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Algorithms in Obstetrics and Gynaecology presents the core knowledge needed to tackle all situations in obstetrics and gynaecology, in a structured fashion. All algorithms are designed to support rapid decision making in the most clinically relevant situations to minimise the risks of a poor outcome. A range of clinical problems are covered from common non-life-threatening emergencies such as hyperemesis in pregnancy, to life-threatening acute events such as ectopic pregnancy, acute fetal distress or maternal collapse. Each topic is presented as either an algorithm, a care pathway, or table of key information and has been carefully structured to ensure a logical progression of thought to aid anticipation, early diagnosis and prompt and appropriate management. Accompanying key learning points highlight the essential information from the topic. Based on current national guidelines and clinical evidence, the algorithms and care pathways can be used as a reliable and practical resource for day to day practice in obstetrics and gynaecology.Less

The definitive primer in basic sciences for the MRCOG Part 1 examination, this online resource takes a new, dynamic approach to the basic sciences in obstetrics and gynaecology by extending the understanding of the basic medical sciences and their relevance to this specialty. Complex concepts are discussed in a problem-based format so that the relevant basic sciences are taught and drawn together in context, but it also provides a conventional approach, teaching what is 'true', but it also what is 'false', and why. Detailed line drawings explain the scientific content, and 'Examination Hints' highlight key revision points.Less

Challenging Concepts in Obstetrics and Gynaecology is an online, case-based guide to difficult scenarios faced in both fields, covering many of the major sub-speciality areas of each. The 24 cases have been selected to cover a spectrum of challenges in obstetrics and gynaecology. The authors have chosen specific, challenging scenarios that are commonly encountered in clinical practice, but by no means have simple answers or outcomes. Complex cases are examined from a multidisciplinary approach with consideration of diagnostic procedures, practical skills, evidence base, and the application of national and international guidelines. There is also a summary of evidence from the medical literature in various subspecialty areas of obstetrics and gynaecology, alongside current controversies in management. Cases are punctuated by easy-to-read "Learning Points", "Clinical Tips", and "Evidence Base" boxes, speeding the learning process as well as providing a handy dip-into guide for those just refreshing their memory. Less

The interplay between mind and body is a rapidly developing area of Obstetrics and Gynaecology, growing in prominence as many areas of medicine recognise the importance of understanding the physical, mental, and social aspects of complex conditions. Clinical Psychosomatic Obstetrics and Gynaecology: A Patient-centred Biopsychosocial Practice is the fundamental work facilitating the management of women's disease conditions resulting from psychosomatic or mind-body interactions that are routinely encountered by clinicians. Authored by a world-renowned group of contributors who have led a transformative approach to the way services to women are approached, Clinical Psychosomatic Obstetrics and Gynaecology comprehensively addresses the biological, psychological, social, and cultural factors leading to disease manifestations. Including methods for prevention, detection and treatment, the text is supported by > 30 clinical vignettes taken from real-life situations to support learning and guide clinical practice. Detailed chapters clarify the scientific basis of the clinical psychosomatic concept, prevention of morbidity and mortality from cancer or obesity, pregnancy, and childbirth, migraine and delivery, subfertility, premenstrual disorders, vulval pain, psycho-oncology, sexual health, and psychosomatic implications of migration and cultural issues, this title is a highly topical and much-needed guide to addressing clinical conditions that compromise women's health as well as their mental and social well-being.Less

High-risk pregnancies are increasing and form a significant proportion of the pregnant patient population. Compendium for the Antenatal Care of High-Risk Pregnancies takes a unique approach to over 140 conditions, combining 'Fact Files', 'Care Pathways', and 'Information for Patients' in one volume. The book is designed to provide a practical and accessible individualised framework of information for doctors in busy clinical environments, and to integrate the specialist care offered to women with high-risk pregnancies. For each condition, the book covers vital points on risk reduction, clinical governance, discussion with patients, and required documentation. This is important in a litigious environment with high patient expectations, and demonstrates how clinical governance and risk management are interwoven in daily clinical practice.Less

Congenital and perinatal infections are commonly encountered in clinical practice. This book provides a summation of the data regarding infections transmitted from mother to child during the antepartum, intrapartum, or postnatal period, with the goal of providing a complete and critical review of the literature regarding the prevention, diagnosis, and management of congenital and perinatal infections. Emphasis is placed on epidemiology, clinical manifestations, key diagnostic studies, and therapeutic interventions. Individual chapters elucidate the pathogenesis of these infections, as well as high-priority areas for future research. This text will prove useful to medical students and residents, fellows, and practicing physicians in obstetrics and pediatrics, as well as family-practice physicians and specialists who care for pregnant women and newborns.Less

