What does modern medical science know about menstruation? The menstrual cycle is less well understood by physicians than is commonly assumed and medical understanding of disorders associated with it are also limited. This study challenges the orthodox thinking in both society and medicine on menstruation. The authors base their study on women's own experiences and accounts of menstruation and menstrual disorders, drawing on a wide range of studies including their own. The book shows that women are often socialized to interpret the menstruum in negative terms and as something essentially private to be contained within the female domain. Taking an unorthodox approach, the authors incorporate a discussion of how menstruation is perceived within male culture and how the perspective of the medical profession has remained discernibly patriarchal. They show the significance of this in relation to women's experience within the family and at work. They end the book by focusing on the medicalisation of menstruation and the advantages and disadvantages for women of the greater access to the sick role this development implies.

This book contains 250 single best answer questions (SBAs) covering various topics within obstetrics, gynaecology, paediatrics and psychiatry. It is a useful, informative revision aid for undergraduates in medicine.

This book contains 100 extended matching questions (EMQ) covering various topics within obstetrics, gynaecology, paediatrics and psychiatry. It is an essential aid for all medical students preparing for final exams.

This book defines the 'core' material for obstetrics and gynaecology by considering the common core clinical problems which may be encountered in primary and secondary care. It provides a learning strategy to master the 'core' material for examinations.

The new edition of this text admirably fills the need for a primer on the central topics involved in Human In Vitro Fertilization (IVF). Supplying a comprehensive and hands-on approach to IVF, this source presents established state-of-the-art procedures and techniques, as well as the most current research in the field. Expert contributors also discuss the history of IVF and the potential of future research. Offering essential information for reproductive endocrinologists, IVF practitioners and embryologists, this book guides readers though every step of human assisted conception, from patient pre-treatment to monitoring of outcomes.

Intrauterine development and birth constitute an uninterrupted sequence of events that have a molecular physiologic background. Perinatal Biochemistry presents a comprehensive review of this subject. Specific topics addressed include maternal metabolism during pregnancy, maternal insulin resistance, embryonic and fetal metabolism and fuel consumption, the fetal pancreas, growth factors, brain metabolism, and biochemical adaptations to early extrauterine life. The book will be useful to biochemists and physiologists interested in perinatology; clinicians working in areas related to maternal health, gestational development, and delivery; gynecologists, neonatologists; pediatricians; endocrinologists; and internists.

This edited book includes new policy-relevant research on women's health issues in Africa. Scholars explore critical topics from different disciplinary traditions using a variety of research methodologies and data sources. The contributors include African scholars with in-depth knowledge of their home contexts, who can furnish nuanced interpretations of local health issues and trends; international researchers who bring vigorous comparative viewpoints; emerging scholars adding to scientific knowledge; and more established researchers with a deep global knowledge of women's health issues. The range of women's health issues is vast, including the HIV epidemic and its impacts; domestic violence; the persistence of homebirths; and abortion. In addition, the book investigates emerging health concerns such as CVDs and cancers. Readers will learn that, while old health issues have persisted and assumed new dimensions, newer concerns have materialized and are now gaining momentum. The inability of health systems to tackle these issues complicates matters in Africa, creating a sense of desperation that can only be successfully confronted through strong political will and strategic planning, grounded in further research. The chapters in this book were originally published in the journal Health Care for Women International.

Compiled by two experts in Reproductive Medicine, with contributions from internationally respected specialists, this innovative text lets the whole team in Reproductive Medicine get literally on the same page. Taking a cook-book approach to the operational procedures in the laboratory and in the clinic, it details what needs to be prepared in advance, what needs to be prepared earlier the same day, and what steps to take before, during, and after the procedure itself. This is an essential tool for ensuring all staff - whether experienced or starters - can be confident in their tasks and are in touch with what is expected of them and their colleagues.

This work is based on the proceedings of the seventh conference of the Society for Menstrual Cycle Research held at the University of Michigan in Arbor in June 1987. It discusses such topics as the experience of menstruation, perimenstrual symptoms and premenstrual syndrome and menopause.

Compiled by two experts in Reproductive Medicine, with contributions from internationally respected specialists, this innovative text lets the whole team in Reproductive Medicine get literally on the same page. Taking a cook-book approach to the operational procedures in the laboratory and in the clinic, it details what needs to be prepared in advance, what needs to be prepared earlier the same day, and what steps to take before, during, and after the procedure itself. This is an essential tool for ensuring all staff - whether experienced or starters - can be confident in their tasks and are in touch with what is expected of them and their colleagues.

This multi-disciplinary resource provides an overview of perinatal mental and physical health issues within the military population. Perinatal mental health has far-reaching implications for military readiness. The text provides insights to the effects of military culture on identification, evaluation, and treatment of perinatal mood and anxiety disorders and is an invaluable resource for military and civilian primary and behavioral health providers.

This multi-disciplinary resource provides an overview of perinatal mental and physical health issues within the military population. Perinatal mental health has far-reaching implications for military readiness. The text provides insights to the effects of military culture on identification, evaluation, and treatment of perinatal mood and anxiety disorders and is an invaluable resource for military and civilian primary and behavioral health providers.

