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."

Within 10 chapters this book addresses the whole gamut of questions that may arise in the context of pregnancy resulting from assisted reproduction. Incidence of abortion, extrauterine pregnancy or chromosomal abnormalities, pregnancy complications, problems regarding mode of delivery and the health status of children at birth are covered as well as the further development of the children and the social structure of the families. Topics such as follow-up of families in lesbian relationships and following gamete donations are also discussed.

In den Bereichen Gynakologie und Geburtshilfe gibt es eine steigende Anzahl juristischer Auseinandersetzungen mit hohen Schadenssummen. Haufig kommt es zu einer aussergerichtlichen Einigung zwischen Versicherung bzw. Patient und Arzt. Dieses auf dem Gebiet einzigartige Buch enthalt zahlreiche exemplarische Falle der forensischen Gynakologie, die Besonderheiten bei der Begutachtung, die Schadenhoehe und die Urteile. Die Fallbeispiele sind authentisch, einpragsam und erleichtern das Erstellen und die Beurteilung von gynakologischen Gutachten.

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.

The aim of this book is to provide a straightforward summary of the knowledge required for examinations in specialist Obstetrics and Gynaecology. Part Two of the examination for Membership of the Royal College of Obstetricians and Gynaecologists would be a good example. The volume is intended as a companion to the highly successful Basic Sciences for Obstetrics and Gynaecology which covers the knowledge required for preliminary examinations. Increasingly, examinations of all types are based on multiple choice questions (MCQ) or structured answer questions (SAQ). No apology is made for the fact that the present book addresses the sort of "fact" which lends itself to testing by this approach. Thus, there is little discussion of speculative or contentious areas, no account of present or future research, and no references. Numerous excellent books are available which cover these topics in a much fuller and more discursive manner, and the present volume does not seek to emulate them. Even the most apparently immutable facts are subject to periodic revision. We have attempted to present the "state-of-the-a.rt": most of the material is generally if not universally accepted. A particular problem arises with numerical information. Frequencies of diseases, frequency of clinical findings, efficiency of diagnostic tests and therapies, have almost always been the subject of numerous different studies, each of which yields somewhat different results.

The alternation between urine retention and discharge several times daily from a nappy to the cessation ofall vital functions only becomes the subject baby's first wet of greater attention if the harmony of the structure and function of the bladder is disturbed. Functional disturbances of the lower urinary tract are not only of great socio-economic importance, but are also a considerable personal burden for the patient. Hence urinary incontinence is rightly classified as a severelydisabling illness (Hauri 1985). Opinions still differ regarding the morphological basis ofurinary continence.The Terminologia Anatomica (1998) defines a musculus sphincter urethrae internus (in- ternal urethral sphincter) and a musculus sphincter urethrae externus (external ure- thral sphincter),which in the older nomenclature were known as musculus sphincter vesicae and musculussphincterurethrae,respectively.The internal urethral sphincter isascribed apurelyinvoluntaryandthe externalurethralsphincterapurelyvoluntary innervation. The significance of the musculature of the pelvic floor for maintaining urinarycontinence has notyetbeen ascertained. Duringnumerous urologicaloperations (forinstancetransurethralresectionofthe prostate and bladder neck incisions), the only involuntarily innervated sphincter at the collum vesicae,the internalurethralsphincter,is partiallyorcompletelydestroyed (Fig. 27C,D).All the patients remain continent as long as the externalurethral sphinc- ter remains intact.Howcan apurelyvoluntarilyinnervated sphincterlikethe external urethral sphincter ensureconstant continence in such cases? Improving the continence rate after radical surgery is a key topic of urological research. The incontinence rate after radical prostatectomy is still between 8.1% (third-degree incontinence) and41.4% (first- to second-degree incontinence; Rudyet al. 1984; Igel et a1.1987; Schroderand Ouden 1992).

This open access edited book brings together new research on the mechanisms by which maternal and reproductive health policies are formed and implemented in diverse locales around the world, from global policy spaces to sites of practice. The authors - both internationally respected anthropologists and new voices - demonstrate the value of ethnography and the utility of reproduction as a lens through which to generate rich insights into professionals' and lay people's intimate encounters with policy. Authors look closely at core policy debates in the history of global maternal health across six different continents, including: Women's use of misoprostol for abortion in Burkina Faso The place of traditional birth attendants in global maternal health Donor-driven maternal health programs in Tanzania Efforts to integrate qualitative evidence in WHO maternal and child health policy-making Anthropologies of Global Maternal and Reproductive Health will engage readers interested in critical conversations about global health policy today. The broad range of foci makes it a valuable resource for teaching in medical anthropology, anthropology of reproduction, and interdisciplinary global health programs. The book will also find readership amongst critical public health scholars, health policy and systems researchers, and global public health practitioners.

This text provides a quick reference to all the important facts in the clinical sciences for candidates aiming at a postgraduate qualification in obstetrics and gynaecology, including those candiadtes studying for the MRCOG Part II examination. The text has been revised and updated, but the concise style and comprehensive coverage of all the essential aspects of the subject are retained. Written by a highly expert team of authors, this text will be an invaluable reference for students and will also be of value to clinicians as a brief guide. This volume serves as a companion to the highly successful "Basic Sciences for Obstetrics and Gynaecology" by Chard and Lilford, which is now in its Fifth Edition.

Risk, Age and Pregnancy provides an in-depth case study of the operation of a prenatal genetic screening and testing system. The methodology integrates observational, qualitative interview and survey data. The perspectives of pregnant women, hospital doctors and midwives are explored in depth, as is the communication between women and the hospital doctors who advise them. The book offers insights which are relevant to those concerned with the rapidly growing field of genetic risk management.

