When a patient is diagnosed with a gynecological malignancy, she and her doctors must make urgent, high-risk decisions about her course of treatment. In selecting an appropriate plan of care, physicians must weigh the patient's individual needs, the tumor's specific characteristics, and the treatment's potential side effects. Because there is no one-size-fits-all treatment solution, a plethora of clinical trials have been performed on ovarian cancer patients, but clinicians may struggle to keep up with this ever-growing body of research. Collecting and synthesizing research findings from a wide array of medical journal articles and book chapters, Clinical Trials in Ovarian Cancer provides physicians with an invaluable resource. Gynecologic oncologist Christine S. Walsh systematically outlines each of the seminal Phase III trials that have shaped the treatment of ovarian cancers, detailing the rationale for the trial, the patient population studied, treatment delivery methods, efficacy, toxicity, and trial conclusions. She provides a clear overview of established treatments, as well as still-controversial experimental approaches. The first book to organize this cutting-edge research into an easy-to-use reference, Clinical Trials in Ovarian Cancer should help medical personnel at all levels provide their patients with the highest standard of care.

1. Clinical cases set out as questions that are mapped directly to the curriculum and following the order of the RCoA curriculum 2. A focus on clinical anaesthesia with common cases, that can be used in the clinical environment either for teaching or as a refresher 3. Short, quick-fire cases that enable learning and retention of information with a summary of key points to remember for each question

Nominated for the Foundation of Sociology of Health and Illness Book Prize 2018 In the UK and beyond, Down's syndrome screening has become a universal programme in prenatal care. But why does screening persist, particularly in light of research that highlights pregnant women's ambivalent and problematic experiences with it? Drawing on an ethnography of Down's syndrome screening in two UK clinics, Thomas explores how and why we are so invested in this practice and what effects this has on those involved. Informed by theoretical approaches that privilege the mundane and micro practices, discourses, materials, and rituals of everyday life, Down's Syndrome Screening and Reproductive Politics describes the banal world of the clinic and, in particular, the professionals contained within it who are responsible for delivering this programme. In so doing, it illustrates how Down's syndrome screening is 'downgraded' and subsequently stabilised as a 'routine' part of a pregnancy. Further, the book captures how this routinisation is deepened by a systematic, but subtle, framing of Down's syndrome as a negative pregnancy outcome. By unpacking the complex relationships between professionals, parents, technology, policy, and clinical practice, Thomas identifies how and why screening is successfully routinised and how it is embroiled in both new and familiar debates surrounding pregnancy, ethics, choice, diagnosis, care, disability, and parenthood. The book will appeal to academics, students, and professionals interested in medical sociology, medical anthropology, science and technology studies (STS), bioethics, genetics, and/or disability studies.

This is the first international study of maternal care and maternal mortality. Over the last two hundred years, different countries developed quite different systems of maternal care. Death in Childbirth is a meticulously researched analysis, firmly grounded in the available statistics, of the evolution of those systems between 1800 and 1950 in Britain, the USA, Australia and New Zealand, and on the continent of Europe. Irvine Loudon examines the effectiveness of various forms of maternal care by means of the measurement of maternal mortality - the number of women who died as a result of childbirth. His scholarly and comprehensive study sets out to answer a number of important questions. What was the relative risk of a home or hospital delivery, or a delivery by a midwife as opposed to a doctor? What was the safest country in which to have a baby, and what were the factors which accounted for enormous international differences? Why, against all expectations, did maternal mortality fail to decline significantly until the late 1930s? Death in Childbirth makes an invaluable contribution to medical and social history.

Reflecting recent changes to the exam, MRCOG Part 1: 400 SBAs has been completely updated to include questions and answers in the SBA format only. With 25% new content, MRCOG Part 1: 400 SBAs offers the most up-to-date and comprehensive set of practice questions for trainees preparing for the MRCOG Part 1 exam. Chapters are mapped to the syllabus to deliver structured revision in all the key topics tested in the exam. Featuring a wealth of practice questions and fully descriptive answers, this book provides the essential revision text to maximise chances of exam success. 400 single best answer questions, reflecting the breadth of topics encountered in the actual exam Answers feature concise descriptions to consolidate knowledge and understanding Extensive evidence-based referencing to relate theory to clinical practice Previous edition published June 2013 (9781907816369)

Comprehensive Management of Menopause is a balanced, authoritative, and state-of-the-art approach to the treatment of all medical issues of the menopausal patient, strongly emphasizing clinical and practical applications for comprehensive care. The book is edited by leaders in the field and contains an impressive array of internationally recognized contributors. Divided into five easily referenced sections: Physiology, Diagnosis and Epidemiology; Medical Aspects of the Menopause; Gynecologic Aspects of the Menopause; Management and Therapeutic Guidelines; and The Future; this outstanding volume contains the most up-to-date information on diagnosis, treatment, and management of: - osteoporosis and musculo-skeletal pain; - cardiovascular disease and lipid and metabolism disorders; - all gynecologic aspects of menopause, including the newest technology and advances in hormone therapies; - breast problems and skin care. It also includes preventive medicine and general health care guidelines. Comprehensive Management of Menopause is the definitive text comprising all aspects of menopause and is indispensable to every physician providing medical care to women.

