This issue of the Obstetrics and Gynecology Clinics in North America will focus on the advances in the evaluation and management of Recurrent Pregnancy Loss (RPL) that have emerged within the last few years. Although spontaneous pregnancy loss occurs in approximately 15% to 20% of clinically recognized pregnancies in reproductive-aged women, RPL occurs in 2% to 5% of the same population. Recent reports on large populations of women with RPL have helped to characterize the incidence and diversity of this heterogeneous disorder, and a definite cause of pregnancy loss can be established on over 50% of all couples after a thorough evaluation. New diagnostic strategies, which include 23-chromosome microarray genetic testing of the products of conception in failed pregnancies, offer the promise of understanding the cause of most pregnancy losses. These recent advances, combined with the contributions from the authors in this issue of Clinics and many others interested in this field, lead to the publication of the long-awaited publication on evaluation and treatment of RPL from the Practice Committee of the American Society for Reproductive Medicine. A complete evaluation will include investigations into genetic, anatomic, immunologic, endocrinologic, and iatrogenic factors. "Generally the book is well written by internationally recognized and dedicated specialists, informative, updated and well-illustrated. I can recommend this book for physicians, scientists and also interested medical students who want to understand more about high risk early pregnancy." Reviewed by: Acta Obstetricia et Gynecologica Scandinavica, January 2015

Gynecology is a procedure-related field that, like other specialties, has moved toward minimally invasive procedures that can be performed in the office setting. This issue of the Obstetrics and Gynecology Clinics covers the most commonly performed gynecologic procedures performed in the office setting. Colposcopy, Cryosurgery, LEEP, sterilization, D and C, and Urogynecologic procedures are all covered, along with articles on surgically implanted contraceptives and surgical abortion.

This book examines the future of birthing practices, particularly by focusing on epidural analgesia in childbirth. It describes historical and cultural trajectories that have shaped the way in which birth is understood in Western, developed nations. In setting out the nature of epidural history, knowledge and practice, the book delves into related birth practices within the hospital setting. By critically examining these practices, which are embedded in a scientific discourse that rationalises and relies upon technology use, the authors argue that epidural analgesia has been positioned as a safe technology in contemporary maternity culture, despite it carrying particular risks. In examining alternative research the book proposes that increasing epidural rates are not only due to greater pain relief requirements or access but are influenced by technocratic values and a fragmented maternity system. The authors outline the way in which this epidural discourse influences how information is presented to women and how this affects their choices around the use of pain relief in labour.

This issue of the Obstetrics and Gynecology Clinics con breast disorders covers imaging modalities, benign breast disorders, hereditary breast and ovarian cancer, contemporary managment and treatment options for breast cancer. There is also an article devoted to Special considerations in breast cancer patients and survivors.

This issue of Clinics in Perinatology will carry the reader through the perinatal period and examine pain management throughout that continuum. Beginning with the genetics of obstetrical pain and opioid use in pregnancy, the discussion moves to the provision of anesthesia to the mother and fetus during fetal surgery - an area of intense concern and interest in many centers. There is an extensive discussion of both pharmacologic and non-pharmacologic management of pain during delivery. A discussion of regional anesthetic techniques is increasingly relevant in light of increasing evidence of adverse neurodevelopmental consequences of fetal exposure to general anesthetics and sedatives. Pain, its implications and management, are extensively covered including discussions of how to assess neonatal pain and how best to provide sedation and non-pharmacologic pain management, systemic pharmacologic, or regional techniques. Of particular interest are the reviews of the potential neurodevelopmental impact of both the treatment and the failure to adequately treat pain in the newborn. This topic is receiving an enormous amount of attention from all those who care for children as well as government and the media.

This issue of Anesthesiology Clinics covers the latest updates in obstetric and gynecologic anesthesia written by the world-leading experts on the topic. Procedurally-focused articles cover best practices in chronic pain management, the role of magnesium in labor and delivery, advanced airway procedures, epidural analgesia, amniotic fluid embolism and more. Achieve the best outcomes and keep current on this area of anesthesia practice.

