Quick, one-stop guide to neonatal resuscitation steps. Great take-along for all newborn care providers. Size: 4" x 3.5" (Two card set)

In this unique book emphasis is placed on tests necessary to evaluate fetal well-being and to detect those fetuses at risk of hypoxia and acidosis in utero. Written by pioneers in the neonatal field, this publication contains chapters on the pathophysiology, obstetric management, and collagen diseases of intrauterine growth retardation. Ultrasound in detection of growth retarded fetuses is explored, as well as magnetic resonance imaging and magnesium substitution for the prevention of intrauterine growth retardation. Containing never-before-published information, this volume is an excellent reference source for both investigators in the field and those entering it.
Topics Include:
Perinatal growth chart for international reference
Ultrasound guided procedures in small for gestation fetuses
Utero-placental and fetal circulation

This book uses global household data to examine the prevalence, trends and geographic variation of female genital mutilation (FGM) around the world. It also addresses the underlying legal and policy aspects as well as explores the medical consequences, both immediate and long term, for those undergoing the practice. The book analyses the position of victims of this gender-based violence both from the medical and legal perspective and adopts a largely practical approach to the study of the practices, offering a fresh thinking into one of the challenges in global health and the law. In addition, it offers some insights into how health professionals can approach this category of victims and how legal practitioners can obtain a good legal result for their clients before domestic and international forums. The book addresses fundamental issues such as state liability and defences in enforcement proceedings for actions or omission of state or non-state actors, and due diligence standard in international human rights law, the main gateways available for obtaining relief for the victims of FGM. This book goes beyond the traditional debate between zero tolerance and those who wish to see the practice medicalised and tolerated and favours an advocacy programme standing firmly in favour of the right of FGM victims. This book offers a unique perspective likely to assist victims and their representatives to secure a remedy against perpetrators and the state. As such this book will be of interest to medical professionals, national and international lawyers, academics and policymakers in the field of public health.

Technology has come to dominate the modern experience of pregnancy and childbirth, but instead of empowering pregnant women, technology has been used to identify the foetus as a second patient characterised as a distinct entity with its own needs and interests. Often, foetal and the woman's interests will be aligned, though in legal and medical discourses the two 'patients' are frequently framed as antagonists with conflicting interests. This book focuses upon the permissibility of encroachment on the pregnant woman's autonomy in the interests of the foetus. Drawing on the law in England & Wales, the United States of America and Germany, Samantha Halliday focuses on the tension between a pregnant woman's autonomy and medical actions taken to protect the foetus, addressing circumstances in which courts have declared medical treatment lawful in the face of the pregnant woman's refusal of consent. As a work which calls into question the understanding of autonomy in prenatal medical care, this book will be of great use and interest to students, researchers and practitioners in medical law, comparative law, bioethics, and human rights.

The neoplasms found in the female genital tract are numerous and growing more complex. Cytology and Surgical Pathology of Gynecologic Neoplasms has been written to provide a practical reference for practicing pathologists and cytopathologists in a quick and concise fashion. The primary focus of this book is on gynecological tumors, specifically common ones and their benign mimics. Emphasis is placed on morphologic recognition, resolving common diagnostic problems seen in routine practices, and discussion of current classification of gynecologic malignancies. Special references to the differential diagnosis and pitfalls of each entity are included. The role of cytology and its correlation with histology is richly illustrated and discussed. Also presented is the practical use of ancillary studies such as molecular diagnostic testing and immunohistochemistry. With a unique emphasis on the correlation between cytology and surgical pathology, Cytology and Surgical Pathology of Gynecologic Neoplasms provides a ready reference for both the practicing pathologist and pathologist in training in finding quick answers to their diagnostic challenges.

Vitrification in Assisted Reproduction presents standard and new cryopreservation techniques in detail, outlining those that have resulted in success, and providing recommended means for overcoming typically encountered problems. This new edition provides a much broader range of clinical application and data to demonstrate its contribution to the use of vitrified oocytes and embryos. The book also discusses new areas in the field of assisted reproductive technology such as oocyte banking, preimplantion diagnostics at the blastocyst stage, and the burgeoning adoption of elective single embryo transfer. Written by expert scientists and clinical embryologists, this book will help you to consistently and predictably apply vitrification as an important therapeutic strategy in assisted reproduction.

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.

This book offers an in-depth examination of labor pain and analgesia with the aim of promoting natural childbirth without pain. All aspects of the subject are covered, including the latest techniques of delivering labor analgesia. Importantly, emphasis is placed on a holistic approach, detailed attention being paid to the humanization of childbirth and behavioral aspects in addition to evidence-based medicine. Potential future developments are also addressed, with discussion of opportunities that have yet to be realized. In order to ensure that the text is easily readable for trainees as well as established practitioners, chapters have been restricted to a manageable length and information is presented clearly and succinctly. Step-by-step tutorials and boxes highlighting practical points are used to clarify technical aspects. The authors include both well-established experts and young emerging professionals from various European countries, ensuring an intercultural perspective.

