To what extent should parents be able to choose the kind of child they have? The unfortunate phrase 'designer baby' has become familiar in debates surrounding reproduction. As a reference to current possibilities the term is misleading, but the phrase may indicate a societal concern of some kind about control and choice in the course of reproduction. Typically, people can choose whether to have a child. They may also have an interest in choosing, to some extent, the conditions under which they do so, such as whether they have a child with a serious disability or disease. The purpose of this book is to explore the difficult and controversial question of the appropriate ethical and legal extent of reproductive autonomy in this context. The book examines ethical, legal and public policy issues in prenatal screening, prenatal diagnosis (PND), selective abortion and preimplantation genetic diagnosis (PGD). It explores the ethics of these selection practices and the ability of current ethical guidelines and legal mechanisms, including the law on selective abortion and wrongful birth, to deal with advances in genetic and other knowledge in these areas. Unlike in the United States, in England the relevant law is not inherently rights-based, but the impact of the Human Rights Act 1998 inevitably raises questions about the proper scope of reproductive autonomy in this context. The implications of the analysis are considered for the development of relevant law, public policy and ethical guidelines and will be of interest to academics in medical law and ethics, health professionals, lawyers, those working on public policy and students with an interest in these issues.

A dramatic and worldwide increase is occurring in the prevalence of overweight and obesity in women of childbearing age. Obese women carry a significant excess risk of a variety of serious complications during pregnancy, and in addition, maternal obesity predisposes to obesity in the offspring. This book provides a timely update on the latest knowledge on maternal obesity and pregnancy. A very wide range of issues are covered, including macrosomia and associated shoulder dystocia; the risk of miscarriage, malformations, and complications of pregnancy; the impact of hyperglycemia; clinical management; consequences for anesthesia and ultrasound; impacts on breastfeeding, fertility, and childhood obesity; and pregnancy following gastric surgery. All of the authors are recognized experts in their fields, and the book has been designed to meet the practical needs of obstetricians, gynecologists, internists, and general practitioners.

Just a few decades ago, children born with significant congenital anomalies or genetic and metabolic diseases perished at an early age and very few survived into their teens and even less into adulthood. Congenital heart disease, major errors in metabolism, cancer, cystic fibrosis and many other major diseases were fatal. Because of that many physicians in adult primary care did not have the opportunity to see patients with these problems and thus unable to learn how to care for them. In this book, we have recruited highly qualified and experienced physicians to compile what is to the best of our knowledge, the first book dealing entirely with the issue of children's diseases in adults. Our goal is to provide a resource for all health care providers in order to help with caring for such adult patients. We believe that it will be valuable to all health care providers who provide care to adults with children's diseases. To our knowledge, there is no such resource available for practitioners which will make this book desirable.

For more than a decade, there has been no resource to guide the practitioner, trainee or allied health professional in this important field of pediatrics. These disorders are addressed every day with children admitted to the neonatal intensive care unit, pediatric intensive care unit, inpatient units, day hospitals, surgical units (inpatient and ambulatory), emergency rooms or in the outpatient setting.

Fluid and Electrolytes in Pediatrics: A Comprehensive Handbook is a complete compendium of ready access information for pediatricians, family practitioners, residents, students and allied health professionals. The manual will be a "go to" source for tables or information on any aspect of fluid, electrolyte and acid-base metabolism for general pediatrics/ family practitioners/residents/medical students/nurses or the medical or surgical specialties.

In order to achieve the goal as the "THE" textbook in this discipline, each chapter of the book will be divided into the following areas: Definition and Pathophysiology, Symptoms, Diagnosis and Causes, Treatment and Representative Scenarios. Case presentations/problems (6-10) to illustrate the key points within the chapter. The scenarios will attempt to cover the most common problems that present in pediatrics.

This book will have unique information with extensive tables, lists, and algorithms that detail clinical features of the entire spectrum of water metabolism, disorders of electrolytes, and disturbances in acid-base homeostasis by age (infants/newborns, children and adolescents) that is not available in any other textbook.