The Year Book of Obstetrics, Gynecology, and Women's Health brings you abstracts of the articles that reported the year's breakthrough developments in obstetrics, gynecology and women's health, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Topics in this annual edition include obstetrics, reproductive endocrinology and infertility, and cancer/neoplasia.

Guest edited by Bonnie Joe, this issue of MRI Clinics covers breast screening protocols, imaging the newly diagnosed cancer patient, imaging to monitor response to therapy, breast MR spectroscopy, and more.

This issue of Ultrasound Clinics addresses obstetric? applications. Articles include U/S for Cervical length; Fetal ventriculomegaly; C/S scar ectopics; Skeletal dysplasias; Effects of obesity on obstetrical u/s imaging; Fetal lung; Abdominal wall defects; Fetal hydronephrosis; U/S for evaluation of fetal anemia; Training for Ultrasound Guided Procedures.

Cervical Cancer screening, which includes the PAP test and HPV testing is an essential part of a woman's routine healthcare. This issue of the Ob/Gyn Clinics covers colposcopy and screening for women at all stages of life, along with the HPV vaccine, treatment options, and what is on the horizon regarding ever-changing screening methods.

Detect and identify breast lesions at the earliest possible stage with Making the Diagnosis: A Practical Guide to Breast Imaging. Dr. Jennifer Harvey and Dr. David E. March utilize a practical, case-based approach to help you select and make optimal use of today's imaging options. Learn the right questions to ask when viewing a mammogram, MRI, or ultrasound. Zero in on the key information you need to know with highly templated, concise chapters followed by case studies that reinforce and expand your knowledge. Distinguish normal variants and lookalike lesions from cancer thanks to expert, highly visual guidance on all relevant imaging modalities. Interpret the findings you're likely to see in practice with the aid of high-quality images, enhanced with arrows and labels to help you recognize and identify suspicious lesions. Access the entire text and images online at www.expertconsult.com.

Surgery for Urinary Incontinence, by Drs. Roger Dmochowski, Mickey M. Karram, and W. Stuart Reynolds, is the ideal way to sharpen your skills in the diagnosis and management of this condition. In this volume in the Female Pelvic Surgery Video Atlas Series, edited by Mickey Karram, MD, detailed discussions and illustrations, case studies, and video footage clarify how to most effectively select and perform a variety of procedures and manage complications. Case-based presentations and videos, narrated by the authors, take you step by step through a variety of procedures, including synthetic biologic slings, suspensions, botox injections, the use of neuromodulation devices, and more Heavily illustrated, quick-reference chapters Discuss all of the possible diagnoses and management options for urinary incontinence problems Case studies describe the clinical history surrounding each case featured in the videos, and demonstrate how to manage a variety of recurrent cases as well as how to avoid and manage complications Online access at; www.expertconsult.com places the full text, videos, and more at your fingertips on any computer or mobile device

This issue of Obstetrics and Gynecology Clinics covers the most common and uncommon obstetric emergencies, including emergency caesarean section, resuscitation of the newborn, and hypertensive crisis. Other articles include coverage of the most daunting ob complications--shoulder dystocia and intrapartum hemorrhage. James Alexander, MD, serves as Guest Editor for this important issue.

As more and more women decide to have children in later life, the medical establishment is being forced to reevaluate its traditional stance that such women are "high-risk." Pregnancy for Older Women is the only book to present a comprehensive scientific analysis of the medical literature, exploring such controversial issues as amniocentesis, the use of cesarean section, and the effect of doctor's assumptions on case outcomes.

This issue of the Obstetrics and Gynecology Clinics covers the Medical and Surgical Management of Common Fertility Issues. Articles include Infertility Evaluation, Ovulation Induction, and problems such as fibroids, endometriosis, and ectopic pregnancy.

"Clinical Pharmacology During Pregnancy" is written for clinicians, physicians, midwives, nurses, pharmacists and other medical professionals directly involved in the care of women during pregnancy. This book focuses on the impact of pregnancy on drug disposition and also includes coverage of treatments for diseases of specific body systems as well as essential content on dosing and efficacy.

