The Happy Vagina shines a light on both the unique and sometimes awkward facts about everything gynaecological, creating an open dialogue for all sexes and generations. "A fierce and fabulous celebration of women. Mika's straight-talking, no-nonsense writing means she is the friend we don't just want, but need. Beautiful and empowering. A must read." - Laura Whitmore In a world where the vagina is still, too frequently, considered taboo, this book aims to entertain, educate and enlighten. Mika Simmons, creator and host of 'The Happy Vagina' podcast, rightly believes that this taboo is problematic and can lead to a whole host of health issues. Intimate health and pleasure can be hard to talk about, regardless of background or experience, The Happy Vagina is here to smash this stigma for women, and men. Medicine, politics, religion, and social conditioning have all had a thoroughly improper and exaggerated influence on women's being - with many of the falsehoods told still negatively impacting us. Mika's intention is to re-educate us all by shining a light on these ridiculous, historical myths and then debunk them by sharing the most unique, incredible, and empowering facts about the vagina, thereby encouraging a more open dialogue for everyone. Covering everything from the myth of the wandering womb to mindful masturbation and orgasms to period poverty, the history of contraception, pregnancy and being childfree, Mika's approachable and positive message urges all of us to know, and appreciate, our own bodies.

What does modern medical science know about menstruation? The menstrual cycle is less well understood by physicians than is commonly assumed and medical understanding of disorders associated with it are also limited. This study challenges the orthodox thinking in both society and medicine on menstruation. The authors base their study on women's own experiences and accounts of menstruation and menstrual disorders, drawing on a wide range of studies including their own. The book shows that women are often socialized to interpret the menstruum in negative terms and as something essentially private to be contained within the female domain. Taking an unorthodox approach, the authors incorporate a discussion of how menstruation is perceived within male culture and how the perspective of the medical profession has remained discernibly patriarchal. They show the significance of this in relation to women's experience within the family and at work. They end the book by focusing on the medicalisation of menstruation and the advantages and disadvantages for women of the greater access to the sick role this development implies.

Intrauterine development and birth constitute an uninterrupted sequence of events that have a molecular physiologic background. Perinatal Biochemistry presents a comprehensive review of this subject. Specific topics addressed include maternal metabolism during pregnancy, maternal insulin resistance, embryonic and fetal metabolism and fuel consumption, the fetal pancreas, growth factors, brain metabolism, and biochemical adaptations to early extrauterine life. The book will be useful to biochemists and physiologists interested in perinatology; clinicians working in areas related to maternal health, gestational development, and delivery; gynecologists, neonatologists; pediatricians; endocrinologists; and internists.

Sexual and Reproductive Health at a Glance provides a highly-illustrated, visual introduction to all aspects of sexual and reproductive health, from basic clinical examination skills to the management of acute Sexually Transmitted Infections (STIs) and unplanned pregnancy. Covering topics which are often difficult to access as an undergraduate or junior doctor, Sexual and Reproductive Health at a Glance focuses on the fundamental principles in delivering effective contraception and sexual health care. It features high-yield information on the essential clinical topics covered in the Community Sexual and Reproductive Health (CSRH) curriculum. Presented in the familiar, easy-to-use, at a Glance format, Sexual and Reproductive Health at a Glance: Provides a quick revision of basic anatomy, physiology and clinical skills Offers balanced coverage of both male and female GU pathology, STIs and contraception Includes material on practical gynaecological procedures performed in the out-patient setting Presents a holistic approach to issues dealt with in this specialty Takes a global perspective by addressing SRH issues in different cultures and resource-limited settings Includes a companion website at www.ataglanceseries.com/sexualhealth featuring a selection of case scenarios and interactive flashcards for self-test This brand new title will provide an invaluable resource for medical and healthcare students, junior doctors, SRH trainees and busy clinicians working in other specialties.

