Placenta accreta comprises a spectrum of disorders where all or part of the placenta becomes attached to the muscular wall of the uterus, which can result in life-threatening hemorrhage at the time of delivery. Previous surgical procedures (including cesarean delivery) and placenta previa are important risk factors, and the incidence is dramatically increasing. This important practical guide to how clinicians should diagnose and manage placenta accreta will be an invaluable reference for all obstetricians and maternal-fetal specialists.

Fully revised and now in full-colour, the new edition of Pre-Obstetric Emergency Training (POET) will help practitioners identify and manage a range of time-critical obstetric emergencies, specifically in the pre-obstetric department setting. Providing structured examination and assessment techniques as an aid to determine what treatment should be provided before transport, this practical manual equips the practitioner with the knowledge necessary to save the mother and fetus in life threatening circumstances before admission to the hospital. New to the second edition are chapters covering non-technical skills and communication, as well as complicated labour and delivery. Designed to accompany the associated Advanced Life Support Group training course, Pre-Obstetric Emergency Training serves as an authoritative guide for a range of pre-hospital practitioners dealing with specialist situations.

This book offers a comprehensive and clinically relevant survey of adolescent gynecology. Adolescent Gynecology: A Clinical Casebook addresses the many intersecting considerations of gynecologic and reproductive health care for this population using a concise, case-based format. Organized in four sections, the first introduces chapters on adolescent confidentiality, puberty, and well care. Section II covers varied menstrual disorders, while Section III highlights issues in reproductive health care including sexually transmitted infection and adolescent pregnancy. Finally, Section IV addresses special populations of adolescents, including chapters on girls who have sex with girls, girls who are victims of abuse and girls with special health care needs and chronic health conditions. In each section common gynecologic health issues are discussed in the context of these clinical cases, provide the knowledge needed to further improve comprehensive care of adolescent patients. Adolescent Gynecology: A Clinical Casebook is a unique resource that delivers essential clinical information for Adolescent Medicine and Pediatric and Adolescent Gynecology fellowship trainees, as well as for medical students, resident trainees, and primary care practitioners who are the front-line caregivers for adolescent girls.

For over thirty years, the Oxford Handbook of Clinical Specialties has guided students and junior doctors through their clinical placements, renowned for providing all the information needed for both practice and revision in a deceptively small package. Now in its eleventh edition, the Handbook has been revitalized by an expanded team of specialty experts and junior doctors to guide readers through each of the specialties encountered through medical school and Foundation Programme rotations, while remaining true to the humanity and patient focus of the original edition. Updated with the latest advice and clinical guidelines, packed full of high-quality illustrations, boxes, tables, and classifications, and with a brand new chapter on how to survive your junior doctor years and beyond, this handbook is ideal for both study and use at direct point of care. Each chapter is clear and concise and filled with medical gems, with features including ribbons to mark your most-used pages and mnemonics to help you memorize and retain key facts. With reassuring and friendly advice throughout, this is the ultimate guide and revision tool for every medical student and junior doctor for each clinical specialty placement. This well-loved Handbook remains the perfect companion to the Oxford Handbook of Clinical Medicine, together encompassing the entire spectrum of clinical medicine and unmatched by any competitor in their class, helping you become the doctor you want to be.

The third edition of MRCOG Part 1: 400 SBAs has been completely updated to include questions and answers in the SBA (Single Best Answer) format only. Building on the success of the previous editions, the book is a ‘must-have’ revision text for candidates preparing for the MRCOG Part 1 examination. With 400 SBA questions covering basic and clinical science key to passing the exam, MRCOG Part 1: 400 SBAs, Third Edition includes more clinical images than its predecessors and features updated guidance together with many new questions. 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 aid to maximise chances of exam success.

