Featuring a range of commonly encountered and important conditions in women's health, "Obstetrics" "& Gynaecology: Clinical Cases Uncovered" allows the reader to understand normal reproductive physiology and anatomy in the context of clinical practice. It highlights aspects of good practice which in real life are considered beyond the presenting symptom.

This unique case-based approach allows the reader to progress through each stage, gaining an understanding of the rationale for investigation and management and to consider other important aspects for holistic care.

"Obstetrics & Gynaecology: Clinical Cases Uncovered" is ideal for medical students and junior doctors, obstetrics and gynaecology trainees, midwives and nurse practitioners.

OSCEs for the MRCOG Part 2 is designed to help the candidate in preparation for the oral examination or OSCE, the concluding element required to pass the MRCOG part 2 examination. The second edition builds upon the strengths of the first by concentrating on testing the candidate's theoretical and practical knowledge of obstetrics and gynaecology as recommended in the syllabus for the MRCOG Part 2 examination. The detailed scenarios test the trainee's ability to obtail obstetric and gynaecoloical histories, to counsel patients and to demonstrate clinical skills. The book will also help the candidate to critically appraise pieces of written work in discussion with examiners and to discuss the varied aspects of obstetrics, gynaecology and allied subjects on which they are likely to be examined during the oral assessment. Opening with a general introduction to the OSCE, the book gives readers invaluable advice on preparation for this particular form of examination such as body language, the importance of visual contact and how to interact appropriately with the examiner and the 'role player'. Helpful discussion sections at the end of each case or 'station' provide helpful suggestions for further study, and are supplemented by key references. Supplementary circuits with less detailed information are also provided for emaniation practice.

This invaluable manual provides a practical overview of the field of gynecologic oncology. Focusing on clinical aspects of the specialty, it provides hands-on guidance for those caring for patients with ovarian, cervical, uterine, and lower genital tract cancers. It describes the current epidemiology, pathophysiology, presentation, diagnosis, and multimodality management of the most common gynecologic malignancies. Chapters are also devoted to radiation and chemotherapy, as well as symptom management. The book is designed for quick reference.

In this second edition of Disorders of Thrombosis and Hemostasis in Pregnancy - A Guide to Management the content has been thoroughly updated, with a particular focus on strengthening the management sections to ensure that advice on management represents state of the art.

For around half of the couples who have trouble conceiving the cause of infertility is sperm-related. Intracytoplasmic sperm injection (ICSI) is the most common and successful treatment for male infertility. Here, the pioneers for the technique, along with authorities in the field, describe the underlying science of ICSI and other micromanipulation techniques. Practical advice for performing the techniques is covered in depth, including sperm selection, laser-assisted ICSI, and the use of piezo in ICSI. Examining the safety of ICSI in animal models as well as the impact of ICSI on the health and well-being of the children conceived through the procedure is discussed. This manual is an essential resource for clinical embryologists and laboratory personnel wishing to refine or develop techniques and improve outcomes.

Increasingly more and more children with developmental disabilities survive into adulthood. Pediatricians and other clinicians are called upon to care for an increasing number of children with developmental disabilities in their practice and thus there is a need for a practical guide specifically written for paediatricians and primary care clinicians that addresses major concepts of neurodevelopmental pediatrics. In the United States, the specialty training leading to a conjoint board certification by the American Board of Pediatrics and American Board of Psychiatry and Neurology, requires a total of 6 years of training (2 years of pediatrics, 1 year of neurology, 18 months of child neurology, 18 months of neurodevelopmental disabilities). As of December 2006, in the US, there were 241 pediatricians and 55 child neurologists certified in the subspecialty of Neurodevelopmental Disabilities. Thus most of the children with developmental disabilities are seen by pediatricians and therefore it is important for these pediatricians to be well informed of common issues in the field. The 60,000 or so pediatricians in the United States (and hundreds more in other countries) are the main target audience for a practical book on neurodevelopmental pediatrics.

This new series for surgical pathologists presents "current concepts" in pathology diagnosis, key features, differential diagnosis, overview, pitfalls, and molecular approaches for every disease entity and body region. This publication on gynecologic epithelial tumors includes topics on Clinical approach to diagnosis and management of tumors of the cervis and vulva; Biomarkers in cervical cancer diagnosis; Pathology of vulvar neoplasms; Clinical approach to diagnosis and management of the corpus; Molecular overview of cancer of the corpus; Complex atypical hyperplasia and differentiated endometrioid adenocarcinoma; High-grade endometrial carcinoma; Familial tumors of the corpus; Clinical approach to diagnosis and management of the ovary, fallopian tube, and peritoneum; Molecular overview of cancers of the ovary, fallopian tube, and peritoneum; Metastatic carcinomas to ovary; Low-grade serous tumors; High-grade serous carcinoma; Non-serous ovarian epithelial tumors; and Familial tumors of the corpus.

