The fetus occupies a critical phase during human development. It is at this stage when the body systems that will support us throughout our lives begin to face up to the challenge of life outside the womb. While the fetus can demonstrate a remarkably robust response to challenges in the uterus, it is also an exquisitely sensitive phase of development. It is now well recognized that disturbances to the materno-fetal environment can influence and even undermine our state of health well into adulthood. This exciting new publication provides a valuable insight into fetal growth and development across all the main body systems, and examines the influence of the materno-fetal environment on adult-onset diseases. This text contains additional chapters on the embryo, placenta, and parturition, to insure that this is a fully self-contained introduction. This book is written by world-renowned experts from leading centers of excellence and will be an invaluable introduction for students of medicine, reproductive biology, and human biology.

In the contemporary world, the unborn - human embryos and foetuses - are highly public and contested figures. Their visual images appear across a wide range of forums, from YouTube videos to pregnancy handbooks. They have become commercial commodities as part of the IVF industry, reproductive tourism and stem cell research and regenerative medicine. The unborn are the focus of intense debates concerning concepts of personhood and humanness, especially in relation to abortion politics and the use and disposal of embryos created outside the human body. The Social Worlds of the Unborn is the first book-length work to discuss all of these issues and more, drawing on social and cultural theory and research and empirical research to do so. It will be of interest to academics and students in a multitude of disciplines, including sociology, anthropology, philosophy, bioethics, gender studies, media and cultural studies and science and technology studies.

The numbers of women undergoing Assisted Reproduction Technology (ART) treatments have risen steadily, yet they remain largely outside the scope of equality and employment law protection while undergoing treatment. Assisted Reproduction, Discrimination, and the Law examines this gap in UK law, with reference to EU law as appropriate, and argues that new conceptions of equality are necessary. Drawing from the literature on multidimensional and intersectional discrimination, it is argued that an intersectionality approach offers a more useful analytical framework to extend protection to those engaged in ART treatments. Drawing from Schiek's intersectional nodes model, the book critically examines two alternative interpretations of existing protected characteristics, namely infertility as a disability, with reference to the social model of disability and the UN Convention on the Rights of Persons with Disabilities 2006, and redefining the boundaries of pregnancy and/or sex discrimination, with reference to attempts to extend associative discrimination to pregnancy. Comparisons are drawn with the US, where infertility has been recognised as a disability under the American's with Disabilities Act 1990 and as a pregnancy-related condition under the Pregnancy Discrimination Act 1978. A specific right to paid time off work to undergo treatment is also proposed, drawing comparisons with the US Family and Medical Leave Act 1993 and the existing UK work-family rights framework. It is argued that the reinterpretations of equality law and the rights proposed here are not only conceptually possible, but could practically be achieved with minor, but significant, amendments to existing legislation.

Different technologies have been introduced to improve management of labor. To date there is no single text that aims at covering all these technologies that address different problems and issues in labor management. The book reviews new technologies and devices aimed to improve labor management and outcomes. These diverge between looking at a better way to use fetal heart rate monitors (that are used in 90% of labours); using new monitors to detect the <1% of babies that are damaged in labor and account for 99% of the medico-legal costs in labor; and early detection of non-progressive labors that complicate 30-50% of labors. This is the only book about all these technologies from the perspectives of new devices and technologies in labor.

In the past, pregnancy after cancer was largely unheard of. Today, it is increasingly a possibility. Oncofertility has emerged as an interdisciplinary field bridging biomedical and social sciences, and examining issues regarding an individual 's fertility options, choice and goals in light of cancer diagnosis, treatment and survivorship. Written by leaders in this evolving field, the volume covers various aspects: medical, ethical and social.

