Fully revised and now in full-colour, the new edition of Pre-Obstetric Emergency Training (POET) will help practitioners identify and manage a range of time-critical obstetric emergencies, specifically in the pre-obstetric department setting. Providing structured examination and assessment techniques as an aid to determine what treatment should be provided before transport, this practical manual equips the practitioner with the knowledge necessary to save the mother and fetus in life threatening circumstances before admission to the hospital. New to the second edition are chapters covering non-technical skills and communication, as well as complicated labour and delivery. Designed to accompany the associated Advanced Life Support Group training course, Pre-Obstetric Emergency Training serves as an authoritative guide for a range of pre-hospital practitioners dealing with specialist situations.

This book brings together the most up-to-date information about the physiology of progestogens. Addressing the bidirectional communication between hormones, fertility, tumors, and autoimmunity, it provides the basic science and clinical perspectives of progestogens which have not been previously available in one volume. In addition to estrogens, androgens, mineralocorticoids and glucocorticoids, progestogens are a major class of steroid hormone. While present in certain phases of estrous and menstrual cycles, progestogens are named for their function in maintaining pregnancy. This book is essentially practical in orientation, addressing the specific issues that confront the practitioner, and provides information to Obstetricians, Gynecologists, Reproductive endocrinologists, as well as Gynecological Oncologists and Rheumatologists. Contributions are from an international team of experts in the field, now completely updated in this new edition with new developments in primary dysmenorrhea and contraception.

This casebook profiles exceptional traumatic injury prevention programs from all over the globe. Its detailed description and analysis employ a multi-stage process of identifying, evaluating, and casing effective prevention practices. The case studies reflect how legislative and regulatory information impact prevention efforts and provide insight into how national centers for injury prevention and control inform prevention practices on countrywide levels. The authors work with outcome-based research criteria to select and develop their comprehensive and contextually aware profiles of the programs. All included case studies follow the BRIO approach (Background, Resources, Implementation, and Outcome) - a model designed to provide a consistent way of describing programs that have been evaluated and found to be exceptional practices. The scope of the Casebook ranges across: The challenge of traumatic injury prevention Sports and recreation-related traumatic injury prevention Fall-related traumatic injury prevention Road traffic-related traumatic injury prevention Traumatic injury prevention within complex systems In its recognition of traumatic injury prevention across the lifespan as a critical and complex public health challenge, the Casebook of Traumatic Injury Prevention promises to be an influential and authoritative resource for professionals and students in public health, safety, injury prevention, medicine, psychology, sociology, nursing, and engineering. Government agencies and institutions such as the Centers for Disease Control and Prevention (CDC), public health departments, and safety associations also would find the Casebook relevant to their work.

Understanding Ovarian Cancer, Second Edition, provides essential information on ovarian cancer in a highly illustrated, easy-to-understand manner. The second edition has been completely revised, bringing it up to date with current guidelines. This chart defines ovarian cancer and includes updated information on risk factors, signs and symptoms, and diagnosis, among other areas. It also illustrates and describes stages I through IV of ovarian cancer, showing locations of cancer spread. Featured sections: What Is Ovarian Cancer? Risk Factors Signs and Symptoms Diagnosis Treatment Options Risk Reduction Stages of Cancer Illustrations included: Female reproductive anatomy Tumor on ovary surface Cancer cells in abdominal fluid Large, detailed illustrations of each stage of ovarian cancer 20" x 26" heavy paper laminated with grommets at top corners

This book presents models describing HIV transmission rates at population level, discussing the main statistical methods and analytical interventions. It also assesses the practical applicability of the various modelling techniques, offering readers insights into what methods are available and, more importantly, when they should be used to address HIV transmission at global level. The book includes realistic simulation models fitted to clarify the rate of HIV mother-to-child transmission (HIV MTCT), and substantiates the conclusions that can be drawn as well as the appropriate time for making global-level clinical decisions concerning people living with HIV/AIDS (PLHIVs). Intended for students, academics and researchers, the book offers more than just an introduction to the topic - it also features in-depth, yet easy-to-understand, descriptions of a new mathematical/statistical HIV mother-to-child transmission model, making it a useful resource for clinicians, public health workers and policymakers involved in implementing HIV-prevention programmes at national /global level.