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.

Innovations in technology and new therapies have changed the face of medicine in the last few decades. These include advances in fetal diagnosis (preimplantation genetics, chorionic villous sampling and amniocentesis), drugs that have been developed to treat unique conditions in neonates such as respiratory distress syndrome (surfactant) and pulmonary hypertension (inhaled nitric oxide), as well as technological advances and interventions resulting in diagnostic (ultrasounds and MRI) and therapeutic interventions (intrauterine transfusion to ECMO). Research in fertility treatments has resulted in test tube babies and cloned animals, and that has also fostered technological advances in diagnostic and therapeutic interventions. The primary purpose of Innovations in Neonatal-Perinatal Medicine is to highlight these innovations in technology and therapy that have not only changed the way doctors deliver care to fetus and neonate but also reduced neonatal mortality thereby saving millions of lives in the process. These issues are addressed by the authors who are experts in their respective fields. The book will be valuable not only to healthcare providers but also to educators and policy makers.

Delivery After Prior Cesarean is examined in the issue of Clinics in Perinatology, guest edited Drs. Mark Landon and Caroline Signore. Authorities in the field have come together to pen articles on topics such as Rising primary cesarean rates: VBAC vital statistics, Access to TOLAC, Medicolegal aspects of VBAC/TOL, Ethics, Midwifery and VBAC, Success rates and factors, Intrapartum management: induction, labor progression and monitoring, Uterine rupture: rates and prediction, Multiple repeat cesareans and the threat of placenta accrete, Maternal morbidity and mortality, Perinatal morbidity and mortality, and Long-term infant outcomes.

This issue of Clinics in Perinatology, guest edited by Drs. George Macones and Anthony Odibo, addresses Fetal Monitoring and Assessment. Drs. Macones and Odibo have assembled a panel of experts to pen reviews on topics including indications for fetal growth monitoring and controversies with diagnosis of fetal growth restriction, the role of serum markers and uterine artery Doppler in identifying at-risk pregnancies, the role of amniotic fluid assessment in evaluating fetal well-being, the uses and limitations of the biophysical profile, the umbilical artery Doppler in assessment of fetal growth restriction, the MCA Doppler and its role in evaluation of fetal anemia and fetal growth restriction, Venous Doppler evaluation of the growth restricted fetus, aortic isthmus and cardiac monitoring of the growth restricted fetus, intrapartum fetal monitoring, computerized assessment of fetal heart rate monitoring, STAN as an adjunct to EFM, and signal ambiguity and intrapartum fetal monitoring.

As recently detailed in an Institute of Medicine Report, pain represents one of the most costly and prevalent public health conditions in the United States, and the burden of pain is substantially greater for women than men. Women make up half of the world's population. Yet, the overall treatment of pain in women remains challenging to this day. The differences between men and women are anatomical, physiological and psychosocial in nature. Consequently, several unique features come to mind when discussing pain as experienced by women, such as pain related to pregnancy, pain related specifically to female organs, and chronic painful conditions which have a higher prevalence in the female population. The purpose of this book is to address the current understanding of mechanisms related to sex differences, and the clinical management of common acute and chronic painful conditions in women, using up-to-date evidence-based information. The painful conditions discussed include those that are specific to female anatomy and physiology and conditions that have a higher female prevalence. The book is divided into three sections. The first section covers basic science topics related to sex differences in pain. The epidemiology of painful conditions with female prevalence; sex differences in response to pain, and to analgesics; the role of sex hormones and genotype in pain perception and analgesia; sex differences in cerebral responses to pain revealed by brain imaging ; and the role of psychosocial factors, including psychological interventions will be discussed in this section. The second and third sections are clinically directed. The second section focuses on pain specific to female patients. Topics include the management of labor pain; the management of painful conditions during pregnancy; and the management of pain in the opioid tolerant pregnant patient. The latter includes discussion on the impact of pain management on the fetus in utero, and on the newborn who is breastfed. Chronic pain specific to females, including dysmenorrhea, chronic pelvic pain and vulvodynia will be discussed in this section. Cancer-related pain issues in women will be addressed in the chapter on persistent pain after breast cancer treatment and the chapter on interventional management of pelvic cancer pain. The third section covers painful conditions with high female prevalence. These include fibromyalgia, chronic fatigue syndrome and neuropathic pain in complex regional pain syndrome. Visceral pain with female prevalence such as irritable bowel syndrome, chronic pelvic pain of undetermined etiology will also be addressed in this section. This section also includes chapters on the presentation of cardiac pain in women; headaches including migraine; and temporomandibular joint disorders and orofacial pain. The book is intended for a wide readership, including physicians and allied healthcare professionals who encounter female patients with acute or chronic painful conditions. In addition, residents and medical students in training as well as graduate students in health sciences will benefit greatly from this book as they continue to learn about and manage difficult and complex issues related to pain in female patients.