This comprehensively updated new edition provides a thorough and dynamically-illustrated overview of the female reproductive organs, care of the female during pregnancy, childbirth and the postnatal period. It is clinically relevant, with a focus on diagnosing, managing and treating disorders and abnormalities and is fully aligned with medical school curricula. Obstetrics and Gynecology at a Glance: Recaps basic history taking, anatomy and endocrinology and focuses on clinically relevant information Covers each topic in a double-page spread, packed with charts, graphs, photographs and visuals Includes thoroughly updated sections on reproductive endocrinology, infertility and urogynecology The companion website at www.ataglanceseries.com/obgyn features interactive flashcards, case studies and multiple-choice questions (MCQs). Obstetrics and Gynecology at a Glance is the perfect guide for medical students, junior doctors and midwives, and is ideal for those embarking on clinical rotations and the clerkship.

This book provides a comprehensive, practically applicable guide to the use of CT virtual hysterosalpingography for evaluating gynaecological pathology and infertility in women. It features detailed descriptions of normal and pathologic findings across the female reproductive system, including the cervix, uterine wall and cavity, and Fallopian tubes, and compares the findings with other imaging modalities such as ultrasound, X-ray hysterosalpingography and MRI. The interpretation of post-treatment findings and commonly encountered pitfalls are also covered in detail. Clinical Atlas of CT Virtual Hysterosalpingography compares the use of a variety of imaging modalities to assess female infertility, and is a valuable resource for medical professionals who encounter these patients in their clinical practice.

This book provides readers with a thorough review on cervical cancer, treatment guidelines and emerging therapies available for the disease. It reviews the epidemiology clinical features, diagnosis, and medical management of cervical cancer. Given the increasing need for preventive strategies, treatment optimization with collaborative and integrative work, this book improves the actual and integral knowledge in this neoplasm. Given the high prevalence of this disease in Latin America, this is an important text for clinicians in this region. This book outlines the state of the art in cervical cancer treatments and is an indispensable companion for oncologists, gynecologists, surgeons and medical students.

This highly informative monograph offers a comprehensive and interdisciplinary reference guide for the management and treatment of the whole spectrum of painful tears in the anus and anal canal. Based upon a systematic review of all relevant papers on the topic since 1865, it addresses primary, acute and chronic anal fissures - providing a new definition of the last form - and secondary anal fissures in detail, particularly their medical history, etiology, signs and symptoms, medical findings, therapy and its evaluation, and differential diagnosis. The book also covers all available evidence-based therapeutic strategies. As such, it will appeal to a wide readership, from proctologists and surgeons to gynecologists, urologists, dermatologists and gastroenterologists.

This innovative book is one of the first resources to describe in detail the technique of digital time-lapse microscopy, a state-of-the-art analytical tool which is revolutionizing the field of assisted reproduction. Over 180 high-quality video sequences, accessible online via the password included in the book, provide a practical and highly visual guide to this new technology and the wealth of detail it can reveal about human embryo development. Written by a team of experts from across numerous clinical and scientific subspecialties, this book is a comprehensive guide to all aspects of the technique. It covers both the general principles of time-lapse microscopy and the specifics of working with various devices, with chapters on EmbryoScopeTM, Primo VisionTM and EevaTM as well as set-up and troubleshooting. Full electronic access to all text, images and supplementary videos makes this the ideal everyday reference for embryologists, clinicians and others working in IVF laboratories.

The definitive monograph on the world's most commonly performed obstetric surgical procedure, this text benefits from plentiful illustrations to show all the details a surgeon needs to know, and from expert international contributors to share their knowledge on the many specialist questions raised.

The birth of Louise Joy Brown - the world's first baby born following in-vitro fertilization - heralded a medical revolution. Forty years later, many thousands of babies are born each year following IVF. Assisted reproduction is a global industry with a multi-billion dollar turnover. It is a complex mix of science, clinical management, bioethics, and commercial imperatives. Many of the pioneers of IVF are still with us and have a fascinating tale to tell. Here, they relate the story of the development of IVF and related technologies in a way that will prove invaluable to future generations of practitioners seeking to understand the genesis of the specialty. This is not an academic history: rather it takes an informal and anecdotal approach; informing and entertaining for generations of past, present and future medical and scientific specialists of IVF, alongside the millions of parents, who celebrated the successes of IVF treatment worldwide.

