My initial purpose in writing this book was to offer readers an update of my book Fetal Alcohol Syndrome and Fetal Alcohol Effects (Plenum, 1984), which con tained a broad overview of the history (actually the absence of any history) ofthe awareness of alcohol's teratogenic potential; a review of alcohol's pharmacology, especially with respect to pregnancy; a survey of the physical and behavioral effects of prenatal alcohol exposure; and an overview of the mechanisms sus pected of being responsible for those effects. I have omitted most of the previously examined historical and pharmacologi cal information because not much of what was previously discussed needed revision. On the other hand, because much more has been learned about the consequences of prenatal alcohol exposure and its potential mechanisms of action, I have considerably expanded my discussion of these topics. In doing so, I have attempted to include as much new material as possible without (I hope) being overly pedantic and thereby losing the proverbial forest for the trees. No book is ever entirely neutral in the topics it discusses, the issues it raises, or in its conclusions. In sifting through hundreds and oftentimes thousands of articles, writers have to choose which facts to emphasize and which to ignore. Every idea cannot be chronicled and every article cannot (and should not) be cited. In going about the business of picking and choosing, however, a writer has an obligation to present the arguments for and against a particular conclusion."

Since the middle of the twentieth century, the development of plastics has been one of the main factors influencing the history of medicine. For example, an anaesthesiologist was formerly an expert in delivering drugs by inhalation. Today, this expert delivers drugs through plastic catheters, in particular via intravenous and epidural routes. Traditionally, the scalpel was the symbol of surgery. Today, surgeons operate on internal organs with flexible plastic endoscopes - without cutting the skin. A typical modern woman in labour has one of her arms connected to a plastic bag through a plastic tube, while a plastic catheter is inserted in the epidural space in her spine. Focusing on obstetrics, this first book about the history of medicine in relation to the plastic revolution asks vital questions about childbirth today - and tomorrow - and demonstrates that the current turning point in the history of childbirth is also a turning point in the history of humanity. Introduced as a medical student to the surgical unit of a Paris hospital in 1949, and still involved in several fields of medicine, Michel Odent has the authority to study contemporary history from this new perspective.

The aim of the two-volume set of Placenta and Trophoblast: Methods and Protocols is to offer contemporary approaches for studying the biology of the placenta. The chapters contained herein also address critical features of the female organ within which the embryo is housed, the uterus, and some aspects of the embryo-fetus itself, particularly those of common experimental animal models. In keeping with the organization used effectively in other volumes in this series, each chapter has a brief introduction followed by a list of required items, protocols, and notes designed to help the reader perform the expe- ments without difficulty. In both volumes, sources of supplies are given and illustrations highlight particular techniques as well as expected outcomes. A key aspect of these volumes is that the contributors are at the forefronts of their disciplines, thus ensuring the accuracy and usefulness of the chapters. Placenta research has progressed rapidly over the past several decades by taking advantage of the technical advances made in other fields. For example, the reader will note that many techniques, such as reverse transcriptase po- merase chain reaction, northern and western blotting, microarray analyses and in situ hybridization experiments, are routinely used for dissecting a wide range of experimental questions. Protein analysis and functional experiments on tissues and cells that comprise the maternal-fetal interface benefit from studies in en- crinology, immunology, and developmental biology. These volumes also present new ideas on investigating gene imprinting and gene transfer via viral vectors.