This book describes essential operative techniques that can be used to anatomically reconstruct the outer female genital in acquired deformities derived from ritual genital mutilation/cutting, and diseases causing similar deforming defects. Following an introduction with general insights on the topic, the main chapters deal with basic considerations and special anatomical information. With the help of high-quality videos and images, the reader receives detailed instructions on clitoral and vulvar reconstruction with techniques invented by the author, named the NMCS-procedure, the OD-flap and the aOAP-flap procedures. The book is rounded out with chapters describing postoperative care and how to manage complications. The integrity of their outer genitals is important for patients' physical and psychological wellbeing. As such, the vulva is now receiving increasing attention and will likely continue to grow in importance in plastic surgery. The author, who has developed outstanding procedures for vulvar and clitoral reconstruction over the years, shares his considerable experience and hopes to highlight the importance of these methods to overcome the burden of female genital mutilation/cutting.

This book provides an overview of the latest knowledge of the psychological aspects of polycystic ovary syndrome (PCOS), and paves the way for advances in this rapidly evolving field. Taking an evidence-based approach, the book elucidates the ways in which PCOS causes anxiety and depression, impacts Quality of Life (QoL), and is associated with other psychological issues. The psychological impact of key features of PCOS are explored too, with a special focus on insulin resistance / diabetes, and fertility issues. The book concludes with a chapter on practical recommendations on how best to help with anxiety and depression in PCOS. An important feature of this book is its identification of the ways in which testosterone, a defining characteristic of PCOS, impacts psychology. In doing so it fills a lacunae in current research and offers evidence that maps out the complex ways in which biology impacts psychology in PCOS, and also how psychology can be harnessed to impact biology in a positive way. It will appeal in particular to scholars and clinicians in the fields of health psychology and women's health.

"Pregnancy and Childbirth" presents the best evidence for the care of pregnant women to doctors, midwives, students and parents. The logical sequence of chapters and the index give quick access to the abstracts of over four hundred Cochrane systematic reviews. The book serves both as a stand-alone reference, and as a companion to locating full reviews on the Cochrane Library.

The Cochrane Library is published by John Wiley on behalf of The Cochrane Collaboration.

www.thecochranelibrary.com

This book is a practical, evidence-based resource covering thyroid disease and its effects on reproduction and fertility, discussing thyroid function and dysfunction - hypothyroidism and hyperthyroidism, thyroid nodules and cancer - during pregnancy as well as its effects on the fetus. It begins with a review of the anatomy and function of the thyroid and the biosynthesis and physiology of thyroid hormones, as well as the pathophysiology of thyroid dysfunction. The chapters that follow discuss thyroid function and dysfunction (e.g., hypothyroidism and hyperthyroidism) during pregnancy and its effects on fertility as well as the developing fetus. The management of thyroid nodules and cancer, the role of thyroid dysfunction in infertility, the role of thyroid autoimmunity and miscarriage, and postpartum thyroiditis are presented in detail in the concluding chapters. Clinical cases and outcomes bookend each chapter, demonstrating current management strategies for a well-rounded presentation. Filling a clear gap in the literature usually covered only briefly in larger texts on the thyroid, Thyroid Disease and Reproduction: A Clinical Guide to Diagnosis and Management is a unique resource for reproductive endocrinologists, obstetrician/gynecologists, and residents and students in these clinical areas.

