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

Evidence-based clinical guidelines are designed to provide systematically developed recommendations to assist clinicians and their patients in making decisions about appropriate treatment for specific conditions. While these may often be widely available, nowhere are they collated into a single, practical text. This book will fill this need for those working in maternal-fetal medicine, comprehensively covering the conditions, diagnostic and therapeutic challenges faced by those working in fetal care. Presented in highly illustrated, algorithm format with fetograms and autopsy correlations included, this book will aid in the diagnosis, investigation, counselling and therapeutic options for the management of fetal abnormalities and disorders.

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.

A working knowledge of the basic sciences that underpin mechanisms of disease and the body's response is widely recognised to be a critical part of urological training. This book is aimed at trainees to ensure they are up to date with this breadth of knowledge and it provides succinct summaries which are ideal for revising the basic sciences component of final assessments and examinations. The chapters cover anatomy and physiology, the basic principles of immunology and oncology and particular diseases. It is a compendium of "need to know" facts and is aimed at both FRCS (Urol) candidates and a wider gloabl surgical audience looking for an up to date summary.

The rates are on the decline worldwide. But adolescent pregnancies still occur, placing millions of girls each year at risk for medical complications and social isolation, and their babies for severe health problems--especially when prenatal care is inadequate or nonexistent.

But as the opportunity for young women and girls increases around the world, adolescent pregnancy will continue to decline. Featuring reports from countries across the developed and developing worlds, the" ""International Handbook of Adolescent Pregnancy" analyzes the scope of the problem and the diversity of social and professional responses. Its biological/ecological perspective identifies factors influencing childhood pregnancy, as well as outcomes, challenges, and needs of very young mothers as they differ across nations and regions. Salient comparisons are made as cultural contexts and community support vary widely, and attention is paid to issues such as child marriage, LGBT concerns, and the impact of religion and politics on health care, particularly access to contraception, abortion, and other services. This global coverage heightens the understanding of readers involved in care, education, and prevention programs, and otherwise concerned with the psychosocial development, reproductive health, and general well-being of girls. Included in the "Handbook"

Biological influences of adolescent pregnancy.Adolescent maternal health and childbearing.Adolescent pregnancy and mental health.International perspectives on adolescent fathers.Adolescent pregnancy as a feminist issue.Adolescent pregnancy as a social problem.Plus viewpoints from more than thirty countries.

As a unique source of up-to-date findings and clear-headed analysis, the "International Handbook of Adolescent Pregnancy" is a go-to reference for practitioners and researchers in maternal and child health, pediatrics, adolescent medicine, and global health."

This edited collection looks at the experiences of women going through pregnancy and birth over the last 100 years. The essays explore the impact of the professionalization of the medical services, the factors that influenced women's decisions over their choice of healthcare and whether childbirth was seen as a natural or a medical event.

The growing number of cancer survivors presents a new challenge to generalists and specialists involved in their care. Prior cancer treatments may compound known comorbidities or contribute to future health risks. The ultimate success of cancer treatments ultimately depends on the meticulous management of post-cancer care, and this requires a clinical workforce that is engaged and ready. Cancer survivorship has now become recognized as an independent field of research and clinical practice. This new concise guide is intended for cancer clinicians as well as generalists and specialists who meet cancer survivors in their practices for routine check-ups or specialized consultations. With an expanding population known to have complex medical, psychosocial and emotional needs, we hope this book sparks interest and provides answers for those involved in their care.

This volume brings together an unusually broad range of experts from reproductive medicine, medical ethics, and law to address the important ethical problems in maternal-fetal medicine which impact directly on clinical practice. The book is divided into parts by the stages of pregnancy, within which the authors cover four main areas: the balance of power in the doctor-patient relationship and the justifiable limits of paternalism and autonomy; the impact of new technologies and new diseases; disability and enhancement; and difference--to what extent should the clinician respect the tenets of other faiths in a multicultural society.

Too often, in the debate over reproductive rights and technologies, we lose sight of the fundamental emotional and psychological issues that define the experience of pregnancy. Robin Gregg here draws on the words and stories of over thirty women to provide a first- hand perspective on pregnancy in the modern age.

In an age where a new advance in reproductive technology occurs seemingly every month, pregnancy has come to be defined by such medical procedures as prenatal screening, amniocentesis, fetal monitoring, induced labor, and cesarean sections. Public policymakers, ethicists, religious figures, and the medical establishment control the debate, drowning out the voices of women who grapple in the most immediate sense with the issues. Even feminist theorists often overlook the nuances and paradoxes of the reproductive revolution as experienced by individual, particular women.