Recurrent pregnancy loss (RPL) includes recurrent first- and second-trimester abortions and recurrent preterm delivery, second- or third-trimester intrauterine fetal death, intrapartum stillbirth, and early neonatal death. This book includes protocols for case scenarios of early and late pregnancy loss as well as instances of poor obstetric history. Key Features Explores the management of different clinical presentations of RPL Includes preeclampsia, intrahepatic cholestasis of pregnancy, and hypertension-related disorders in pregnancy Includes clinical protocols with flowcharts Features tip boxes with learning points for easy reference

What does it mean to have a child born through donor conception? Does it mean different things for heterosexual parents and lesbian parents? What is it like for the 'non-genetic' parent? How do grandparents feel about having a grandchild who is conceived with the help of an egg, sperm or embryo donor? Since 1991 more than 35,000 children have been born in the UK as a result of donor conception. This means that more and more families are facing the issue of incorporating 'relative strangers' into their families.
In this path breaking book, the authors explore the lived reality of donor conception in families by using in-depth interviews with parents and grandparents of donor conceived children. With reproductive medical technologies becoming more accessible, assisted donor conception is raising new and important questions about family life. This book will provide compelling reading for all those interested in the family, kinship, gender and sexuality, new reproductive technologies, and genetics.

This book provides the first clinically comprehensive and practical approach to ethical challenges in perinatal medicine.The first chapter introduces and explains the professional responsibility model of perinatal ethics.The professional responsibility model is based on the medical ethics of two major physician-ethics in the history of Western medical ethics, Dr. John Gregory (1724-1773) of Scotland and Dr. Thomas Percival (1740-1804) of England.The professional responsibility model is used to articulate the ethical concept of the fetus as a patient and to operationalize the ethical principles of beneficence and respect for autonomy.The book provides practical guidance for clinical judgment and decision making with patients about the responsible clinical management of the wide range of issues encountered by perinatologists in clinical practice and research.Topics included: periviability; feticide; intrapartum management; maternal-fetal conflict; innovation for fetal benefit; research for fetal benefit; non-aggressive obstetric management; managing the transition from pregnancy to birth; destructive procedures such as cephalocentesis; critical care for the pregnant patient; home birth; patient-choice cesarean delivery; neonatal care as a trial of management; and setting limits on neonatal care on the basis of clinical judgments of futility.

Recent developments of experimental techniques in cellular and molecular biology have made it possible to understand the molecular biology of male gametogenesis in greater detail. This book focuses on the description of specialized proteins, which are dominantly and/or specifically expressed in germ cells and localized in spermatozoa. There is an urgent need to classify proteins of spermatogenic cells with a view of their functions, and their applications in the regulation of fertility and in understanding infertility. The understanding of structural properties of male germ cell specific proteins can offer vulnerable points for targeted intervention in testis without generalized effects on stages of spermatogenesis. Besides targeted action in male germ cells, sperm specific proteins and polypeptides may also offer potential application in the development of a contraceptive vaccine.

Infertility Comics and Graphic Medicine examines women's graphic memoirs on infertility, foregrounding the complex interrelationship between women's life writing, infertility studies, and graphic medicine. Through a scholarly examination of the artists' use of visual-verbal codes of the comics medium in narrating their physical ordeals and affective challenges occasioned by infertility, the book seeks to foreground the intricacies of gender identity, embodiment, subjectivity, and illness experience. Providing long-overdue scholarly attention on the perspectives of autobiographical and comics studies, the authors examine the gendered nature of the infertility experience and the notion of motherhood as an ideological force which interpolates socio-cultural discourses, accentuating the potential of graphic medicine as a creative space for the infertile women to voice their hitherto silenced perspectives on childlessness with force and urgency. This interdisciplinary volume will be of interest to scholars and students in comics studies, the health humanities, literature, and women's and gender studies, and will also be suitable for readers in visual studies and narrative medicine.