This book investigates the most effective behavior change communication (BCC) strategies to reach socio-economically vulnerable mothers to promote early initiation of breastfeeding after birth in rural Niger. It thereby goes beyond conventional research frameworks by looking into multifaceted indicators including socio-economic and demographic status of mothers, environmental health, family and community based social network and typology of field activities. The book analyses demographic indicators by using field based pragmatic perspectives to scrutinise what the numbers tell in the local context. It also analyses a unique dataset of non-health related indicators such as income poverty to measure socio-economic vulnerability of mothers, involvement of and interactions with other family and community actors in child healthcare in addition to conventional socio-economic, demographic and health seeking behavioural indicators. The book draws policy and strategy recommendations based on the thorough analysis of each risk and protective factor for breastfeeding after birth to redirect technical and financial investment towards its most effective use for the optimal coverage of populations deprived from access to basic health and social services. As such this book is a very valuable read to researchers, public health and nutrition experts and decision makers in child health.

The only text to focus specifically on advanced health assessment/management of women This authoritative text for busy clinicians, advanced practice students, and faculty delivers essential content focused on improving the quality of healthcare provided to women/persons with a vagina across the lifespan. Brimming with new and updated content, the fifth edition reflects the most current evidence-based clinical practice guidelines available. It includes 14 new chapters written by experts in their field and the addition of disease management content, especially medications. Chapters are enhanced with management/pharmacology summary charts and case studies with discussion questions. The use of two colors improves readability, and amplified Instructor Resources include key statistics/epidemiology, learning objectives, suggested student activities and self-assessment questions, and UAB videos. Using a clear, concise outline format, this user-friendly text delivers quick, comprehensive information regarding the health assessment and management of women/persons with a vagina. It defines the role, skills, and scope of practice of different health providers and illuminates a variety of assessment skills, techniques, and procedures used by advanced practice clinicians in everyday practice. Sample assessment forms are integrated throughout along with numerous educational handouts for patients. Discussion of techniques includes a comprehensive list of requisite equipment and information on patient prep and recommended follow-up. Boxes, tables, and figures throughout reinforce key information. Purchase includes access to eBook for use on most mobile devices or computers. New to the Fifth Edition: Fourteen new chapters Telehealth in women's health Vaginal health and vaginal microscopy Mental health screening Preconception care Complementary and alternative medical therapies Adolescent health Lactation assessment and management Female veterans Male sexual and reproductive health Amenorrhea PMS/PMDD Sexual health and related problems Human trafficking The contraceptive consult Expanded breast health including breastfeeding Transgender care Updates on screening instruments Best-practice apps Case studies Management/treatment summaries Enhanced instructor package including key statistics/epidemiology, learning objectives, student activities, and self-assessment questions Two-color printing to improve readability Step-by-step videos of five office gynecology simulations from UAB Key Features: Delivered in outline, bulleted format for speedy reference Reflects the most current evidence-based clinical practice guidelines Offers easy-to-follow, step-by-step coverage of procedures Addresses treatment/management of multiple conditions Includes detailed illustrations

"MRCOG Short Essay Questions" is the essential aid for all trainees studying for the membership examination of the Royal College of Obstetricians and Gynaecologists.

This book contains 150 short essay questions, clearly structured to facilitate both learning and practice. Questions are divided primarily into obstetrics and gynaecology and secondly by main topics such as infertility, operative gynaecology and antenatal care. The answers are written in the form of bullet points; a format that not only clearly identifies the key points but also emulates the structure of the model answers given to the examiners by the RCOG.

Khaldoun Sharif is a consultant in obstetrics and gynaecology at the Birmingham Women's Hospital, and has a proven track record as an author of MRCOG revision books. His co-author, Parveen Abedin recently passed the examination and has therefore provided invaluable insights that have ensured the content is both appropriate and up-to-date.