The only text to focus specifically on advanced health assessment/management of women This authoritative text for busy clinicians, advanced practice students, and faculty delivers essential content focused on improving the quality of healthcare provided to women/persons with a vagina across the lifespan. Brimming with new and updated content, the fifth edition reflects the most current evidence-based clinical practice guidelines available. It includes 14 new chapters written by experts in their field and the addition of disease management content, especially medications. Chapters are enhanced with management/pharmacology summary charts and case studies with discussion questions. The use of two colors improves readability, and amplified Instructor Resources include key statistics/epidemiology, learning objectives, suggested student activities and self-assessment questions, and UAB videos. Using a clear, concise outline format, this user-friendly text delivers quick, comprehensive information regarding the health assessment and management of women/persons with a vagina. It defines the role, skills, and scope of practice of different health providers and illuminates a variety of assessment skills, techniques, and procedures used by advanced practice clinicians in everyday practice. Sample assessment forms are integrated throughout along with numerous educational handouts for patients. Discussion of techniques includes a comprehensive list of requisite equipment and information on patient prep and recommended follow-up. Boxes, tables, and figures throughout reinforce key information. Purchase includes access to eBook for use on most mobile devices or computers. New to the Fifth Edition: Fourteen new chapters Telehealth in women's health Vaginal health and vaginal microscopy Mental health screening Preconception care Complementary and alternative medical therapies Adolescent health Lactation assessment and management Female veterans Male sexual and reproductive health Amenorrhea PMS/PMDD Sexual health and related problems Human trafficking The contraceptive consult Expanded breast health including breastfeeding Transgender care Updates on screening instruments Best-practice apps Case studies Management/treatment summaries Enhanced instructor package including key statistics/epidemiology, learning objectives, student activities, and self-assessment questions Two-color printing to improve readability Step-by-step videos of five office gynecology simulations from UAB Key Features: Delivered in outline, bulleted format for speedy reference Reflects the most current evidence-based clinical practice guidelines Offers easy-to-follow, step-by-step coverage of procedures Addresses treatment/management of multiple conditions Includes detailed illustrations

The purpose of sexual and reproductive healthcare should be the enhancement of personal relationships and a healthy sex life and not merely counselling and care related to procreation or sexually transmitted infections. Providing practical and evidence-based guidance, this handbook follows the curriculum of the joint EBCOG and ESCRH Certificate and Diploma Examination in Sexual and Reproductive Health. Short, clearly structured text focuses on the essential knowledge of each topic, allowing readers to quickly access key information. Written by trusted experts in the field, topics covered include contraception, infertility and sexual dysfunction, sexual violence and STIs. The text provides advice and practical tips for how to practice patient-centred counselling and shared decision-making. Improving the relationship between the patient and healthcare-provider leads to increased trust, adherence of advice and more satisfactory treatment for the patient.

"Modern Management of Abnormal Uterine Bleeding "focuses on helping gynecologists refine their operative techniques and consider new approaches to the diagnosis, and treatment, of this highly challenging condition by investigating:

current scientific and clinical trails

varying menstruation conditions

less evasive management options versus surgical options

definitive surgical corrections

new forms of conservative therapy

Written by an internationally recognized team of experts and filled with scientific diagrams, photos, and illustrations, this cutting-edge new text covers the full range of surgical and medical treatments for menorrhagia, including the full rage of ablation corrections in an easy to read step-by-step format.

The first IVF conceived birth in 1978 resulted in a significant growth of third party reproductive options which continue to raise ethical, legal, and psychological questions. Third party reproduction procedures can involve as many as five people: sperm donor, egg donor, gestational carrier, and intended parents. "Third-Party Reproduction: A Comprehensive Guide" utilizes experts in the field to address the medical, psychological, ethical and legal aspects of sperm donation, egg donation, embryo donation, and the use of gestational carriers. In addition, there are chapters on the medical and ethical aspects of posthumous reproduction, religious aspects of third party reproduction, and how to avoid pitfalls of third party reproduction. Aimed at physicians, trainees, psychologists, nurses, and social workers whose practices may include patients considering third party reproduction, the intent of this book is to provide a comprehensive and practical overview of the many aspects of third party reproduction to help all those involved to better understand them. Patients considering third party reproduction may also find value in this book.