Written by an experienced author of Obstetrics and Gynaecology revision resources and overseen by a well-respected expert in the field. Get Through DRCOG provides candidates with the a definitive one-stop resource to pass the DRCOG exam. The questions are firmly rooted in RCOG guidelines, with explanations provided alongside the answers and useful suggestions for further reading. The topics are well-chosen questions on ectopic and PCOS will almost certainly appear, probably several times, within the exam.

By the mid-twentieth century, two things appeared destined for extinction in the United States: the practice of home birth and the profession of midwifery. In 1940, close to half of all U.S. births took place in the hospital, and the trend was increasing. By 1970, the percentage of hospital births reached an all-time high of 99.4%, and the obstetrician, rather than the midwife, assumed nearly complete control over what had become an entirely medicalized procedure. Then, seemingly out of nowhere, an explosion of new alternative organizations, publications, and conferences cropped up, documenting a very different demographic trend; by 1977, the percentage of out-of-hospital births had more than doubled. Home birth was making a comeback, but why? The executive director of the American College of Obstetricians and Gynecologists publicly noted in 1977 the "rising tide of demand for home delivery," describing it as an "anti-intellectual-anti-science revolt." A quiet revolution spread across cities and suburbs, towns and farms, as individuals challenged legal, institutional and medical protocols by choosing unlicensed midwives to catch their babies at home. Coming Home analyzes the ideas, values, and experiences that led to this quiet revolution and its long-term consequences for our understanding of birth, medicine, and culture. Who were these self-proclaimed midwives and how did they learn their trade? Because the United States had virtually eliminated midwifery in most areas by the mid-twentieth century, most of them had little knowledge of or exposure to the historic practice, drawing primarily on obstetrical texts, trial and error, and sometimes instruction from aging home birth physicians to learn their craft. While their constituents were primarily drawn from the educated white middle class, their model of care (which ultimately drew on the wisdom and practice of a more diverse, global pool of midwives) had the potential to transform birth practices for all women, both in and out of the hospital.

Preterm infants grow poorly after birth and very commonly develop ex utero growth restriction (EUGR). However, the risks and benefits of catch-up growth in preterm infants must be weighed, and evidence addressing this warrants examination. Perinatal Growth and Nutrition explores the reasons for EUGR and the long-term effects on developmental outcome and on metabolic risks. It provides clear information on the risks and benefits of faster post-natal growth and catch-up growth in preterm infants and offers tools for better assessment of growth and earlier identification of faltering growth. This book is divided into three sections. The first section covers advances in preterm infant growth standards, diagnosis and causes of EUGR, and assessments of preterm infant diets. The second section considers the extensive human literature on the effects of in utero and ex utero growth restriction and catch-up growth on long-term metabolic outcomes-such as obesity, insulin resistance, type 2 diabetes, and cardiac disease-and long-term neurodevelopmental outcomes including cognition. It also examines evidence for the effect of growth on these outcomes in term and preterm infants. The final section of the book considers ways to reduce the incidence of EUGR in preterm infants and when EUGR does occur, to optimize catch-up growth. Topics include assessment of dietary requirements of the diverse population of preterm infants, examination of tools for prescribing nutrition to neonatal intensive care unit patients, consideration of whether to customize or generalize nutrient intake, and fortification of human milk. In addition, the last chapter proposes using a Z-score growth chart for improved interpretation of growth data.

This full-colour, richly-illustrated book is an excellent source of rapidly retrievable information on aspects of relevance in daily clinical practice in the outpatient breast clinic. Expert guidance is provided on a full range of topics, including pitfalls of clinical examination, imaging and related tissue diagnosis, approaches to management decision-making in different disorders, the role of surgery and adjuvant therapy, follow-up and rehabilitation. In outpatient breast clinics, effective communication with patients must be established in order to address symptoms that in most cases are not serious but can be very worrying and sometimes lead to misdiagnosis and also to litigation. Outpatient consultations also offer an opportunity to encourage a healthy lifestyle and to provide information on matters such as risk assessment, screening and the most reliable websites. A well-functioning outpatient clinic is essential to a breast unit's overall proficiency. Readers will find this book an invaluable aid to good practice. The authors place particular emphasis on quality indicators and key priorities for implementation of the main guidelines, at the same time specifying the level of evidence for them and degree of recommendation. Practical measures for achieving the best results are highlighted, and helpful advice is provided on optimizing patient communication and reducing the psychological burden.

