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.

This issue of Clinics in Perinatology, guest edited by Drs. Alan Spitzer and Dan Ellsbury, examines Quality Improvement in Neonatal and Perinatal Medicine. The first part of the issue addresses Tools of Quality Improvement and includes articles on The Quality Chasm in Neonatal and Perinatal Medicine; Evaluating the Medical Evidence; The Vermont Oxford Network Database; The Pediatrix Clinical Data Warehouse; Role of Regional Collaboratives: The California Perinatal Quality Care Collaborative Model; A Primer on Quality Improvement Methodology; Using Statistical Process Control Methodology; Human Factors in Quality Improvement, Random Safety Audits, Root Cause Analysis, and Failure Mode and Effects Analysis; Collaboration Between Obstetricians and Neonatologists: Perinatal Safety Programs and Improved Clinical Outcomes; and Pay for Performance: A Business Strategy for Quality Improvement in Neonatal-Perinatal Medicine. The second part of this issue addresses Specific Applications of Documented Quality Improvement Methodology in Neonatal and Perinatal Medicine and includes articles on Delivery Room Intervention-Improving the Outcome, Reducing Retinopathy of Prematurity, Improving Breast Milk Use During and After the NICU Stay, Decreasing Catheter Related Bloodstream Infection, and Decreasing Bronchopulmonary Dysplasia.

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

The Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG) is a well-regarded post-graduate qualification in women's health. The DRCOG is particularly respected among primary care and community sexual and reproductive health clinicians. Studying towards this qualification is rewarding and fun, and as such the exam has become extremely popular over recent years. In addition, holding the DRCOG has proved to be a useful indicator by which employers can differentiate excellent clinicians from the average ones. It certainly is the cherry on the cake of General Practice training, and complements the RCGP curriculum. Mastering the DRCOG is organised to directly reflect and fulfil the DRCOG syllabus set by the Royal College of Obstetricians and Gynaecologists in April 2007, and chapters are laid out precisely following the DRCOG syllabus format. Starting with an overall introduction to the exam, the book then covers the seven core modules of the syllabus: Basic Clinical Skills, Basic Surgical Skills, Antenatal Care, Management of Labour and Delivery, Postpartum and Neonatal Problems, Gynaecological Problems and Subfertility & Contraception. This is followed by a section of 'hot topics' not specifically mentioned in the syllabus but of real interest for all those working in the area of women's health. Hot topics include the menopause and its management, abuse of women (rape, female genital mutilation, prostitution, pornography), and ethical issues such as fetal sex selection & eugenics, egg donation, breast augmentation surgery, and surrogate motherhood. Mastering the DRCOG is written in a clear and straight-forward style and is illustrated throughout. Written by a newly qualified General Practitioner fresh from the exam hall, and edited by two highly experienced Consultants, one in Obstetrics & Gynaecology, the other in Community Sexual & Reproductive Health, "Mastering the DRCOG" is a fantastic resource for anyone preparing f

Pregnancy and childbirth brings together, for the first time, western and eastern approaches providing a sound amalgamation of theoretical and practical information for bodywork practitioners world-wide. It describes in detail the application of massage and shiatsu from early pregnancy, including work during labour and for the first year postnatally for the mother. This is a useful source of information for massage therapists, shiatsu practitioners, osteopaths, physical therapists, chiropractors, reflexologists, aromatherapists, acupuncturists, yoga and Pilates instructors. For Students and practitioners to use as a learning manual and reference tool, the text provides: Clarity of information Full text referencing Clear diagrams, photographs, and summary boxes Clinical accuracy: reviewed by, and with contributions from, international specialists including midwives, obstetricians, osteopaths, chiropractors, acupuncturists, aromatherapists and massage therapists.

This issue of Obstetrics and Gynecology Clinics, guest edited by Drs. William Rayburn and Kathleen Kennedy, addresses some of the most challenging issues Obstetrician-Gynecologists face in their practice. It includes articles on psychological and behavioral issues influencing women's health including depression, sexual function, intimate partner violence, and substance dependence.

Ovarian carcinoma continues to be responsible for more deaths than all other gynecologic malignancies combined, due to a continued inability to achieve detection of early (rather than advanced) stage disease and the lack of effective tumor-specific therapeutics.

Ovarian carcinogenesis, invasion, and metastatic dissemination require a complex cascade of interrelated genetic, molecular, and biochemical events that regulate the neoplastic transition of normal ovarian surface epithelium.

This updated second edition includes exciting new advances in ovarian cancer detection and treatment and provides an analysis of current research into aspects of malignant transformation, growth control, and metastasis. A more detailed understanding of these processes may ultimately translate into the development of novel approaches for the detection and control of ovarian cancer.