This book, by two of the most distinguished figures in fertility and reproduction research, answers all the most common questions about menaupause and andropause, and hormone resupplement therapy (HRT) for menopausal women. It offers explanations of all aspects of this subject, presenting balanced and reliable information about benefits, risks, and prospects for this field. Segal invented Norplant, the first long-term implantable contraceptive, and as the leader of Reproductive Biology at the Population Council, he orchestrated and coordinated the research and trials leading to basically every new contraceptive introduced over a period of about 25 years. Mastroianni did more than anyone else to develop in vitro fertizilation as a viable treatment option, and was for many years the chairman of the largest department of obstetrics and gynecology, and the director of the most successful IVF clinic. This book is unique in including coverage of the climacteric in men.

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.

The contributors to this collection look into the experiences of women in the Western world going through pregnancy and birth over the last hundred years.

For 30 years, the highly regarded Secrets Series (R) has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Ob/Gyn Secrets, 4th Edition, by Drs. Amanda Mularz, Steven Dalati, and Ryan A. Pedigo, features the Secrets' popular question-and-answer format that also includes lists, tables, and an easy-to-read style - making reference and review quick, easy, and enjoyable. Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice. The proven Secrets (R) format gives you the most return for your time - concise, easy to read, engaging, and highly effective. Portable size makes it easy to carry with you for quick reference or review anywhere, anytime. NEW: Expert Consult access provides an enhanced e-book version with the print, available online or on mobile devices. This edition features updated content to keep you current with what's new in obstetrics and gynecology, including new technologies that can improve your patient care. A new author team leads a team from prominent institutions, bringing a fresh perspective to this best-selling review.

Recent years have seen many changes in human reproduction resulting from state and medical interventions in childbearing processes. Based on empirical work in a variety of societies and countries, this volume considers the relationship between reproductive processes (of fertility, pregnancy, childbirth and the postpartum period) on the one hand and attitudes, medical technologies and state health policies in diverse cultural contexts on the other.

This volume of the Handbook of Systemic Autoimmune Diseases series represents a medical collaboration focusing primarily on female aspects of rheumatic diseases. This collaboration recognizes the need to understand and optimally manage the care of women with autoimmune conditions that may affect their reproduction and hormonal status. This handbook will prove useful to clinicians and researchers alike. It covers practical points, ranging from which anti-rheumatic medications are safe in pregnancy to how to counsel women with scleroderma contemplating pregnancy.
* Authors share an academic interest in the unique relationship between being a woman and having an autoimmune disease
* Touches on controversial topics, such as the mechanism of antiphospholipid-related fetal loss and whether or not non-steroidal anti-inflammatory agents should be used in pregnancy
* Includes critical and balanced reviews of the controversial association between autoimmune disease and female infertility

When childbirth moved from women's homes into hospitals, women lost more than they had bargained for. As the event became increasingly male-dominated and medically oriented, women's control of the experience all but vanished. Worse, recent clinical trials have demonstrated that most modern interventions and technological practices have not improved delivery outcomes and are not necessary in normal labor and birth. From pre-classical to present times, this work describes childbirth practices as they have developed through the ages. The author describes and critiques the evolution of modern midwifery and obstetrics, focusing especially on how, why, and when the process of childbirth became an increasingly sterile, male-dominated, and medically oriented event. Each chapter focuses on a different period, from the age of the female midwife (who oversaw the childbirth process for several centuries), through the origins of modern obstetrics and gynecology, and finally, to the increasing influence of technology in the practices that have prevailed for most of the twentieth and twenty-first centuries.

Concise and easy to read, Obstetrics & Gynecology Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the OB-GYN clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios. Each case has been carefully chosen and covers scenarios and questions frequently encountered on the Obstetrics and Gynecology boards, shelf exams, and clinical practice, integrating both basic science and clinical pearls. "Beyond the Pearls" tips and secrets (all evidence-based with references) provide deep coverage of core material. "Morning Report"/"Grand Rounds" format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam. Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.