The reader follows these thirty women as they speak about whether to become pregnant, and by what means; how to choose a health provider; what meaning they attribute to their pregnancies; and how they navigate their way through the contradictory pressures they face during pregnancy. The intimate nature of Gregg's research, consisting as it does largely of women's pregnancy narratives, lends her book a vibrancy often lacking in academic writing about reproduction.

As more premature infants survive the immediate neonatal period and require prolonged periods of hospitalization, researchers in fetal development and infancy have begun to reassess the strategies for their care. In the past, the focus of neonatal intensive care was to sustain life, with little attention to the quality and implications of survival. Today, however, researchers and clinicians are seeking to enhance the development of these small infants by ameliorating the effects of extreme prematurity and the associated medical and surgical complications. This book reports the work of leading researchers who have begun to use a variety of developmental interventions in the management of small infants in neonatal intensive care units.

Gynaecology in Primary Care comes at a time of great change in health service delivery. General practice is facing the challenges of developing Clinical Commissioning Groups, providing an ever greater range of primary care services and implementing NICE guidelines, whilst CCGs through their members will be under a legal duty to innovate. From a provider perspective, the book equips general practitioners with up-to-date knowledge of common gynaecological conditions, suggestions of best practice with regard to management and investigations to be undertaken within primary care, and guidelines for onward referral, where this is appropriate and necessary. From a commissioning perspective it provides an invaluable resource to CCGs, to inform their future pathways for gynaecology care. This highly practical book delivers the main aim of the RCP report - to ensure best care for female patients in the setting of their choice and where possible to develop streamlined one-stop services in primary care so that women do not have to take time off from their work and family commitments. It is ideal for general practitioners needing to be inspired and informed, and is also highly recommended for other healthcare professionals and medical students with an interest in women's health. 'Optimal patient care requires many connected features to synchronise effectively. This book describes how this could be achieved by focusing attention on well-crafted, evidencebased clinical pathways. This book advances our thinking on how we connect clinical, system and patient level perspectives on optimal care management.' Denis Gizzi, in his Foreword 'Written by a highly regarded, experienced and practicing GP, who has taken on the role as Clinical Director on behalf of the CCG for this programme area, this book is a valuable asset for both practicing GPs and developing CCGs to ensure that gynaecology services effectively commission, maximise the health of the population, improve the experience of the patient, and improve value for money.' Kath Wynne-Jones, in her Foreword 'An excellent guide to the management of gynaecological problems in primary care for not only clinicians in training, but for more experienced clinicians who look for straightforward and easily accessible advice to support their clinical management decisions. Look no further than this textbook. Dr Sharma's textbook will be a boon to developing organisations in delivering world-class services.' Dr Ian Wilkinson, in his Foreword

Postpartum depression has become a more recognized mental illness over the past decade as a result of education and increased awareness. Traumatic childbirth, however, is still often overlooked, resulting in a scarcity of information for health professionals. This is in spite of up to 34% of new mothers reporting experiencing a traumatic childbirth and prevalence rates rising for high risk mothers, such as those who experience stillbirth or who had very low birth weight infants.

This ground-breaking book brings together an academic, a clinician and a birth trauma activist. Each chapter discusses current research, women s stories, the common themes in the stories and the implications of these for practice, clinical case studies and a clinician s insights and recommendations for care. Topics covered include: mothers perspectives, fathers perspectives, the impact on breastfeeding, the impact on subsequent births, PTSD after childbirth and EMDR treatment for PTSD.

This book is a valuable resource for health professionals who come into contact with new mothers, providing the most current and accurate information on traumatic childbirth. It also presents mothers experiences in a manner that is accessible to women, their partners, and families.

Section A: Scientific Aspects of Endometriosis.- 1 The pathogenesis and aetiology of endometriosis.- 2 The endometriotic implant.- 3 Steroid receptors in endometriosis.- 4 The endometrium and endometriosis.- 5 The peritoneal environment in endometriosis.- 6 The immune system in endometriosis.- 7 Endometriosis and infertility.- Section B: Clinical Aspects of Endometriosis.- 8 The classification of endometriosis: a comprehensive review.- 9 Extrapelvic endometriosis.- 10 Macro- and microsurgical treatment of endometriosis.- 11 Laser laparoscopy in the treatment of endometriosis.- 12 Gestogens and anti-gestogens as treatment of endometriosis.- 13 The use of danazol as a treatment of endometriosis.- 14 GnRH analogues in the treatment of endometriosis - rationale and efficacy.- 15 The role of definitive surgery and hormone replacement therapy in the treatment of endometriosis.- 16 The future.