An estimated 35 million people worldwide are displaced by conflict, and most of them are women and children. During their time away from their homes and communities, these women and their children are subjected to a horrifying array of misfortune, including privations of every kind, sexual assaults, disease, imprisonment, unwanted pregnancies, severe psychological trauma, and, upon return or resettlement, social disapproval and isolation.

Written by the world's leading scholars and practitioners, this unique collection brings these problems - and potential solutions - into sharp focus. Based on extensive field research and a broad knowledge of other studies of the challenges facing women who are forced from their homes and homelands by conflict, this book offers in-depth understanding and problem-solving ideas. Derived from a project to advise U.N. agencies, it speaks to a broad array of students, scholars, NGOs, policymakers, government officials, and international organizations.

Uniquely designed to reflect the physician's decision-making process, Walters & Karram Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of female pelvic medicine and reconstructive surgery. This practical, atlas-style resource covers everything from basic concepts through to clinical and urodynamic evaluation, management, and treatment, equipping you to make the best clinical decisions and optimize outcomes. Edited and authored by renowned experts in the field, this updated 5th Edition is an ideal resource for urogynecology fellows and practitioners, urologists, and OB/GYNs who need a step-by-step, comprehensive reference on the latest procedures and research to evaluate and treat female pelvic floor disorders. Offers a comprehensive approach to all urogynecologic disorders, including genuine stress incontinence, pelvic organ prolapse, defecation disorders, painful and irritative voiding disorders, and specific conditions such as urinary tract infection. Provides algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and hundreds of clear surgical illustrations, photographs, and radiographs. Features an all-new video collection to clearly demonstrate key procedures. Contains new chapters on Urology for the Urogynecologist and Interstitial Cystitis/Bladder Pain Syndrome. Contains timely discussions of surgical complications, the psychosocial issues associated with treating patients with female pelvic floor disorders, and female sexual function and dysfunction. Includes case presentations from leading experts in urogynecology and urology that allow you to apply the information presented to everyday clinical situations. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Reproductive tract infections (RTis) have become a silent epidemic that is devastating women's lives. Each year, thousands of women die needlessly from the consequences of these infections, including cervical cancer, ectopic pregnancy, acute and chronic infections of the uterus and the fallopian tubes, and puerperal infections. For many women, this happens because they receive medical attention too late, if at all. The terrible irony of this tragedy is that early diagnosis of and treatment for many RTis do not require high-technology health care. For the hundreds of millions of women with chronic RTis acquired from their sexual partners, life can become a living hell. Infection is a major cause of infertility, and it leads to scorn and rejection in many countries. These women may experience constant pain, have festering lesions of the genital tract, be at enhanced risk of second ary diseases, and endure social ostracism. The problems associated with RT s have grown even greater in the past decade with the emergence of human immunodeficiency virus (HIV) and AIDS. Preexisting sexually transmitted disease, particularly when associated with genital tract ulcers, raises women's vulnerability to the transmission of HIV 3-5 fold."

The Essential Reference for Professionals Working with Breastfeeding Mothers - Now Published by Springer Publishing Company Medications & Mothers' Milk is the worldwide-bestselling drug reference on the use of medications in breastfeeding mothers, providing you with the most current, complete, and evidence-based information. Extensively updated throughout, the 17th Edition includes hundreds of new drugs, diseases, vaccines, and syndromes. The appendices provide information on radioactive drugs and tests, and over-the-counter drugs. Written by world-renowned Clinical Pharmacologist, Dr. Thomas Hale, and assisted by Dr. Hilary Rowe, this drug reference provides everything that is known about the transfer of various medications into human milk, the use of radiopharmaceuticals, the use of chemotherapeutic agents, and vaccines in breastfeeding mothers. Features: Updated throughout with new data on 1,115 drugs, syndromes, vaccines, and herbals. Contains new tables to compare the suitability of psychiatric medications and pain medication. Includes many new radiocontrast agents and other diagnostic procedures.

The changes that are happening within midwifery are of concern to those within the health care system, the academic world and those whose lives are touched by midwifery care. Failure to Progress reflects on the current situation and questions whether it is the most appropriate way of providing care for the childbearing woman. The book discusses what is happening both within midwifery as well as to midwifery as a profession in the context of social change. Topics covered include:
* the evolution of the midwifes role
* women's issues
* the functioning of the midwife within the health care system
* the effects of organisational change
* the relationships of the midwife with the woman she cares for and with medical practitioners.