This book examines changing views of procreation and fetal development throughout the history of the Christian tradition. This is the first comprehensive study of cultural perceptions of pregnancy, an area of scholarship that been understudied in the past. Pregnancy holds a central place in Christian ritual, iconography, and theology, including the dogma of the incarnation and the cult of Virgin Mary. This book provides a broad introduction to the attitudes and ideas within Western Christian communities by focusing on four periods of transition: Antiquity, the Enlightenment, modernity, and the present day. It lays the groundwork for further study of the interactions between biological models, cultural preconceptions, and religious beliefs.

This book examines changing views of procreation and fetal development throughout the history of the Christian tradition. This is the first comprehensive study of cultural perceptions of pregnancy, an area of scholarship that been understudied in the past. Pregnancy holds a central place in Christian ritual, iconography, and theology, including the dogma of the incarnation and the cult of Virgin Mary. This book provides a broad introduction to the attitudes and ideas within Western Christian communities by focusing on four periods of transition: Antiquity, the Enlightenment, modernity, and the present day. It lays the groundwork for further study of the interactions between biological models, cultural preconceptions, and religious beliefs.

Published in association with NASPAG, this updated second edition gives quick access to the essential information. The authors combine their clinical experience with a complete review of the literature, placing it in an easy to consult format with photographs, figures, and algorithms.

The 4th International Symposium on Women's Health and Menopause, organized by the Giovanni Lorenzini Medical Foundation (Milan, Italy and Houston, Texas) focused on the new strategies to improve the quality of life of post-menopausal women. This volume illustrates the findings of this conference and includes information on the age-related degenerative processes occurring after menopause including cardiovascular disease, cancer, fractures and dementia.

One in six couples around the world experience infertility. Before undertaking expensive and intrusive assisted reproductive treatment such as in vitro fertilization, many seek advice from their physicians or dietitians on what foods and supplements might enhance their fertility. But health practitioners are often ill equipped to provide dietary recommendations in a scientifically based manner. Nutrition, Fertility, and Human Reproductive Function provides a comprehensive guide to clinicians on how they can best advise their patients to optimise fertility and reproductive function through optimal nutrition. Taking a holistic or "whole-of-life" approach, the book reviews the role of nutrition in human fertility and explores its effect on male and female reproductive physiology. Problem-orientated topics are arranged in chapters that each cover a specific clinical topic of interest, allowing easy reference by the practicing clinician. From the female perspective, the book covers the role of nutrition on essential reproductive processes such as ovulation, early embryo development, implantation, and sexual function, together with nutrition's influence on the duration of the reproductive life span. In the male context, it examines the effect of nutrition on hormone and sperm production as well as sexual function. The book also includes information on evidence-based complementary health approaches such as Traditional Chinese Medicine (TCM) and naturopathy. This book draws on the wide experience of several respected leaders in clinical nutrition who combine research expertise with clinical insight. The information contained herein will enable clinicians to make the best recommendations for their patients for optimising fertility.

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.

This practical handbook provides detailed guidelines on prescribing drugs in all classes and for a wide variety of diseases and disorders during pregnancy, with numerous boxes and tables to assist understanding. CONTENTS: Introduction to Drugs in Pregnancy * Antimicrobials during Pregnancy: Bacterial, Viral, Fungal, and Parasitic Indications * Cardiovascular Drugs during Pregnancy * Endocrine Disorders, Contraception, and Hormone Therapy during Pregnancy: Embryotoxic versus Fetal Effects * Antiasthma Agents during Pregnancy * Anesthetic Agents and Surgery during Pregnancy * Antineoplastic Drugs during Pregnancy * Analgesics during Pregnancy * Anticonvulsant Drugs during Pregnancy * Psychotropic Use during Pregnancy * Antihistamines, Decongestants, and Expectorants during Pregnancy * Nutritional and Dietary Supplementation during Pregnancy * Use of Dermatologics during Pregnancy * Drug Overdoses during Pregnancy * Miscellaneous Drugs during Pregnancy: Tocolytics, Immunosuppressants, and Biologic Therapeutics * Substance Abuse during Pregnancy * Online Support Material