Covers the most recent advances in gynecologic image-based radiation therapy Includes the changed practice of management of gynecologic brachytherapy Written by an international panel of experts Recent advances in the treatment of gynecologic malignancies led to a new worldwide consensus to introduce image guidance to gynecologic radiation therapy, particularly to brachytherapy. The book summarizes the changed practice of management: treatment planning for cervical cancer, not modified for over 60 years, has been shifted to an image-based approach, endometrial cancer management with an increase in the use of chemotherapy and vaginal brachytherapy, and vaginal cancer therapy including image guidance and high-dose delivery with IMRT. Content Level Professional/practitioner Keywords Brachytherapy - Chemotherapy - Gynecologic Cancer - Radiation Related subjects Oncology & Hematology - Radiology

Bringing together the latest information on the organization, management and quality of in-vitro fertilization (IVF) units, this is the first true field guide for the clinician working in assisted reproductive technologies (ART). Divided thematically into four main sections, part one discussed the establishment and organization of the IVF unit, including location, design and construction, practical considerations for batching IVF cycles, and regulations and risk management. Part two, the largest section, covers the many aspects of overall quality management and its implementation - staff and patient management, cryobank and PGD/PGS management, and data management - as well as optimization of treatment outcomes and statistical process control analysis to assess quality variation. Part three addresses the relationship between IVF units and society at large, including the ethics of IVF treatment, as well as public/low-cost and private/corporate IVF units. Advertising and marketing for IVF units is discussed in part four, including the building and managing of websites and the use of traditional print and social media. With approximately five thousand IVF units worldwide and a growing number of training programs, Organization and Management of IVF Units is a key resource for clinic directors, unit managers, embryologists, quality experts, and students of reproductive medicine and clinical embryology.

This seventh edition has been completely revised and updated, incorporating relevant WHO and national guidance documents: therefore imparting best evidence-based practice for all methods. Combined oral contraceptives (COCs) Based on the long-established evidence that 7 days of routinely not-taking pills in each cycle is too long for maintained ovarian suppression - and this necessarily leads to too little margin for errors in pill-taking - the authors recommend that providers switch to a new norm for all users of either: Tricycling, the 84/4 regimen, or totally continuous use (365/365), OR, for women who remain keen to see monthly pill-bleeds (which are completely unnecessary for health), one of the regimens (24/4 or 21/4) that shorten the contraception-non-taking time to 4 days New methods, and their importance or otherwise: Intrauterine system: Jaydess (R) Subcutaneous, self-injectable alternative to Depo-Provera: Sayana (R) Press 24/4 combined hormonal contraceptives: Zoely (R), Eloine (R) Diaphragm: Caya (R) Updates Quick starting and bridging (the Proving not Pregnant Protocol) Emergency contraception (EC), how advice differs for ulipristal acetate EC Drug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine) Question and answer format Important information boxes Unwanted side effects boxes Frequent patient questions at the end of relevant chapters Management advice Follow-up advice Comes with free e-book on ExpertConsult for the first time This seventh edition has been completely revised and updated, incorporating relevant WHO and national guidance documents: therefore imparting best evidence-based practice for all methods. Combined oral contraceptives (COCs) Based on the long-established evidence that 7 days of routinely not-taking pills in each cycle is too long for maintained ovarian suppression - and this necessarily leads to too little margin for errors in pill-taking - the authors recommend that providers switch to a new norm for all users of either: Tricycling, the 84/4 regimen, or totally continuous use (365/365), OR, for women who remain keen to see monthly pill-bleeds (which are completely unnecessary for health), one of the regimens (24/4 or 21/4) that shorten the contraception-non-taking time to 4 days New methods, and their importance or otherwise: Intrauterine system: Jaydess (R) Subcutaneous, self-injectable alternative to Depo-Provera: Sayana (R) Press 24/4 combined hormonal contraceptives: Zoely (R), Eloine (R) Diaphragm: Caya (R) Updates Quick starting and bridging (the Proving not Pregnant Protocol) Emergency contraception (EC), how advice differs for ulipristal acetate EC Drug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine) Intermittent quizzes for CPD portfolio purposes Now on ExpertConsult

"There used to be limited therapeutic options for women who developed metastatic breast cancer. However, recent development with novel systemic drugs and palliative surgical techniques, together with advances in diagnostic imaging, have given new hope for these patients and made the treatment of these patients considerably more challenging. One convenient source bringing together the various relevant aspects is long overdue. This handbook covers treatment for both the cancer and the complications that can arise from treatment itself"--Provided by publisher.

