Written and edited by leading physicians, Breastfeeding: A Guide for the Medical Profession, 9th Edition, offers comprehensive, dependable information and guidance in this multifaceted field. Award-winning author and co-founder of the Academy of Breastfeeding Medicine, Dr. Ruth Lawrence, and her son, Dr. Rob Lawrence, ensure that you're brought fully up to date on everything from basic data on the anatomical, physiological, biochemical, nutritional, immunological, and psychological aspects of human lactation, to the problems of clinical management of breastfeeding-all in a highly readable, easily accessible desk reference. Helps you make appropriate drug recommendations, treat conditions associated with breastfeeding, and provide thoughtful guidance to the breastfeeding mother according to her circumstances, problems, and lifestyle. Includes numerous charts and tables throughout, with an emphasis on the scientific, chemical, and physiological underpinnings of breastfeeding. Appendices contain additional charts and tables, including the complete collection of clinical protocols on breastfeeding and human milk from the Academy of Breastfeeding Medicine. Features new chapters on breast conditions and their management in the breastfeeding mother, breastfeeding and chest-feeding for LGBTQ+ families, breastfeeding during disasters, and establishing a breastfeeding practice or academic department. Provides significant updates on physiology and biochemistry of lactation; medications and herbal preparations in breast milk; transmission of infectious disease through breast milk; allergy and its relationship with breastfeeding, exposure, and avoidance; premature infants and breastfeeding; and practical management of the mother-infant nursing couple. Offers authoritative and fresh perspectives from new associate editors: neonatologist Dr. Larry Noble, obstetrician Dr. Alison Stuebe, and pediatrician and lactation specialist Dr. Casey Rosen-Carole. Covers patient-centered counseling, the cellular composition of human breast milk, microbiota of the breast and human milk, and the multifunctional roles of human milk oligosaccharides (HMOs). 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.

This concise yet comprehensive guide is focused on the curriculum and current exam style of the MRCOG Part 1 examination. It integrates clinical knowledge with basic science, providing readers with a deeper understanding of pathophysiology of medical disorders in obstetrics and gynaecology. The lead editor is a member of the Part 1 Examination Committee and her insights are skilfully woven into the book's revision notes, sample Single Best Answer (SBA) question and answer explanations, and tips on exam technique. The book encourages a structured thought process to develop, making it easier for clinicians to make differential diagnoses and conduct relevant investigations and treatment plans. The focus on basic sciences also endows readers with the ability to develop research ideas and evaluate findings. Featuring easy-to-read text, highlighted key points, illustrations, and plenty of practice papers, this succinct guide is essential preparation reading for trainee obstetricians and gynaecologists taking the challenging Part 1 MRCOG exam.

Find real-world, clinically useful information on all aspects of electronic fetal monitoring! Written by clinicians for clinicians, Mosby's Pocket Guide to Fetal Monitoring: A Multidisciplinary Approach, 9th Edition provides an evidence-based, collaborative approach to fetal heart monitoring during labor and in the antepartum period. It covers the physiologic basis for FHR monitoring, methods and instrumentation, standardized terminology, pattern recognition and interpretation, and management of care. Authored by a nurse-midwife, a perinatologist, and a nurse, this compact guide prepares you for success on the EFM certification exam and for success in today's clinical practice. Pocket-sized format makes this guide ideal to carry and use in the clinical setting, and a colorful design makes information easier to find. Coverage of fetal heart rate assessment, evaluation, interpretation, and management is supported by evidence-based practice and literature, helping you prioritize care and make clinical decisions. Patient safety and risk management strategies include case studies and legal commentary, plus guidelines for providing safe and competent care. Information on the relationship between fetal heart rate patterns and neonatal outcomes provides a guide to the correct use of fetal monitoring. Illustrations, tables, and fetal monitor tracings highlight critical information. Coverage of innovative practices supports patient safety and improved outcomes through the use of a common language for fetal heart rate patterns, a standardized approach to interpretation, a discussion of emergency preparedness, and a discussion of human factor issues such as improved communication, situational awareness, no-fault/just culture, and teamwork. Practical appendices offer a guide to FHR tracings and interpretation as well as self-assessment questions for credentialing and certification exam preparation. Expert author team provides clinical insight along with international presence. NEW information on Category II tracing management is included. NEW! Expanded section on common misconceptions and myths includes evidence supporting factual EFM characteristics. NEW! Detailed information on documentation and legal issues is added. NEW EFM tracings with interpretation are added.