Realistic patient cases to help sharpen clinical decision-making skills The 60 cases in Case Files Obstetrics & Gynecology feature realistic clinical scenarios designed to help you enhance and hone your clinical decision-making skills. Each case includes an easy-to-understand discussion correlated to key concepts, definitions of key terms, clinical pearls, and Board-style review questions to reinforce learning. The format allows you to review a patient vignette and then explore/examine the case in a contextual, application-based manner. The book is ideal for both quick-access and slow and careful study.

This book is a practical guide to the cryopreservation and transplantation of oocytes, embryos, and ovarian and testicular tissue for fertility preservation. Illustrated with a wealth of figures and photos, it provides updated techniques for clinicians, technicians, and researchers. This book also gives insights into in vitro activation (IVA), in vitro growing (IVG), and in vitro maturation (IVM), with both basic research and future directions. These techniques combined with cryopreservation will improve the chances of reproduction. Cryopreservation is essential to protect fertility in cancer patients who undergo treatment with radioiodine or chemotherapy, which may cause damage to their reproductive organs, and also for primary ovarian insufficiency patients. The book also includes a chapter on the risk of the presence of malignant cells in ovarian tissue. Both editors are pioneering researchers in this field.

This book describes essential operative techniques that can be used to anatomically reconstruct the outer female genital in acquired deformities derived from ritual genital mutilation/cutting, and diseases causing similar deforming defects. Following an introduction with general insights on the topic, the main chapters deal with basic considerations and special anatomical information. With the help of high-quality videos and images, the reader receives detailed instructions on clitoral and vulvar reconstruction with techniques invented by the author, named the NMCS-procedure, the OD-flap and the aOAP-flap procedures. The book is rounded out with chapters describing postoperative care and how to manage complications. The integrity of their outer genitals is important for patients' physical and psychological wellbeing. As such, the vulva is now receiving increasing attention and will likely continue to grow in importance in plastic surgery. The author, who has developed outstanding procedures for vulvar and clitoral reconstruction over the years, shares his considerable experience and hopes to highlight the importance of these methods to overcome the burden of female genital mutilation/cutting.

"Pregnancy and Childbirth" presents the best evidence for the care of pregnant women to doctors, midwives, students and parents. The logical sequence of chapters and the index give quick access to the abstracts of over four hundred Cochrane systematic reviews. The book serves both as a stand-alone reference, and as a companion to locating full reviews on the Cochrane Library.

The Cochrane Library is published by John Wiley on behalf of The Cochrane Collaboration.

www.thecochranelibrary.com

This book clarifies and explains perineal anatomy and the pathophysiology of anal incontinence as well as applied pharmacology. It also institutes the new recommended classification of perineal tears, and describes anal sphincter repair techniques. The emphasis is on correct post-operative management, management of pregnancy following previous anal sphincter injury, and prevention of anal sphincter tears. The book will interest students, colorectal surgeons, physiotherapists, midwives, continence advisors, labour wards and lawyers.

This book is a practical, evidence-based resource covering thyroid disease and its effects on reproduction and fertility, discussing thyroid function and dysfunction - hypothyroidism and hyperthyroidism, thyroid nodules and cancer - during pregnancy as well as its effects on the fetus. It begins with a review of the anatomy and function of the thyroid and the biosynthesis and physiology of thyroid hormones, as well as the pathophysiology of thyroid dysfunction. The chapters that follow discuss thyroid function and dysfunction (e.g., hypothyroidism and hyperthyroidism) during pregnancy and its effects on fertility as well as the developing fetus. The management of thyroid nodules and cancer, the role of thyroid dysfunction in infertility, the role of thyroid autoimmunity and miscarriage, and postpartum thyroiditis are presented in detail in the concluding chapters. Clinical cases and outcomes bookend each chapter, demonstrating current management strategies for a well-rounded presentation. Filling a clear gap in the literature usually covered only briefly in larger texts on the thyroid, Thyroid Disease and Reproduction: A Clinical Guide to Diagnosis and Management is a unique resource for reproductive endocrinologists, obstetrician/gynecologists, and residents and students in these clinical areas.