For many years there has been growing concern about the culture of fear that is penetrating maternity services throughout the world, and that the fear felt by maternity care workers is directly and indirectly being transferred to the women and families they serve. The consequences of fear includes increased risk of defensive practice, where the woman and her family become potential enemies to those providing her care. In addition, the prevailing risk management and 'tick box' culture in maternity services encourages maternity workers to give priority to the records instead of the childbearing woman. These factors contribute to the dissatisfaction felt by those using and providing maternity services, and the apparent lack of kindness and respect. There is however increasing evidence that kindness, compassion and mutual respect improves efficiency, effectiveness, experience and staff morale within healthcare settings. The Roar Behind the Silence provides information, inspiration and practical suggestions to support maternity care workers, policy makers, and maternity care funders across the world in their quest to deliver sensitive, compassionate and high quality maternity services. The book highlights examples of good practice, and practical tools for making change happen, using evidence and stories where appropriate. Edited by Sheena Byrom & Soo Downe, with contributions by Hana Ruth Abel, Maria Helena Bastos, Dean Beaumont, Dianne Bowser, Anna Byrom, Sheena Byrom, Penny Campling, Michael Clift, Hannah Dahlen, Raymond de Vries, Soo Downe, Ngai Fen Cheung, Julie Frohlich, Kathryn Guttridge, Jennifer Hall, Shelagh Heneghan, Milli Hill, Billie Hunter, Mavis Kirkham, Mande Limbu, Amali Lokugamage, Kerstin Uvnas Moberg, Mercedes Perez-Botella, Gill Phillips, Elizabeth Prochaska, Progress Theatre Group, Rineke Schram, Anna Ternovszky, Lucie Warren and Robin Youngson.

Prepare for—and excel on—the American Registry for Diagnostic Medical Sonography (ARDMS) and American Registry of Radiologic Technologists (ARRT) certification exams! Steven M. Penny’s Examination Review for Ultrasound: Abdomen & Obstetrics and Gynecology, 3rd Edition, focuses only on the information that you’ll see on these exams, saving you valuable study time. Now in full color throughout, it uses a concise, narrative approach and features an online exam simulator with hundreds of registry-style questions.  60 review questions for each chapter—1,920 total—plus an online exam simulator with even more sophisticated mock exams customizable for both the ARDMS Abdomen and OB/GYN and the comprehensive ARRT exams  Full alignment with ARDMS and ARRT revised content outlines, with pathology coverage in each chapter and new topics throughout  More than 1,000 sonographic images and diagrams—many new to this edition—increase your understanding of anatomy and the physiologic principles crucial to optimal sonographic practice and the comprehension of vital information  Organized boxes and charts, that include lab values, pair clinical findings with sonographic findings, allowing for summary, retention, and demonstrates the progression from clinical presentation to the utilization of sonographic imaging in the diagnosis of disease  Highlighted key terms throughout with definitions help you retain critical information and solidify your understanding of the material  ​ Enrich Your eBook Reading Experience  Read directly on your preferred device(s), such as computer, tablet, or smartphone Easily convert to audiobook, powering your content with natural language text-to-speech  

This new edition of Textbook for MRCOG -1: Basic Sciences in Obstetrics & Gynaecology is a comprehensive resource for candidates preparing for the MRCOG Part 1 exam, and all medical students wishing to pursue specialisation in obstetrics and gynaecology in the UK. The book is divided into seventeen sections, in accordance with the latest exam format and curriculum from the Royal College of Obstetricians and Gynaecologists (RCOG). The second edition has been fully revised and updated and includes two new chapters on data interpretation and image-based questions. Images, flowcharts and tables assist learning and each topic concludes with SBAs (Single Best Answers) to help students prepare for examinations. 1200 SBAs are included throughout the book. Key Points Comprehensive study resource for MRCOG Part 1 exam candidates Fully revised, second edition with new topics included Includes 1200 SBA questions for self-assessment Previous edition (9789385891281) published in 2016

The U.S. has the worst rate of maternal deaths in the developed world, a rate that is increasing, even as infant mortality rates decrease. Meanwhile, the right-wing assault on reproductive rights and bodily autonomy has also escalated. We can already glimpse a reality where embryos and fetuses have more rights than the people gestating them, and even women who aren't pregnant are seen first and foremost as potential incubators. In Belabored, journalist Lyz Lenz lays bare the misogynistic logic of U.S. cultural narratives about pregnancy, tracing them back to our murky, potent cultural soup of myths, from the religious to the historical. In the present she details, with her trademark blend of wit, snark, and raw intimacy, how sexist assumptions inform our expectations for pregnant people, whether we're policing them, asking them to make sacrifices with dubious or disproven benefits, or putting them up on a pedestal in an "Earth mother" role. Throughout, she reflects on her own experiences of being seen as alternately a vessel or a goddess--but hardly ever as herself--while carrying each of her two children. Belabored is an urgent call for us to embrace new narratives around pregnancy and the choice whether or not to have children, emphasising wholeness and agency, and to reflect those values in our laws, medicine, and interactions with each other.