All of the contributors to Failure to Progress are actively involved with the provision of care to the childbearing woman, and most are practising midwives. Together they build up a comprehensive picture of midwifery today which will be relevant to all midwifery students, practitioners and policy makers and not least to the consumers of midwifery care.

Novel Approaches into the Origins of Neurodevelopmental Disorders: The Fetal Physiology Foundation Over the past two decades, autism, a neurodevelopmental disorder that is defined by behavior and was once believed to be rare, became recognized in increasing numbers of children and recently received distinction as an "epidemic" [1]. While numbers of affected children have steadily increased, our knowledge is still ins- ficient to explain autism's diverse causes and broad range of presentations. Despite remarkable progress in research, available medical diagnostic testing applies only to a small minority of affected children. Thus, scientifically based explanations with which physicians can diagnose and treat the majority of children with autism and advise their parents are quite limited. Our society and scientific community were unprepared for the rise in autism, which explains our present inability to understand most of its causes. Researchers in neurodevelopmental disorders have long been aware of other disorders that, despite extensive efforts, have not yielded clear genetic or environmental origins, and autism has become symbolic of the need for new approaches to research into these complex conditions. Although autism has captured our attention in recent years, the prevalence of other neurodevelopmental disorders such as attention de- cit hyperactivity disorder (ADHD) and bipolar disorder, among others, also has been increasing [2-4].

Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1969 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.

Serious congenital malformations are a major contributor to the infant death rate worldwide. Their nonhereditary causes are multiple and complex, and include infectious and metabolic dangers, disease medication, nutritional inadequacy, medicinal products, environmental agents and pollutants, among them. The cause of many however is still unknown. The wide range of these causes makes the defects of interest to those of a wide range of medical and investigatory backgrounds, especialy clinicians, fundamental scientists, and environmentalists.

This book is a practical guide to latest procedures and diagnostic guidelines for use of sonography in gynaecology. Beginning with an introduction to the role of ultrasound and patient preparation, the following chapters cover common pathologies, uterocervical abnormalities, colour flow mapping, and duplex Doppler. All the latest advances have been included to ensure clinicians are fully up to date in their field. The book features nearly 500 2D, 3D and 4D ultrasound images, with a corresponding image for most of the pathologies described in the text. Key Points Practical guide to latest procedures and diagnostic guidelines for gynaecologic sonography Provides overview of role of ultrasound and patient preparation Covers common pathologies, abnormalities, and different types of ultrasound Includes nearly 500 2D, 3D and 4D ultrasound images

This book uniquely explores American cultural values as a factor in maternal health. It looks beyond the social determinants of health as primarily contributing to the escalating maternal morbidity and mortality in the United States.    The United States is an outlier with poor maternal health outcomes and high morbidity/mortality in comparison to other high-resource and many mid-level resource nations. While the social determinants of health identify social and environmental conditions affecting maternal health, they do not answer the broader underlying question of why many American women, in a high-resource environment, experience poor maternal health outcomes. Frequent near-misses, high levels of severe childbearing-related morbidity, and high maternal mortality are comparable to those of lower-resource nations.  This book includes contributions from recognized medical and cultural anthropologists, and diverse clinical and public health professionals. The authors examine American patterns of decision-making from the perspectives of intersecting social, cultural, and medical values influencing maternal health outcomes. Using an interdisciplinary critical analysis approach, the work draws upon decision-making theory and life course theory. Topics explored include: Cultural values as a basis for decision-making Social regard for motherhood Immigrants, refugees and undocumented mothers Cultural conflicts and maternal autonomy Health outcomes among justice-involved mothers Maternal Health and American Cultural Values: Beyond the Social Determinants is an essential resource for clinical and public health practitioners and their students, providing a framework for graduate-level courses in public health, the health sciences, women’s studies, and the social sciences. The book also targets anthropologists, sociologists, and women studies scholars seeking to explain the links between American cultural decision-making and health outcomes. Policy-makers, ethicists, journalists, and advocates for reproductive health justice also would find the text a useful resource.

