The author of this book has a vast experience of teaching Medical and Midwifery students both in Tanzania and abroad. He has also worked as a Consultant Obstetrician and Gynaecologist in public hospitals both in Tanzania and abroad. This book is a testimony of the vast experience of the author. This book describes the management of a woman during pregnancy, childbirth and postpartum as well as care of the newborn. The book gives useful guidlines in the management of normal as well as 'High risk' women during this critical period of their lives. The book has been written in a style which makes it easy to read and understand. It is a book that medical/midwifery students and the practitioners working in health centres will find useful.

'It is never too early to become involved but it can easily be too late.' Armed with such alarming statistics as 125 million primary-school age children are not in school; another 150 million children drop out of primary school before they complete four years of education; and almost one-half of the children in the least developed countries of the world do not have access to primary education; the World Bank convened a global conference in April 2000, to address the benefits and challenges of investing in early childhood development. Scientific studies now show how critical the first few years of a child's life are in terms of later physical and mental health, behavior, and capacity to learn. The Millennium Development Goals endorsed by 189 member countries of the United Nations and the World Bank are targets for reducing global poverty. The goals specifically address the need for universal primary education as a means for breaking the cycle of poverty in individual families and in countries. With the publication of this volume, which contains the conference proceedings, the World Bank hopes to encourage a broader investment by countries, companies, organizations and private sector institutions in early child development.

"This is by far the best book I've read on the science of aging."—Andrew Weil, M.D.

"Life-span Truth Will Set You Free from Age-old Worries," announced the Chicago Tribune upon the first publication of this book. The New England Journal of Medicine confirmed, "For readers interested in aging and longevity, this small book clearly explains the major concepts...extremely enjoyable to read." From NBC Nightly News with Tom Brokaw to Scientific American to the New York Times, S. Jay Olshansky and Bruce A. Carnes have stirred up controversy and brought clarity to an issue often muddled by exaggeration and pseudoscience.

Medical science has uncovered a host of answers to the problems of aging, but many of the most exciting discoveries are buried in scientific journals or overshadowed by popular quick-fix treatments. The Quest for Immortality explains the real science of aging and shows which treatments offered by today's multi-billion-dollar anti-aging industries offer real hope, and which are a waste of money and time.

A complete and up-to-date guide for those men (and their partners) concerned about preventing and overcoming impotence. Does increasing age inevitably lead to a sexual decline in men? What are the links between heart attack, stroke, and impotence? Can vasectomy cause sexual dysfunction? Richard Milsten and Julian Slowinksi answer these and numerous other questions in this clear and comprehensive guide to maintaining lifelong sexual health. The authors bring together the two critical areas of expertise--medical and psychological--to explain healthy male sexual function and the problem of sexual dysfunction. With an emphasis on prevention, they discuss the medical and psychological causes of impotence and all available treatment options. Topics include what questions to ask a doctor, what to expect from treatment or therapy, information for women about their partners' health, and a self-evaluation questionnaire. "The Sexual Male" provides important knowledge for men and women of any age.

Chronicling the shifts in public attitudes towards reproduction, this book traces attitudes from colonial times to the 1990s. In colonial days barrenness was associated with sin, from here the progression is traced to the laws of compulsory sterilization in the early twentieth century, the baby craze of the 1950s, the rise in voluntary childlessness in the 1990s, and the increasing reliance on reproductive technologies. The author reveals the intersection between public life and the most private part of life - sexuality, procreation, and the family.

..". extremely valuable. This book] addresses exactly the right questions in a balanced, nuanced way." Journal of the American Medical Association

"Cohen s book is a major contribution to the literature of the inevitable." Medical Humanities Review

"This book provides readers with an insightful overview of the practice of oocyte donation, the broader issues raised by this innovative yet problematic technology and, given the recommendations of NABER, how these issues mights be resolved.... Well written, structured, researched, and thought-provoking, this book makes a timely, important, and worthwhile contribution to the growing body of reproductive technology scholarship." Doody s Health Sciences Book Review Home Page

"Detailed notes; extensive references; comprehensive research... Recommended..." Choice

Leading scholars investigate the difficult ethical, legal, and policy issues that surround egg donation and the new reproductive technologies as a whole. In addition, the book describes procedures at four egg-donation centers and presents a new set of guidelines from the National Advisory Board on Ethics in Reproduction."

