This textbook considers the medical, surgical, legal and ethical aspects of establishing and maintaining an office-based egg donation programme. Chapters discuss: indications and success rates; screening and demographics of recipients and donors; preparation of the endometrium; synchronization of cycles; obstetrical outcomes; risks and complications; gestational carriers; consents and contracts; and ethics.

Low- and middle-income countries have seen a dramatic rise in the incidence of breast and gynecological cancers in the past decade. Organized cancer screening programs are not widely available in developing countries, leading to disproportionately higher mortality rates compared to those in the developed world. This book addresses cost-effective strategies for implementing programs aimed at screening for the early detection of breast, cervical, endometrial, and ovarian cancers. A well woman clinic concept providing such services as part of women's health examinations is proposed, aiming to ensure patient compliance by limiting clinic visits required for initial testing and diagnosis of screen positive cases.

This book offers a timely and detailed exploration and analysis of key contemporary issues and challenges in child sexual abuse, which holds great relevance for scholarly, legal, policy, professional and clinical audiences worldwide. The book draws together the best current evidence about the nature, aetiology, contexts, and sequelae of child sexual abuse. It explores the optimal definition of child sexual abuse, considers sexual abuse in history, and explores new theoretical understandings of children's rights and other key theories including public health and the Capabilities Approach, and their relevance to child sexual abuse prevention and responses. It examines a selection of the most pressing legal, theoretical, policy and practical challenges in child sexual abuse in the modern world, in developed and developing economies, including institutional child sexual abuse, female genital cutting, child marriage, the use of technology for sexual abuse, and the ethical responsibility and legal liability of major state and religious organisations, and individuals. It examines recent landmark legal and policy developments in all of these areas, drawing in particular on extensive developments from Australia in the wake of its Royal Commission Into Institutional Responses to Child Sexual Abuse. It also considers the best evidence about promising strategies and future promising directions in enhancing effective prevention, intervention and responses to child sexual abuse.

This unique, research-based investigation of the U.S. breast cancer movement compares the "pink" and "green" efforts within the movement and documents their use of similar citizen-science alliances, despite the contention over the use of consumer-based activism and pink products. Breast cancer activism is one of the most flourishing research and health advocacy movements in U.S. history. Yet the incidence of breast cancer is continuing to increase. This critical and revealing text investigates breast cancer activism in its two forms-the "pink movement" that focuses on developing awareness of, coping with, and managing breast cancer; and the "green movement" that strives to determine the possible environmental causes of breast cancer-such as pesticides, chemicals, and water and air pollution-and thereby hopes to prevent breast cancer. What caused this new green movement to develop? Will it replace or merge with the pink movement? Does either approach offer more promise for a solution? And how do the two movements differ in their positions or methodology towards a similar goal? With information culled from interviews with more than 50 industry stakeholders, The Green Solution to Breast Cancer: A Promise for Prevention argues that key attributes such as strategy, mission, and branding have led to a greater convergence between the pink and green wings of the movement and presents information that enables readers to consider if either approach might be the shorter route to beating breast cancer. Examines research findings that suggest that the pink and green aspects of the breast cancer movement are no longer separate but in fact are converging towards a focus on environmental prevention Provides an in-depth examination of advocacy organizations and the ways in which an organization's structure and ideology shape its agenda and strategies Looks critically at controversial aspects of the consumerism of the pink movement, the small portion of sales actually given to cancer research, and other shortcomings of this attempt to shop our way out of a nonetheless still-increasing disease Presents valuable information for upper level undergraduate and graduate students in political science within American politics or health politics courses as well as those studying women's and gender studies, sociology, nursing, and non-profit enterprises

Nutrition and Diet in Menopause is a single comprehensive source that will provide readers with an understanding of menopause. Holistic in its approach, this volume is divided into five sections covering psychological, endocrine and lifestyle factors, metabolism and physiology, bone and nutrition, cancer and nutrition, cardiovascular factors and dietary supplements in menopause. In-depth chapters review the potential long term consequences of menopause on the overall health of women, not only at the physical level including hot flushes (flashes) , alterations to the genitourinary system, skin changes, decreased cardiovascular functions, hypertension, headache, back pain, and constipation. Written by international leaders and trendsetters, Nutrition and Diet in Menopause is essential reading for endocrinologists, cardiologists, nutritionists and all health care professionals who are interested in women's health.

