This handbook is a guide to infertility and ultrasound for gynaecologists and infertility specialists. The second edition has been fully revised and includes many new topics, providing the latest information in the field. Divided into two sections, the first half of the book covers infertility. Beginning with discussion on assessment of an infertile couple, the following chapters examine different hormone treatments, sperm preparation, and ovulation induction, including in patients with polycystic ovary syndrome. The remaining chapters cover male infertility, recurrent pregnancy loss, and practical tips for infertility management. The second part of the book covers ultrasound. Beginning with discussion on transvaginal sonography and ultrasound in different uterine diseases, the following chapters cover ultrasound in infertility treatment, as well as in the different trimesters of pregnancy. Screening for foetal abnormalities is also discussed in depth. The comprehensive text is highly illustrated with more than 700 ultrasound images, diagrams and photographs. Key points Practical guide to infertility and ultrasound for specialists in gynaecology and infertility Fully revised, second edition featuring many new topics Highly illustrated with more than 700 ultrasound images and diagrams Previous edition (9789351528562) published in 2015

This volume will explore the latest findings in research into the genetics of breast and reproductive cancers, covering the epidemiological aspects of these cancers, their etiology, the effect of environment on genes and cancer etiology, and how research in this area can lead to development of preventative measures and treatments.

This comprehensive account of the deadliest Ebola outbreak in history examines its devastating effects on West Africa's most vulnerable populations: pregnant women and children. Noted experts across disciplines assess health care systems' responses to the epidemic in Liberia, Guinea, and Sierra Leone, emphasizing key areas such as pregnancy, prenatal services, childbirth, neonatal care, and survivor health among pregnant and non-pregnant women. The 30 chapters hone in on gender-based social issues exacerbated during the outbreak, from violence against women and girls to barriers to female education. At the same time, chapters pinpoint numerous areas for service delivery and policy improvements for more coordinated, effective, and humane actions during future pandemics. A sampling of the topics: Ebola virus disease: perinatal transmission and epidemiology Comprehensive clinical care for children with Ebola virus disease Maternal and reproductive rights: Ebola and the law in Liberia Ebola-related complications for maternal, newborn, and child health service delivery and utilization in Guinea The Ebola epidemic halted female genital cutting in Sierra Leone-temporarily Maternity care for Ebola at Medecins Sans Frontieres centers Stigmatization of pregnant women with and without Ebola Exclusion of women and infants from Ebola treatment trials Role of midwives during the Ebola epidemic Pregnant in the Time of Ebola is a powerful resource for public health specialists, anthropologists, social scientists, physicians, epidemiologists, nurses, midwives, and governmental and non-governmental agency staff studying the effects of the epidemic on women and children as a result of the most widespread Ebola outbreak to date.

It's natural... It's unsightly... It's normal... It's dangerous. To breastfeed or not? For millions of women around the world, this personal decision is influenced by numerous social, cultural, and health factors. Infant Feeding Practices is the first book to delve into these factors from a global perspective, revealing striking similarities and differences from country to country. Dispatches from Asia, Australia, Africa, the U.K., and the U.S. explore as wide a gamut of salient issues affecting feeding practices as traditional beliefs about colostrums, "breast is best" campaigns, partner attitudes, workplace culture, direct government intervention, and the pressure to be a "good mother." Throughout these informative pages, women are seen balancing innovation and tradition to nurture healthy, thriving babies. A sampling of topics covered: * Policy versus practice in infant feeding. * Infant feeding in the age of AIDS. * Managing the lactating body: the view from the U.S. * Motherhood, work, and feeding. * The effects of migration on infant feeding. * From breastfeeding tradition to optimal breastfeeding practice. Infant Feeding Practices is a first-of-its-kind resource for researchers and practioners in maternal and child health, public health, global health, and cultural anthropology seeking empirical findings and culturally diverse information on this sensitive issue.