This book is based on the experience of an European Network on Congenital Toxoplasmosis which associates more than 50 European specialized Centers from 17 diferent European Countries. Some American colleagues among the best specialists in the world also collaborate to this book which gives the most recent data on congenital toxoplasmosis in epidemiology, biology, clinical symptoms, diagnostic, treatment and prevention.

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."

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.

This open access edited book brings together new research on the mechanisms by which maternal and reproductive health policies are formed and implemented in diverse locales around the world, from global policy spaces to sites of practice. The authors - both internationally respected anthropologists and new voices - demonstrate the value of ethnography and the utility of reproduction as a lens through which to generate rich insights into professionals' and lay people's intimate encounters with policy. Authors look closely at core policy debates in the history of global maternal health across six different continents, including: Women's use of misoprostol for abortion in Burkina Faso The place of traditional birth attendants in global maternal health Donor-driven maternal health programs in Tanzania Efforts to integrate qualitative evidence in WHO maternal and child health policy-making Anthropologies of Global Maternal and Reproductive Health will engage readers interested in critical conversations about global health policy today. The broad range of foci makes it a valuable resource for teaching in medical anthropology, anthropology of reproduction, and interdisciplinary global health programs. The book will also find readership amongst critical public health scholars, health policy and systems researchers, and global public health practitioners.

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.

As many as one in ten women experience amenorrhea--the absence of menstrual function in women who have not yet reached menopause--in varying degrees of severity, at some point in their lives. This book offers women guidance and information about a subject that is often difficult to discuss.

As many as one in ten women experience amenorrhea--the absence of menstrual function in women who have not yet reached menopause--in varying degrees of severity, at some point in their lives. This book offers women guidance and information about a subject that is often difficult to discuss.

Gynaecological textbooks are divided into sections according to pathological diagnoses, not according to symptoms or symptom complexes. Students of gynaecology, because they initially acquire information from textbooks are conditioned by the organisation of these texts to think of gynaecology in terms of pathological entities rather than symptom complexes. Gynaecological patients, however, do not present complaining of endometriosis or endometrial malignancy or hypophyseal-ovarian dysfunction; rather, they present with symptoms such as 'pain low down in the tummy', 'bleeding from the front passage', or 'irregular periods'. This book attempts to help students of gynaecology (including everyone from students learning the subject for the first time, through family doctors, to doctors of all grades) to approach their patients as people as distinct from pathological entities, to listen to them, and to communicate with them. In order to help achieve this, the text is divided according to symptoms or related groups of symptoms. Within each division, pertinent questions are listed in the words that might be used in addressing a patient, followed by a key explaining the significance of the questions and a brief discussion of the problems under consideration. It is hoped that this apPfQach will facilitate the taking and interpretation of case histories, thus aiding differential diagnosis and clinical management, and will initiate the process of self-teaching. The book tries to emphasise that, especially in gynaecology, the same symptom (e. g. , heavy periods) may have a very different significance in different patients in terms of diagnosis and management.

Holistic pregnancy and childbirth.

Your month-by-month guide to the latest therapies, techniques, and natural approaches.

For the most rewarding path to a comfortable pregnancy, a shorter labor, and the joyful delivery of a healthy baby, turn to this wise and warm compendium of proven holistic advice.

Approved by an advisory board of leaders in obstetrics and holistic medicine, this comprehensive book helps you make the birthing experience the most fulfilling and beautiful of your life. Let the journey begin. Monitor your physical changes and your baby’s. Decide where you want to have your baby. Choose a holistic caregiver and prepare a birth plan. Design your optimum diet and personal exercise program. Discover today’s holistic techniques for bonding, postpartum recovery, breast-feeding, and much more, including:

• Acupuncture and acupressure • aromatherapy • Ayurvedic medicine
• Bach flower remedies • breathing techniques • botanical medicine
• Chiropractic • diet and nutrition • exercise • homeopathy
• Hydrotherapy • hypnosis • intimacy exercises • massage
• Meditation • osteopathy • qigong • traditional Chinese medicine
• Vitamin and mineral therapies • yoga

Although the histological typing of ovarian tumours is the focus of this volume, other aspects of investigation of a specimen of ovarian tumour are also important. Some of these aspects are mentioned in the text or illustrated. They include tumour grading, which is impor- tantprognostically and therapeutically for certain types ofovarian tu- mour, quantification ofcomponents in mixed tumours and evaluation of the stroma of certain tumours that are associated with endocrine function. Grading methodologies have varied from one tumour type to another and from one group of investigators to another for the same type of tumour. Because a standard internationally recognized grading methodology has not been established, no specific guidance is presented in this volume. Nevertheless, grading by any generally acceptable method should be incorporated in the diagnosis whenever appropriate. The clinical and pathological classification of the extent of tu- mour growth (staging) should be taken into account for the purposes of treatment and prognosis. The TNlV1/FIGO system is therefore in- cluded (p. 45). Histological Classification of Ovarian Tumours 1 Surface Epithelial-Stromal Tumours 1. 1 Serous tumours 1. 1. 1 Benign 1 1. 1. 1. 1 Cystadenoma 8441/0 Papillary cystadenoma 8460/0 1. 1. 1. 2 Surface papilloma ...8461/0 1. 1. 1. 3 Adenofibroma; cystadenofibroma ...9014/0 1. 1. 2 Of borderline malignancy (of low malignant potential) 2 1. 1. 2. 1 Cystic tumour 8442/1 Papillary cystic tumour ...846211 Surface papillary tumour...8463/1 1. 1. 2. 2 1. 1. 2. 3 Adenofibroma; cystadenofibroma 9014/1 1. 1.

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.

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.