Expanded and updated, the new edition of the bestselling Clinical Protocols in Obstetrics and Gynecology is the definitive quick-reference for use in office practice and hospital settings. With information drawn from ACOG technical bulletins, OB/GYN publications, articles, textbooks, computer sources, and the author's vast personal experience, outlines of more than 400 clinical protocols help ensure that everyone on the team is on the same page. Flowcharts and algorithms make common problems seem simpler. Tables and decision trees make the information easy to refer to when running from room to room during a busy day in the office or hospital. This complete, up-to-date coverage makes Clinical Protocols in Obstetrics and Gynecology, Third Edition the best available study guide for board certification and a complete reference for busy obstetricians and gynecologists.

This beautifully illustrated book provides a practical step-by-step guide to all the laparoscopic and hysteroscopic procedures performed by gynecologists. Each procedure is described in detail and fully illustrated with color photographs. The potential complications are described, and the circumstances in which a procedure is contraindicated are examined. The Third Edition of the "Manual of Laparoscopic and Hysteroscopic Techniques" has been expanded and extensively updated with new chapters including: transvaginal hydrolaparoscopy, laparoscopy radical trachelectomy, laparoscopic abdominal cerclage, and hysteroscopy sterilization.
"Manual of Laparoscopic and Hysteroscopic Techniques" is an invaluable resource for busy practicing gynecologists who want to learn step-by-step techniques of a surgical procedure.

This book provides those studying for the MRCOG Part 2 examination with welcome practice in answering the newly introduced EMQ style of question. Modelled on the current MRCOG syllabus, the book is designed to test the candidate's theoretical and practical knowledge of obstetrics and gynaecology.The book opens with an introductory section, explaining the EMQ and its place in the examination, and advising candidates on how they should approach this question type in order to obtain the highest marks.This is followed by a collection of 71 EMQ themes, with a total of 291 questions for the reader to attempt. The questions are based on common clinical scenarios and cover a variety of topics. Answers are included after each topic, and these include explanatory material and useful references.With a concentration on the core areas of the syllabus and a wide and varied selection of practice EMQs, this book will be an invaluable addition to the bookshelves of all candidates in preparation for the MRCOG Part 2.

Developed by the leading experts in neonatal simulation, this innovative new resource delivers neonatology health care providers and educators essential guidance on designing, developing, and implementing simulation-based neonatal education programs. The early chapters cover learning theory, fundamentals of scenario design, and simulation and the Neonatal Resuscitation Program*. The later chapters cover specific applications of simulation in neonatology and debriefing techniques. The book walks the reader through scenario design, mannequins and task trainers, moulage, simulation techniques, virtual simulations, mannequin adaptations needed to conduct specific simulation procedures, debriefing methods, and more. Step-by-step images walk the reader through adapting mannequins to simulate procedures and how to replicate body fluids and conditions commonly encountered in newborns. With 225 color images, as well as plenty of helpful boxes and tables throughout, the book will be useful to both novice and expert. More than 30 chapters include In situ simulation Simulation and the Neonatal Resuscitation Program Mannequins and Task Trainers Boot Camps Debriefing in Simulation-based Training Simulation Operations And more...

Endometriosis affects women in the reproductive years, is associated with pelvic pain and infertility, and - although not life threatening - can seriously impair health, with huge economic and social consequences. It is arguably the most frequent problem encountered in contemporary More...gynecology and is the subject of much ongoing research and innovation in management. This beautifully and comprehensively illustrated Atlas, now in its third edition, provides a useful educational tool for trainees and general obstetricians and gynecologists who may not be up-to-date with the most important recent research on the diagnosis and management of the condition; particularly expanded for this edition are the chapters on ultrasound imaging and the nutritional aspects of the subject.