The broad range of this book encompasses analgesics, antiasthmatics, antidepressants, heart and circulatory drugs, vitamins and herbal supplements, and more. Topics in chemotherapy and substance abuse are covered, as are research issues, including clinical trial design and ethical considerations.
Uses an evidence-based approach for therapeutics during pregnancyIncludes a summary of specific medications by indication with up-to-date information on dosing and efficacy in pregnancy for the given indicationIncludes a companion website containing support materials for professional or continuing education courses in OB pharmacology

The Year Book of Obstetrics, Gynecology, and Women's Health brings you abstracts of the articles that reported the year's breakthrough developments in obstetrics, gynecology and women's health, carefully selected from more than 500 journals worldwide. Expert commentaries evaluate the clinical importance of each article and discuss its application to your practice. There's no faster or easier way to stay informed! Topics in this annual edition include obstetrics, reproductive endocrinology and infertility, and cancer/neoplasia.

This volume is the proceedings of the International Conference on Inhibin, Activin: Recent Advances and Future Views held in Tokushima, Japan from November 9-10, 1996. The Internationally recognized faculty present the latest research in the exploration of inhibin, activin and follistatin mechanisms of action.

This is a careful study of obstetrical mechanics in monkeys, apes, and extinct hominids in order to understand the present crisis in human reproduction. Current obstetrical problems have an anthropological origin. Cesarean section, almost unknown at the beginning of the century, is now considered necessary in more than 25% of deliveries. By studying the evolution of anatomical structures and the mode of delivery among other primates, strong reasons are apparent for the present crisis in human labor and delivery. This unique study points the way to further evolution of the human birth process.

This book is a concise guide to the diagnosis and management of reproductive health issues in adolescents that may lead to future fertility problems. Beginning with an overview of female adolescence and reproductive development, the following chapters cover different disorders including PCOS (polycystic ovary syndrome), endometriosis, anaemia, menstrual abnormalities, teenage pregnancy and abortion, STIs and more. Each section provides step by step guidance from history taking, signs and symptoms, and clinical examination, to diagnosis and therapy. A complete chapter covers the 2012 POCSO (Protection of Children from Sexual Offences) Act. Key points Concise guide to reproductive health issues in adolescents, subsequently leading to fertility problems Discusses investigation, diagnosis and management of numerous disorders Covers POCSO Act 2012 Includes clinical images and figures to assist learning

Surgical Management of Pelvic Organ Prolapse is the ideal way to enhance your surgical skills in this key area of gynecology, urogynecology, and urology. In this volume in the Female Pelvic Surgery Video Atlas Series, written by series editor Mickey Karram, MD, detailed discussions and illustrations, case studies, and video footage clarify how to most effectively perform a variety of procedures and manage complications. Corresponding online video presentations take you step by step through each decision and procedure. Case-based presentations and videos, narrated by the authors, take you step-by-step through a variety of procedures including abdominal sacral colpohysteropexy, laparoscopic sacral colpopexy, high uterosacral suspension, and more. Coverage of hot topics such as robotic and laparoscopic prolapse repairs, prolapse repairs and uterine preservation, the role of mesh augmentation, techniques and indications for native tissue prolapse repair, and surgical management and prevention of POP surgery complications keeps you current with the latest advancements in the field. Highly illustrated, quick-reference chapters discuss all of the possible diagnoses for which each procedure is indicated. Case studies describe the clinical history surrounding each case featured in the videos. An overview of how the entire pelvis functions as a unit helps illustrate the importance of a multidisciplinary, team approach in diagnosing and treating abnormalities. Online access at expertconsult.com places the full text, video clips, and more at your fingertips on any computer or mobile device.

Clinically accessible information for pathologists on histology, molecular pathology, differential diagnosis, and clinical overview is presented. Common and rare entities are covered with an abundance of images to highight key features.
Topics for pathologists covering the fast moving field of breast pathology include: Less common variants and mimics of DCIS; Invasive lobular carcinoma and its variants; Important inflammatory and reactive lesions; Small glandular proliferations; Vascular lesions of the breast; Combined epithelial-myoepithelial lesion; Immunhistochemical pitfalls in the diagnosis of breast lesions; Pathology considerations in patients treated with neoadjuvant chemotherapy; Molecular classification of breast cancer: Jorge Reis-Filho; Prognostic factors for patients with breast cancer: Traditional and New