"I still cannot believe the contrasts between the two births. Every day was filled with relief and joy that the terrible unhappy time before had not come back...I now feel cheated of the closeness and happiness I could have enjoyed with my first baby."--From a letter written by a woman given progesterone therapy before the birth of her second child.
It is estimated that eight out of ten mothers go through a period of post-baby blues' and that one in ten suffer from a more serious form of postnatal depression. It is never easy for the mother or for her family and friends to understand exactly what is happening, and to distinguish between the relatively mild blues' and the more severe cases of depression. In this book Katharina Dalton, an international authority on premenstrual syndrome and postnatal depression and pioneer of hormone therapy, describes the whole spectrum of symptoms, discusses the social and psychological as well as the hormonal factors, and shows how this debilitating and sometimes deadly disease can not only be treated but also prevented. This book is designed to serve the information needs of women who have suffered or are suffering from postnatal depression, their families and friends, and can also be valuable for physicians, midwives, health visitors, community psychiatric nurses, obstetricians, and psychiatrists.

There is a forgotten history to our current debates over reproductive technology - one interweaving literature and science, profoundly gendered, filled with choices and struggles. We pay a price when we accept modern reproductive technology as a scientific breakthrough without a past. Babies in Bottles retrieves some of that history by analyzing the literary and popular science writings of Julian Huxley, J.B.S. Haldane, Charlotte Haldane, Aldous Huxley, and Naomi Mitchison - writings that include representations of reproductive technology from babies in bottles to surrogate mothers. It is to these images, fantasies, practices, and narratives of scientific intervention in reproduction that we must look if we want to understand what acts of ideological construction have been carried out, and are currently being performed, in the name of reproductive technology. Susan Merrill Squier shows how the imaginative construction of reproductive technology helps to shape our contemporary practices. Susan Merrill Squier is Julia Gregg Brill Professor in Women's Studies and English at the Pennsylvania State University, University Park. She is the author of Virginia Woolf and London: The Sexual Politics of the City, editor of Women Writers and the City: Essays in Feminist Literary Criticism, and co-editor of Arms and the Woman: War, Gender, and Literary Representation.

A Guide for Women and Those Who Love Them
Revised Edition

The most up-to-date and authoritative guide for women on the change of life. Includes the latest information on hormone replacement therapy; cancer and heart disease; sexuality in the menopausal years; nutrition; exercise; and much more.

Here is a comprehensive guide to the changes, in lifestyle as well as in body, that menopause brings. When the first edition of the book was published in 1983, reviewers hailed it as the most authoritative and accessible bolume ever written on menopause and the general health and well-being of menopausal women.

Now in paperback for the first time, the completely updated Revised Edition includes several new chapters exploring such crucial women's health topics as the importance of good nutrition and exercise, overcoming smoking and obesity, and improving cardiovascular health. Information on the pros and cons of hormone replacement therapy (HRT), as well as advice for women who cannot take hormones, is included, as is advice on osteoporosis and on when surgery such as hysterectomy is and is not warranted. Throughout the book, in their own candid words, menopausal women relate their experiences going through this transition. Menopause is a guide to living a long, health life and understanding the natural course of the female body.

"Extraordinary depth of information that is beautifully easy to read. A necessity for every health care provider or woman who is approaching menopause."—Isaac Schiff, M.D., professor of obstetrics and gynecology, Harvard Medical School

"Provides readable information and anticipates many of the questions that a woman might ask or should ask . . . Practical and useful, it is a wonderful book."—Florence P. Haseltine, M.D., National Institutes of Health

Intimate and medicalized, natural and technological, reproduction poses some of the most challenging ethical dilemmas of our time. Reproduction presses the boundaries of humanity and ethical respect, the permissible limits of technology, conscientious objection by health care professionals, and social justice. This volume brings together scholars from multiple perspectives to address both traditional and novel questions about the rights and responsibilities of human reproducers, their caregivers, and the societies in which they live. Among issues treated in the volume are what it is to be a parent, the responsibilities of parents, and the role of society in facilitating or discouraging parenting. May gamete donors be anonymous? Is surrogacy in which a woman gestates a child for others ethically permissible when efforts are made to prevent coercion or exploitation? Should it be mandatory to screen newborns for potentially serious conditions, or permissible to sequence their genomes? Are both parties to a reproductive act equally responsible to support the child, even if one deceived the other? Are there ethical asymmetries between male and female parents, and is the lack of available contraceptives for men unjust? Should the costs of infertility treatment be socially shared, as they are for other forms of health care? Do parents have a duty to try to conceive children under the best circumstances they can-or to avoid conception if the child will suffer? What is the status of the fetus and what ethical limits constrain the use of fetal tissue? Reproduction is a rapidly changing medical field, with novel developments such as mitochondrial transfer or uterine transplantation occurring regularly. And there are emerging natural challenges, too, with Zika virus just the latest. The volume gives readers tools not only to address the problems we now know, but ones that may emerge in the future as well.

For counselor Nancy Wainer Cohen, this book is the sibling to "Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean "(Bergin & Garvey, 1983) her critically-acclaimed expose on America's growing reliance on cesarean sections. "Open Season "provides fresh insights and new information on the subject, offering guidance to childbearing couples, educators, health professionals, and scholars who value the natural path of childbirth.