Get Through MRCOG Part 2: MCQs covers the breadth and depth of the MRCOG Part 2 examination syllabus and is an essential revision tool for candidates preparing for this examination. The comprehensive and wide collection of practice questions is designed to help the candidate test and assess their knowledge of the subject, aiding them in thorough preparation for the exam. The text contains 750 multiple choice stems, each with around four associated questions, providing the reader with a total of 3000 individual questions with which to test themselves. The material is divided up by subject area, allowing candidates to test their knowledge on a particular topic. The 13 'modules' are followed by two mock papers, each containing a selection of questions on different subject areas, which the reader can attempt under timed conditions. Answers are provided, with useful explanatory information for all questions to help the reader understand why their answer is right or wrong. The author, Paul Ayuk, was clinical lecturer in obstetrics and gynaecology at Oxford University for 6 years and has run an on-line MRCOG course for over 5 years, assisting over 8000 candidates worldwide.

Prognostic and Predictive Factors in Gynecologic Oncology takes a fresh look at a critical aspect of cancer treatment planning. An international team of authors reviews the traditional prognostic and predictive factors such as tumor grade, histologic subtype, and grade and then goes a step further to review the growing number of molecular discoveries that have increasing clinical significance. The book is organized into comprehensive sections on ovarian, endometrial and cervical cancer and includes up to date reviews, newly discovered molecular pathways, genetic markers, molecular imaging techniques, and their relevance to clinical medicine.

Prognostic and Predictive Factors in Gynecologic Oncology is illustrated with over 100 figures and is essential reading for oncologists, translational and basic scientists, as well as fellows, residents and students with a special interest in gynecologic oncology.

The Gynaeciorum libri, the 'Books on [the diseases of] women,' a compendium of ancient and contemporary texts on gynaecology, is the inspiration for this intensive exploration of the origins of a subfield of medicine. This collection was first published in 1566, with a second edition in 1586/8 and a third, running to 1097 folio pages, in 1597. While examining the origins of the compendium, Helen King here concentrates on its reception, looking at a range of different uses of the book in the history of medicine from the sixteenth to the nineteenth century. Looking at the competition and collaboration among different groups of men involved in childbirth, and between men and women, she demonstrates that arguments about history were as important as arguments about the merits of different designs of forceps. She focuses on the eighteenth century, when the 'man-midwife' William Smellie found his competence to practise challenged on the grounds of his allegedly inadequate grasp of the history of medicine. In his lectures, Smellie remade the 'father of medicine', Hippocrates, as the 'father of midwifery'. The close study of these texts results in a fresh perspective on Thomas Laqueur's model of the defeat of the one-sex body in the eighteenth century, and on the origins of gynaecology more generally. King argues that there were three occasions in the history of western medicine on which it was claimed that women's difference from men was so extensive that they required a separate branch of medicine: the fifth century BC, and the sixteenth and nineteenth centuries. By looking at all three occasions together, and by tracing the links not only between ancient Greek ideas and their Renaissance rediscovery, but also between the Renaissance compendium and its later owners, King analyzes how the claim of female 'difference' was shaped by specific social and cultural conditions. Midwifery, Obstetrics and the Rise of Gynaecology makes a genuine contribution not only to the history of medicine and its subfield of gynaecology, but also to gender and cultural studies.

Following on from the success of their previous standard textbook on Multiple Pregnancy, the authors have refocused their attention on prenatal assessment in multiple pregnancy and come up with condensed and revised material in a free-standing text. Multiple pregnancies are associated with higher levels of morbidity and fetal distress, and so effective and rapid diagnosis of problems is paramount. Those clinicians who would not have a practical application for all the aspects covered comprehensively in the earlier work will find this volume a clinically orientated and extremely useful addition to their working library.

This book presents and brings together research on child sexual abuse from various countries and cultures in the Arab Region. It addresses the multiple types of Child Sexual Abuse Exploitation and Trafficking (CSAET) and responds to the expanding burden of its diverse presentations. The book identifies appropriate structures for efficient programs that are to be accepted and developed by diverse cultures in the region, in order to develop an action plan to combat sexual violence against children. It studies the gathered to date child sexual abuse protection systems in the Arab region, covering issues such as children's rights, challenges of protection and advocates for peaceful, safe, healthy and happy environments for children and their families.

