Fetal & Neonatal Physiology provides neonatologist fellows and physicians with the essential information they need to effectively diagnose, treat, and manage sick and premature infants. Fully comprehensive, this 2-volume resource continues to serve as an excellent reference tool, focusing on the basic science needed for exam preparation and the key information required for full-time practice. The 5th edition is the most substantially updated and revised edition ever. In the 5 years since the last edition published, there have been thousands of publications on various aspects of development of health and disease; Fetal and Neonatal Physiology synthesizes this knowledge into definitive guidance for today's busy practitioner. Offers definitive guidance on how to effectively manage the many health problems seen in newborn and premature infants. Chapters devoted to clinical correlation help explain the implications of fetal and neonatal physiology. Allows you to apply the latest insights on genetic therapy, intrauterine infections, brain protection and neuroimaging, and much more. Expert Consult eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, images, and references from the book on a variety of devices. Features a fantastic new 4-color design with 1,000 illustrations, 170+ chapters, and over 350 contributors. 16 new chapters cover such hot topics as Epigenetics; Placental Function in Intrauterine Growth Restriction; Regulation of Pulmonary Circulation; The Developing Microbiome of the Fetus and Newborn; Hereditary Contribution to Neonatal Hyperbilirubinemia; Mechanistic Aspects of Phototherapy for Neonatal Hyperbilirubinemia; Cerebellar Development; Pathophysiology of Neonatal Sepsis; Pathophysiology of Persistent Pulmonary Hypertension of the Newborn; Pathophysiology of Meconium Aspiration Syndrome; Pathophysiology of Ventilator Dependent Infants; Pathophysiology of Hypoxic-Ischemic Brain Injury; Pathophysiology of Neonatal White Matter Injury; Pathophysiology of Meningitis; Pathophysiology of Preeclampsia; and Pathophysiology of Chorioamnionitis. New Pathophysiology of Neonatal Diseases section highlights every process associated with a disease or injury, all in one place. In-depth information, combined with end-of-chapter summaries, enables deep or quick use of the text.

Titles in the Pocket Tutor series give practical guidance on subjects that medical students and foundation doctors need help with 'on the go', at a highly-affordable price that puts them within reach of those rotating through modular courses or working on attachment. Topics reflect information needs stemming from today's integrated undergraduate and foundation courses: Common presentations Investigation options (e.g. ECG, imaging) Clinical and patient-orientated skills (e.g. examinations, history-taking) The highly-structured, bite-size content helps novices combat the 'fear factor' associated with day-to-day clinical training and provides a detailed resource that students and junior doctors can carry in their pocket. Key points Logical, building-block approach to content: initial chapters outline the basic approach to gynaecological history and examination, and essential pelvic anatomy Subsequent chapters describe physiology and pathology of women at all stages of life from puberty, to reproductive age, to menopause; and associated disorders such as congenital disorders, menstrual disorders, genital diseases, and pelvic organ prolapse Concludes with chapter on gynaecological oncology Disorders are accompanied by medical images, examination photos and practical artworks Focuses on the conditions medical students and junior doctors are most likely to see

Early Life Origins of Health and Disease is a new book which presents and discusses the many factors that may have impact on normal development. In a concise and readable manner, the authors consider both the proven and suggestive evidence that the high prevalence of hypertension, diabetes, obesity and, in some populations, kidney disease, may not be all due to genetics or adult environment alone. There is good evidence that stress and more subtle dietary deficiencies, as well as placental malfunction, may increase the risk that the offspring will develop these problems in later life. Finally, new and emerging evidence for other areas of human health and disease such a motor control and mental health is critically reviewed for the first time. The book is a 'must' for all scientists interested in researching these areas, as there is a critical evaluation of the methodology used and suggestions for the 'optimal' way in which to investigate these phenomena.