This work is based on the proceedings of the seventh conference of the Society for Menstrual Cycle Research held at the University of Michigan in Arbor in June 1987. It discusses such topics as the experience of menstruation, perimenstrual symptoms and premenstrual syndrome and menopause.

Technology has come to dominate the modern experience of pregnancy and childbirth, but instead of empowering pregnant women, technology has been used to identify the foetus as a second patient characterised as a distinct entity with its own needs and interests. Often, foetal and the woman's interests will be aligned, though in legal and medical discourses the two 'patients' are frequently framed as antagonists with conflicting interests. This book focuses upon the permissibility of encroachment on the pregnant woman's autonomy in the interests of the foetus. Drawing on the law in England & Wales, the United States of America and Germany, Samantha Halliday focuses on the tension between a pregnant woman's autonomy and medical actions taken to protect the foetus, addressing circumstances in which courts have declared medical treatment lawful in the face of the pregnant woman's refusal of consent. As a work which calls into question the understanding of autonomy in prenatal medical care, this book will be of great use and interest to students, researchers and practitioners in medical law, comparative law, bioethics, and human rights.

In this unique book emphasis is placed on tests necessary to evaluate fetal well-being and to detect those fetuses at risk of hypoxia and acidosis in utero. Written by pioneers in the neonatal field, this publication contains chapters on the pathophysiology, obstetric management, and collagen diseases of intrauterine growth retardation. Ultrasound in detection of growth retarded fetuses is explored, as well as magnetic resonance imaging and magnesium substitution for the prevention of intrauterine growth retardation. Containing never-before-published information, this volume is an excellent reference source for both investigators in the field and those entering it.
Topics Include:
Perinatal growth chart for international reference
Ultrasound guided procedures in small for gestation fetuses
Utero-placental and fetal circulation

The Operation Primer provides excellent photographic step-by-step guidance to the surgical procedure. It has been produced to describe the operation in the simplest manner possible without over-simplifying. At the core of the Operation Primer is the section on Nodal Points, where the key surgical steps are described in detail. This surgical guide book provides essential reference material for surgeons wishing to update their knowledge in this specific area.

The Operation Primer Laparoscopic Hysterectomy is specially intended for those gynecologists who wish to familiarize themselves with minimally invasive hysterectomy techniques. This Operation Primer is an excellent teaching tool, accurately describing a standardized technique not only for novices but also for experienced laparoscopic surgeons. It provides a detailed overview of presurgical considerations and preparation, key surgical steps and highlights possible pitfalls of laparoscopic hysterectomy.

This Operation Primer on total laparoscopic hysterectomy (TLH) and laparoscopic supracervical hysterectomy (LASH or LSH) follows the step-by-step concept and provides a detailed manual for gynecologists who want to apply laparoscopic techniques for hysterectomy.

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This proposed book draws on the expertise of 35 experts in the field of Addiction Medicine to provide the reader with a current and comprehensive view of addiction as related to women, pregnancy, newborns, infants and children. The volume begins by placing current attitudes towards addicted women in a historical context, and continues with contributions on the relationship of gender to substance abuse research, addiction as a general health issue in women, and ethical dilemmas faced when approaching drug use during pregnancy. The volume discusses high-risk pregnancies and HIV infection related to maternal drug abuse. It details specific pharmacotherapy such as methadone and buprenorphine, and assesses society's punitive view toward illicit drug using women. Finally, the book describes outcomes of newborns, infants and children born following intrauterine drug exposure. Health providers in many related disciplines, specialists in Addiction Medicine, social workers and ethicists are among those who will gain insight into the complex interdisciplinary matrix of abuse in women, its unique relationship to pregnancy, and its impact on drug-exposed children. This book was published as a special issue in the Journal of Addictive Diseases.

