliche Handlung bedeutet in der Regel einen Eingriff in die korperliche Integritat seines Patienten. Hierbei gehen Patient und Arzt unterschiedliche Risiken ein: der Patient gesundheitlich, der Arzt solche der Haftung fur Untersuchungs- oder Behandlungsfehler. Insbesondere im Krankenhausbetrieb mit der Anhaufung unterschiedlicher Fachbereiche und Berufsgruppen treten haftungsrelevante Problemzonen zunehmend in den Vordergrund. Gefragt ist nach der optimalen Organisation von arztlicher Handlung im Einvernehmen mit anderen Berufs- und Fachgruppen. Neben der arztlichen Handlung als Prozessparameter entstehen viele Konflikte aus strukturellen und organisatorischen Defiziten. Die ublichen gefahrentrachtigen Bereiche der Struktur, der Fortbildung, der Aufklarung, der Dokumentation, der Vertragsgestaltung und der Organisation werden aus der Sicht des Risikomanagers abgedeckt."

As more premature infants survive the immediate neonatal period and require prolonged periods of hospitalization, researchers in fetal development and infancy have begun to reassess the strategies for their care. In the past, the focus of neonatal intensive care was to sustain life, with little attention to the quality and implications of survival. Today, however, researchers and clinicians are seeking to enhance the development of these small infants by ameliorating the effects of extreme prematurity and the associated medical and surgical complications. This book reports the work of leading researchers who have begun to use a variety of developmental interventions in the management of small infants in neonatal intensive care units.

This book promotes an evidence-based paradigm of fetal heart rate monitoring during labour, with a move away from the traditional 'pattern-based' interpretation to physiology-based interpretation. Chapters are presented in a systematic and accessible format, covering topics such as non-hypoxic causes of fetal brain injury, pre-existing hypoxia, types of intrapartum hypoxia, erroneous monitoring of maternal heart rate, fetal scalp blood sampling and fetal ECG (STAN), intermittent auscultation and medico-legal issues. Sections on 'pearls' and 'pitfalls' highlight good practice and common errors to promote best practice. End-of-chapter exercises allow the reader to engage with the theory and test their knowledge of key areas. This is a highly practical manual aimed at obstetricians and midwives, particularly those undergoing CTG training. The book will also be very useful to midwifery and medical students and to all those involved in multiprofessional intrapartum care.

With the advent of Assisted Reproductive Technologies, our understanding of the reproductive system in both men and women has progressed in an exponential manner. Along with this increase in knowledge has emerged new and advanced laboratories performing unique techniques aimed at diagnosing and treating infertility problems. And as these laboratories expand, the need for properly trained technicians has also emerged. But while many ART labs are staffed with biologists well trained in reproductive research techniques, they lack the necessary skills to effectively manage these labs. The Handbook of the Assisted Reproduction Laboratory addresses many of the management issues and basic background information on reproductive biology and medicine needed by the technicians staffing and directing these ART labs. Internationally recognized experts in the field discuss various topics in this handbook, which: oReviews male and female reproductive systems and processes oDiscusses the clinical diagnosis and management of male and female infertility oProvides new information on the state-of-the-art techniques of egg and embryo culture, micromanipulation, and biopsy oPresents various aspects of quality control, quality assurance, and clinical laboratory management With its in-depth analysis of management issues, as well as basic background information on reproductive biology and medicine, the Handbook of the Assisted Reproduction Laboratory serves as an ideal guide for current investigation and as a stimulus for future developments in the field.

Many health problems are unique to, more common in, or more severe in women than men. This book examines the underpinnings of these gender differences. Sections deal with biological (hormonal, anatomic, immunologic, and pregnancy-related), social, behavioural/psychological, and lifestyle influences. Chapters are heavily referenced, packed full with data, and they provide methodological insights that will guide future women's health research.