Recognition of the relationship between alcohol abuse and adverse prenatal outcomes is reflected in the warning labels on every alcoholic beverage sold in the United States. Because alcohol abuse has serious consequences for both individuals and society as a whole, much research has been devoted to this problem. Fetal Alcohol Syndrome provides straightforward facts regarding the impact of alcohol consumption as it affects the development of the embryo and fetus. Surveying current research of fetal alcohol syndrome and its related problems, the book addresses the immediate effects on development at various stages. Long-term action of prenatal alcohol exposure later in life is also considered. A chapter devoted to assessing the behavior of children who were prenatally exposed to alcohol emphasizes the necessity of longitudinal studies of fetal alcohol syndrome. This important reference offers a thorough overview of a problem that cannot be ignored.

The acquisition and implementation of new findings for clinical care in obstetrics and gynecology is at a more rapid pace than ever before. More understanding of the pathophysiology of disease coupled with improved screening technology and genetic information requires physicians to constantly update their knowledge-base and familiarize themselves with guidelines and advances in techniques as well as question old euphemisms. Medical specialties, including obstetrics and gynecology have moved from board certification as a solitary achievement to maintaining current knowledge- a continuous lifelong learning process. This issue of Obstetrics and Gynecology Clinics is dedicated to clinical care for patients with evidence-based recommendations: "state of the art" advice and updates. Articles are specifically devoted to Contraception: menarche to menopause; Vaginitis: beyond symptoms; Abnormal uterine bleeding; Recognition and therapeutic options for malignancy of the cervix and uterus; Gestational diabetes: Diagnosis, classification and clinical care; Hypertensive disorders in pregnancy; Obstetric emergencies: Shoulder dystocia and postpartum hemorrhage; Prenatal diagnosis: tools and tests for screening; Clinical recognition and screening for common breast disorders and malignancy; and Recognizing and managing common urogynecologic disorders.

Clinical research has produced a continuous stream of evidence-based guidelines to guide practice in obstetrics. The guidelines are often widely scattered: this book brings together the essential guidelines in one comprehensive resource. The primary focus is on the Royal College of Obstetricians and Gynaecologists and other UK national guidelines; however, many chapters contain a 'Guideline Comparator' box carrying information from important international guidelines. Where there are no UK guidelines, information based on international guidelines is provided; where any guidelines do not exist, available evidence and accepted norms of practice based on expert opinion are detailed. Several chapters also contain a 'what not to do' box, which should act as a source of rich debate. To assist those studying for postgraduate examinations - such as MRCOG - the information is presented in schematic flowcharts, representing a step-by-step method of approaching clinical problems and providing an easy-to-use learning resource.

This pocket reference and revision guide is a must for all medical students and junior doctors preparing for major exams in obstetrics and gynaecology or needing a rapid reminder during a clinical attachment. Now thoroughly updated, this second edition has been re-ordered into three sections - covering obstetrics, gynaecology, and procedures - to provide a more systematic and ordered approach to learning that takes into consideration the natural division within the specialty.

Covering all key topics in Obstetrics and Gynaecology, this succinct account of the core and common conditions found in clinical settings and exams is the ideal refresher covering just the basic, relevant facts.

Adolescent endometriosis is a previously overlooked disease in children, the true prevalence of which is still unknown but has been estimated between 19-73%. There are numerous initial challenges faced by adolescents suffering from delayed or undiagnosed endometriosis apart from experiencing chronic pain, such as: school/work absenteeism, false diagnoses/treatments, erroneous physician referrals, unnecessary radiological studies, radiation exposure, and emergency room visits as well as early exposure to narcotic pain medications and subsequent drug tolerance, resistance or even addiction. This text presents a clear history of physician and patient understanding and awareness of endometriosis in adolescents. It lays the groundwork for this condition with background information on endometriosis in general followed by a more focused look at endometriosis in adolescents. Leading experts in the field provide chapters on the different locations where endometriotic lesions can present in adolescents as well as identified risk factors and concomitant diseases of which it is important to be aware. In addition to the clinical presentation, this book also provides information on breaking down existing barriers, such as stigma, and current activism and awareness of this condition. Adolescent Endometriosis is a first-of-its-kind text that focuses exclusively on endometriosis in the adolescent population. Written by experts in the field, this book is a comprehensive resource for clinicians in all medical disciplines that treat adolescent age girls.