This book provides up-to-date guidance on optimal care of the patient with an underactive bladder. It covers all aspects of management, including clinical evaluation, urodynamic diagnosis, standard care, drug therapy, and emerging treatment options. Nursing issues are extensively discussed, and advice offered on the use of catheters and avoidance of catheter-related complications. Further chapters address epidemiology, pathophysiology, animal modeling, and health care costs. While most practitioners are familiar with overactive bladder, the converse condition of underactive bladder has generally remained far below the radar. As a consequence, there is still a lack of empirically validated treatments and effective treatment strategies. This is a matter of concern, especially as the burden of the condition is expected to rise in line with the aging of global populations. The Underactive Bladder is a major step forward in raising awareness, exploring best practices in patient care, and searching for future therapies. It will be invaluable for urologists, geriatricians, other specialists, researchers, and nurses.

This comprehensive guide to MRI of the pregnant patient presenting with fetal or maternal diseases provides a practical, hands-on approach to the use of state-of-the-art MRI techniques and the optimization of sequences. It analyzes data obtained from maternal and fetal MRI examinations, reviews fast imaging techniques, details pitfalls related to fetal MRI and assesses methods for improving image resolution. Fetal pathological conditions and methods of prenatal MRI diagnosis are discussed according to organ system and the literature is reviewed. Interpretation of findings and potential artifacts are thoroughly considered with the aid of numerous high-quality illustrations. The book will be a detailed resource for radiologists, obstetricians, neonatologists and geneticists, as well as any other practitioner who wishes to gain an in-depth understanding of fetal and maternal MRI. In addition, it will serve as a reference source for technicians, researchers and students, as well as for any specialist who is planning to set up a fetal and maternal MRI service.

The Royal College of Obstetrics and Gynaecologists has recently introduced extended matching questions (EMQs) into the format of their MRCOG Part 1 exam. All candidates need to sit this exam and therefore need to be well rehearsed in the art of answering such EMQs. This book gives the candidate 300 practice EMQs with answers and explanations for these answers. It is divided into 3 sections. The first section provides the essential knowledge each candidate must have - it deals with anatomy, physiology, embryology, endocrinology, epidemiology, molecular biology and genetics, all highly relevant in the RCOG syllabus. This information is supplied with the help of useful figures and illustrations which are included to assist greater understanding and help the candidate revise. Section two contains 300 questions, grouped in clusters per topic, and section three provides the answers, along with the relevant reasons for them. Dr Prabha Sinha is herself an examiner for the DRCOG and MRCOG Part 2 exam, and is therefore the perfect choice for supplying the requisite information in this book. Along with her two colleagues, she has produced an excellent revision guide that will be an invaluable resource for all MRCOG candidates.

"MRCOG Short Essay Questions" is the essential aid for all trainees studying for the membership examination of the Royal College of Obstetricians and Gynaecologists.

This book contains 150 short essay questions, clearly structured to facilitate both learning and practice. Questions are divided primarily into obstetrics and gynaecology and secondly by main topics such as infertility, operative gynaecology and antenatal care. The answers are written in the form of bullet points; a format that not only clearly identifies the key points but also emulates the structure of the model answers given to the examiners by the RCOG.

Khaldoun Sharif is a consultant in obstetrics and gynaecology at the Birmingham Women's Hospital, and has a proven track record as an author of MRCOG revision books. His co-author, Parveen Abedin recently passed the examination and has therefore provided invaluable insights that have ensured the content is both appropriate and up-to-date.