According to the Latina health paradox, Mexican immigrant women have less complicated pregnancies and more favorable birth outcomes than many other groups, in spite of socioeconomic disadvantage. Alyshia Galvez provides an ethnographic examination of this paradox. What are the ways that Mexican immigrant women care for themselves during their pregnancies? How do they decide to leave behind some of the practices they bring with them on their pathways of migration in favor of biomedical approaches to pregnancy and childbirth? This book takes us from inside the halls of a busy metropolitan hospital's public prenatal clinic and to the Oaxaca and Puebla states in Mexico to look at the ways Mexican women manage their pregnancies. The mystery of the paradox lies perhaps not in the recipes Mexican-born women have for good perinatal health, but in the prenatal encounter in the United States. Patient Citizens, Immigrant Mothers is a migration story and a look at the ways that immigrants are received by our medical institutions and by our society.

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

The main focus of this book is on ruptured uterus which is a potentially fatal complication during pregnancy. The risk factors and clinical presentation of ruptured uterus vary widely. This book gives an insight into the various possible causes and their presentation. This book aims to sensitize the practicing obstetricians about the need for high level of caution in the deceptive scenarios. The readers would be able to translate the clinical experience and shelf knowledge into every day practice. The cases with similar risks and background will be compiled together under one chapter and at the end of each chapter key points will be highlighted.

'Essential reading for everyone' - Marian Keyes It's time for us to start talking about the menopause. Cracking the Menopause, from straight-talking broadcaster Mariella Frostrup and health journalist Alice Smellie, has all the information you need, delivered with characteristic wry humour. It's high time we renovated and elevated this life change. Despite the centuries of speculation and propaganda, we are not overheating or inherently cold, we are not hysterics or boiling vats of toxic poisons, we are not dried up or washed up, we are simply menopausal. In this no-holds-barred guide, Mariella shares her own journey through the menopause, along with the latest science, advice from leading experts and humorous illustrations - to provide an informative source of wisdom and enlightenment. Featuring case studies from women in every walk of life and all stages of their menopause journey, Cracking the Menopause opens up the conversation about an urgent topic that half the population will experience, but barely anyone is talking about. Designed to equip you with the knowledge to manage your symptoms from perimenopause onwards, this essential book separates the myths from the reality and offers expertise, hope and advice. 'I inhaled this book, it's fantastic. Women of all ages need to read it.' - Claudia Winkleman 'Mariella and Alice have just written one of the most important books of the year, bravo.' - Gabby Logan

Iron deficiency anaemia in pregnancy Megaloblastic anaemia in pregnancy Sickle cell disease in pregnancy Thalassemia in pregnancy Cardiac diseases in pregnancy Hypertensive disorders in pregnancy Gestational diabetes Thyroid disorders in pregnancy Renal disease in pregnancy Epilepsy in pregnancy Acquired coagulation disorders in pregnancy Antiphospholipid antibody syndrome HIV in pregnancy Liver diseases in pregnancy Febrile illness in pregnancy Skin diseases in pregnancy TORCH in pregnancy Preterm labour Pre labour rupture of the membranes - PROM Cervical insufficiency Post term pregnancy (prolonged pregnancy) Placenta praevia Abruptio placentae Rh alloimmunization IUGR Intrauterine foetal demise Multifetal gestation Induction of labor Pregnancy after previous cesarean section Ectopic pregnancy Hyperemesis gravidarum Gestational trophoblastic disease Cesarean section Rupture of the uterus Contracted pelvis and cephalopelvic disproportion Non immune hydrops fetalis Amniotic fluid embolism Immunization in pregnancy Obstetric analgesia and anaesthesia in high risk pregnancies Cord around neck Trisomy 21 Amniotic fluid abnormalities Obesity and pregnancy Fetal distress in pregnancy Corticosteroids for lung maturity Progesterone in pregnancy Varicose veins in pregnancy Pregnancy after organ transplants Human milk banking - need of the time Oncofertility Partogram Nonstress test Sildenefil Citrate in Obstetrics

