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 impact of hormones on deep venous thrombosis is one of the most charged and debated subjects in contraceptive medicine. Female hormonal balance is primarily affected by the use of either oral contraceptives or HRT. For a long time it has been recognized that oral contraceptives can raise the incidence of DVT; however, there has been an enormous controversy as to whether all progestins do this equally or whether some have a greater impact than others where oral contraception is concerned. Written by a world leader on the subject, this book offers the latest clinical information about the effects of pregnancy, the contraceptive pill, and hormone replacement therapy on thrombotic problems in women.

It is over two decades since the first test-tube baby was born. During this period a new belief that all infertile women can now have babies has become widely accepted; indeed, infertile couples may feel great pressure to seek a medical solution. However, the psychological and social effects of the changing experiences of infertility remain confusing, both for those who experience infertility and for wider society. In this book, a distinguished range of contributors, including novelist Hilary Mantel and Germaine Greer, examine the experience of infertility from both male and female perspectives, the psychological aspects of infertility diagnosis and treatment, and the often radical and unexpected effects on kinship.
Drawing from a wide range of theoretical backgrounds including Jungian, analytical, and compelling personal reflections, this book aims to unravel the implications of advancing reproductive technology for our understanding of ourselves and our families.

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At the intersections of early modern literature and history, Shakespeare and Women's Studies, Midwiving Subjects explores how Shakespearean drama and contemporary medical, religious and popular texts figured the midwife as a central producer of the body's cultural markers. In addition to attending most Englishwomen's births and testifying to their in extremis confessions about paternity, the midwife allegedly controlled the size of one's tongue and genitals at birth and was obligated to perform virginity exams, impotence tests and emergency baptisms. The signs of purity and masculinity, paternity and salvation were inherently open to interpretation, yet early modern culture authorized midwives to generate and announce them. Midwiving Subjects, then, challenges recent studies that read the midwife as a woman whose power was limited to a marginal and unruly birthroom community and instead uncovers the midwife's foundational role, not only in the rituals of reproduction, but in the process of cultural production itself. As a result of recent changes in managed healthcare and of increased attention to uncovering histories of women's experiences, midwives - past and present - are currently a subject of great interest. This book will appeal to readers interested in Shakespeare as well as the history of women and medicine.

Get Through MRCOG Part 2: SBAs provides 3 exams' worth of questions mapped to the RCOG syllabus in the newly introduced SBA style. With detailed explanations and relevant references to guidelines, this is the definitive resource for those taking the MRCOG Part 2 examination.

Reproductive biologists, evolutionary biologists, demographers and social scientists all have a common interest in the business of human reproduction. Their perspectives, however, are very different and have traditionally prevented them from having much to do with each other. The conference on which this book is based brought together contributors from each of these disciplines in an attempt to explore the common ground that they share and so generate a better understanding of the factors that influence human fertility.

Analyzes various reproductive and gynecological disorders encountered in the care of women who do not wish to conceive, as well as those who have difficulty with conception, early pregnancy, and menopause. Discusses the latest strategies in the treatment of infertility, pelvic pain, ectopic pregnancy, and osteoporosis.

This practical handbook of gynecologic oncology provides a comprehensive and concise guide to the diagnosis and management of gynecologic cancer, including breast and colon cancers. Edited and written by the faculty of the gynecologic oncology programs of MD Anderson Cancer Center and Memorial Sloan-Kettering Cancer Center, the second edition reviews and updates the various chapters, including new developments in management and a new chapter on germ cell and sex cord-stromal tumors.

The text is aimed at fellows and residents in gynecologic oncology, radiation oncology and medical oncology as well as residents in obstetrics and gynecologic surgery and medicine. It will also be a handy guide for medical students and practising physicians.

Now in its second edition, this book remains a vital reference manual for those pathologists whose work involves them in the interpretation of endometrial biopsies. A full account is given of the appearances of the endometrium during the menstrual cycle, of the effects of hormones, the changes induced by steroid contraceptives and intrauterine devices, of functional disorders and of inflammatory disease. Particular attention is given to the various forms of hyperplasia and neoplasia, with special emphasis being placed upon the differential diagnosis of these conditions. Other chapters deal with sampling techniques, the anatomy and histology of the normal endometrium, descriptions of the tissue in normal and abnormal pregnancy, and gestational trophoblastic disease. This fully revised second edition reflects the fact that numerous new entities have been defined, the classification of many disease states has altered and new understanding of many endometrial diseases has been gained. This edition also discusses the changing pattern of endometrial biopsies resulting from modified clinical practice. Biopsy Pathology of the Endometrium provides the pathologist and gynaecologist with a highly illustrated and practical manual whose high quality photomicrographs will be an indispensable reference during the interpretation of endometrial biopsies.