Dr. Connors has provided comprehensive coverage of the pregnant patient with hematologic disorders--from management in early pregnancy to delivery. Hematologic disorders covered include anemia, myeloproliferative disorders, von Willebrand disease, leukemia and lymphoma, thrombochytopenia, and thrombophilia. Other important topics in this issue include anesthesia in the pregnant patient with a hematologic disorder as well as transfusion medicine.

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.

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.

Heart disease is currently the leading cause of maternal mortality in developed countries and is expected to increase further due to advanced maternal age and conditions such as type 2 diabetes. Maternal Cardiac Care: A Guide to Managing Pregnant Women with Heart Disease is an up-to-date, multidisciplinary resource for physicians and advanced practice nurses caring for pregnant patients with a variety of preexisting and emerging cardiac issues. Offers comprehensive information on caring for women with heart disease, in an easy-to-follow, quick-access format. Shares knowledge from a multidisciplinary group of experts who are well versed in the team approach needed to treat this high-risk patient population. Includes extensive references for readers who want to delve more deeply into specific subjects. Ideal for obstetricians, internists, cardiologists, critical care specialists, and advanced practice nurses involved in caring for pregnant patients, as well as institutions and departments that need detailed guidance on establishing a maternal cardiac care program. 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.

Positron emission tomography (PET) has been approved for the diagnosis and staging of gynecologic malignancies for several years now.? This issue reviews the imaging of cervical, uterine, and endometrial cancers.? There is also an articles on the uses of PET/CT for imaging normal and abnormal anatomy, as well as gynecologic imaging using other modalities.? Lastly this issue contains a review of newer radionuclide tracers currently in development.

Making Women's Medicine Masculine challenges the common belief that prior to the eighteenth century men were never involved in any aspect of women's healthcare in Europe. Using sources ranging from the writings of the famous twelfth-century female practitioner, Trota of Salerno, all the way to the great tomes of Renaissance male physicians, and covering both medicine and surgery, this study demonstrates that men slowly established more and more authority in diagnosing and prescribing treatments for women's gynecological conditions (especially infertility) and even certain obstetrical conditions.
Even if their "hands-on" knowledge of women's bodies was limited by contemporary mores, men were able to establish their increasing authority in this and all branches of medicine due to their greater access to literacy and the knowledge contained in books, whether in Latin or the vernacular. As Monica Green shows, while works written in French, Dutch, English, and Italian were sometimes addressed to women, nevertheless even these were often re-appropriated by men, both by practitioners who treated women nd by laymen interested to learn about the "secrets" of generation.
While early in the period women were considered to have authoritative knowledge on women's conditions (hence the widespread influence of the alleged authoress "Trotula"), by the end of the period to be a woman was no longer an automatic qualification for either understanding or treating the conditions that most commonly afflicted the female sex--with implications of women's exclusion from production of knowledge on their own bodies extending to the present day.