This user-friendly second edition provides a fully up-dated and practical introduction to gynaecological ultrasound. It describes and explains background anatomy and physiology, instrumentation and how to make the best use of equipment. Emphasis is placed on how to maximise image quality, and how to recognise normal and pathological features. The volume also assesses other relevant diagnostic techniques and various management strategies, and evaluates the role of ultrasound as part of patient management. It includes chapters on pathology of the uterus, ovaries and adnexae, paediatric and trauma cases, together with management of infertility and other gynaecological perspectives of patient management. Illustrated throughout with numerous high-quality ultrasound images and line drawings, many of them new for this latest edition, this is essential reading for practitioners in training, including radiologists, gynaecologists and sonographers.

There are relatively high rates of complications in the fetal and neonatal periods (1 in 33 fetuses born with birth defects and 1 in 10 preterm births in the US). With advances in maternal-fetal care and growing services and life-extending medical innovations in the neonatal period, more families are presenting to Neonatal Intensive Care Units (NICUs) and often for longer lengths of time. The growing recognition of mental health needs of families and providers in fetal care centers, NICUs, and neonatal follow-up programs has led to a quickly increasing presence of behavioral health providers in these settings. Behavioral Health Services with High-Risk Infants & Families is a practical guide for mental health clinicians working in fetal care, NICU, and neonatal follow-up care. The book provides a broad overview of common medical conditions in fetal and NICU settings (e.g., congenital anomalies, premature birth, hypoxic injury in the perinatal period), prevalence, and symptoms of behavioral health challenges, specific considerations for assessment and intervention, and cross-cutting issues to assist the clinician with optimizing behavioral health care integration with mothers, partners, babies, and families. Additionally, information about the provision of psychosocial support and education to staff is also included. The text represents a comprehensive, practical resource for behavioral health clinicians working with pregnant women, partners, infants, families, and providers in perinatal and neonatal intensive care settings. The book features de-identified case examples, trauma-informed care prompts/scripts, specific questions for assessment and intakes, key medical terms, resource guides, and reference lists.

This book on post-injury multiple organ failure (MOF) offers a comprehensive overview and clinically focused practical guide to treating the condition. MOF is arguably the most difficult complication to manage in polytrauma patients and is responsible for the majority of trauma deaths among patients who survived the first 24 hours after injury. Beyond mortality, it has a major impact on healthcare resource utilization and a persistent negative effect on patients' long-term reported outcomes. This book is edited by surgeons who are passionate about the topic, and about optimizing the outcomes for polytrauma patients. Grasping the fascinating pathophysiology of MOF is essential for providing patients with quality early care. Each chapter highlights key learning objectives, historical perspectives, diagnostic and therapeutic pearls, and includes a must-know summary, additional reading suggestions and future research directions. Flowcharts, decision-making guides, summary tables, graphics and clinical photographs help to maximize the learning experience and to ensure readers retain what they've learned. The book fills a unique niche area for many specialties dedicated to critical care of polytrauma patients and to their management before and beyond intensive care.

An updated guide to the symptoms, side effects, and treatment of menopause surveys current hormone replacement treatments, discusses the influence of homones on one's health, discusses a variety of natural alternatives to HRT, and tells how to maintain hormone balance naturally. Reprint.

For over forty years, assisted reproductive technology (ART) has helped millions of patients around the world to overcome infertility. Careful monitoring of ART treatments and their outcomes is vital to maintain the remarkable pace of change in science and technology, whilst minimizing potential risks to infertility patients, and their children. Written by forty-five authors from twenty countries around the world, this book represents a global effort to document the history of assisted reproductive technology surveillance, and its dynamic challenges across the world. Comprehensive in its approach, the text details best practices in collecting and using ART surveillance data to monitor treatment effectiveness and safety, improve quality of care, develop health policy, and provide accurate information to infertility patients, worldwide.