Embryology at a Glance is a highly illustrated and innovative introduction to key embryological concepts, with concise, memorable descriptions of major embryological developments. This new edition covers the basic principles of human development, from mitosis and meiosis, before exploring the primary formation of each body system, including the development of the musculoskeletal, circulatory, digestive, reproductive, and nervous systems during the foetal and neonatal periods. Key features include: New chapters on cell signalling genes, stem cells, and antenatal screening for common congenital and genetic defects Full colour photographs and illustrations Links to clinical practice highlighted throughout Timelines of each developmental stage MCQs and EMQs for revision and review A companion website at www.ataglanceseries.com/embryology featuring 15 brand new animations, and podcasts to help clearly explain the processes that occur during development. An additional instructor resource contains an image bank of all the figures from the book to aid teaching this fascinating area Embryology at a Glance provides the perfect alternative to the overwhelming detail seen in conventional embryology texts. It provides just the right level of detail on embryology and congenital abnormalities for all medical students and health professionals to develop a thorough understanding of human development and its implications for clinical practice.

Medical professionals are often involved in the management of the pregnant patient without necessarily being experts on all the complications surrounding pregnancy. The Handbook of Obstetric Medicine addresses the most common and serious medical conditions encountered in pregnancy, including heart disease, thromboembolism, diabetes, skin problems, gastrointestinal disease, neurological problems, hormonal diseases, hypertension and pre-eclampsia, and more. For each condition, the handbook includes a description of incidence, clinical features, pathogenesis, diagnosis, the effect of pregnancy, and management of the condition. The book also includes a detailed section focusing on the differential diagnosis of common symptoms including hypertension, chest pain, palpitations, breathlessness, headaches, dizziness, abdominal pain, and more. The symptoms and differential diagnoses are presented in an easy-to-read tabular format and include a description of important clinical features and potential areas of investigation. For those clinicians understandably reluctant to prescribe drugs during pregnancy, a useful appendix includes a section on prescribing in pregnancy and a list of contra-indicated drugs. In addition, to assist in the interpretation of laboratory tests, a second appendix lists normal laboratory values in pregnancy, broken down by trimester. Pre -pregnancy counselling and postnatal follow up are vital in the holistic management of women with medical problems and this includes appropriate contraceptive advice. A third appendix has therefore been added as a ready reference for clinicians not familiar with effective contraception. The new edition remains a pragmatic and easy-to-use design by including tables, bullets, and "Points to remember" boxes for ease of reference. It is an essential on-the-spot guide for obstetricians, physicians, general practitioners, and midwives in both practice and training. Catherine Nelson-Piercy, MA, FRCP, FRCOG Past President, International Society of Obstetric Medicine, Professor of Obstetric Medicine, King's College London, Co-founding Editor-in-Chief, Obstetric Medicine Praise for previous editions: "This is an excellent handbook of obstetric medicine, which deserves to be on the shelves of all actively practicing obstetricians."-British Medical Association Medical Book Awards "This book gets it just right and is a true handbook, easy to read, accessible and is not too large but packs in a lot of useful and relevant information." - Glycosmedia

All persons, while different from one another, have the same value: this is the author's relatively uncontroversial starting point. Her end point is not uncontroversial: an ideal of justice as human flourishing, based on each person's unique set of capabilities. Because the book's focus is women's health care, gender justice, a necessary component of justice, is central to examination of the issues. Classical pragmatists and feminist standpoint theorists are enlisted in support of a strategy by which gender justice is promoted. Two features of the book are unique: (1) the topics presented cover the entire life span of women, not just those related to reproduction; (2) a range views about moral status are applied not only to fetuses but also to individuals already born. Attention to these features is intended to facilitate ethical consistency or moral integrity and respect for those who hold different moral views. While delineating and defending the book's perspective, the first section provides an overview of bioethics, critiques prevalent approaches to bioethics and models of the physician-patient relationship, and sketches distinguishing aspects of women's health care that are prevalently neglected. Positions about moral status are also presented. The second section identifies topics that are indirectly as well as directly related to women's health, such as domestic violence and caregiving. Brief cases illustrate variables relevant to each topic. Empirical and theoretical considerations follow each set of cases; these are intended to precipitate more expansive and critical examination of the issues raised. The last section is devoted to an egalitarian ideal that may be pursued throughan ethic of virtue or supererogation rather than obligation. By embracing this ideal, according to the author, moral agents support a more demanding level of morality than guidelines or laws require.