"Practitioners of all levels of experience and TCM students should find it compelling reading and an invaluable companion to their learning." Reviewed by Stephen Clarke on behalf of JATMS, May 2015 "A must have for the bookshelf of any acupuncturist who is ever called upon to treat fertility issues - if you have room for one book this surely must be it." Reviewed by Martin Dean on behalf of The Acupuncture Fertility Centre, March 2015 "This book is extremely well re-searched and referenced." Reviewed by Danny Maxwell on behalf of Journal of Chinese Medicine, February 2015 Simplifies complex information into easily accessible and understandable material Explains reproductive anatomy and physiology from the perspectives of both orthodox medicine and TCM Explains the underlying basis of orthodox medical fertility tests and investigations Explores the pathology and aetiology of TCM syndromes Provides detailed information on how to take a fertility medical history and how to diagnose TCM syndromes Presents the evidence for the influence of various lifestyle factors on fertility and ART success rates Provides guidelines on how to regulate the menstrual cycle in preparation for IVF treatment Explains how common fertility-related conditions such as endometriosis, Polycystic Ovary Syndrome, thyroid disease, and male factor infertility affect ART success rates Explains how to adapt acupuncture treatment to different ART protocols Provides case history templates, algorithmic acupuncture treatment pathways and patient fact sheets Explains how to manage patients with complex medical histories Looks at Repeated Implantation Failure, reproductive immunology dysfunction, and recurrent miscarriages Explains how to support patients if their IVF is unsuccessful and how to treat patients during early pregnancy Examines ethical considerations relevant to fertility acupuncture practice

Several studies have looked at populations of volunteers, women from the electoral roll and women attending general practices, and have reported the ultrasound appearance of polycystic ovaries in as many as one in three to one in five. If groups of women with irregular periods are looked at, up to 90% will have polycystic ovaries at ultrasound. Similarly, when women with increased facial and body hair are screened, about 90% will have polycystic ovaries, as will three out of four women with acne. It has also been suggested by some studies that women with recurrent miscarriage or early pregnancy loss after in-vitro fertilisation have an increased incidence of polycystic ovaries. However, not all studies support this hypothesis, and additional research is needed to evaluate this further. This book looks at the historical background of this condition; the structure and function of the female genital organs; symptoms and signs; diagnostic techniques; the inheritance of polycystic ovary syndrome; long-term effects; lifestyle factors; polycystic ovaries and the skin; ovulation induction; surgical treatment to induce ovulation; in-vitro fertilisation; pregnancy outcomes.

The definitive guide to sonography in obstetrics and gynecology-thoroughly updated and enhanced by the addition of teaching cases This acclaimed guide is a clinically relevant reference text, an atlas, and a teaching/learning resource. Presented in full color and enriched by more than 2,000 illustrations, it expertly examines the full spectrum of disorders and conditions likely to be encountered in gynecologic and maternal-fetal care. You will find expert, all-inclusive coverage of everything from sonographic operating instruments and screening the fetal patient for syndromes and anomalies, to diagnosing the female patient for cysts, infertility, and incontinence. This edition has been updated to include coverage of the latest procedures and diagnostic guidelines for the use of sonography in ob/gyn, including 3D and 4D US and enhanced image processing, contrast enhanced sonography, ultrasound guided fetal therapy, sonographic evaluation of pelvic pain, and much more. The Eighth Edition also features an extensive series of teaching cases. Each case consists of the patient's medical history, representative US images, cineloop videos, Q&A, and teaching points with references. Fleischer's Sonography in Obstetrics & Gynecology, Eighth Edition opens with general obstetric sonography, covering such pivotal topics as normal pelvic anatomy and fetal echocardiography, before moving into fetal anomalies and disorders. Risk assessment and therapy, including first trimester screening and amniocentesis, are explored in the next section, while the remaining parts of the book focus on maternal disorders, gynecologic sonography, and the newest complementary imaging modalities.