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.

Address the future of innovative reproductive technologies with experts in the fields of IVF, fertility preservation and laboratory advances. This essential resource examines the changing roles of IVF, and moves beyond the basics of reproductive medicine. This book introduces the optimization of care, to improve patient outcomes, whilst facing ethical challenges that accompany new technologies, and applying the patient-centered care model to improve both patient and staff retention. By showcasing the future of the field in terms of clinical practice and innovative laboratory technologies, this guide will support clinics worldwide to provide high-quality customer experience, maintaining a competitive edge, following increasing standardization of clinical and laboratory protocols. This invaluable guide features chapters on patient evaluation, predictive modelling, advances in pharmacology, and laboratories of the future. Written by research and clinical leaders from around the world, it describes ground-breaking innovative treatments and technologies, encompassing the care model in a holistic way.

First conceptualized by D.W. Winnicott, holding in this book refers to a therapist's capacity to respond to postpartum distress in a way that facilitates an immediate and successful therapeutic alliance. Readers will learn how to contain high levels of agitation, fear, and panic in a way that cultivates trust and the early stages of connectedness. Also addressed through vignettes are personality types that make holding difficult, styles of ineffective holding, and how to modify holding techniques to accommodate the individual woman. A must-read for postpartum professionals, the techniques learned in this book will help clients achieve meaningful and enduring recovery.

This book describes the principles and skills of counselling. It provides practical guidelines which show, by example, how to communicate effectively, how to offer counselling and support, and how to face and deal with difficult situations. Detailed attention is given to issues such as preparing women for surgery, breaking bad news, and providing information and support before, during and after childbirth. The book aims to increase the awareness of health workers by describing a broad range on women's experiences and reactions to their particular problems and health concerns, as well as the ways in which these are treated.

Although there are far more opportunities for LGBTQ people to become parents than there were before the 1990s, attention to the reproductive challenges LGBTQ families face has not kept pace. Reproductive Losses considers LGBTQ people's experiences with miscarriage, stillbirth, failed adoptions, infertility, and sterility. Drawing on Craven's training as a feminist anthropologist and her experiences as a queer parent who has experienced loss, Reproductive Losses includes detailed stories drawn from over fifty interviews with LGBTQ people (including those who carried pregnancies, non-gestational and adoptive parents, and families from a broad range of racial/ethnic, socio-economic, and religious backgrounds) to consider how they experience loss, grief, and mourning. The book includes productive suggestions and personal narratives of resiliency, commemorative strategies, and communal support, while also acknowledging the adversity many LGBTQ people face as they attempt to form families and the heteronormativity of support resources for those who have experienced reproductive loss. This is essential reading for scholars and professionals interested in LGBTQ health and family, and for individuals in LGBTQ communities who have experienced loss and those who support them. See additional material on the companion website: www.lgbtqreproductiveloss.org/

Fertility Awareness is key to understanding sexual and reproductive health at all life stages. It can be used to either plan or avoid pregnancy. Fertility Awareness Methods (FAMs) are highly effective when motivated couples are taught by trained practitioners. These methods are in demand for ecological, medical, cultural, religious and moral reasons. The ability to control fertility naturally is a lifestyle choice. The Complete Guide to Fertility Awareness provides the science and methodology suitable for health professionals and a general audience. It covers reproductive physiology and the fertility indicators: temperature, cervical secretions and cycle length calculations. It explores ways to optimise conception and to manage conception delays. Case studies and self-assessment exercises are included throughout. The book addresses the scientific credibility of new technologies including fertility apps, home test kits, monitors and devices. The Complete Guide to Fertility Awareness offers: evidence-based information for general practitioners, practice nurses, school nurses, midwives, sexual health doctors and nurses a unique perspective on subfertility for gynaecologists and fertility nurses an authoritative source of reference for medical, nursing and midwifery students a straightforward and practical reference for new and experienced FAM users the core text for the FertilityUK Advanced Skills Course in Fertility Awareness