Originally published in 1984 Reproductive Ritual examines fertility and re-production in pre-industrial England. The book discusses both through anthropological research and reviews of contemporary literature that conscious family limitation was practised before the nineteenth century. The volume describes a surprising number of rules, regulations, taboos, injunctions, charms and herbal remedies used to affect pregnancy, and shows the extent to which individual women and men were concerned with controlling the size of their families. The fertility levels in England - as in Western Europe as a whole - were a very long way from the biological maximum in these centuries, and the book discusses the various reasons why this was so. The book reviews traditional ideas concerning the relationship between procreation and pleasure, drawn from a range of contemporary sources and discusses ways in which earlier generations sought both to promote and limit fertility. The book also examines abortion and shows how much evidence there is for its actual practice during the period and of traditional views towards it. This book provides a detailed understanding of historical attitudes towards conception family planning in pre-industrial England.

The central question of this book is whether or not particular cell entities of human origin ought to be considered human beings. The answer is crucial for making moral decisions for or against research and experimentation. Experts in the field discuss the production of embryonic-like pluripotent stem cells by altered nuclear transfer, parthenogenesis and reprogramming of adult somatic cells. They thoroughly analyse the biological and moral status of different cell entities, such as human stem cells, embryos and human-animal hybrid embryos, and make a decisive step towards establishing final criteria for what constitutes a human being. The topic is challenging in nature and of broad interest to all those concerned with current bioethical thought on embryonic human life and its implications for society.

As a biological, cultural, and social entity, the human fetus is a multifaceted subject which calls for equally diverse perspectives to fully understand. Anthropology of the Fetus seeks to achieve this by bringing together specialists in biological anthropology, archaeology, and cultural anthropology. Contributors draw on research in prehistoric, historic, and contemporary sites in Europe, Asia, North Africa, and North America to explore the biological and cultural phenomenon of the fetus, raising methodological and theoretical concerns with the ultimate goal of developing a holistic anthropology of the fetus.

The 26 recognized minor phyla comprise aberrant clades, as most of them terminate as blind offshoots. Untied from the discussion on their phylogenesis of minor phyla, this book is largely devoted, for the first time, to aspects of reproduction and development in minor phyletics. The minor phyla are not as speciose (1,795 species/phylum) as the major phyla (157,066 species/phylum) are. The accumulation of deleterious genes causes inbreeding depression among progenies arising from parthenogenesis, clonal multiplication and selfing hermaphrodites. The reason for the limited species diversity in minor phyla is traced to (i) eutelism in 65.7% of minor phyletics and (ii) existence of 21.6% clonals, (iii) 6.4% parthenogens and (iv) 1.2% selfing hermaphroditism. Gonochorism obligately requires motility to search for a mate. The combination of low motility and gonochorism from Placozoa to hemocoelomatic minor phyla has limited diversity to < 1,000 species. Over 19% of minor phyletics are hermaphrodites. With the need to manifest and maintain dual sexuality, fecundity of hermaphrodites may be reduced to 50% of that in gonochores. Adopting an array of strategies, < 100 hermaphrodites are selfers. In eutelics, mitotic division is ceased in somatic cells after hatching. For the first time, the prevalence of eutelism has been brought to light in numbers of all the six pseudocoelomate phyla and priapulids. Eutelism limits fecundity to 30-300 eggs in free-living pseudocoelomates, priapulids and possibly other hemocoelomates. In them, sperm production is less than that of egg production; as a result, a large fraction of their eggs is sterile. With a high proportion of non-eutelic gametic cells (35%), Nematoda and possibly Nematomorpha and Acanthocephala are more fecund than rotifers, in which the proportion is 15%. Briefly, the reasons for the limited species diversity in minor phyletics are traced to eutelism, parthenogenesis and clonal multiplication. Surprisingly, parthenogenesis and clonal multiplication mutually eliminate each other. This is also true of hermaphroditism and parthenogenesis. However, clonal multiplication is prevalent from structurally simplest Placozoa to the most complex Ascidiacea, except in pseudocoelomates and hemocoelomates. A limited number of cells and cell types, and the consequent structural simplicity facilitate manifestation of parthenogenesis in pseudocoelomates and parasitism in Mesozoa, Myxozoa, 59% of Nematoda, Nematomorpha, Acanthocephala and Pentastomida. Despite hermaphroditism, Bryozoa (5,700 species) and Ascidiacea (3,000 species) are speciose among minor phyla. For the first time, the importance of fusion of fragments or colonies - an event equivalent to gamete fusion at fertilization - is recognized as a source of new gene combination. Besides, the colonies in these minor phyla degenerate and regenerate more or less regularly. Only the fittest degenerated colonies may be rejuvenated and regenerated.