A concise clinical reference that facilitates the diagnosis of intrauterine and perinatally acquired infections was the goal in creating the Congenital and Perinatal Infections: A Concise Guide to Diagnosis. Information about the natural history, m- agement, and outcome of these infections is well detailed in many other sources and so has not been included. Rather, the focus of the book is diagnosis. The initial chapters provide general information about serological and nonserological assays that are used for the diagnosis of infections, and a chapter about the placenta includes details about histopathological findings that can be helpful with the diagnosis of congenital inf- tions. The remainder of the book is devoted to the diagnosis of specific congenital and/ or perinatal infections. As illustrated in the chapters about specific infections, the approach to diagnosis of a congenital or perinatally acquired infection in the neonate begins, when possible, with consideration and diagnosis of infection in the pregnant woman, knowledge of how the infection is transmitted, and the risk of that infection for the woman and her fetus or neonate. The possibility of congenital or perinatal infection in neonates is usually considered because of the diagnosis of, or concern about a s- cific infection in, a mother during pregnancy that can be transmitted to the neonate or because of clinical findings in the neonate at birth that suggest an infectious cause.

For anyone who treats postmenopausal women, this latest edition of Rogerio Lobo's classic work combines the best from two well-known references: "Menopause," and the second edition of "Treatment of the Postmenopausal Woman." By adding significant discussions of the basic science behind menopause, it is possible to objectively assess the clinical value and limitations of current approaches to treatment and provide a basis and rationale for strategies that will result in better individualized and specialized care. Not only does the third edition discuss diagnosis and treatment of menopause but it covers biological, anatomical, physiological, pathobiological, and pharmacological aspects as well bringing together, in one source, all of the information needed to understand and treat postmenopausal conditions.
* Over 50% new material representing the vast amount of information available since the Women's Health Initiative (WHI) clinical trials were completed making this the most up-to-date reference on postmenopausal women
* Includes several new sections on comparisons between clinical trials and observational data, urology, and pelvic support
* Each section is preceded by a preface to put the area into context with many chapters having suggested treatment regimens

Liu's Labour Ward Manual has for many years been the standard work for all personnel working on the labour ward. It gives instruction on the best application of technical procedures employed in the labour ward whilst promoting the ethos that the labouring mother and the unborn child must be the prime focus of attention. Offers a one-stop guide to all aspects of labour and birth in a hospital environment Covers everything from admittance procedures through to emergency drills and multiple births User-friendly layout with clear diagrams provide easy access to information Panel of international specialists ensure contemporary and representative content Incorporation of latest NICE and RCOG Guidelines as well as those of CNST New section on Emergency Drills Expanded segment on mental health

In this book, world-renowned experts describe the latest advances in minimally invasive gynecologic surgery and explain why endoscopy is of key importance in so many conditions. Hysteroscopic instrumentation is described and the application of hysteroscopic techniques in patients with polyps, fibroids, malformations and infertility is explained and evaluated. Individual chapters are devoted to the current minimally invasive treatment of endometriosis, endometrial polyps and adenomyosis. The role of laparoscopy in gynecologic oncology and the laparoscopic approach to hysterectomy are fully discussed. Various other applications of laparoscopy are considered, with coverage of techniques including traditional straight stick laparoscopy, barbed suture and robotic and single port surgery. Neurophysiology and the use of laparoscopic therapy to restore vital function are discussed and complications of laparoscopic surgery are also addressed.