With infertility statistics soaring, a growing number of women are embracing natural approaches to enhance fertility and de-stress during rigorous, emotionally draining treatments. Traditional Chinese Medicine (TCM) is powerful in supporting fertility because it treats body, mind, and spirit - all must be strong to conceive. "The Tao of Fertility" is the first book combining a practical plan for conceiving using TCM with empowering Taoist principles that can carry the reader not just through pregnancy and birth, but through life in general. Readers learn to boost their chances of conception as Dr. Dao shares the dietary plans, recipes, herbal supplements, meditative exercises, and self-applied acupressure he uses so successfully with his patients. The methods are inexpensive and accessible. A detailed questionnaire helps women discover their personal fertility profile, followed by methods to calm and strengthen the body to receive and nourish new life.Enriched by powerful stories of women who became pregnant using TCM, this is a compassionate, comprehensive handbook. It includes: a questionnaire assessing fertility potential; a 28-Day fertility enhancement program synchronized to the menstrual cycle; fertility-enhancing herbs; simple meditations and acupressure points to improve reproductive circulation and relaxation; how to map your fertility using Chinese methods of diagnosis; eating plans for pregnancy, postpartum, and while breastfeeding. Chapters on specific fertility challenges, with stories from women who became pregnant by incorporating Dr. Dao's methods into their treatment; the Taoist perspective on pregnancy loss, adoption, surrogacy, egg donors, and living without children.

This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students' knowledge.

Responding to the growing need for tried-and-trusted solutions to the reproductive health care issues confronting millions of women worldwide, Obstetrics and Gynecology in Low-Resource Settings provides practical guidelines for ensuring the delivery of quality OB/GYN care to women in resource-poor countries. Including contributions from leading clinicians and researchers in the field, this welcome overview fills an important gap in existing medical literature on women's health care and will be an invaluable resource for doctors, clinicians, and medical students at all stages of their careers who work in the global health arena. The reproductive health risks that all women face are greatly exacerbated when health care facilities are inadequate, equipment and medications are in short supply, and well-trained medical staff are few and far away. Often in these settings, the sole doctor or medical professional on hand has expertise in some areas of women's reproductive care but needs a refresher course in others. This informative guide features hands-on, step-by-step instruction for the most pertinent OB/GYN conditions-both acute and chronic-that health care workers in the field confront. The authors examine a wide range of topics, including: strategies to reduce maternal mortality and stillbirths; infectious and sexually transmitted diseases, including malaria and HIV; cervical cancer; contraception; prenatal, delivery, and newborn care; and complications arising from gender-based violence and female genital cutting. Published in a convenient format with a durable binding, this reference will be an essential companion to health care providers throughout the world.

Summary of Puerto Rican Migration; C.E. Rodriquez. Entromundos; I. Zavala-Martinez. Maternal and Child Health and Health Care in Puerto Rico; P.J. Santiago-Borrero, M. Valcarcel. Acquired Immune Deficiency Syndrome in Women and Children in Puerto Rico; C. Zorrilla, et al. Demographic and Health Characteristics of Puerto Rican Mothers and Their Babies; S.J. Ventura. Characteristics of Childbearing Hispanic Women in New York City; S. Lederman, D. Sierra. HIV Infection and AIDS Among Women; B. Kilbourne, et al. Physical Growth, Sexual Maturation, and Obesity in Puerto Rican Children; R. Martorell, et al. The Cultural Context of Adolescent Childrearing in Three Groups of Urban Minority Mothers; G. Wasserman, et al. The Cognitive, Behavioral, and Health Status of Mainland Puerto Rican Children in the Infant Health and Development Program; G. McCarton, et al. Distinguishing Among Proficiency, Choice, and Attitudes in Questions About Language for Bilinguals; K. Hakuta. 4 additional articles. Index.

Praise for the previous edition: this textbook is a useful resource for medical students it will provide them with the basic information they need to survive clinics and to pass exams Clear, concise and colourful; perfect for easy learning and revision Times Higher Education Obstetrics and Gynaecology by Impey and Child continues to be an invaluable and authoritative resource for healthcare and medical students. This comprehensive guide provides the perfect level of detail on history and examination, investigations and diagnosis, as well as common diseases, abnormalities, and complications in gynaecology and obstetrics. Fully updated in accordance with NICE and other national guidelines, this fifth edition now includes: * New sections on FGM and influenza * Expanded areas in medical disorders in pregnancy and mental illness * Improvements to the popular management section along with a new section on sepsis * Colour coded sections on obstetrics and gynaecology for ease of use This new edition of Obstetrics and Gynaecology will be an indispensable support to help not only students to revise for exams, especially OSCEs, but also healthcare practitioners and practising doctors to structure their knowledge and improve their practice.