Readers will find this book timely, informative, shocking, irreverent, and extremely readable. Cohen's intimate writing style presents a compendium of knowledge on childbirth in the fashion of a personal letter. Her aim is to lower America's alarming reliance on cesarean section, which is currently at 25 percent of all births, and to return the responsibility for childbirth to women by encouraging them to choose the kind of birthing experience they wish to have. In addition to cesarean section, Cohen discusses many other generally unnecessary interventions performed on women during pregnancy and childbirth--such as fetal monitoring and routinized hospital procedures.

Personnel working in assisted reproductive technology often lack the opportunities for dedicated training in the specialized techniques and technologies required for the procedures. As such, success in the form of live birth rates can range from over 50% to less than 10% per treatment cycle. This comprehensive introductory textbook is an essential resource for trainee embryologists, medical students and nurses. The recent revolutions in biotechnology and molecular biology involved in delivering assisted reproductive services are thoroughly discussed. Basic knowledge such as the development and physiology of both male and female reproductive systems is covered, with practical aspects of IVF including gamete and embryo manipulation, cryopreservation and genetic testing explained in detail. A full description of the optimal structure and management of the IVF laboratory is given, helping ensure procedures are safe and effective. Extensive and highly detailed colour illustrations bring the content to life and aids readers in their understanding.

..". glimpses of intriguing changes in social arrangements and cultural understandings in relation to surrogacy. Disturbing motherhood indeed." New Scientist

"Larry Gostin has put together the definitive collection of essays on one of the most perplexing and titillating topics in contemporary medical ethics. This book includes contributions from some of the leading scholars on the legal, ethical, and social aspects of surrogacy, as well as several critical perspectives on the famous Baby M case must reading for understanding the surrogate motherhood controversy." Robert M. Veatch

"Highly recommended... " Choice

..". a valuable resource for those concerned with an exceedingly difficult ethical, legal, and political problem." Ethics

"There is a wealth of information here on the current status questionis in the United States, and anyone involved in the surrogacy debate, in the U.S. or otherwise, will find working through this material very worthwhile." Canadian Philosophical Review

..". an excellent sample of some of the best and most varied thinking so far on the numerous conceptual, moral, social, and policy questions raised by contract motherhood." The Journal of Clinical Ethics"

From its crude and uneasy beginnings thirty years ago, Chinese sperm banking has become a routine part of China's pervasive and restrictive reproductive complex. Today, there are sperm banks in each of China's twenty-two provinces, the biggest of which screen some three thousand to four thousand potential donors each year. Given the estimated one to two million azoospermic men--those who are unable to produce their own sperm--the demand remains insatiable. China's twenty-two sperm banks cannot keep up, spurring sperm bank directors to publicly lament chronic shortages and even warn of a national 'sperm crisis' (jingzi weiji). Good Quality explores the issues behind the crisis, including declining sperm quality in the country due to environmental pollution, as well as a chronic national shortage of donors. In doing so, Wahlberg outlines the specific style of Chinese sperm banking that has emerged, shaped by the particular cultural, juridical, economic and social configurations that make up China's restrictive reproductive complex. Good Quality shows how this high-throughput style shapes the ways in which men experience donation and how sperm is made available to couples who can afford it.

In this new, revised edition of his landmark book, Montagu compels us to reevaluate the way we think about growth and development, in all its phases, throughout life. Humans are designed to grow and develop their childlike qualities, and not to become the ossified adults prescribed by society. Montagu demonstrates how our culture, schools, and families are in conspiracy against such childlike traits as the need to love, to learn, to wonder, to know, to explore, to think, to experiment, to be imaginative, creative and curious, to sing, dance, or play. He also reveals the many links between physical and mental aging and tells how to prevent psychosclerosis, the hardening of the mind, so that we can die young--as late as possible. The best statement ever written on the most important, neglected theme of human life and evolution. "Stephen Jay Gould, Harvard University"

In this new, revised edition of his landmark book, Montagu compels us to reevaluate the way we think about growth and development, in all its phases, throughout life. Humans are designed to grow and develop their childlike qualities, and not to become the ossified adults prescribed by society. Montagu demonstrates how our culture, schools, and families are in conspiracy against such childlike traits as the need to love, to learn, to wonder, to know, to explore, to think, to experiment, to be imaginative, creative and curious, to sing, dance, or play. He also reveals the many links between physical and mental aging and tells how to prevent psychosclerosis, the hardening of the mind, so that we can die young--as late as possible.