Reproductive aging is a natural and universal process. Women frequently overestimate the age at which a significant decline in fertility occurs as well as overestimate the success of assisted reproductive technologies to circumvent age-related infertility. Yet there is much that modern medicine can do to improve conception rates in women who delay childbearing and to manage subsequent pregnancies. This book offers guidance on winning strategies for maximizing the live-birth rate and limiting the risk for women trying to conceive later in life. It is intended to assist in navigating this challenging journey and lead to peace of mind that women have been seen, heard, and treated as individuals in the process. Written by leading experts addressing medical options of applying advanced reproductive technologies, psychological, nutritional, lifestyle, systematic approaches to optimizing fertility care for the most challenging demographic of women in a practical, clinically orientated, and most importantly, positive way.

Vitrification in Assisted Reproduction presents standard and new cryopreservation techniques in detail, outlining those that have resulted in success, and providing recommended means for overcoming typically encountered problems. This new edition provides a much broader range of clinical application and data to demonstrate its contribution to the use of vitrified oocytes and embryos. The book also discusses new areas in the field of assisted reproductive technology such as oocyte banking, preimplantion diagnostics at the blastocyst stage, and the burgeoning adoption of elective single embryo transfer. Written by expert scientists and clinical embryologists, this book will help you to consistently and predictably apply vitrification as an important therapeutic strategy in assisted reproduction.

Deliver safe, effective obstetric care with the go-to guide for doctors, nurses, and midwives Updated and revised, Oxorn Foote Human Labor and Birth provides comprehensive, authoritative coverage of obstetric care. This popular guide offers proven best practices and step-by-step guidance to obstetric procedures, techniques, and patient management. Oxorn Foote Human Labor and Birth reviews anatomy and patient examination; details variations of fetal presentation and birthing technique; explains how to manage complications and delivery scenarios, including hemorrhage, fetal concerns, preterm and prolonged labor, and dystocia; and covers preliminary neonatal care. This unparalleled resource is organized into six sections: *Clinical Anatomy, including the pelvis, bones, joints, perineum, and fetus *First Stage of Labor, including examination, mechanisms of labor, fetal health surveillance, and abnormal cephalic presentations *Second Stage of Labor, including operative vaginal delivery and shoulder dystocia *Third Stage of Labor, including delivery of the placenta, retained placenta, postpartum hemorrhage, episiotomy, and uterine rupture *Complicated Labor, including cesarean section, obesity in pregnancy, breech presentation, transverse lie, and compound presentation *Other Issues, including preterm labor, antepartum hemorrhage, maternal complications, intrapartum infections, post-term pregnancy, and obstetric anesthesia and analgesia Nearly every two-page spread features original four-color images clearly illustrating the techniques described, and key points are bulleted throughout to help you find critical information quickly and easily. No other book presents so much vital information in such a clearly illustrated manner. Oxorn Foote Human Labor and Birth is an essential resource for anyone performing or assisting in childbirth.

This book promotes an evidence-based paradigm of fetal heart rate monitoring during labour, with a move away from the traditional 'pattern-based' interpretation to physiology-based interpretation. Chapters are presented in a systematic and accessible format, covering topics such as non-hypoxic causes of fetal brain injury, pre-existing hypoxia, types of intrapartum hypoxia, erroneous monitoring of maternal heart rate, fetal scalp blood sampling and fetal ECG (STAN), intermittent auscultation and medico-legal issues. Sections on 'pearls' and 'pitfalls' highlight good practice and common errors to promote best practice. End-of-chapter exercises allow the reader to engage with the theory and test their knowledge of key areas. This is a highly practical manual aimed at obstetricians and midwives, particularly those undergoing CTG training. The book will also be very useful to midwifery and medical students and to all those involved in multiprofessional intrapartum care.