This book deals with the following important legal questions related to childbirth. When a woman is pregnant, does the law have any part to play in protecting the fetus from harm? Should it intervene, for example, if she is taking illegal drugs or has, at the time of delivery, declined to accept medical advice? And how does---and should---the law respond when something goes wrong and the baby is born injured or disabled? Do damages claims provide outcomes, which are fair to the woman, her child, and the doctors, and midwives who have cared for them?

Mindfulness in the Birth Sphere draws together and critically appraises a raft of emerging research around mindfulness in healthcare, looking especially at its relevance to pregnancy and childbirth. Divided into three parts, this reflective book: * Investigates the phenomena of mindfulness through discussions of neuroscience, an indigenous worldview and research methods. * Develops the concept of mindfulness for use in practice with women/and babies across the continuum of childbirth. It includes chapters on birth environments, intrapartum care, mental health, fertility, breastfeeding and parenting among others. * Explores mindfulness as a tool for birth practitioners and educators, promoting self-care, resilience and compassion. Each chapter discusses specific research, evidence and experiences of mindfulness, including practical advice and an example of a mindfulness practice. This is an essential read for all those interested in mindfulness in connection to pregnancy and childbirth, including midwives, doulas, doctors and birth activists, whether involved in practice, research or education.

The growing number of cancer survivors presents a new challenge to generalists and specialists involved in their care. Prior cancer treatments may compound known comorbidities or contribute to future health risks. The ultimate success of cancer treatments ultimately depends on the meticulous management of post-cancer care, and this requires a clinical workforce that is engaged and ready. Cancer survivorship has now become recognized as an independent field of research and clinical practice. This new concise guide is intended for cancer clinicians as well as generalists and specialists who meet cancer survivors in their practices for routine check-ups or specialized consultations. With an expanding population known to have complex medical, psychosocial and emotional needs, we hope this book sparks interest and provides answers for those involved in their care.

The COPD chart presents a detailed overview of the symptoms and causes of Chronic Obstructive Pulmonary Disorder (COPD). Sections help explain the two related respiratory diseases that constitute COPD - emphysema and chronic bronchitis. Heavy cover stock with protective varnish for durability.

The study of human reproduction has focused on reproductive 'success' and on the struggle to achieve this, rather than on the much more common experience of 'failure', or reproductive loss. Drawing on the latest research from The UK and Europe, The United States, Australia and Africa, this volume examines the experience of reproductive loss in its widest sense to include termination of pregnancy, miscarriage, stillbirth, perinatal and infant death, as well as - more broadly - the loss of desired normative experiences such as that associated with infertility, assisted reproduction and the medicalisation of 'high risk' pregnancy and birth. Exploring the commonalities, as well as issues of difference and diversity, Understanding Reproductive Loss presents international work from a variety of multi-disciplinary perspectives and will appeal to sociologists, anthropologists and other social scientists with interests in medicine, health, the body, death studies and gender.

This book fills the gap in understanding of pathology of the female genital tract that is often understated during training. Normal histology and pathology of abnormal conditions are covered for the lower and upper genital tract, in a concise manner with over 200 color illustrations. Topics include this covers inflammatory diseases, iatrogenic conditions, changes associated with menopause, and benign and malignant neoplasms. This text also address adjunctive testing such as molecular diagnostics and immunohistochemistry staining. The text is concise and practical with a liberal use of bullet points, and it includes clinicopathologic correlations. Breakout tables in each chapter cover information the clinician should provide the pathologist to get the most useful report, as well as pathology issues and challenges that may result in a report less specific than the clinician is expecting. Written by board certified experts, this book is the ultimate resource for gynecological pathologists, obstetrics, OB/GYN physicians, and gynecology practitioners.

Offering a one-stop guide to recognition and therapeutic decision making, Diagnosis and Treatment of Rare Gynecologic Cancers fills a gap in the medical literature on uncommon ovarian, uterine, cervical, and vulvovaginal cancers and trophoblastic diseases. This authoritative text, edited by Drs. Michael Frumovitz, Mario Leitao, and Preetha Ramalingam, has been authored by internationally recognized experts from top institutions such as MD Anderson Cancer Center and Memorial Sloan Kettering Cancer Center. Each chapter covers different cancer subtypes and has been reviewed by an oncologist and a pathologist. Provides up-to-date clinical guidance on assessment and therapeutic options for patients with rare gynecologic malignancies. Presents information in a templated, easy-to-read format. Each chapter includes an introductory clinical case followed by epidemiology of disease, pathologic assessment, basic science/molecular/translational research, work-up of newly diagnosed disease, staging, treatment of newly diagnosed disease, treatment of recurrent disease, potential therapeutic targets, and a case resolution. Includes diagnostic and treatment algorithms for each form of cancer. Contains numerous anatomical figures, radiographs, photographs, and tables for quick visual reference. 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.