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.

Originally published in 1933 Functional Affinities of Man, Monkeys and Apes gives a taxonomic and phylogenetic survey and the findings of diverse experimental investigations of lemurs, monkeys, and apes. The book discusses the inter-relationships of different Primates and emphasizes seldom-used approaches to the question of primate phylogeny. The book attempts to show how little they have been systematically tried, and argues for a regard to the proper place of functional investigations in the study of the classification and evolution of Primates. This book will be of interest to anthropologists, scientists and historians alike.

A Probabilistic Model of the Genotype/Phenotype Relationship provides a new hypothesis on the relationship between genotype and phenotype. The main idea of the book is that this relationship is probabilistic, in other words, the genotype does not fully explain the phenotype. This idea is developed and discussed using the current knowledge on complex genetic diseases, phenotypic plasticity, canalization and others.

Long regarded as biological waste, the placenta is gaining momentum as a viable product for clinical use. Due to their unique properties, placental cells and derivatives show great promise in curing various diseases. Utilizing contributions from world-renowned experts, Placenta: The Tree of Life considers the therapeutic potential of these cells. It examines new stem cell-based strategies and highlights recent studies that advance the range of treatment for a number of illnesses. Emphasizing the potential research and therapeutic use of stem cells, the book discusses the development, structure, and functions of the human placenta. It introduces overall aspects of the immune system, explains some of the immune mechanisms during pregnancy, and shows the role of the placenta in these mechanisms. Current scientific research is presented that focuses on the mechanisms of action underlying the therapeutic benefit of cells isolated from different placental regions. An exhaustive examination, this pivotal work: Considers how perinatal cells may represent an important source for cell therapy approaches in the near future, in both human and veterinary medicine Describes the clinical potential of placenta-derived cells in regenerative medicine-specifically in neurological disorders, metabolic liver diseases, inflammatory diseases, and autoimmune diseases Explains how cells isolated from different placental tissues share basic properties Placenta: The Tree of Life summarizes the advantages of perinatal tissue as a source of cells with therapeutic potential and is designed for use in the study of genetics, stem cell science, placental function, reproductive biology, regenerative medicine, and related fields.

This book presents the contemporary history and dynamics of Mexican midwifery - professional, (post)modern or autonomous, traditional and Indigenous - as profoundly political and embedded in differing societal stratifications. By situated politics, the authors refer to various networks, spaces and territories, which are also constructed by the midwives. By politically situated, the authors refer to various intersections, unsettled relations and contexts in which Mexican midwives are positioned. Examining Mexican midwiferies in depth, the volume sharpens the focus on the worlds in which midwives are profoundly immersed as agents in generating and participating in movements, alliances, health professions, communities, homes, territories and knowledges. The chapters provide a complex panorama of midwives in Mexico with an array of insights into their professional and political autonomy, (post)coloniality, body-territoriality, the challenges of defining midwifery, and above all, into the ways in which contemporary Mexican midwiferies relate to a complex set of human rights. The book will be of interest to a range of scholars from anthropology, sociology, politics, global health, gender studies, development studies, and Latin American studies, as well as to midwives and other professionals involved in childbirth policy and practice.

Originally published in 1960, The Future of Man is a chronicle of Professor Medwar's Reith lectures of 1959. The book outlines his predictions about the future estate of man, with the 'process of foretelling, rather than with what is actually foretold'. He asks, can we predict the future size of populations? What is the evidence and theoretical background for the belief that human intelligence is declining? Could human beings become uniformly excellent or is inborn diversity and inequality a necessary part of the texture of human populations? The lectures tried to answer these questions and attempts to end with a definition of the biological standing of man. This book will be of interest to anthropologists, biologists and natural historians.