The first work of its kind, The History of Medications for Women: Materia medica woman is a richly detailed, far-ranging illustrated history of medications for women in all the great cultures and civilizations, from ancient times to the present. Compiled by an acclaimed author of medical history literature, this is the only book that extends from the earliest uses of ergometrine, lettuce, and mummy medicine, through the history of women's medications in ancient Assyria and Egypt, and into the 16th through 20th centuries.

With the main sections organized by origin and timeline, the book contains lists of medications used by women from earliest times to the present accompanied by historically-based text. The author includes botanical, chemical, pharmacalogical, and therapeutic details where appropriate, as well as extensive quotations from both contemporary and old, rare books. The text is complemented with the history of obstetrics and gynecology, along with short biographies and illustrations. Additionally, the author presents a unique fund of hard-to-find information in sections devoted to topics such as anesthesia and analgesia, antiseptics, antibiotics and chemotherapy, blood transfusion and Rhesus disease, eclampsia, family planning, menopause, and uterine stimulants. Interesting and thought-provoking, The History of Medications for Women will not only provide an enjoyable read, but will allow you to appreciate the past and look at the future with a new perspective.

Infertility can have devastating physical, emotional and financial effects on people affected. It is a common problem, but can be hard to talk about, and hard to understand. In this concise book, Dr Kovacs, a reproductive gynaecologist who has spent the past 40 years working with patients facing fertility problems, focuses on and unpicks key misconceptions. In his clear explanations, he covers the basic physiology of conceiving, and describes the areas that have to be explored for those who have not yet been able to conceive. Specific chapters cover the three major problem areas: lack of releasing eggs, sperm problems, and abnormalities of the female passages. Treatment options are discussed for each of these areas, including technical details and a brief readable overview of their history. The many ways of parenting which are now available are also detailed. This is a recommended read for couples wanting to conceive, their friends and families, and anyone who wants to understand fertility.

"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.

'Fascinating and moving.' - Adam Kay, author of This is Going to Hurt A BBC Radio 4 A Good Read choice This is a story about the cutting-edge medicine that has saved a generation of babies. It's about the love and fear a parent feels for a child they haven't yet met. It's about doctors, mothers, fathers and babies as together they fight for the first breath. The First Breath is a book about motherhood and medicine. Olivia Gordon decided to find out how, exactly, modern science saved her son's life. Crossing medical memoir with popular science, The First Breath is an investigation into the pioneering fetal and neonatal care bringing a new generation into the world, who would not have lived if they had been born only a few decades ago. The First Breath explores the female experience of medicine and details the relationship mothers develop with doctors who hold not only life and death in their hands, but also the very possibility of birth. From the dawn of fetal medicine to neonatal surgery and the exploding field of perinatal genetics, The First Breath tells of fear, bravery and love. Olivia Gordon takes the reader behind the closed doors of the fetal and neonatal intensive care units, resuscitation rooms and operating theatres at some of the world's leading children's hospitals, unveiling the untold story of how doctors save the sickest babies.

This is the sixth edition of a popular, highly readable primer in obstetrics and gynaecology. It has been thoroughly updated and aligns with the undergraduate curriculum in O&G devised by the Royal College of Obstetrics and Gynaecology. Highly illustrated throughout Essential information points at the end of chapters Case histories Practical procedures boxes Alert (warnings or advice) and tick (guidance or definitions) boxes throughout Over 100 self-assessment MCQs Appendices: Principles of Perioperative Care; Governance, Audit and Research Reflects the national undergraduate curriculum in obstetrics and gynaecology in the UK and Australia More information on: Fetal development Screening for fetal anomaly: non-invasive prenatal testing Placenta accreta Infections acquired in pregnancy: Zika, Rubella Non-invasive prenatal testin Fetal Doppler examination, e.g. middle cerebral artery, ductus venosus Management of preterm labour: oxytocin antagonists Induction of labour: components of Bishop score Ectopic pregnancy: Caesarean scar ectopic, cornual ectopic Emergency contraception: ulipristal acetate Sterilization: salpingectomy Genital tract infections: role of sexual health clinic, contact tracing Cervix: update on HPV screening and vaccination Ovary: update FIGO staging of ovarian carcinoma; "risk reducing surgery" for ovarian cancer WHO surgical safety checklist added to Appendix A. New self-assessment OSCE questions

At a time when major universities are moving all scientific journals published before 1975 to remote locations and authors are instructed to cite only articles published in the last 20 years, when medical information is captured in the media in sound bites of 30 seconds or less, History of Obstetrics and Gynaecology is an indispensable addition to your personal library. The book recounts the events and changes that have taken place over many centuries in society: changes in scientific knowledge and the way it is communicated, changes in technology, and changes in the lives and times of those who have dedicated their efforts to the health of women and their progeny.