The landmark text that has served generations of obstetrician-gynecologists-fully updated with the most current perspectives of the field Williams Obstetrics has defined the discipline for generations of obstetrician-gynecologists. Written by authors from the nationally renowned University of Texas Southwestern Medical Center and Parkland Hospital, the new edition of this authoritative, evidence-based work maintains its trademark comprehensive coverage and applicability at the bedside, while offering the most current information and insights. The culmination of a century of clinical thought, Williams Obstetrics, 26th Edition delivers expert coverage of obstetrical complications, such as preterm labor, pregnancy-related hypertension, infection, and hemorrhage. It additionally offers foundational content on reproductive anatomy, physiology, and prenatal care. The authors have enhanced this edition with 1,000+ full-color illustrations, plus an increased emphasis on the fast-growing subspecialty of Maternal-Fetal Medicine. No other text matches the long-established scientific rigor and accessibility of Williams Obstetrics. With its state-of-the-art design and review of the newest advances and protocols, this not-be-missed clinical companion brings positive outcomes within reach. New and updated content includes: Increased focus on Maternal-Fetal Medicine Greater coverage of hypertension and hemorrhage Deeper insights into in-utero complications Expanded fetal t section includes cutting-edge fetal imaging, genetics, prenatal diagnosis, and fetal disorders and therapy Basic science, physiology of labor, preterm labor updated with contemporaneous publications in the literature More obstetrical sonography figures Eye-catching illustrations, including updated graphs, sonograms, MRIs, photographs, and photomicrographs

1. Prologue.- 2. Is Estrogen A Cellular Signal for Female Genital Tract Epithelium?.- 3. Reciprocal Tissue Interactions in Morphogenesis and Hormonal Responsiveness of the Female Reproductive Tract.- 4. Qualitative and Quantitative Morphology of Induction in Endometrial Epithelium.- 5. Interactions of Estrogens, Protooncogenes and Growth Factors.- 6. Expression of Metallothionein Genes in Preimplantation Embryos, Decidua and Placentae.- 7. Uterine Preparation for Blastocyst Attachment.- 8. Uterine Extracellular Matrix Remodeling in Pregnancy.- 9. Glycoprotein Expression and Function in Embryo-Uterine Interactions.- 10. Uterine-Conceptus Interactions During the Peri-implantation Period.- 11. Endocrine Functions of the Rodent Placenta: Placental Lactogens.- 12. The Origin and Role of Cytokines Determining Success and Failure in the Post-implantation Period.- 13. Epilogue.- Poster Presentations.- Contributors.

'Maisie's knowledge of hormones changed my life... you need this book' Anna Jones 'Hill's advice is straightforward and no-nonsense' The Guardian 'An informative must-read for any woman - whatever their age' Vogue online During perimenopause three quarters of women will experience symptoms such as mood changes, insomnia, hot flushes, and night sweats, but there is little in the way of evidence-based information out there to help and guide us. Perimenopause Power is the essential handbook to understanding what the hell's going on and to empower us to improve our experience of the dreaded 'change'. Maisie Hill, the highly qualified women's health expert, best-selling author of Period Power and founder of The Flow Collective, takes us through the physiological changes of perimenopause and menopause, step by step, with calm positivity. In this invaluable guide she shares tips and advice to support women through the challenge of wildly fluctuating hormones. A must-read for anyone looking for a well-researched, evidenced-based book on perimenopause and menopause that gives women the information they need to address their hormonal needs. Perimenopause Power will help women to understand what's going on with their bodies and how to deal with troublesome symptoms, and share valuable insights into making it a positive and powerful experience. 'Maisie Hill helps you understand the changes in your body and psyche during the lead-up to menopause and how to handle symptoms.' Top Sante 'Maisie Hill gets rid of myths, sheds light and allows for an open, honest and much-needed conversation' Mind

This book aims to provide an up-to-date review of the literature in each of the major areas relating to the management of older gynecological cancer patients, and makes recommendations for best practice and future research. The authors come from a broad geographic spread including the UK, mainland Europe and North America to ensure a worldwide relevance.