This book is a practical guide to imaging techniques in obstetrics and gynaecology. Beginning with an overview of the ultrasound machine, 3D and 4D ultrasound, and examination of the female pelvis, the next chapters cover the role of colour flow and Doppler, and ultrasound, in infertility, and the use of ultrasound for the diagnosis of gynaecological disorders. The following chapters provide in depth discussion on the use of ultrasound in obstetrics, for both general pregnancy progress and health check-ups, and for abnormal conditions such as bleeding, placenta problems, and malformations. The final sections provide guidance on ultrasound report writing and how to train ultrasound techniques. The comprehensive text is further enhanced by ultrasound and Doppler images, diagrams and tables. Key points Practical guide to imaging techniques in obstetrics and gynaecology Clearly explains interpretation of images for accurate diagnosis Includes guidance on ultrasound report writing and ultrasound training techniques Highly illustrated with ultrasound images, diagrams and tables

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

This book is a comprehensive guide to imaging techniques for the diagnosis and management of diseases and disorders of the breast. Divided into 13 sections, the text begins with an overview of breast anatomy and the pathophysiology of breast diseases. The next sections discuss different imaging techniques - mammography, ultrasound and magnetic resonance imaging (MRI). The following sections cover common and less common breast disorders and imaging in different circumstances such as with breast implants and post-surgery. A complete section is dedicated to screening for breast cancer. The book concludes with a selection of cases of varying complexity for self-evaluation. The text is highly illustrated with line diagrams and figures, as well as radiological images to enhance learning. Key points Comprehensive guide to breast imaging techniques Covers mammography, ultrasound and MRI Includes case discussions of varying complexity for self-evaluation Highly illustrated with radiological images, line diagrams and figures

This comprehensive guide covers all aspects of mastopexy and breast reduction, ranging from anatomy to the variety of procedures in mastopexy, mastopexy/breast reduction, and breast reduction, preoperative care, complications, breast tumors (benign and malignant), and medicolegal aspects.

Obesity has reached epidemic proportions globally and presents a major challenge to policy makers and clinicians alike. Recent research has suggested that obesity has its origins in early life and that early diet can programme a developing fetus and young infant s future susceptibility to obesity. This volume contains recent findings presented at the International Conference on Early Nutrition Programming and Health Outcomes in Later Life: Obesity and Beyond - a satellite meeting of the 15th European Congress on Obesity, held in Budapest in April 2007. Basic scientific research, data from epidemiological studies and clinical trial results were all presented during the programme.

This volume includes articles discussing the evidence for an effect of early nutrition programming on later obesity and cardiovascular risk; the growing evidence for an intergenerational cycle of obesity; the role of maternal leptin in programming appetite; possible cellular mechanisms for altered energy balance, including mitochondrial programming and the effects of regulators of metabolism; and how epigenetic changes might be the fundamental underlying mechanism explaining programming effects. Consumer understanding of the concept of early nutrition programming and the extent to which early nutrition programming is taken into account in infant feeding policies are also discussed.

This practical handbook aims to improve a clinician's knowledge by putting forth the latest advances in the understanding of recurrent pregnancy loss and the management options. The various chapters have been authored by dedicated academicians and clinicians. Recent modalities of management, such as PGD, assisted reproductive technologies and immunotherapy have been covered. The book will also help the clinician to cater to the emotional needs of the distressed couple as chapter on 'setting up a RPL clinic' and 'tender loving care' have been included. Different chapters on genetic causes, the impact of cervical factor, the effects of antiphospholipid antibodies, male factor and infections on recurrent pregnancy losses are presented. A separate chapter on the endocrinological perspective in recurrent pregnancy losses has been included. Investigative modalities proposed for the management of recurrent pregnancy losses such as ultrasound and hysteroscopy have also been dealt with in detail. Proposed treatment options for this condition such as progesterone therapy and heparin treatment have been discussed in this book. Newer management options which are picking up pace like preimplantation genetic diagnosis (PGD) and immunotherapy have been separately dealt with. The option of assisted conception techniques to help couples has also found mention in a separate chapter. Special chapters on setting up of an exclusive RPL clinic and tender loving care (TLC) are included as the emotional health of the sorrowing couple is equally important.