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.

Between 1540 and 1654, The Byrth of Mankynde was a huge commercial success. Offering information on fertility, pregnancy, birth, and infant care, and written in a chatty, colloquial style, it influenced most other literary works of the period bearing on sex, reproduction, and childcare. Until now, this important text has been unavailable except for a microfilm of the 1654 edition. For this new annotated edition of the 1560 version, Elaine Hobby has modernized the spelling and included informative notes. In her critical introduction, she not only traces the development of the book from its German origins, but also shows how early-modern ideas about the reproductive process combined ancient, medieval, and contemporary conceptions. Combining editorial rigour with a concern for the needs of the informed non-specialist, Hobby has made available a text that will be useful to scholars and students in a range of academic disciplines, including literature, history, and women's studies.

This issue of Ultrasound Clinics provides a general overview of women's imaging with ultrasound. Included in the issue are articles on imaging breast masses, performing breast biopsies using ultrasound, and postsurgical follow up. The remainder of the issue reviews obstetric topics such as ectopic pregnancy, pregnancy-related genitourinary diseases, and first trimester bleeding, and gynecologic topics such as postmenopausal bleeding, endometriosis, and ovarian torsion among others.

Women's health is increasingly recognized as a global health priority. With the expanding elderly female population, the long-term complications of ageing and estrogen deficiency present an enormous problem in terms of morbidity, mortality and economic burden. Thus, managing postreproductive health is becoming a key issue for all health professionals, not just gynecologists. The book provides a practical, unbiased and non-promotional international guide on menopausal and postmenopausal health. It is essential reading for all health professionals dealing with women's health around the world and is a vital resource for consultations. This is the 5th edition of this successful Handbook, published on behalf of the British Menopause Society, and it is now considered to be the international template for menopause management, and will be a useful resource for gynaecologists, GPs, physicians, nurses and allied health professionals.

This book brings together the most up-to-date information about the physiology of progestogens. Addressing the bidirectional communication between hormones, fertility, tumors, and autoimmunity, it provides the basic science and clinical perspectives of progestogens which have not been previously available in one volume. In addition to estrogens, androgens, mineralocorticoids and glucocorticoids, progestogens are a major class of steroid hormone. While present in certain phases of estrous and menstrual cycles, progestogens are named for their function in maintaining pregnancy. This book is essentially practical in orientation, addressing the specific issues that confront the practitioner, and provides information to Obstetricians, Gynecologists, Reproductive endocrinologists, as well as Gynecological Oncologists and Rheumatologists. Contributions are from an international team of experts in the field, now completely updated in this new edition with new developments in primary dysmenorrhea and contraception.

This issue of Clinics in Perinatology, guest edited by Dr. Hanmin Lee, examines the topic of Fetal Surgery. The issue begins with an overview, including the history of fetal surgery, ethical implications, and maternal management and outcome. Imaging (including Ultrasound, MRI, and Echocardiology) and Specific Diseases (including Congenital Diaphragmatic Hernia, Fetal Lung Lesions, Obstructive Uropathy, TTTS, MMC, TRAP and other discordant twins, and Congenital Cardiac Anomalies) are also examines. The issue concludes with a look at research and future directions, including Stem Cell Transplant/Gene Therapy, Consortiums/Registries, and Fetal Tissue Engineering.

Childbirth in Republican China: Delivering Modernity (1911-1949) is the study of a pivotal period in which traditional midwifery, marked by private, unregulated old-style midwives, was transformed into modern midwifery through the adoption of a highly medicalized and state-sponsored birth model that is standard in urban China today. In the twentieth century, biomedical technologies altered the process of childbirth on virtually every level. What had been a matter of private interest, focusing on the family and lineage, became a national priority, a symbol of the new citizen who would participate in the creation of a revitalized nation. This transformation of reproduction coalesces with the broader story of China's twentieth-century revolutions, marked by an emphasis on science and modernity. The roles of the state and of western medical personnel were paramount in affecting these changes, but equally important are the intense social and cultural shifts that occurred simultaneously. The dominant themes of reproduction in twentieth-century China are characterized by expanding state involvement, shifting gender roles, escalating consumption patterns accompanying the commercialization of private lives, and the increasing medicalization of the birth process.