Dana S. Belu combines Heidegger's phenomenology of technology with feminist phenomenology in order to make sense of the increased technicization of women's reproductive bodies during conception, pregnancy, and birth.

This study guide offers a systematic, comprehensive and focused approach to preparation for the MRCOG Part 3 Clinical Assessment exam. After an initial introduction, the text divides by OSCE station, beginning with an analysis of what the station is testing and what approaches and preparation are required, supported by tips and examples; this is followed by thoroughly worked practice questions based upon the exam format, with an analysis of how these are likely to be marked. Practice exam 'circuits' with fully worked questions and answers conclude the book.

Bioethics and the Fetus: Medical, Moral, and Legal Issues is the ninth volume in the Biomedical Ethics Reviews series of texts designed to review and update the literature on issues of central importance in bioethics today. All of the essays in this volume examine moral and/or legal problems involving human fetal life; summaries of these essays may be found in the text's Introduction. Bioethics is, by its nature, interdisciplinary in character. Recog- nizing this fact, the authors represented in the present volume have made every effort to minimize the use of technical jargon. At the same time, we believe the purpose of providing a review of the recent literature, as well as of advancing bioethical discussion, is well served by the pieces collected herein. We look forward to the next volume in our series, and very much hope the reader will also. James M. Humber Robert F. Almeder vii Contributors Andrea L. Bonnicksen * Department of Political Science, Northern lllinois University, DeKalb, lllinois David W. Drebushenko * Department of Philosophy, Central Michigan University, Mount Pleasant, Michigan Roger B. Dworkin * School of Law, Indiana University, Bloomington, Indiana Mary B. Mahowald * Pritzker School of Medicine, The University of Chicago, Chicago, lllinois Christine Overall * Department of Philosophy, Queens University, Kingston, Ontario, Canada WadeL. Robison* College of Liberal Arts, Rochester Institute of Technology, Rochester, New York Barbara Katz Rothman * Department of Sociology, Baruch College, CUNY, New York, New York Thomas A.

Reproductive Immunology is a growing area in both immunology and reproductive sciences and is helping us to better understand several complications of pregnancy. Immunology of Pregnancy is the first book to give a complete and up to date review of our knowledge related to the role of the immune system during pregnancy and the interactions between the placenta and the maternal immune system. This new title covers in detail all the different hypotheses and studies related to the immunology of implantation and provide a practical approach for the application of basic reproductive immunology research to pregnancy complications such as preeclampsia, pre-term labor and IUGR."

In this issue of Obstetrics and Gynecology Clinics of North America, guest editor Dr. Catherine Stika brings her considerable expertise to the topic of Drugs in Pregnancy. The use of medications during pregnancy can be difficult to manage because not only is research lagging in this area, but typically drugs are not studied for use in pregnant women. In this issue, key experts provide a state-of-the-art review on clinical pharmacology in pregnancy, with a look at commonly prescribed medications as well as over-the-counter medications. Contains 17 practice-oriented topics including obstetrical pharmacology; over-the-counter medications in pregnancy; antibiotic use in pregnancy; opioids in pregnancy; mood disorder medications in pregnancy; and more. Provides in-depth clinical reviews on drugs in pregnancy, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Women most fully experience the consequences of human reproductive technologies. Men who convene to evaluate such technologies discuss "them": the women who must accept, avoid, or even resist these technologies; the women who consume technologies they did not devise; the women who are the objects of policies made by men. So often the input of women is neither sought nor listened to. The privileged insights and perspectives that women bring to the consideration of technologies in human reproduction are the subject of these volumes, which constitute the revised and edited record of a Workshop on "Ethical Issues in Human Reproduction Technology: Analysis by Women" (EIRTAW), held in June, 1979, at Hampshire College in Amherst, Massachusetts. Some 80 members of the workshop, 90 percent of them women (from 24 states), represented diverse occupations and personal histories, different races and classes, varied political commitments. They included doctors, nurses, and scientists, lay midwives, consumer advocates, historians, and sociologists, lawyers, policy analysts, and ethicists. Each session, however, made plain that ethics is an everyday concern for women in general, as well as an academic profession for some.