Early detection is critical for any given cancer. With the advent of the latest omics technologies, molecular markers in combination with conventional diagnostic and screening methods are emerging as next-generation early diagnostic and prognostic strategies that can allow early-stage diagnosis, resulting in more effective treatment and patient care and, in turn, an increased rate of survival. A ready-made resource, Noninvasive Molecular Markers in Gynecologic Cancers not only provides information on noninvasive molecular diagnostic biomarkers, it includes coverage of the epidemiology, clinical features, conventional diagnosis, treatment, and prognosis for these cancers. With contributions from leading international experts, the book presents a compact but comprehensive overview of gynecologic cancer. Each of the five main gynecologic cancers-ovarian, cervical, uterine, vaginal, and vulvar-have unique signs and symptoms, risk factors, and molecular profile, and therefore requires different prevention strategies. This book describes the different features of each gynecologic cancer in separate chapters covering general information, epidemiology, clinical features, and biomarkers. The book also covers breast cancer and, although rare, fallopian tube cancer, to make it a complete resource. In cancer treatment, non-invasive diagnosis can avoid complications of biopsy and other unfavorable impacts on patients' health. DNA, methylation, SNPs, miRNA, mRNA, protein, autoantibodies, metabolite, and omics-based markers from remote media such as blood, plasma, and urine are emerging as noninvasive molecular markers with high specificity and sensitivity towards many cancers. This book classifies the available molecular tumor markers according to their principal characteristics and relative methodologies. It covers markers that not only provide early detection and better treatment options, but are emerging as next-generation personalized diagnostics and targets or therapeutics for personalized cancer treatment.

In a field saturated with complex and conflicting information, this exciting new book covers information about nutrition before, during and after pregnancy in a clear and user friendly style. The author addresses all the major aspects of the subject, moving from fertility and preparing the body for pregnancy, through to nutrient metabolism, diet and pregnancy outcome, weight gain, special needs, and postpartum changes and nutrition.

This guide's evidence based approach will appeal to nutritionists and dietitians, and to many other health professionals who work with women in their childbearing years, including midwives, nurses and family practioners. Each chapter includes a useful set of appendices covering dietary requirements, nutritional composition of key foods and weight gain guidelines, as well as application in practice sections and a summary of key points.

Uncertainty and negative expectations are common responses to the menopause. When it happens too early (sometimes as young as 16) it can be particularly distressing with concerns about physical health, as well as possible social and emotional consequences. Young women are faced with a condition, the causes of which are not well understood, and about which very little is written in medical or lay literature.

In medical texts premature menopause is typically mentioned only in passing, and from the woman's perspective it remains a hidden secret. This can only compound the difficulty for women for whom the life process has suddenly swept into fast forward. Premature menopause can have profound implications both for the woman herself and her partner and family. She is faced with physical and emotional concerns that are usually not considered until much later in life, such as: will she age prematurely? will she need to take long-term medication? will she come to terms with loss of fertility? are there alternative treatments? are there consequences for her future health?

Effectively prepare for certification, recertification, and practice with Breast Imaging: Case Review, 2nd Edition! Case studies illustrate how to make confident, final diagnoses through accurate pattern recognition, clinical correlation, and differential diagnosis. It's an ideal way to test and deepen your knowledge of all essential topics in breast imaging. Prepare for the new Board exam format with an updated organization that provides 4-5 multiple-choice review questions for each case. Review 200 cases organized by level of difficulty, with multiple-choice questions, answers, and rationales that mimic the new format of certification and recertification exams. Stay current with the aid of updated cases covering breast MR imaging, digital breast imaging, image-guided biopsy, imaging of high-risk lesions (ADH, LCIS), high-risk patient management, invasive lobular carcinoma, complex cystic cancer, male breast cancer, mucinous carcinoma, MRI of DCIS, desmoid tumors, and much more. See examples of the latest imaging approaches, including digital mammography, MRI, and color Doppler US.

This is the sixth edition of a popular, highly readable primer in obstetrics and gynaecology. It has been thoroughly updated and aligns with the undergraduate curriculum in O&G devised by the Royal College of Obstetrics and Gynaecology. Highly illustrated throughout Essential information points at the end of chapters Case histories Practical procedures boxes Alert (warnings or advice) and tick (guidance or definitions) boxes throughout Over 100 self-assessment MCQs Appendices: Principles of Perioperative Care; Governance, Audit and Research Reflects the national undergraduate curriculum in obstetrics and gynaecology in the UK and Australia More information on: Fetal development Screening for fetal anomaly: non-invasive prenatal testing Placenta accreta Infections acquired in pregnancy: Zika, Rubella Non-invasive prenatal testin Fetal Doppler examination, e.g. middle cerebral artery, ductus venosus Management of preterm labour: oxytocin antagonists Induction of labour: components of Bishop score Ectopic pregnancy: Caesarean scar ectopic, cornual ectopic Emergency contraception: ulipristal acetate Sterilization: salpingectomy Genital tract infections: role of sexual health clinic, contact tracing Cervix: update on HPV screening and vaccination Ovary: update FIGO staging of ovarian carcinoma; "risk reducing surgery" for ovarian cancer WHO surgical safety checklist added to Appendix A. New self-assessment OSCE questions

