This issue guides the primary care physician through the prental care of their patient with topics that include: ? Preconception Care, Antepartum Care, Nutrition, Genetic Screening, First Trimester Complications, Management of Gestational Diabetes, Third Trimester Complications, Electronic Fetal Monitoring, Complications of Labor and Delivery, Operative Delivery, Postpartum Hemorrhage, and Alternative Approaches to Maternal Care

Dr. Michael Traynor guest edits this issue of Obstetrics and Gynecology Clinics devoted to Advances in Hysteroscopy and Laparoscopy. Review articles, ?written by experts in the field, cover topics such as laparoscopic hysterectomy, electrosurgical devices, laparoscopic suturing techniques, hysteroscopic procedures in the management of common gynecologic disorders, and managing and minimizing the risks of complications

Globally, postnatal depression (PND) is a growing public health problem. PND affects 10 to 15% of women in Western society. It caused by a combination of biological, psychological and social factors. Two models have attempted to define and explain PND; the biomedical and the sociological models. The traditional biomedical model views PND as a medical condition which implies there is individual pathology and abnormality. Whilst the biomedical model has been the dominant model in treating PND, it has been criticized by feminist sociologists and psychologists for its rigidity in defining and explaining PND. In contrast, the psychosocial model of health acknowledges the biological factors that impact on emotional well-being, but places more emphasis on the personal and social factors that impact on emotional well-being, but places more emphasis on the personal and social factors that contribute to depressive symptoms such as gender, poverty, social disadvantage and social class. The central argument throughout this book is the importance of support before and after the birth for women's emotional well-being. This book will also include women's journeys through pregnancy, childbirth, motherhood, postnatal depression, and resolution. To date, literature has focused on women's lived experiences of PND rather than their personal journeys through pregnancy, childbirth and early motherhood. Additionally, the adjustment to fatherhood has received less attention. For example, little is known about the impact of postnatal depression on the partner, what support partners offer when women with the intention to fill the gap in knowledge of cultural and social issues relating to pregnancy, childbirth, and motherhood for woman who were diagnosed with, and had resolved, PND.

Breast sonography is commonly used to evaluate mammographic and palpable abnormalities, and this issue covers all of the current applications currently in use. Sonography also plays a role in screening for breast cancer and in evaluating the extent of disease in the breast and the regional lymph nodes. This issue also reviews the use of ultrasound to perform biopsies, guide catheters, and deliver radiation therapy.

Technological developments in the life sciences confront us with new facets of a Faustian seduction. Are we "playing God" more and more, as claimed by critical authors of modernity? Achievements in genetic research produce ethical dilemmas which need to be the subject of reflection and debate in modern societies. Denial of ambivalences that ethical dilemmas arouse constitutes a threat to societies as well as to individuals. The book presents a compilation of some of the results of the interdisciplinary European study "Ethical Dilemmas Due to Prenatal and Genetic Diagnostics" (EDIG), which investigated some of these dilemmas in detail in a field which is particularly challenging: prenatal diagnosis. When results from prenatal diagnosis show fetal abnormalities, women and their partners are confronted with ethical dilemmas regarding: the right to know and the right not to know; decision-making about the remainder of the pregnancy and the desire for a healthy child; responsibility for the unborn child, for its well-being and possible suffering; life and death. This book provides answers from an ethical, psychoanalytical and medical viewpoint.

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! Included in this annual edition are chapters on gynecologic urology, maternal complications in pregnancy, surgical obstetrics, anesthesia and delivery, ovarian cancer, uterine malignancies, etopic pregnancy, and operative gynecology.

Practical Approaches to Controversies in Obstetrical Care are offered in this issue of Obstetrics and Gynecology Clinics. Guest Editors Drs. George Saade and Sean Blackwell have recruited authorities in the field to review issues including recurrent spontaneous pregnancy loss, treatment of thromboembolic events prior to or during pregnancy, multiple gestations, complications surrounding severe preeclampsia, and care for the pregnant patient with an underlying seizure disorder.

This is a visual presentation of Gynaecology aimed at undergraduate medical students. The highly effective format is ideal for examination preparation. Each page covers one topic with concise text and associated diagrams. Previously under the authorship of Hart and Norman, the new author has comprehensively revised the sixth edition of this very popular student text. The titles in the illustrated series are valued by students because of their visual presentation of information and are particularly effective for examination preparations. For the more traditional courses this book will fulfil the role of a course text; for problem-based courses it will be an excellent resource for problem-solving exercises. Entirely revised and updated, with revision focus on minimally invasive surgery hormone-replacement therapy imaging techniques and equipment risk-management NICE guidelines menorrhagia Entirely revised and updated, with revision focus on: minimally invasive surgery hormone-replacement therapy imaging techniques and equipment risk-management NICE guidelines menorrhagia

This issue provides an overview of the latest advances in imaging the fetus and pregnant patient using ultrasound. Reviewed in this issue are the use of US for screening of musculoskeletal, facial, and cardiac abnormalities. Planning for complicated deliveries, imaging of twins, and detecting growth abnormalities are just some of the other topics covered by this issue.