Embryology at a Glance is a highly illustrated and innovative introduction to key embryological concepts, with concise, memorable descriptions of major embryological developments. This new edition covers the basic principles of human development, from mitosis and meiosis, before exploring the primary formation of each body system, including the development of the musculoskeletal, circulatory, digestive, reproductive, and nervous systems during the foetal and neonatal periods. Key features include: New chapters on cell signalling genes, stem cells, and antenatal screening for common congenital and genetic defects Full colour photographs and illustrations Links to clinical practice highlighted throughout Timelines of each developmental stage MCQs and EMQs for revision and review A companion website at www.ataglanceseries.com/embryology featuring 15 brand new animations, and podcasts to help clearly explain the processes that occur during development. An additional instructor resource contains an image bank of all the figures from the book to aid teaching this fascinating area Embryology at a Glance provides the perfect alternative to the overwhelming detail seen in conventional embryology texts. It provides just the right level of detail on embryology and congenital abnormalities for all medical students and health professionals to develop a thorough understanding of human development and its implications for clinical practice.

In this unique book emphasis is placed on tests necessary to evaluate fetal well-being and to detect those fetuses at risk of hypoxia and acidosis in utero. Written by pioneers in the neonatal field, this publication contains chapters on the pathophysiology, obstetric management, and collagen diseases of intrauterine growth retardation. Ultrasound in detection of growth retarded fetuses is explored, as well as magnetic resonance imaging and magnesium substitution for the prevention of intrauterine growth retardation. Containing never-before-published information, this volume is an excellent reference source for both investigators in the field and those entering it.
Topics Include:
Perinatal growth chart for international reference
Ultrasound guided procedures in small for gestation fetuses
Utero-placental and fetal circulation

This book uses global household data to examine the prevalence, trends and geographic variation of female genital mutilation (FGM) around the world. It also addresses the underlying legal and policy aspects as well as explores the medical consequences, both immediate and long term, for those undergoing the practice. The book analyses the position of victims of this gender-based violence both from the medical and legal perspective and adopts a largely practical approach to the study of the practices, offering a fresh thinking into one of the challenges in global health and the law. In addition, it offers some insights into how health professionals can approach this category of victims and how legal practitioners can obtain a good legal result for their clients before domestic and international forums. The book addresses fundamental issues such as state liability and defences in enforcement proceedings for actions or omission of state or non-state actors, and due diligence standard in international human rights law, the main gateways available for obtaining relief for the victims of FGM. This book goes beyond the traditional debate between zero tolerance and those who wish to see the practice medicalised and tolerated and favours an advocacy programme standing firmly in favour of the right of FGM victims. This book offers a unique perspective likely to assist victims and their representatives to secure a remedy against perpetrators and the state. As such this book will be of interest to medical professionals, national and international lawyers, academics and policymakers in the field of public health.

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.

Osteopathy and Obstetrics is already well-established as a textbook for postgraduate and undergraduate students of osteopathy. In this new edition, now in full color throughout, the original text has been revised to emphasise the physiological need for change that every pregnant woman undergoes, as well as showing the consequential anatomical developments. This revised and expanded version also gives greater emphasis in every chapter to safety issues, and to ensuring safe practice in diagnosis and treatment The text is divided into three main sections: Above the Diaphragm Below the Diaphragm The Pelvis. It describes and explains the use of all types of osteopathic techniques including structural techniques, myofascial techniques, cranial techniques and visceral techniques. Osteopaths, chiropractors, physical therapists, and others working in the manual therapy field, will find the book invaluable for reference as a practical technique manual. The information it offers on how osteopaths can work safely and effectively to treat the common problems often suffered by pregnant women, and the potential solutions, will also be of interest and value to midwives, obstetricians, and family practitioners. Based on Dr Sandler's lifetime work, teaching and treating throughout the world, Osteopathy and Obstetrics is a unique contribution to the body of knowledge within the world of osteopathic manual treatment.

Vitrification in Assisted Reproduction presents standard and new cryopreservation techniques in detail, outlining those that have resulted in success, and providing recommended means for overcoming typically encountered problems. This new edition provides a much broader range of clinical application and data to demonstrate its contribution to the use of vitrified oocytes and embryos. The book also discusses new areas in the field of assisted reproductive technology such as oocyte banking, preimplantion diagnostics at the blastocyst stage, and the burgeoning adoption of elective single embryo transfer. Written by expert scientists and clinical embryologists, this book will help you to consistently and predictably apply vitrification as an important therapeutic strategy in assisted reproduction.