It seems like every time a new mother turns on her computer, radio, or television, she is greeted with news of yet another scientific study about infancy. Ignoring good information isn't the right course, but just how does one tell the difference between solid studies, preliminary results, and snake oil? In this friendly guide through the science of infancy, Science of Mom blogger and PhD scientist Alice Callahan explains how non-scientist mothers can learn the difference between hype and evidence. Readers of Alice's blog have come to trust her balanced approach, which explains the science that lies behind headlines. The Science of Mom is a fascinating, eye-opening, and extremely informative exploration of the topics that generate discussion and debate in the media and among parents. From breastfeeding to vaccines to sleep, Alice's advice will help you make smart choices so that you can relax and enjoy your baby.

At last, a comprehensive collection of essays that examines and advances ethical evaluations of the controversial and increasingly popular practice of embryo adoption. In the United States alone, 400,000 frozen embryos created for in vitro fertilization exist but are no longer desired for that purpose. What are we morally obliged or permitted to do about these a oesparea embryos? More of their genetic parents are considering donating these embryos to others to gestate and raise. This practice is politically volatile (figuring in debates about embryonic stem cells) and medically and morally complex. At the present time within the Roman Catholic Church there is no official teaching on embryo adoption. Catholic ethical analyses grapple with the way embryo adoption comports with respect for embryonic human life yet challenges Catholic moral critiques of assisted reproductive technologies.

This volume is the first to bring together leading philosophers and theologians to engage Catholic debates about embryo adoption in an interactive format. The editors, a philosopher bioethicist and a moral theologian, provide a helpful overview of the practice and the arguments surrounding embryo adoption. They engage neglected Catholic ethical resources and issues to advance the current debate and chart new directions in Catholic moral thinking about this intriguing practice. The volume also includes a description of embryo adoption from a physician practitioner along with reflections from a couple who successfully adopted an embryo.

This book discusses computer-supported medical diagnosis with a particular focus on ovarian tumor diagnosis - since ovarian cancer is difficult to diagnose and has high mortality rates, especially in Central and Eastern Europe. It presents the theoretical foundations (both medical and mathematical) of the intelligent OvaExpert system, which supports decision-making in tumor diagnosis. OvaExpert was created primarily to help gynecologists predict the malignancy of ovarian tumors by applying the existing diagnostic models and using modern methods of computational intelligence that accommodate imprecise and imperfect medical data, both of which are common features of everyday medical practice. The book presents novel methods based on interval-valued fuzzy sets and the theory of their cardinalities.

This contributed volume explores flexible, adaptable, and sustainable solutions to the shockingly high costs of birth across the globe. It presents innovative and collaborative maternity care practices and policies that are intersectional, human rights-based, transdisciplinary, science-driven, and community-based. Each chapter describes participatory and midwifery-oriented care that helps improve maternal and newborn outcomes within minoritized populations. The featured case studies respond to resource constraints and inequities of access by transforming relations between providers and families or by creating more egalitarian relations among diverse providers such as midwives, obstetricians, and nurses that minimize inefficient hierarchies within maternity care. The authors build on a growing awareness that quality and respectful midwifery care has lower costs and improved outcomes for child bearers, newborns, and providers. Topics include: Sustainable collaborations including transfers of care among midwives and obstetricians in India, The Netherlands, Germany, United Kingdom, and Denmark Midwifery-oriented, femifocal, indigenous, and inclusive models of care that counter obstetric violence and gender stereotypes in Mexico, Chile, Guatemala, Argentina, and India Doula care and midwifery care for women of color, previously incarcerated women, indigenous women, and other minoritized groups in the global north and south Practices and metrics for improving quality of newborn and maternal care as well as maternal and newborn outcomes in disruptive times and disaster settings Sustainable Birth in Disruptive Times is an essential and timely resource for providers, policy makers, students, and activists with interests in maternity care, midwifery, medical anthropology, maternal health, newborn health, obstetrics, childbirth, medicine, and global health in disruptive times.