Since Roe v. Wade, there has been increasing public interest in fetuses, in part as a result of effective antiabortion propaganda and in part as a result of developments in medicine and technology. While feminists have begun to take note of the proliferation of fetal images in various media, such as medical journals, magazines, and motion pictures, few have openly addressed the problems that the emergence of the fetal subject poses for feminism.

Fetal Subjects, Feminist Positions foregrounds feminism's effort to focus on the importance of women's reproductive agency, and at the same time acknowledges the increasing significance of fetal subjects in public discourse and private experience. Essays address the public fascination with the fetal subject and its implications for abortion discourse and feminist commitment to reproductive rights in the United States. Contributors include scholars from fields as diverse as anthropology, communications, political science, sociology, and philosophy.

This timely volume provides scholars and reproductive rights activists a forum for dialogue about fetuses without conceding to a moral or political agenda that would sanctify them at women's expense.

Das Buch richtet sich an Gynakologen, die in vertrauter Sprache und Form Antworten auf spezifische juristische Fragen und Probleme suchen. Die gemeinsame Erarbeitung durch einen Juristen und Gynakologen erlauben eine hohe Praxisrelevanz bei gleichzeitiger juristischer Genauigkeit. Typische Situationen und Probleme des gynakologischen Alltags in Klinik und Praxis werden juristisch durchleuchtet. Sofort umsetzbare Antworten werden erganzt durch Checklisten und Praxistipps. Zukunftige Entwicklungen wie der Einfluss des europaischen Rechts auf die tagliche Arbeit oder auch Netzstrukturen werden berucksichtigt. Ein detailliertes Stichwortverzeichnis erleichtert das Auffinden der entsprechenden Themen. Das Buch richtet sich an Gynakologen aber auch an Arzte in der gynakologischen Weiterbildung in Klinik, Praxis und Verwaltung, um insbesondere Unsicherheiten in Bezug auf juristische Fragen dieses Fachgebietes zu nehmen.

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This text provides health care professionals dealing with obstretics and gynaecology with the essentials for meeting the nutritional needs of the patient group. It includes information related to changes in nutritional requirements with pregnancy and lactation, how to assess weight gain, suggestions to meet increased needs for specific nutrients important to the growth of a healthy child, and vitamin/mineral supplementation during preganacy and lactation. Practical suggestions are also given concerning breast feeding and for getting back into shape after delivery.

Benedictin was prescribed to more than thirty-five million American women from its introduction in 1956 until 1983, when it was withdrawn from the market. The drug's manufacturer, Merrill Dow Pharmaceuticals, a major U.S. pharmaceutical firm, joined a list of other companies whose product liabilities would result in precedent-setting litigation. Before it was over, the Benedictin litigation would involve 2,000 claimants over a fifteen-year period. Michael D. Green offers a comprehensive overview of the Benedictin case and highlights many of the key issues in mass toxic substances litigation, comparing individual and collective forms of litigation, and illustrating the misunderstandings between scientists and lawyers about the role of science in providing evidence for the legal system.

This volume is a practical guide for medical students during their clinical years, providing coverage of the common gynaecological conditions which will be most frequently encountered by the doctor in training. The text is designed to complement the practical experience gained by the student in the clinic, advocating a problem-solving patient-centred approach, and emphasizing the importance of clinical and communication skills.

This textbook provides a comprehensive review of gynecological imaging in infancy, childhood, and adolescence. Experts from the disciplines of pediatric radiology, gynecology, surgery, and endocrinology have come together to produce a textbook that, while written primarily from the perspective of the radiologist, will be of interest to all professionals involved in the management of these patients. The normal development of the female reproductive tract is described in detail through embryological development, normal childhood appearances, and puberty. Congenital abnormalities are addressed in chapters reviewing structural abnormalities of the reproductive tract and disorders of sex development. A symptoms- based approach is followed in chapters devoted to the assessment of the patient with gynecological pain and disorders of menstruation. Disorders of the breast and the imaging of patients with gynecological neoplasia are considered in dedicated chapters. The specialty of pediatric gynecology is evolving rapidly, drawing on the skills and expertise of professionals from a wide range of specialties. This textbook should prove valuable to all who are involved in this new field of medicine.