This title includes Foreword by David Taylor, Professor and Vice Dean of Leicester Medical School. Preparing for the Part 2 MRCOG examination remains a daunting and complex task, particularly as learning and revision often need to fit around clinical commitments. Much has been written about how to prepare for and pass exams, yet it remains surprising how often well-read candidates provide unsatisfactory answers in areas which they know well. Clearly, a sound understanding of the topic area is essential, but deeper knowledge also increases uncertainty, and the vast developments in the field mean that proficiency in all areas is next to impossible. Thus a critical point for postgraduate candidates, who more often than not will prepare for the examination in isolation, is to develop a real understanding of what the examination is meant to assess...This revision aid in obstetrics and gynaecology is based on the Extended Matching Question format (EMQ). It contains forty-two questions of varying degrees of difficulty, along with detailed answers. "MRCOG Part 2 Essential EMQs" is an indispensable study and revision aid for postgraduate medical students preparing for Part 2 of the Membership of the Royal College of Gynaecologists (MRCOG) examination or equivalent. "The number of published revision aids including this question format in postgraduate Obstetrics and Gynaecology remains limited. With this book we wanted to produce a comprehensive selection of EMQ, covering broad areas relevant to the speciality, which would be useful those preparing for postgraduate examinations at Part 2 MRCOG level or equivalent." - Marwan Habiba, Andrea Akkad, Justin Konje.

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

For the ultrasound practitioner it is now more important than ever to have a rigorous understanding of fetal anatomy and development. This resource publishes a selection of very high-quality ultrasound images of the fetus alongside embryological preparations and fetoscopy images. This unique comparative technique will be an essential educational tool and work of reference for all involved in fetal ultrasound, including specialists in maternal-fetal medicine, ultrasound physicians, ultrasonography technicians, and midwives.

Safe Maternity & Pediatric Nursing Care, 2nd Edition. Online Resources, and Davis Edge work together to create an interactive learning experience that teaches students to think critically and make the best patient care decisions. The text, written specifically for LPNs/LVNs, provides the comprehensive nursing knowledge they need to understand in this key course. Online Resources equip instructors with the lesson plans, teaching resources, and activities to create an active classroom environment where students can apply what they're learning. Davis Edge online quizzing tracks student progress; assesses their knowledge; prepares students for classroom exams and the NCLEX®; and provides real time analytics to identify their weak concepts and topic areas. Text This is the maternity/peds textbook that focuses on what LPNs must know with just the right depth and breadth of coverage of the knowledge and skills to practice safely. A student-friendly approach helps LPN/LVNs to master safe and effective nursing care by developing the critical-thinking and problem-solving skills they need to excel in clinical practice. Clear, concise, readable, well organized, and easy to follow, it's the text that prepares new nurses to make the connections. Davis Edge Davis Edge is the online quizzing program that integrates seamlessly into the classroom to give students the additional practice questions they need to perform well on course exams and the NCLEX®. Handpicked preset assignments save instructors time, while actionable analytics let them take the pulse of how their students are performing. Instructors have the real-time data they need to monitor, track, and assess their class's mastery of the content. They are able to easily identify the areas in which students are struggling, intervene quickly, and provide remediation to ensure that students succeed and improve within following areas: Comprehension and Retention: How well do students understand the content? Participation and Engagement: Are students keeping-up with their reading and assignments? Test-Taking Skills: Are students prepared for NCLEX®-style questions and improving their test-taking skills? An access code inside new printed texts unlocks Davis Edge as well as a wealth of online learning tools and resources, including an ebook powered by VitalSource. Our new approach to LPN/LVN education LPN/LVN Connections responds to the pressures and challenges faced in nursing education with a new approach that highlights key themes across our core textbooks, maintains a consistent reading level, common terminology and lab values to improve student outcomes in class and prepares them for professional practice. Educators: Contact your F.A. Davis Consultant to learn more about LPN/LVN Connections. Make the connections every step of the way. Also Available… Study Guide for Safe Maternity & Pediatric Nursing Care. 2nd Edition Davis's Nursing Skills Videos for LPN/LVN, 3rd Edition