Overcoming Postnatal Depression uses the proven and trusted five areas model of cognitive behavioural therapy (CBT). By bringing together specialists in postnatal depression and with the use of self-help resources, this book addresses all the common challenges faced by women during times of low mood after having had a baby.

• CBT workbooks easy to use, practical, photocopy them for use in your own life or job
• Written by award-winning authors and experts
• Proven to work through years of research and practice
• Step-by-step success follow the plan, see positive results
• Advice for friends and family offers support

Invaluable, proven, practical, and easy-to-use workbooks for all CBT practitioners, psychiatrists, GPs, psychologists, neurologists, physiotherapists, occupational therapists, and healthcare workers to use to help the people in their care help themselves.
A linked free online support course is located at www.livinglifetothefull.com with additional resources at www.fiveareas.com
"

A strikingly effective, one-of-a-kind learning resource This one-of-a-kind learning resource for Neonatal Nurse Practitioner/CNS students in both academic and clinical settings is distinguished by its use of complex case studies to reinforce best practices in treating vulnerable neonatal patients. Based on applications and outcomes, the case study approach is a particularly effective method of enhancing critical thinking and clinical decision-making and fostering effective role transition in practice-based disciplines. Authored by leading NNP educators nationwide, these multi-faceted, unfolding case studies address and synthesize the most important content covered throughout the NNP curriculum. Topics addressed include maternal/neonatal complexities, risk factors, neonatal disorders and emergencies by body system, health promotion/maintenance, communicating effectively with parents, and guidance on handling unexpected outcomes. Case studies progress from basic to complex, and each includes objectives, clinical pearls, and critical thinking questions. A robust instructor toolkit contains pedagogical strategies for facilitating online discussion, chapter conclusion quizzes, a variety of simulation experiences, and more. Key Features: Uses a complex case-based learning approach for neonatal advanced practice nursing - the first book to do so Authored by leading NNP educators nationwide Provides 40-50 case studies synthesizing key content areas Helps prepare students for effective role transition Includes a robust instructor toolkit and can be used in online courses

Obstetric and Gynaecological Ultrasound is a highly illustrated manual ideal for both the trainee and experienced sonographer that covers the full range of obstetric and gynaecological ultrasound examinations undertaken within a secondary referral setting. It combines the practicalities of how to perform these examinations with the information needed to interpret the findings and construct a clinically useful report. The new edition of this well-established book expands its scope to provide an understanding of ultrasound imaging within the clinical management of the gynaecological patient. Elsewhere, its obstetric content has been fully updated with the latest technological, clinical and medico-legal information relevant to routine practice. Furthermore, its experienced sonographer authors continue to advise on the practical aspects of scanning as well as the role, value and limitations of ultrasound in the diagnosis of different diseases thus providing firm foundations in both obstetric and gynaecological imaging. Explains the principles of grey scale ultrasound, Doppler ultrasound and instrumentation Addresses problems from both practical and clinical viewpoints Provides comparative images showing results of good and bad scanning techniques Advises on how to communicate findings to a pregnant woman or gynaecological patient Discusses both the normal and abnormal ultrasound appearances for each of the relevant anatomical areas together Scope fully expanded to cover gynaecological ultrasound imaging including: the physiological changes taking place during the menstrual cycle the effects of exogenous hormones on the various ultrasound appearances during the menstrual cycle the ultrasound appearances of common abnormalities of the uterus, ovaries and adnexae the ultrasound assessment of an adnexal mass using a standardized approach New images to reflect the improvements in imaging technology New chapter on screening for Down's syndrome and Edwards' and Patau's syndromes in accordance with current national screening recommendations New chapter on the medico-legal issues relevant to performing and reporting ultrasound examinations

The Understanding Menopause chart takes a look at the effects of menopause. Topics that are covered by graphics and text include basic anatomy of the female reproductive system, the role of estrogen, hot flashes, vaginal mucosa changes and the menstrual cycle. Heavy gauge 3ml lamination with sealed edges and two metal eyelets for hanging makes chart highly durable. Write-on/wipe-off with dry erase marker (not included).

This new edition of an acclaimed text reviews the evidence for best practice in Maternal-Fetal Medicine, to present the reader with the right information, with appropriate use of proven interventions and avoidance of ineffectual or harmful ones. The information is presented in the right format by summarizing evidence succinctly and clearly in tables and algorithms. The aim is to inform the clinician, to reduce errors and "to make it easy to do it right." The volume can be purchased separately or together with the companion volume on Obstetric Evidence Based Guidelines (set ISBN 9780367567033). The Series in Maternal-Fetal Medicine is published in conjunction with the Journal of Maternal-Fetal and Neonatal Medicine. From reviews of previous editions: An excellent resource with quick and easy protocols... this book has a permanent spot on my shelf. -Doody's Review Service