In this book Professor Dean-Jones gives a close analysis of theories concerning women's bodies in such authors as the Hippocratics and Aristotle. She demonstrates the centrality of menstruation in classical theories of female physiology, pathology, and reproduction, and suggests that this had both negative and positive repercussions in attitudes towards women's bodies in that society. In particular, she argues that many of the medical principles governing clinical practice on male patients derived from the observation that healthy women menstruate and women who are seriously ill tend not to. Many of the primary sources dealt with are not yet accessible in English, and to date research done on this material has appeared only in discrete articles, in several languages, and scattered in various publications. In addition to presenting many original theories, therefore, the book is important in assembling and presenting both original texts and the results of scholarly research on these texts in a way that is fully accessible to the non-specialist.

This book elucidates comprehensive, application-based knowledge in the field of human genetics from a scientific (Read) and clinical (Donnai) perspective. The respected authors, marvelous illustrations, the unique didactic structure and comprehension questions (with answers) have propelled this title on to the lists of numerous leading universities - including Harvard Medical School - in Britain and the USA. The editors of this licensed edition have adapted the translation to German circumstances and have added an additionalcase on sterility.

Recognition of the relationship between alcohol abuse and adverse prenatal outcomes is reflected in the warning labels on every alcoholic beverage sold in the United States. Because alcohol abuse has serious consequences for both individuals and society as a whole, much research has been devoted to this problem. Fetal Alcohol Syndrome provides straightforward facts regarding the impact of alcohol consumption as it affects the development of the embryo and fetus. Surveying current research of fetal alcohol syndrome and its related problems, the book addresses the immediate effects on development at various stages. Long-term action of prenatal alcohol exposure later in life is also considered. A chapter devoted to assessing the behavior of children who were prenatally exposed to alcohol emphasizes the necessity of longitudinal studies of fetal alcohol syndrome. This important reference offers a thorough overview of a problem that cannot be ignored.

In Manufacturing Babies and Public Consent, Jose Van Dyck sketches a map of the public debate on new reproductive technologies as it has evolved in the USA and Britain since 1978. Many people have participated in heated discussions on test-tube babies and in vitro fertilization, particularly medical researchers and feminists. The new technologies have been both embraced as the cure to infertility and condemned as the exploitation of women's bodies. Reconstructing this debate, Van Dyck juxtaposes a variety of textual material, from scientific articles to newspaper articles and works of fiction.

Birth is a sudden, traumatic transition of environments. Once the placental oxygen supply ceases, the foetus has only minutes to establish pulmonary oxygen transport, which requires not only inflation of the lungs, but also sudden and sustained changes in the lung circulation. Not long ago, research in this field was largely restricted to morphology and physiology. Now the powerful new tools of cellular and molecular biology have begun to
shed light on the physiological processes in the developing lung and its supporting vasculature.

In 22 chapters, three main sections explore lung growth and development, vascular cell growth and differentiation, and the mechanisms of hemodynamic control in the neonate; extensive illustrations give a comprehensive picture of pulmonary circulatory development. Factors controlling vasculogenesis and angiogenesis are described by the scientists who pioneered the field. Similarly, the intracellular signaling cascades that determine proliferation or growth inhibition of fibroblasts, smooth muscle cells, and endothelial cells are also presented in an understandable manner. Finally, the role of
substances, such as nitric oxide and endothelin, that control the hemodynamics of the fetal and neonatal circulations are discussed in detail, particularly in relation to the changes occurring at birth.

This book will inform basic scientists as well as the clinician and student, and should be of particular interest to pediatric cardiologists, pulmonary medicine physicians, and vascular biologists.