Preterm infants grow poorly after birth and very commonly develop ex utero growth restriction (EUGR). However, the risks and benefits of catch-up growth in preterm infants must be weighed, and evidence addressing this warrants examination. Perinatal Growth and Nutrition explores the reasons for EUGR and the long-term effects on developmental outcome and on metabolic risks. It provides clear information on the risks and benefits of faster post-natal growth and catch-up growth in preterm infants and offers tools for better assessment of growth and earlier identification of faltering growth. This book is divided into three sections. The first section covers advances in preterm infant growth standards, diagnosis and causes of EUGR, and assessments of preterm infant diets. The second section considers the extensive human literature on the effects of in utero and ex utero growth restriction and catch-up growth on long-term metabolic outcomes-such as obesity, insulin resistance, type 2 diabetes, and cardiac disease-and long-term neurodevelopmental outcomes including cognition. It also examines evidence for the effect of growth on these outcomes in term and preterm infants. The final section of the book considers ways to reduce the incidence of EUGR in preterm infants and when EUGR does occur, to optimize catch-up growth. Topics include assessment of dietary requirements of the diverse population of preterm infants, examination of tools for prescribing nutrition to neonatal intensive care unit patients, consideration of whether to customize or generalize nutrient intake, and fortification of human milk. In addition, the last chapter proposes using a Z-score growth chart for improved interpretation of growth data.

Don't be held hostage by Polycystic Ovary Syndrome - with the right diet and effective exercise, you can minimise its impact on your day-to-day life and future wellbeing. Packed with realistic advice from a qualified nutritionist, this guide takes you through everything from picking which treatments to try - and which to avoid - to thriving with PCOS superfoods and finding resources and support to help you stay positive and maintain your focus

Intra-uterine insemination (IUI) is a widely used fertility treatment for couples with unexplained and male subfertility. Although it is less invasive and less expensive as athan several other treatment options, than in vitro fertilization, severalsome points about the factors affecting its outcomeIUI remain controversial and there remains concern about some of the possible aspects of treatmentside-effects, such as an increase in multiple pregnancy rates. This is a comprehensive evidence-based book from an international IUI expert team, with guidelines for daily practice clearly stated and summarized for readers' convenience.

Packed with the most up-to-date recommendations, this invaluable preparatory handbook is a trusted resource for all levels of providers that care for laboring patients. Gain confidence in managing patients from when they present to triage all the way through labor, delivery and the postpartum period. Gives providers critical clinical algorithms for routine and emergency situations and procedures. Includes: detailed description of common obstetric procedures and examinations, evidence-based practice recommendations for labor management and pain control options, sample notes, orders, and operative dictations for cesarean section, multiple illustrations and treatment algorithms that clarify and explain details students and residents are most likely to encounter during obstetric rotations. Written by an experienced maternal fetal medicine physician, this book fills practical knowledge gaps left by conventional textbooks. It provides comprehensive insights for labor management, including emergencies, and improves provider confidence resulting in better care of obstetric patients.

Honorable Mention, Sociology of the Body and Embodiment Best Publication Award, given by the Body and Embodiment Section of the American Sociological Association The emotional and social components of teaching medical students to be good doctors The pelvic exam is considered a fundamental procedure for medical students to learn; it is also often the one of the first times where medical students are required to touch a real human being in a professional manner. In Feeling Medicine, Kelly Underman gives us a look inside these gynecological teaching programs, showing how they embody the tension between scientific thought and human emotion in medical education. Drawing on interviews with medical students, faculty, and the people who use their own bodies to teach this exam, Underman offers the first in-depth examination of this essential, but seldom discussed, aspect of medical education. Through studying, teaching, and learning about the pelvic exam, she contrasts the technical and emotional dimensions of learning to be a physician. Ultimately, Feeling Medicine explores what it means to be a good doctor in the twenty-first century, particularly in an era of corporatized healthcare.