The neoplasms found in the female genital tract are numerous and growing more complex. Cytology and Surgical Pathology of Gynecologic Neoplasms has been written to provide a practical reference for practicing pathologists and cytopathologists in a quick and concise fashion. The primary focus of this book is on gynecological tumors, specifically common ones and their benign mimics. Emphasis is placed on morphologic recognition, resolving common diagnostic problems seen in routine practices, and discussion of current classification of gynecologic malignancies. Special references to the differential diagnosis and pitfalls of each entity are included. The role of cytology and its correlation with histology is richly illustrated and discussed. Also presented is the practical use of ancillary studies such as molecular diagnostic testing and immunohistochemistry. With a unique emphasis on the correlation between cytology and surgical pathology, Cytology and Surgical Pathology of Gynecologic Neoplasms provides a ready reference for both the practicing pathologist and pathologist in training in finding quick answers to their diagnostic challenges.

This proposed book draws on the expertise of 35 experts in the field of Addiction Medicine to provide the reader with a current and comprehensive view of addiction as related to women, pregnancy, newborns, infants and children. The volume begins by placing current attitudes towards addicted women in a historical context, and continues with contributions on the relationship of gender to substance abuse research, addiction as a general health issue in women, and ethical dilemmas faced when approaching drug use during pregnancy. The volume discusses high-risk pregnancies and HIV infection related to maternal drug abuse. It details specific pharmacotherapy such as methadone and buprenorphine, and assesses society's punitive view toward illicit drug using women. Finally, the book describes outcomes of newborns, infants and children born following intrauterine drug exposure. Health providers in many related disciplines, specialists in Addiction Medicine, social workers and ethicists are among those who will gain insight into the complex interdisciplinary matrix of abuse in women, its unique relationship to pregnancy, and its impact on drug-exposed children. This book was published as a special issue in the Journal of Addictive Diseases.

Given that millions of women have entered menopause each year since the dawn of time, it's bizarre that it still feels like uncharted territory for the women who are going through it. Dr. Heather Hirsch is committed to changing that. Unlock Your Menopause Type helps women cut through the informational noise and learn how to manage their symptoms most effectively by identifying their personal Menopause Type(s). This is not a one-size fits all solution. Unlock Your Menopause Type features a helpful quiz to identify women's individual Menopause Type(s) such as: -Premature -Sudden -Full-Throttle -Mind-Altering -Seemingly Never-ending -Silent Each type gets a full prescription for exercises, diet and strategies to regain mental focus and make menopause a routine part of maturity rather than a rollercoaster ride of unexpected symptoms and discomfort. The book also includes: -The last word on whether to replace declining hormones -What to do if you're a combination of types -How to get on top of (as it were) changes in your sex life -Crowd-sourced tips and tricks from Dr Hirsch's friend group and patients Dr Hirsch addresses the physical and emotional challenges of menopause and provides solutions from her years of practice. With knowledge, priorities and a plan, you can feel great through midlife and beyond.

This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.

Preterm infants grow poorly after birth and very commonly develop ex utero growth restriction (EUGR). However, the risks and benefits of catch-up growth in preterm infants must be weighed, and evidence addressing this warrants examination. Perinatal Growth and Nutrition explores the reasons for EUGR and the long-term effects on developmental outcome and on metabolic risks. It provides clear information on the risks and benefits of faster post-natal growth and catch-up growth in preterm infants and offers tools for better assessment of growth and earlier identification of faltering growth. This book is divided into three sections. The first section covers advances in preterm infant growth standards, diagnosis and causes of EUGR, and assessments of preterm infant diets. The second section considers the extensive human literature on the effects of in utero and ex utero growth restriction and catch-up growth on long-term metabolic outcomes-such as obesity, insulin resistance, type 2 diabetes, and cardiac disease-and long-term neurodevelopmental outcomes including cognition. It also examines evidence for the effect of growth on these outcomes in term and preterm infants. The final section of the book considers ways to reduce the incidence of EUGR in preterm infants and when EUGR does occur, to optimize catch-up growth. Topics include assessment of dietary requirements of the diverse population of preterm infants, examination of tools for prescribing nutrition to neonatal intensive care unit patients, consideration of whether to customize or generalize nutrient intake, and fortification of human milk. In addition, the last chapter proposes using a Z-score growth chart for improved interpretation of growth data.

This full-colour, richly-illustrated book is an excellent source of rapidly retrievable information on aspects of relevance in daily clinical practice in the outpatient breast clinic. Expert guidance is provided on a full range of topics, including pitfalls of clinical examination, imaging and related tissue diagnosis, approaches to management decision-making in different disorders, the role of surgery and adjuvant therapy, follow-up and rehabilitation. In outpatient breast clinics, effective communication with patients must be established in order to address symptoms that in most cases are not serious but can be very worrying and sometimes lead to misdiagnosis and also to litigation. Outpatient consultations also offer an opportunity to encourage a healthy lifestyle and to provide information on matters such as risk assessment, screening and the most reliable websites. A well-functioning outpatient clinic is essential to a breast unit's overall proficiency. Readers will find this book an invaluable aid to good practice. The authors place particular emphasis on quality indicators and key priorities for implementation of the main guidelines, at the same time specifying the level of evidence for them and degree of recommendation. Practical measures for achieving the best results are highlighted, and helpful advice is provided on optimizing patient communication and reducing the psychological burden.