The creation of 'test--tube babiesa acted as a spur to public debate about the implications of research on embryos, in vitro fertilization, surrogate motherhood, and the whole range of technologies concerned with human reproduction. The scope of reproductive technologies examined in this volume -- from techniques for the medical 'managementa of childbirth, to genetic engineering -- is such that few women in the western world, and smaller and smaller numbers in the third world, escape their influence. What then is their impact: on the process of reproduction, on family life and particularly on women? 'Reproductive Technologiesa is a remarkable collection of original essays which attempts to place the current controversy over reproductive technologies in a political, legal and economic context. Contributors -- including Lesley Doyal, Ann Oakley, Ros Petchesky, Carol Smart, Hilary Rose, and Naomi Pfeffer -- examine systematically the technologies that have sparked off these debates. They explore the problem of infertility which is used to validate reproductive technologies; the way assumptions about the family and about biological parenthood continue to structure the arguments for and against; the impact of the medicalization of childbirth; the way debates are embedded in changing conceptions of paternal rights, maternal rights and embryo rights; the problems of providing adequate health care for women; and, above all, the urgency with which these issues raise problems about the accountability of science.

It is the book for every woman who hopes for VBAC. In fact, many first-time cesareans could be avoided if this book were read first. It is thorough, it is compassionate. "Esther Zorn, Cesarean Prevention Movement"

A] landmark book. . . . These VBAC stories are inspiring, as well as very informative about the nature of labor and current U.S. obstetric practice. "Ina May Gaskin, The Birth Gazette"

This is not a dry text book remote from reality, but a powerful manual' that burns the knowledge women need in an indelible way on heart and mind. "AIMS Quarterly Journal"

Here for the first time are intimate stories of the VBAC (vaginal birth after cesarean) experience, as told by mothers, fathers, midwives, obstetricians, labor coaches, and others whose lives have been affected by VBAC. The stories demystify in a powerful way the idea of once a cesarean, always a cesarean. By example, each story is a telling critique of birthing practices in general and the cesarean outcome in particular, as well as a primer for mothers, fathers, and professionals on the VBAC experience.

The bible of cesarean prevention. Wall Street Journal A landmark event, which will change the course of obstetric care by giving parents the informtion they need to make the decisions that are best for their own families. Comprehensive, highly readable, sensitive . . . should be read by everyone who cares about someone. Marian Tompson Director, Alternative Birth Crisis Coalition American Academy of Medicine Required reading for all childbirth professionals and prospective parents. Journal of Gynecological Nursing

Are assisted reproductive technologies (ARTs) a medical issue or a matter of public policy, subject to restrictions? Francesca Scala employs the concept of boundary work to explain the protracted debates that ensued when Canada appointed a royal commission in 1989 to settle the issue. She reveals that both sides of the debate attempted to secure their position as authorities by challenging, defending, or blurring the boundaries between science and politics. This compelling account contributes to our understanding of the interaction between science and politics, the exercise of social control over science and technology, and the politics of expertise in policy making.

This short volume selects and describes the main facts about the 'facts of life' and discusses their significance to man. It is only natural that it includes much information gleaned from mammalian reproductive patterns. It was their investigation that historically gave the clues to understanding what happens in human reproduction.

The theme of this BRP is the right to procreate in the Israeli context. Our discussion of this right includes the implementation of the right to procreate, restrictions on the right (due to societal, legal, or religious concerns), and the effect of the changing conception of the right to procreate (both substantively and in practice) on core family concepts.

In the mid-1990s, the international community pronounced prenatal sex selection via abortion an "act of violence against women" and "unethical." At the same time, new developments in reproductive technology in the United States led to a method of sex selection before conception; its US inventor marketed the practice as "family balancing" and defended it with the rhetoric of freedom of choice. In Gender before Birth, Rajani Bhatia takes on the double standard of how similar practices in the West and non-West are divergently named and framed. Bhatia's extensive fieldwork includes interviews with clinicians, scientists, biomedical service providers, and feminist activists, and her resulting analysis extends both feminist theory on reproduction and feminist science and technology studies. She argues that we are at the beginning of a changing transnational terrain that presents new challenges to theorized inequality in reproduction, demonstrating how the technosciences often get embroiled in colonial gender and racial politics.

A powerful, personal reflection on miscarriage from an acclaimed health and science journalist, drawing on original interviews and ground-breaking research to offer fresh insight into this underacknowledged subject. After losing four pregnancies with no obvious cause, Jennie Agg set out to understand why miscarriage remains such a profoundly misunderstood, under-researched and under-acknowledged experience. Part-memoir, part-scientific investigation, Life, Almost documents Agg's path to motherhood and her search for answers. Tracing each tentative step of her fifth pregnancy - as her body becomes a creature she does not wish to spook - Agg dismantles the myths that we unquestioningly accept about our reproductive lives- Why are we told miscarriage can't be prevented when half of all miscarriages are of perfectly healthy embryos? Why is it normal not to tell anyone you're pregnant for the first three months? Why don't we know why labour starts? Drawing on pioneering research and interviews with world-leading experts, Life, Almost is a ground-breaking book that will change how you think about miscarriage, and a moving reflection on grief and love at the edge of life as we understand it.