The landmark text that has served generations of obstetrician-gynecologists-fully updated with the most current perspectives of the field Williams Obstetrics has defined the discipline for generations of obstetrician-gynecologists. Written by authors from the nationally renowned University of Texas Southwestern Medical Center and Parkland Hospital, the new edition of this authoritative, evidence-based work maintains its trademark comprehensive coverage and applicability at the bedside, while offering the most current information and insights. The culmination of a century of clinical thought, Williams Obstetrics, 26th Edition delivers expert coverage of obstetrical complications, such as preterm labor, pregnancy-related hypertension, infection, and hemorrhage. It additionally offers foundational content on reproductive anatomy, physiology, and prenatal care. The authors have enhanced this edition with 1,000+ full-color illustrations, plus an increased emphasis on the fast-growing subspecialty of Maternal-Fetal Medicine. No other text matches the long-established scientific rigor and accessibility of Williams Obstetrics. With its state-of-the-art design and review of the newest advances and protocols, this not-be-missed clinical companion brings positive outcomes within reach. New and updated content includes: Increased focus on Maternal-Fetal Medicine Greater coverage of hypertension and hemorrhage Deeper insights into in-utero complications Expanded fetal t section includes cutting-edge fetal imaging, genetics, prenatal diagnosis, and fetal disorders and therapy Basic science, physiology of labor, preterm labor updated with contemporaneous publications in the literature More obstetrical sonography figures Eye-catching illustrations, including updated graphs, sonograms, MRIs, photographs, and photomicrographs

Guest Editor Dr. Libby Edwards has gathered a team of expert contributors to pen articles on a challenging area of Dermatology: Vulvar Disease. This issue of Dermatologic Clinics includes articles on Vulvodynia, Pigmented Diseases, Contact Dermatitis, Vulvar Ulcers, Hidradenitis Suppurativum, Desquamative Inflammatory Vaginitis, Histology of the Vulva, Vulvar Pruritus and LSC, Vulvar Erosions, Lichen Planus, Lichen Sclerosus, Vulvar Paget's Disease, and Vulvar Edema.

This issue of Clinics in Perinatology, guest edited by Drs. Athena Kourtis and Marc Bulterys, examines Perinatal HIV/AIDS. Authorities in the field have come together to offer reviews on topics including Epidemiology of perinatal HIV infection: US and worldwide; Biology of perinatal HIV transmission: Timing, virologic and immunologic factors; Viral sequencing from HIV-infected mothers and infants: Molecular evolution, diversity, and risk factors for mother-to-child transmission; Diagnosis of perinatally-acquired HIV infection; Prevention of mother-to-child transmission of HIV: Antiretroviral strategies; Prevention of mother-to-child transmission of HIV: The role of Cesarean section; International recommendations for prevention of mother-to-child transmission of HIV; Immune-based approaches: active and passive immunization; Breastfeeding and HIV: Biology of transmission and current state-of-the-art regarding prevention; HIV drug resistance and mother-to-child transmission of HIV; Survival and health benefits of breastfeeding versus artificial feeding in infants of HIV-infected women: Developing vs. developed world; Clinical care of the HIV-exposed infant of HIV-infected mothers; Clinical care of the HIV-infected infants; Issues of prematurity and HIV exposure/infection; and Antiretroviral pharmacology: Special issues regarding pregnant women and neonates.

Genetic Screening and Counseling is reviewed in this issue of Obstetrics and Gynecology Clinics, guest edited by Drs. Anthony R. Gregg and Joe Leigh Simpson. Authorities in the field have come together to pen articles on Contemporary Genetics Counseling: New Frontiers and Challenges, Newborn Screening, SMA Carrier Screening, Fragile X, Ashkenazi Jewish Screening in the 21st Century, Thrombophilia in Obstetric Practice, Microarrays in the Practice of Obstetrics and Gynecology, Cancer Genetic Screening, and Cystic Fibrosis.

This issue of the Surgical Oncology Clinics will focus on new advances in Breast Cancer Surgery, and will include articles on Chemoprevention, Breast MRI, Genomics, Sentinel Node Biopsy, Extra-axillary Sentinel Nodes, Skin-Sparing and Nipple Sparing Mastectomy, Oncoplastic Techniques, Neoadjuvant Hormonal Therapy, Neoadjuvant Chemotherapy, Adjuvant Hormonal Therapy, Adjuvant Chemotherapy, and Biologic Targeted Therapies.

This publication presents topics on Current Clinical Indications for Breast MRI; How to set up breast MRI practice; MR-BIRADS Lexicon; Optimization of breast MRI at 1.5 Tesla(T) and at 3 Tesla; Role of MRI in evaluating extent of disease; Update on Screening breast MRI in high risk women; MRI of DCIS; Role of breast MRI in the assessment of Invasive lobular carcinoma; Breast MRI Interventions: Indications, Technique, and Histologic Correlation; Role of Breast MRI in problem-solving; Benign lesions detected on breast MRI; Clinical Oncologic Perspective of Breast MRI; Role of breast MRI in neo-adjuvant chemotherapy.