This book discusses how to deal ethically with people with Fetal Alcohol Spectrum Disorder (FASD) in the police, courts and correctional services. Ethical and legal issues associated with the deficits of individuals with a brain disorders such as FASD are surfacing more and more frequently in criminal proceedings. People with FASD often have not been diagnosed and rarely exhibit any visible evidence of the disorder. It has been argued that this invisible disability puts them in a disadvantaged position in the justice system, since the awareness of this condition is limited. The need to identify and to address FASD more effectively and the many ethical issues this raises within the context of the law is increasingly acknowledged within judicial and legislative branches, as well as in government departments, agencies and community programs that provide services to those with FASD and their caretakers and families. This is the first book to give to elaborate on ethical and legal issues of FASD.

Practical Approaches to Controversies in Obstetrical Care are offered in this issue of Obstetrics and Gynecology Clinics. Guest Editors Drs. George Saade and Sean Blackwell have recruited authorities in the field to review issues including recurrent spontaneous pregnancy loss, treatment of thromboembolic events prior to or during pregnancy, multiple gestations, complications surrounding severe preeclampsia, and care for the pregnant patient with an underlying seizure disorder.

Psychodermatology is a relatively new field in evolution and thus, there is a comparative paucity of information in general. However, when it comes to children and adolescents there is a complete vacuum of information as no other book has aimed to specifically address the psychodermatological issues facing this particular population. For assessment, diagnosis, comprehensive treatment of children with psychodermatologic conditions and establishing a relationship between skin and psyche, there is a lack of clear and relevant clinical information about these complex disorders. The complexity of these disorders is related to lack of understanding in genetic, embryonic, physiologic, neuroimmunologic, neurocutaneous, stress-related neuromodulation, and psychosomatic interconnections. This book presents a clinically relevant approach to the management of psychodermatologic issues encountered in normal practice. Various classifications and major categories that are discussed include psychophysiologic disorders, psychiatric conditions with dermatologic manifestations, dermatologic disorders predisposing to psychiatric disorders, systemic diseases with psychodermatological manifestations, and special issues in management of psychocutaneous disorders in children and adolescents.

In the later stages of gestation, fetal functions undergo increasing change and development, preparing the fetus for the transition to its postnatal environment. Rapid maturation is witnessed in breathing, swallowing, sensory functions, sleep, and many other processes, with corresponding behavioral changes. By 35 to 40 weeks of gestation, fetuses are capable of living ex utero without support, but it is increasingly appreciated that even infants born at between 35 and 36 weeks can suffer long-term consequences. This book, which complements the author's previous volume on development of normal fetal movements during the first 25 weeks of gestation, discusses in detail the full range of behavioral phenomena observed during the final 15 weeks of gestation, with careful analysis of their mutual relationships. A key feature is the outstanding photographic material, difficult to obtain at this late stage, and the instructive graphs that are also included. The information provided will alert clinicians to deviations from the norm and to physiologic phenomena that can turn pathologic in infants born prematurely.

Delivery After Prior Cesarean is examined in the issue of Clinics in Perinatology, guest edited Drs. Mark Landon and Caroline Signore. Authorities in the field have come together to pen articles on topics such as Rising primary cesarean rates: VBAC vital statistics, Access to TOLAC, Medicolegal aspects of VBAC/TOL, Ethics, Midwifery and VBAC, Success rates and factors, Intrapartum management: induction, labor progression and monitoring, Uterine rupture: rates and prediction, Multiple repeat cesareans and the threat of placenta accrete, Maternal morbidity and mortality, Perinatal morbidity and mortality, and Long-term infant outcomes.

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! Included in this annual edition are chapters on gynecologic urology, maternal complications in pregnancy, surgical obstetrics, anesthesia and delivery, ovarian cancer, uterine malignancies, etopic pregnancy, and operative gynecology.

This book is a comprehensive guide to the management of infertility for gynaecologists and trainees. Divided into seven sections, the text begins with initial patient presentation and various diagnostic investigation techniques including transvaginal sonography, laparoscopy, hysteroscopy, and semen analysis. The following sections cover different causes of anovulation (lack or absence of ovulation), problems with the uterus and fallopian tubes such as polyps and fibroids, and other conditions including endometriosis, pelvic inflammatory disease, and cervical factors. The next section examines male infertility, followed by detailed discussion on the use of IUI (intrauterine insemination) and IVF (in vitro fertilisation), and when each is the more appropriate treatment method. The third edition of this book has been fully revised to provide clinicians with knowledge of the latest advances and technologies in the field. Key points Comprehensive guide to management of infertility Step by step approach to both basic and advanced procedures Fully revised, third edition providing latest advances in the field Previous edition (9789350905319) published in 2013

Dr. Connors has provided comprehensive coverage of the pregnant patient with hematologic disorders--from management in early pregnancy to delivery. Hematologic disorders covered include anemia, myeloproliferative disorders, von Willebrand disease, leukemia and lymphoma, thrombochytopenia, and thrombophilia. Other important topics in this issue include anesthesia in the pregnant patient with a hematologic disorder as well as transfusion medicine.