Covering developments in seemingly unrelated fields, the book illustrates how they were vital to advances in gynaecology and obstetrics. This multi-faceted approach, chronological tables, and reviews of related subjects and technologies, provides a far richer and more comprehensive treatment than would be possible if the authors had written from a century-by-century perspective. With narrative that engages and draws you along page after page, History of Obstetrics and Gynaecology puts the achievements of the last millennium in perspective.

This thoroughly revised and updated reference addresses the drugs and chemicals causing malformations and congenital anomalies in the human fetus-comprehensively reviewing experimental studies in animals and clinical data on human development, primarily in the organogenesis period. Addressing current public health concerns over teratogens, Chemically Induced Birth Defects, Third Edition covers and condenses the 2500 new publications on developmental toxicology that appear every year. Provides comprehensive identification of teratogens by chemical, generic, and trade names. Chemically Induced Birth Defects, Third Edition -discusses the interrelation of over 4100 chemicals in current use, still in the experimental stage, or now obsolete -covers recently available drugs, such as misoprostol and fluconazole -utilizes the latest Good Laboratory Practices-conducted studies to evaluate specific agents -investigates up-to-the-minute impairments of maternal homeostasis that may lead to teratogenesis -surveys chemicals by use, distinguishing medicinals from industrial chemicals -elucidates recent research on chemicals linked to endocrine disruption -and more! Containing over 10,000 citations from the literature, Chemically Induced Birth Defects, Third Edition deserves a place on the bookshelves of all toxicologists, teratologists, pediatricians, obstetricians, gynecologists, environmentalists, biochemists, oncologists, pharmacologists, endocrinologists, and upper-level undergraduate, graduate, and medical school students in these disciplines.

The "ABC of Breast Diseases" provides comprehensive guidance to the assessment of symptoms, and how to manage all common breast conditions and provides guidelines on referral. It covers congenital problems, breast infection and mastalgia, before addressing the epidemiology, prevention, screening and diagnosis of breast cancer. It outlines the treatment and management options for breast cancer within different groups and includes new chapters on the genetics, prevention, management of high risk women and the psychological aspects of breast diseases.

Edited and written by internationally renowned experts in the field and highly illustrated in full colour, this fourth edition remains a practical guide for general practitioners, family physicians, practice nurses and breast care nurses as well as for surgeons and oncologists both in training and recently qualified as well as medical students.

Ultrasound is the main diagnostic tool in the prenatal detection of congenital abnormalities. The Fetal Medicine Foundation has recognized the importance of this tool by setting up a program of training and certification to help establish high standards of scanning on an international scale. Diagnosis of Fetal Abnormalities: The 18-23-Week Scan provides the basis of learning for the theoretical component of this program. The book is a complete, authoritative clinician's textbook on using ultrasound in the prenatal detection of congenital abnormalities. It summarizes the prevalence, etiology, prenatal sonographic features and prognosis for both common and rare fetal abnormalities.

Type 1 diabetes is a serious and common disease, afflicting one per 200 of the population worldwide. It is widely believed to cause harmful physical maldevelopment--congenital malformations--and other consequences in the unborn children of women with the disease. This book considers the history of the disease in pregnant women and this belief that it causes anomalies since the time of the discovery of insulin in 1921, and presents a profound and critical appraisal of the subject of its supposed prenatal harmfulness.

The advent of hormonal infertility treatments and in vitro fertilization techniques have led to a sharp increase in the number of quadruplet and higher-order conceptions in recent years. Improved neonatal care and nutrition have meant that many more of these babies survive. Yet it appears that very little research has been done into the lives of such children and the psychodevelopmental consequences of their multiple status. In this book, Marie M. Clay brings together what is known from historical records and reports in the medical, psychological, and popular press. She points to the contribution that research studies on higher multiple sets could make to our understanding of genetic-environmental interactions and gives valuable methodological advice for those wishing to initiate such a study. Changes in social practices and medical knowledge are highlighted, various aspects of pregnancy and birth are discussed, and the practical and emotional problems faced by families of multiple sets are sensitively described. Appended to the book are an illustrated 'Catalog' of quadruplet case reports gleaned from the literature, including birth details and postnatal histories, plus a directory of multiple birth associations, support groups, and study centers around the world.