This issue of Obstetrics and Gynecology Clinics examines Women and Obesity. Guest Editor Dr. Raul Artal has assembled a panel of world-class experts who offer reviews on topics including: The Epidemiology of Obesity and Health Economics, Early Life Origins of Obesity, Regulation of Fat Metabolism in Obesity: Gender Differences, Physiological Aspects of Obesity, Pregnancy and Obesity, Exercise Prescription for Overweight and Obese Women: Pregnancy and Post-partum, Post-partum Weight Retention and Rise for Obesity, Obesity and its Relationship to Infertility in Men and Women, Obesity and Sexual Aspects in Women, Maternal and Child Obesity: the Peuetic Link, Minorities and Obesity, and Experimental Research Direction in Obesity.

Pediatric and Adolescent Gynecology is reviewed in this issue of Obstetrics and Gynecology Clinics, guest edited by Dr. S. Paige Hertweck. Authorities in the field have come together to pen articles on Genital Trauma, Urologic Issues, Endometriosis in the Adolescent, Adolescent STIs, Intersex Disorders, Mullerian Anomalies, Polycystic Ovarian Syndrome in the Adolescent, Bleeding Disorders in Adolescents, Thrombophilial Conditions in the Adolescent, Adolescent Contraception, Management of Abnormal Cervical Cytology in the Adolescent, and Premature Ovarian Failure/Turner Syndrome in the Adolescent.

Get Through MRCOG Part 2: Short Answer Questions is an essential revision guide for candidates preparing for the MRCOG Part 2 exam. This comprehensive collection of practice Short Answer Questions (SAQs) is designed to help candidates test and assess their own knowledge, aiding thorough preparation for the exam. The book opens with an introduction to the exam and includes advice on how to prepare for it, information on what to expect, and guidance on how to write excellent answers. This is followed by two sections: the first provides a wide range of SAQs divided into obstetric and gynaecological topics, and the second presents six practice exams set out in the format of the actual exam. For each question, the authors highlight the key words in the question, followed by a brief essay plan and then give a worked example answer. The specimen answers indicate how many marks the candidate would obtain for each point made, and are supplemented with valuable extra information and further reading, to enhance understanding and aid further revision.

This cutting-edge text for surgeons specializing in Reproductive Medicine details how the latest minimally invasive developments impact on operations in their repertoire. Illustrated with color photographs and surgical videos, this will be an essential reference in a fast-moving field.

This text provides a systematic approach to the diagnosis of children with multiple birth defects. It outlines the embryologic origins of normal and abnormal physical development, describes the major and minor structural anomalies in each of 20 anatomic regions, and teaches techniques of observation and synthesis useful in dysmorphologic diagnosis. Medical specialists will find Dr. Aase's book invaluable both as an instructive tool and as a clinical reference guide.

Breast augmentation has become one of the most frequently performed operations in plastic surgery. It is estimated that more than 1% of the adult female population in the United States (between 1 and 2 million) has undergone breast augmentation. Surgeons have several different implants to choose from and a variety of implant techniques. The aim of this issue is to discuss the various implant methods and materials available and to provide surgeons with a framework for making the best evidence-based decision for each patient.

"As a psychotherapist and educator of future mental health practitioners, I believe this work fills an important gap in reference books for professionals who care for childbearing women. Since the volume provides invaluable neurobiological research on depression and anxiety, I recommend this work to all health and mental health professionals."--Illness, Crisis and Loss

Over the past three years, pregnancy related mood disorders have become the focus of health care advocates and legislators alike with subsequent reflection in nationwide media. Statistics on the prevalence of perinatal mood disorders suggest that up to 20% of women experience diagnosable pregnancy related mood disorders. The growing recognition of these common disorders, coupled with an increasing knowledge base about the dire consequences of untreated maternal depression, has propelled this issue to the fore of national public health priorities.

This increasing awareness has also resulted in recent legislative and healthcare initiatives to screen, assess, and treat such disorders. On April 13, 2006, Governor Jon S. Corzine (D -NJ) signed a law requiring all new mothers to be educated and screened for postpartum depression. This law is the first of its kind in the country, but many states and federal advocates are proposing similar laws. The motivation for states and the federal government to adopt education and screening program is high and may soon be a federal mandate. But a major barrier to successful implementation of such programs is the lack of available resources to train healthcare professionals in this specialty.

This book offers a major resource for healthcare professionals, mental health professionals, and medical, nursing, psychology, and social work students who will be confronting this problem in their practices. The contributions, by renowned experts, fill a glaring gap in the knowledge professionals need in order to successfully manage maternal mental health.

This book provides a practical set of rules to guide and help trainee obstetricians and midwives to understand the concepts of labour ward management, treatments, and prevention of complications. Labour ward management is a vital tool in learning to secure safe outcomes for both mothers and babies.