Imaging of the breast can be one of the most challenging tasks in all of radiology.? This issue not only covers all of the modalities (plain film, multislice CT, MRI, US, and nuclear medicine and molecular imaging it also provides discussions on the controversy regarding when women should be screened, the costs involved in breast imaging, and the appropriate use of screening.

Gynecology provides many opportunities to utilize ultrasound in clinical practice.? Pelvic pain, uterine bleeding, and adnexal masses are reviewed in this issue.? Additionally the use of saline-infused sonohysterography, 3D ultrasound, and the pitfalls of transvaginal imaging are covered.? Lastly the application of ultrasound in the follow-up care for gynecologic cancer is reviewed.

This issue of Clinics in Perinatology, guest edited by Drs. George Macones and Anthony Odibo, addresses Fetal Monitoring and Assessment. Drs. Macones and Odibo have assembled a panel of experts to pen reviews on topics including indications for fetal growth monitoring and controversies with diagnosis of fetal growth restriction, the role of serum markers and uterine artery Doppler in identifying at-risk pregnancies, the role of amniotic fluid assessment in evaluating fetal well-being, the uses and limitations of the biophysical profile, the umbilical artery Doppler in assessment of fetal growth restriction, the MCA Doppler and its role in evaluation of fetal anemia and fetal growth restriction, Venous Doppler evaluation of the growth restricted fetus, aortic isthmus and cardiac monitoring of the growth restricted fetus, intrapartum fetal monitoring, computerized assessment of fetal heart rate monitoring, STAN as an adjunct to EFM, and signal ambiguity and intrapartum fetal monitoring.

Too often, in the debate over reproductive rights and technologies, we lose sight of the fundamental emotional and psychological issues that define the experience of pregnancy. Robin Gregg here draws on the words and stories of over thirty women to provide a first- hand perspective on pregnancy in the modern age.

In an age where a new advance in reproductive technology occurs seemingly every month, pregnancy has come to be defined by such medical procedures as prenatal screening, amniocentesis, fetal monitoring, induced labor, and cesarean sections. Public policymakers, ethicists, religious figures, and the medical establishment control the debate, drowning out the voices of women who grapple in the most immediate sense with the issues. Even feminist theorists often overlook the nuances and paradoxes of the reproductive revolution as experienced by individual, particular women.

The reader follows these thirty women as they speak about whether to become pregnant, and by what means; how to choose a health provider; what meaning they attribute to their pregnancies; and how they navigate their way through the contradictory pressures they face during pregnancy. The intimate nature of Gregg's research, consisting as it does largely of women's pregnancy narratives, lends her book a vibrancy often lacking in academic writing about reproduction.

Prevention and Management of Complications from Gynecologic Surgery is reviewed in this issue of Obstetrics and Gynecology Clinics. Guest Editor Dr. Howard Sharp has assembled a panel of experts to pen articles on topics including Preventing energy-related injuries; Prevention, diagnosis, and treatment of surgical site infections; Major vessel injury; Hysteroscopic complications; Surgical hemostasis; Understanding cognitive errors in laparoscopic surgery; Preventing neurologic injury during surgery; and Gastrointestinal and genitourinary tract injuries.

Rheumatic (or systemic autoimmune) diseases disproportionately affect young women: the female-to-male ratio for patients with systemic lupus erythematosus during the reproductive years is approximately 9:1. In the mid- to late-twentieth century, women with rheumatic disease diagnoses were often advised to avoid pregnancy due to fear of disease exacerbation and adverse outcome. In more recent years, many women with rheumatic disease have deferred childbearing until a later age due to active disease or unsafe therapies. However, with advances in rheumatology therapies, obstetric monitoring, and reproductive medicine technologies, increasing numbers of women with rheumatic diseases are pursuing pregnancy. As a result, obstetricians and rheumatologists need to be aware of the current state of knowledge and the recommendations for management of pregnancy in these patients. Contraception and Pregnancy in Patients with Rheumatic Disease explains the basics of contraception, fertility treatment, and pregnancy in rheumatic disease patients and serves as a guide and reference tool for both rheumatologists and OB/GYNs. Most general rheumatologists and OB/GYNs have limited experience in caring for rheumatic disease patients during pregnancy, and many do not have ready access to expert colleagues in this area. This book summarizes the current state of knowledge and presents a general approach for assessment of the rheumatic disease patient considering pregnancy, hormonal contraception or infertility treatment.