Preterm delivery is a major public health concern. Recent developments, such as the preventive use of progesterone, and new data on possible mechanisms of initiation of parturition, have placed the topic at the forefront of the interests and preoccupation of many in maternal-fetal medicine and obstetrics. This balanced, authoritative, and well-referenced work offers a rigorous underpinning of basic science, highlighted translational science sections, and evidence-based clinical guidelines.

This work includes Foreword by Phillip J S Steer, Professor of Obstetrics, Faculty of Medicine, Imperial College London. It includes Introduction by Gwyneth Lewis, National Clinical Lead for Maternal Health and Maternity Services, Department of Health, England and Director of the UK Confidential Enquiries into Maternal Deaths. 'The reductions in maternal mortality over the last half century are an eloquent testimony to the value of the technical expertise in life support that anaesthetists bring to the management of labour complications. Many direct causes of maternal death have been substantially reduced as a result of anaesthetic innovations ranging from advances in regional anaesthesia to the panoply of techniques used in intensive care. This book is essential reading.' - Phillip J Steer, in his Foreword. Offering a unique insight into real cases, this book covers the physiology, pharmacology and organisational factors involved in previous maternal deaths, highlighting key lessons to be learnt. This practical guide provides an ideal introduction for new anaesthetists and up-to-date information for senior practitioners, particularly those who cover labour wards. It is also invaluable for anaesthetic nurses, obstetricians and midwives. 'For more than 50 years the Confidential Enquiries into Maternal Deaths in the UK have collected together invaluable information about why mothers die in pregnancy and childbirth. For the first time ever, this unique book collects together all the valuable lessons into one volume. Experts in their fields provide a physiological, pharmacological, and evidence based commentary on the events of each death. The overall result pays homage to the value of collecting together lessons from the past, and we hope will help people avoid repetition of these situations in the future.' - Daryl Dob, Anita Holdcroft and Griselda Cooper, in the Preface.

This is a new edition of one of the modern classics of gynecological surgery. Providing an extensive and beautifully illustrated guide to laparoscopic and hysteroscopic techniques, the book has been extensively revised and updated since publication of the Second Edition. There are few texts that so adequately provide in-depth information on minimally invasive gynaecologic surgery. This informative and thorough work of reference provides both practicing surgeons and trainees with an atlas, a textbook of gynecology, and a surgical manual. The coverage is comprehensive, including extensive sections on gynaecologic oncology, urogynecology, basic principles, and instrumentation. Complications are highlighted with authoritative guidance on how to avoid and manage them.

Reproductive Endocrinology and Infertility provides an overview of the most frequently encountered clinical challenges faced by medical students and residents. Part I begins with chapters on reproductive hormonal physiology and development to provide a basis for understanding the management of the most common reproductive clinical problems that confront obstetrician-gynecologists and other practitioners in women's health. Several of the chapters, including obesity, premenstrual syndrome, menopause and imaging, provide a cross-disciplinary approach to endocrine related problems common among reproductive aged women. Part II includes chapters on the evaluation of infertility, as well as surgical and medical approaches to treating infertility in men and women. The chapter on alternative medicine provides a basis for understanding the increasingly popular use of therapies such as acupuncture and herbal treatments. The last chapter discusses the influence of environmental factors on fertility, an important field that is often ignored in the traditional approach to infertility. This text is meant to be used as a portable reference with readily accessible information including a summary of key points in each chapter. All of the contributors are involved in residency training programs and understand the kinds of patient management questions that are encountered in a busy practice. Our goal with this book is to provide information that will support solid patient management and hopefully pique the appetite to learn more.