"I still have the confidence of that whole period. And I think that will stay with me for the rest of my life. Definitely a great sense of triumph really. It's incredible." Being a midwife today requires not only good clinical skills but also a broad understanding of the social and emotional changes a woman goes through before and after birth. The New Midwifery Second Edition looks at combining scientific knowledge with the more intangible skills needed in sensitive communication to provide the best possible care for the mother and her family. "There was a kind of silence in the relationship, a stillness which was very important. And we'd done all the talking in the build up. So the talking was done. I felt confident that she [the midwife] knew where I was coming from and vice versa. It was like we'd done all our dress rehearsal - what if, what if. And on the day there was nothing left to say really. So it just felt very calm, and I think that was the most important thing." The second edition of this celebrated text explores vividly the various skills and approaches that lead to successful midwifery practice and uses care stories to bring these to life. Building on a thorough grounding of theory and research evidence, The New Midwifery will enable all midwives to practise with a more effective range of skills and, as these real-life quotes from mothers bear out, provide unique professional support before, during and after birth. "I think we had a really good relationship actually. It was more of a friend relationship, but a friend you could trust in - a professional friend you could rely on." Provides a refreshingly new approach to key areas of midwifery practice in a way that brings practice to life. Illustrates and supports the fundamental changes currently taking place in midwifery around the world. Builds on the most up-to-date, evidence-based research to suggest guidelines for best practices. Explores the impact of parenthood and offers strategies for effectively supporting individuals during this period of transition. Includes "care stories" - case studies that highlight positive midwifery care and successful childbirth experiences. Offers contrasting stories from around the world, illustrating how maternity care in industrialized society differs from that in a non-industrial or third world environment. Provides up-to-date research and reference material.

3D ultrasound shows a still image of a foetus, far more detailed than the 2D flat grey scale imaging. 4D ultrasound is more advanced, showing a moving image, allowing obstetricians to evaluate foetal well-being. It is also used by gynaecologists to examine uterine anomalies. This book is a practical guide to the use of 3D and 4D ultrasound in obstetrics and gynaecology. Divided into three sections, the text begins with an introduction to ultrasound, its working and application, its function, software, and volume calculation tools. Section Two covers clinical applications of volume ultrasound in obstetrics, explaining its use during the first trimester, for foetal abnormalities, for functional assessment of foetal brain development, and in labour. The final section discusses the application of ultrasound in gynaecology, covering uterine abnormalities, adnexal lesions, and in infertility. The book concludes with an appendix detailing different terms used by different brands. Key points Practical guide to use of 3D and 4D ultrasound in obstetrics and gynaecology Provides detailed explanation of ultrasound working, function and software Covers different uses of ultrasound for foetal monitoring, gynaecological disorders, and infertility Highly illustrated with detailed ultrasound images

A woman's childbirth care choices have a profound effect on her pregnancy and childbirth experience. Today, some pregnant women have three different options to choose from: obstetrical care and a hospital birth, a midwife-assisted birth in a hospital, and a midwife-assisted birth at an out-of-hospital birthing center. By using a combination of qualitative and quantitative methods, this volume examines how and why 200 women made their choices, how satisfied they were with the care they received, and the impact of their choices on the availability of options in the future. Although most women in the U.S. still choose an obstetrician and a hospital setting, the number of women who choose to be assisted by a Certified Nurse Midwife is growing, with the result that this profession is acquiring new strength and jurisdiction over childbirth care.

Providing the latest evidence-based information on etiology, evaluation and treatment, this unique text provides an in-depth, comprehensive discussion of the epidemiology, genetic and endocrinologic factors and medical and surgical management of recurrent pregnancy loss (RPL). Taking a multidisciplinary approach including psychological treatment and patient perspectives, all aspects of current RPL prevention and treatment are elucidated. Detailed chapters provide real-world illustrative material and cover the set-up and management of RPL clinics and databases, containing practical tips. Recurrent Pregnancy Loss will be an excellent resource for OB-GYN specialists, general and reproductive endocrinologists, radiologists, hematologists, psychiatrists, psychologists, and any other investigators or clinicians treating patients confronted with this emotionally and physically trying condition.