Lipids and Women's Health is an up-to-date critical review of pertinent scientific and clinical issues connected with lipid disorders in women. Topics discussed include the public health significance of cardiovascular disease in women, lipoprotein and lipid metabolism, effects of estrogens and progestins on lipid metabolism, metabolic changes of menopause, and the paradox of obesity, a curable disease that is rarely cured, as well as those conceptual advances in our understanding of diabetes mellitus that have clarified diagnosis and may have improved treatment. The relationship of diet and lipid intake to the development of breast and uterine cancer; dietary and drug treatment of lipid disorders; effects of exercise, smoking, and stress; and repercussions of lipid disorders on the family are explored. The volume should prove of use to gynecologists, internists, family practitioners, and pediatricians, as well as to all other professionals with a major concern for the health of female patients.

In this definitive new text, the major medicines, devices and vaccines used by women worldwide are brought together for the first time in a single volume. Written and edited by international experts with an evidence-based approach, the book offers a comprehensive summary of all the key areas of women's medicines. In the first part, issues relating to female drug exposure and considerations for prescribing for subgroups of women - for example during pregnancy and lactation - are presented in the context of contemporary clinical practice. In the second part, specific groups of pharmaceutical products are reviewed, including oral contraceptives, emergency contraception, treatment of chronic pelvic pain, hormone replacement therapy, bisphosphonates, herbal medicines for women, contraceptive devices and human papilloma virus (HPV) vaccines. Every chapter reviews and summarises the efficacy and safety of each group of products and concludes with a useful set of clinical take home messages. In the third part, broader perspectives are presented - from a primary care overview of prescribing for women, through to regulatory, political and religious aspects, including issues with women's medicines in developing countries. The final two chapters focus on risk communication and conclude that women themselves should be placed at the centre of all discussions about their medicines. The book is aimed at prescribers, other healthcare professionals and students in the field of women's health throughout the world. It is an extremely valuable resource for all in clinical practice, for students of medicine, nursing, pharmacy and related sciences, and also for those in medicines regulation, pharmacovigilance and the pharmaceutical industry.

Experimental and clinical researchers from a wide range of disciplines present a wealth of fresh scientific information on the biochemistry, molecular biology, pharmacology, and clinical activity of SERMs. The basic science chapters of the book focus-with an eye to the development of the ideal SERM-on the complex mechanisms of estrogen action, including ligand-dependent conformational changes in alpha and beta, and the recruitment of co-activators and co-repressors which modulate the estrogen receptor transcriptional activity and contribute to its crosstalk with growth factor signaling. The clinical presentation reviews the data accumulated on currently available SERMs, primarily tamoxifen and raloxifene, in cancer treatment and prevention, as well as their effects on the reproductive, vascular, skeletal, and central nervous systems. A tentative approach to menopause-related health issues is also provided for women with and without a previous diagnosis of localized breast cancer.

This book provides an overview of the latest knowledge of the psychological aspects of polycystic ovary syndrome (PCOS), and paves the way for advances in this rapidly evolving field. Taking an evidence-based approach, the book elucidates the ways in which PCOS causes anxiety and depression, impacts Quality of Life (QoL), and is associated with other psychological issues. The psychological impact of key features of PCOS are explored too, with a special focus on insulin resistance / diabetes, and fertility issues. The book concludes with a chapter on practical recommendations on how best to help with anxiety and depression in PCOS. An important feature of this book is its identification of the ways in which testosterone, a defining characteristic of PCOS, impacts psychology. In doing so it fills a lacunae in current research and offers evidence that maps out the complex ways in which biology impacts psychology in PCOS, and also how psychology can be harnessed to impact biology in a positive way. It will appeal in particular to scholars and clinicians in the fields of health psychology and women's health.