This casebook profiles exceptional traumatic injury prevention programs from all over the globe. Its detailed description and analysis employ a multi-stage process of identifying, evaluating, and casing effective prevention practices. The case studies reflect how legislative and regulatory information impact prevention efforts and provide insight into how national centers for injury prevention and control inform prevention practices on countrywide levels. The authors work with outcome-based research criteria to select and develop their comprehensive and contextually aware profiles of the programs. All included case studies follow the BRIO approach (Background, Resources, Implementation, and Outcome) - a model designed to provide a consistent way of describing programs that have been evaluated and found to be exceptional practices. The scope of the Casebook ranges across: The challenge of traumatic injury prevention Sports and recreation-related traumatic injury prevention Fall-related traumatic injury prevention Road traffic-related traumatic injury prevention Traumatic injury prevention within complex systems In its recognition of traumatic injury prevention across the lifespan as a critical and complex public health challenge, the Casebook of Traumatic Injury Prevention promises to be an influential and authoritative resource for professionals and students in public health, safety, injury prevention, medicine, psychology, sociology, nursing, and engineering. Government agencies and institutions such as the Centers for Disease Control and Prevention (CDC), public health departments, and safety associations also would find the Casebook relevant to their work.

IVF can seem like a daunting prospect. An often expensive emotional and physical rollercoaster, and one that is filled with new and strange jargon. How do you choose a clinic or decide which treatment options are right for you? And how do you avoid getting sucked into a black hole of late night googling, searching for answers? This fully up to date handbook contains everything you need to know about the ever evolving world of IVF, with professional insights from top level consultants and counsellors. Science journalist Jheni Osman holds your hand through the process, taking you step by step through each stage, and cuts through the confusing terminology and information overload. Find out exactly how IVF and ICSI work, what the different medications involved do, and the costs involved. Learn about why some of us struggle to conceive, how to handle the ups and downs, and what can be done to improve your chances of conception via IVF.

This book presents models describing HIV transmission rates at population level, discussing the main statistical methods and analytical interventions. It also assesses the practical applicability of the various modelling techniques, offering readers insights into what methods are available and, more importantly, when they should be used to address HIV transmission at global level. The book includes realistic simulation models fitted to clarify the rate of HIV mother-to-child transmission (HIV MTCT), and substantiates the conclusions that can be drawn as well as the appropriate time for making global-level clinical decisions concerning people living with HIV/AIDS (PLHIVs). Intended for students, academics and researchers, the book offers more than just an introduction to the topic - it also features in-depth, yet easy-to-understand, descriptions of a new mathematical/statistical HIV mother-to-child transmission model, making it a useful resource for clinicians, public health workers and policymakers involved in implementing HIV-prevention programmes at national /global level.

This book provides an overview of the latest knowledge of the psychological aspects of polycystic ovary syndrome (PCOS), and paves the way for advances in this rapidly evolving field. Taking an evidence-based approach, the book elucidates the ways in which PCOS causes anxiety and depression, impacts Quality of Life (QoL), and is associated with other psychological issues. The psychological impact of key features of PCOS are explored too, with a special focus on insulin resistance / diabetes, and fertility issues. The book concludes with a chapter on practical recommendations on how best to help with anxiety and depression in PCOS. An important feature of this book is its identification of the ways in which testosterone, a defining characteristic of PCOS, impacts psychology. In doing so it fills a lacunae in current research and offers evidence that maps out the complex ways in which biology impacts psychology in PCOS, and also how psychology can be harnessed to impact biology in a positive way. It will appeal in particular to scholars and clinicians in the fields of health psychology and women's health.