Amenorrhea: A Case-Based Clinical Guide is a comprehensive review of the current knowledge regarding normal female reproductive physiology. Replete with interesting case vignettes and providing diagnostic algorithms and therapeutic strategies for amenorrhea, Amenorrhea: A Case-Based Clinical Guide is divided into three sections. The first section is composed of two chapters that provide a thorough review of basic science and clinical knowledge about the organ systems responsible for normal physiology of the menstrual cycle. The second section includes discussion about menstrual cycle disruption as it relates to hypothalamic-pituitary dysfunction, surgical and natural menopause, genetic defects, premature ovarian failure/insufficiency and the effects of caloric excess and restriction. The third section offers an update on the physiological effects of prolonged amenorrhea induced surgically or by hypothalamic dysfunction and also includes an original chapter that focuses solely on the impact of race and ethnicity on the prevalence and diagnosis of amenorrhea. Amenorrhea: A Case-Based Clinical Guide brings together chapters from renowned experts who offer state-of-the-art, clinically useful information in a case-based, reader-friendly fashion. This title will be a welcome addition to the bookshelves of all clinicians who practice in women's health settings.

approaches to the experimental problems that still face us in understanding this most fascinating of organs. Too many people contributed to the completion of this volume to allow acknowledg ment of all the individual efforts, but we particularly thank the reviewers whose input into the editorial process was invaluable and the authors of these chapters who revised their text, sometimes more than once, to bring it to the high standards set by the Editors. The Com mittee gratefully acknowledges the support ofVysis, Inc. , in the publication of a color figure in Chapter 19, by S. Weber-Hall and Trevor Dale. Finally, we wish to express our heartfelt appreciation to Margot Ip and Bonnie Asch, who worked long and hard to bring this volume to fruition. Margaret C. Neville for the Committee on Mammary Gland Biology Preface One of the most exciting and beneficial developments in research on mammary gland biology and breast cancer has been the influx of increased funding to support this work. This influx, which has been due primarily to the tireless efforts of breast cancer activists to gamer addi tional money from various federal and state sources, has led to a rapid expansion of research efforts by attracting numerous new investigators into the field. These new investigators include students, postdoctoral fellows, and scientists from other fields.

The concomitance of cancer and pregnancy is a biological paradox and one of the greatest challenges in the lives of young patients, their partners, and their families. It is also a challenge to oncologists, because the management of the pregnant cancer patient involves both mother and fetus. Ideally, oncologists, reproductive endocrinologists, obstetricians and neonatologists, nurses, and psychologists work within a dedicated multidisciplinary team to deliver optimal cancer therapy to the mother, while assuring fetal well-being.

This book, written by oncology experts with knowledge and clinical expertise on diagnosis, treatment, and follow-up of women with different types of cancer during pregnancy, provides a comprehensive review of existing data on cancer during pregnancy and a general overview of its psychological, ethical, and social aspects. Chapters address the diagnosis, treatment, and follow-up of young women with specific solid or hematologic cancers during pregnancy. The safety of subsequent pregnancy after cancer treatments and the alternatives to maintain or enhance fertility in women undergoing cancer therapy are also addressed. While not intended as a practical guideline, the book contains clinical suggestions, bibliography, and references to available online sources about referral centers, ongoing clinical trials, and tumor registries to help oncologists in the clinic.

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.

The world's population is growing at an unsustainable rate. From a baseline ?gure of one billion in 1800, global population is predicted to exceed nine billion by 2050 and 87. 8% of this growth will be localized in less developed countries. Such uneven population growth will yield a harvest of poverty, malnutrition, disease and en- ronmental degradation that will affect us all. Amongst the complex mixture of political, social, cultural and technological changes needed to address this issue, the development of improved methods of fertility regulation will be critical. The inadequacy of current contraceptive technologies is indicated by recent data s- gesting that the contraceptive needs of over 120 million couples go unmet every year. As a direct consequence of this de?cit 38% of pregnancies are unplanned and more than 50% end in an abortion, generating a total of 46 million abortions per annum particularly among teenagers. If safe, effective contraceptives were ava- able to every couple experiencing an unmet family planning need, 1. 5 million lives would be saved each year (UNFPA 2003). Progress in contraceptive technology should not only generate more effective methods of regulating fertility, but should also provide a range of methods to meet the changing needs of the world's population. Contraceptive practice was revo- tionized in 1960 in the US and 1961 in Europe by the introduction of the oral contraceptive pill by Gregory Pincus, MC Chang and colleagues, based on fun- mental hormone research conducted in Germany.