Originally published in 1972, Homo Sapiens examines how humans emerged from among the millions of other species and achieved our unique position within the animal kingdom. The book examines what direction future evolution will take and what may be regarded as the 'meaning' of human existence. It stipulates that these are the questions for which no real basis of discussion existed before the 20th century, and at the time of publication, some were still without a definite answer. The book sets out analyse these questions and the continuing debate that has arisen from their study. This is an account of the uniqueness of man in the animal kingdom, how this uniqueness arose during evolution, and what traces of it can be detected in animals other than man. The book describes the mental and physical evolution of man, from his earliest ancestors to the present day. He also gives an account of man's cultural development seeking to establish that there is an underlying principal of cultural evolution, a principle that has been denied by many historians. Later chapters deal with the future and with possible forecasts of mankind's further physical, intellectual and cultural evolution.

The average age of the world's population is increasing at an unprecedented rate and this increase is changing the world. This "Silver tsunami" emphasizes the need to provide advanced training in epidemiology and increase the cadre of experts in the study of aging. This book is designed to summarize unique methodological issues relevant to the study of aging, biomarkers of aging and the biology/physiology of aging and in-depth discussions of the etiology and epidemiology of common geriatric syndromes and diseases. Contributing authors in the book represent many disciplines, not only epidemiology and clinical geriatrics, but also demography, health services, research, cardiovascular disease, diabetes, psychiatry, neurology, social services, musculoskeletal diseases and cancer. The aim of the book is to provide a broad multidisciplinary background for any student/researcher interested in aging. The material in the book is organized and comprehensive. It represents the most up-to-date information on the scientific issues in aging research written by academics who specialize in research and training in the broad field of aging. The structure and organization of the book reflects our course series in the Epidemiology of Aging starting with the broad issues of demography and methodology, and then addressing specific health conditions and geriatric conditions common to older persons.

Reproductive and Developmental Toxicology, Third Edition is a comprehensive and authoritative resource, providing the latest literature on this complex subject by focusing on three core components - parent, placenta and fetus - and the continuous changes that occur in each. Enriched with relevant references describing every aspect of reproductive toxicology, this revised and updated resource addresses the totality of the subject, discussing a broad range of topics including nanoparticles and radiation, gases and solvents, smoking, alcohol and drugs of abuse, and metals, among others. In addition, it is the only resource to include reproductive and developmental toxicity in domestic animals, fish and wildlife With a special focus on placental toxicity, this book is the only available reference to connect the three key risk stages. Completely revised and updated to include the most recent developments in the field, this book is an essential resource for advanced students and researchers in toxicology, as well as biologists, pharmacologists and teratologists from academia, industry and regulatory agencies.

The advent of robotic surgery brought a rise in the proportion of minimally invasive surgery in gynecology. This book provides a practical guide to this innovative field. First it introduces the basics of robotic surgery and then focuses on specific gynecology-related surgeries. Gynecologists currently practicing robotic surgery as well as those who would like to include robotic surgery in their practice will benefit greatly from this book.

Inspired by Carlos Beyer's 50 years of pioneering research and influence on his students and colleagues, Behavioral Neuroendocrinology builds upon Beyer's fundamental discoveries and concepts as well as their widespread implications. It presents original research and reviews on mechanisms - genomic and non-genomic - of steroid and protein hormone action; the role of steroid metabolism, especially aromatization, protein phosphorylation, and neurotransmitter action in mediating reproductive behavior and sexual differentiation; and brain and spinal cord mechanisms in sexual behavior and analgesia. This book presents a rich diversity of topics - lactation, maternal behavior, pheromone action, chronobiology, allodynia, angiogenesis, prostate physiology, sexual motivation, and specific brain systems, including vomeronasal system, cerebellum, preoptic area, hypothalamus, and spinal cord. This book brings together, in one source, an international "family" of researchers whose work has evolved in diverse but related ways from a seminal set of discoveries and concepts in behavioral neuroendocrinology.