Complications that arise during childbirth remain a significant challenge for all healthcare providers. Obstetric Interventions is a richly detailed text that combines traditional obstetrics with the use of innovative birthing techniques. With clear, state-of-the-art color illustrations throughout - all originally produced for this text - this book gives clear insight into the mechanisms of normal childbirth and the alternative techniques of obstetric intervention that may need to be used in the delivery room. In addition to being highly illustrated, the book is accompanied by over fifty animated simulations of obstetric interventions that are available online. These highlight the different birth mechanisms in truly unique detail and will aid understanding of anatomy and technique. Obstetric Interventions is aimed at obstetricians, obstetric trainees, and midwives. This book provides an evidence-based insight into the choices that obstetricians and midwives face every day at all stages of the birthing process.

As the knowledge required for efficient delivery of quality women's healthcare continues to grow, disease-specific textbooks are required to specifically address all aspects of a condition. A general textbook may not be able to address this need due to space constraints. This book is written to fill this gap as it relates to amenorrhoea, a common challenge for women within the reproductive age. The reader is offered a comprehensive knowledge of amenorrhoea, its burden, causes, presentation and management in one book. The book covers all aspect of amenorrhoea, which ordinarily is not covered by general textbooks of gynaecology. This compilation addresses various causes of amenorrhoea, from common causes such as hyperprolactinaemia to rare causes like Kallmann's syndrome and female athlete triad. The chapters are arranged in a logical and easy-to-follow style from general to specific issues making the book a daily guide as well as a reference text on amenorrhoea. The book's multi-author design is deliberate to ensure not only depth and breadth, but diversity as well. It also ensures that the experience and expertise of over twenty authors is brought to bear concerning the content. In addition, the authors utilise the available evidence moderated by their experience to produce a simple and straightforward guide for the practising gynaecologist, resident, general medical practitioner and others interested in providing quality reproductive health care to women in low, middle and high-income countries. Experienced gynaecologists and trainers will also find this book a very useful companion and guide.

Ovarian cancer is the third most diagnosed gynecologic cancer and the first leading cause of death from all of gynecological malignancies. High mortality of the patients is usually associated with the progression of the disease. Most patients are diagnosed within the advanced stages due to lacking relevant diagnostic and screening markers. This handbook discusses several risk factors of ovarian cancer. It also examines the different therapies provided to ovarian cancer patients, and the prognosis of the cancer.

Written by two experienced RCOG examiners, both of whom have been involved in the development of the new Part 3 MRCOG examination, this book is essential reading for any trainee preparing to sit the exam. The authors clearly describe the breadth and depth of the curriculum modules and the professional behaviours that will be assessed in the five clinical skills domains. The text includes written examples of every module, links to eight videos showing candidates attempting four real Part 3 tasks, examiners' comments, and a detailed discussion of each example. The content will help candidates understand what is required to pass the examination and how to demonstrate their knowledge and skills to best effect. The book will also be useful for trainers preparing their trainees for the new exam. Based on the principles of good medical practice, there are practical tips here for doctors and obstetricians at all levels.

This book evaluates the effectiveness of prenatal care interventions and provides a framework for prenatal care that looks beyond the limited perspective of immediate neonatal outcomes. Ultimately, this book seeks to improve the content and the implementation of prenatal care by shifting the focus away from short-term technocentric medical advances to concentrate on the broader public health issues. A unique aspect of this book is its focus on the effectiveness of prenatal care interventions on longer-term benefits for women and children's health. Traditional medical interventions, as well as social support and behavioral interventions during prenatal care are reviewed. Effectiveness is considered within the context of its implications for public policy and service delivery. This book is an important resource for maternal and child health professionals, policy makers and health care managers because it provides evidence of the prenatal care services that improve the long-term health of women and children.

Macrosomia is a term used to describe a neonate with excessive birth weight and is diagnosed when the birth weight exceeds a threshold. Macrosomia is associated with numerous maternal as well as neonatal complications and is, therefore, a major cause of adverse pregnancy outcomes. This book addresses several risk factors, outcomes and potential health complications that may be caused by macrosomia.