Ancient Egyptian medicine employed advanced surgical practices, while the prevention and treatment of diseases relied mostly on natural remedies and magical incantations. In the first of three volumes, The Medicine of the Ancient Egyptians explores these two different aspects, using textual sources and physical evidence to cast light on the state of ancient medical knowledge and practice and the hardships of everyday life experienced by the inhabitants of the land on the Nile. The first part of the book focuses on ancient Egyptian surgery, drawing mainly on cases described in the Edwin Smith papyrus, which details a number of injuries listed by type and severity. These demonstrate the rational approach employed by ancient physicians in the treatment of injured patients. Additional surgical cases are drawn from the Ebers papyrus. The chapters that follow cover gynecology, obstetrics, and pediatric cases, with translations from the Kahun gynecological papyrus and other medical texts, illustrating a wide range of ailments that women and young children suffered in antiquity, and how they were treated. Illustrated with more than sixty photographs and line drawings, The Medicine of the Ancient Egyptians is highly recommended reading for scholars of ancient Egyptian medicine and magic, as well as for paleopathologists, medical historians, and physical anthropologists.

"There used to be limited therapeutic options for women who developed metastatic breast cancer. However, recent development with novel systemic drugs and palliative surgical techniques, together with advances in diagnostic imaging, have given new hope for these patients and made the treatment of these patients considerably more challenging. One convenient source bringing together the various relevant aspects is long overdue. This handbook covers treatment for both the cancer and the complications that can arise from treatment itself"--Provided by publisher.

Overcoming Postnatal Depression uses the proven and trusted five areas model of cognitive behavioural therapy (CBT). By bringing together specialists in postnatal depression and with the use of self-help resources, this book addresses all the common challenges faced by women during times of low mood after having had a baby.

• CBT workbooks easy to use, practical, photocopy them for use in your own life or job
• Written by award-winning authors and experts
• Proven to work through years of research and practice
• Step-by-step success follow the plan, see positive results
• Advice for friends and family offers support

Invaluable, proven, practical, and easy-to-use workbooks for all CBT practitioners, psychiatrists, GPs, psychologists, neurologists, physiotherapists, occupational therapists, and healthcare workers to use to help the people in their care help themselves.
A linked free online support course is located at www.livinglifetothefull.com with additional resources at www.fiveareas.com
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OSCEs for the MRCOG Part 2 is designed to help the candidate in preparation for the oral examination or OSCE, the concluding element required to pass the MRCOG part 2 examination. The second edition builds upon the strengths of the first by concentrating on testing the candidate's theoretical and practical knowledge of obstetrics and gynaecology as recommended in the syllabus for the MRCOG Part 2 examination. The detailed scenarios test the trainee's ability to obtail obstetric and gynaecoloical histories, to counsel patients and to demonstrate clinical skills. The book will also help the candidate to critically appraise pieces of written work in discussion with examiners and to discuss the varied aspects of obstetrics, gynaecology and allied subjects on which they are likely to be examined during the oral assessment. Opening with a general introduction to the OSCE, the book gives readers invaluable advice on preparation for this particular form of examination such as body language, the importance of visual contact and how to interact appropriately with the examiner and the 'role player'. Helpful discussion sections at the end of each case or 'station' provide helpful suggestions for further study, and are supplemented by key references. Supplementary circuits with less detailed information are also provided for emaniation practice.

'Regardless of your level of obstetrics and gynaecology knowledge and experience, this book will most definitely have something to offer you.'- Tiago Villanueva in his Foreword. Undergraduate medical students often struggle with at least some of the specialty elements of their studies. Some face a further challenge with the advent of the Medical Schools Council Assessment Alliance (MSC-AA, formerly known as UMAP), with a move away from testing specific clinical facts to an assessment focused on preparing to be a foundation doctor and the knowledge such a trainee needs on a daily basis. Neel Sharma has written three self-assessment books - on psychiatry, obstetrics and gynaecology, and paediatrics - designed to help students tackle both the new form of assessment as well as the traditional style of examination. Questions covering all common presentations are included in SBA and EMQ formats with relevant, concise explanations as answers.

Stillbirth remains a sufficiently frequent outcome of pregnancy to pose great problems for clinicians, who have to treat extremely distressed patients. This concise but comprehensive book from an international team of contributors sets out clear guidelines for clinical procedures and patient management for the obstetrician, as well as the gynecologist and the gynecologic pathologist.