Since the first “test tube baby” was born over 40 years ago, in vitro fertilization and other assisted reproductive technologies (ARTs) have advanced in extraordinary ways, producing millions of babies. About 20% of Americans use infertility services, and that number is growing. ARTs enable gay and lesbian couples, single parents, and now others to have offspring. Prospective parents can also use preimplantation genetic diagnosis to avoid passing on certain mutations to their children and to avoid abortions of fetuses with these mutations. Other future parents routinely choose the sex of their child and whether to give birth to twins. In the United States, these procedures are largely unregulated, and a large commercial market has rapidly grown, using “egg donors,” buying and selling human eggs and sperm, and using gestational surrogates. Potential parents; policymakers; doctors, including reproductive endocrinologists; and others thus face critical complex questions about the use—or possible misuse—of ARTs. This book examines ethical, social, and policy questions about these crucial technologies. Based on in-depth interviews, Robert Klitzman explores how doctors and patients struggle with quandaries of whether, when, and how to use ARTs. He articulates the full range of these crucial issues, from economic pressures to moral and social challenges of making decisions that will profoundly shape these offspring. The book explores, too, broader social and moral questions regarding gene editing, CRISPR, and eugenics. Klitzman argues for closer regulation of these technologies, which are altering future generations and the human species as a whole.Less

This handbook provides a practical and accessible guide to all emergency situations encountered in obstetrics and gynaecology, from the immediately life-threatening to the smaller but urgent problems that may arise. Designed around the symptoms and signs with which the patient presents to the hospital, this handbook explains how to arrive at a differential diagnosis and how to prevent, manage, and treat an emergency. The obstetric emergencies section covers topics from early pregnancy through to post-delivery complications, whilst the gynaecological emergencies section addresses those issues that could potentially pose a threat to a women’s fertility or even her life. The second edition addresses new topics on issues that have become more prevalent in recent years, such as substance misuse in pregnancy and violence against women and children. A new topic on ‘preoperative assessment’ outlines how to get consent, the risks, benefits, and what the patient should expect. Fully revised and updated, covering new guidance, this title provides foundation year doctors, specialty trainees, and consultants in obstetrics and gynaecology with an invaluable source of information for every emergency situation.Less

This volume brings together original essays exploring the intersections of clinical practice, policy, and bioethics in women’s healthcare. Including but moving beyond the familiar theme of reproduction, it aims to both broaden areas of scholarship in feminist bioethics and to respond to ethical challenges that many women experience in accessing healthcare. Some of the contributions overlap with concerns that feminist scholars have voiced in the past, such as the medicalization of women’s bodies, but address new procedures (e.g., female cosmetic genital surgery). Other chapters expand into new fields that are underexplored in the bioethics literature, such as ethical issues concerning the care of Indigenous women, uninsured refugees and immigrants, women engaged in sex work, and those with HIV and perinatal mental health disorders. The richness of the collection lies in the multitude of disciplines represented. Contributors range from those who are in active clinical practice—medicine, nursing, and ethics—to philosophers contemplating new conceptual issues. Topical and contemporary, this book provides a valuable resource for physicians, nurses, clinical ethicists, and researchers working in the areas of women’s health and applied ethics.Less

This resource brings together information in an accessible single source to allow professionals from many different disciplines to have a sound understanding of the scope and limitations of fetal cardiac diagnosis and treatment. It will be of practical clinical value to all involved in fetal cardiac assessment or in the management of feto-maternal problems.Less

Heart Disease in Pregnancy provides a detailed introduction to the physiological changes of pregnancy and gives practical advice on the management of women with heart disease who are pregnant or who are considering pregnancy. Less

Integrative Sexual Health explores beyond the standard topics in men’s and women’s health, drawing on a very rich and diverse research literature. Books on sexuality typically are for the clinical specialist and cite only focally relevant research, or are geared to lay knowledge and cite almost no research. Integrative Sexual Health provides an overview of sexual biology and sexual dysfunction, diverse lifespan, lifestyle, and environmental impacts on sexual function, applies complementary and integrative medicine solutions to sexual problems, and offers traditional Eastern and Western treatment approaches to resolving sexual difficulties. Written by diverse integratively trained experts in sexuality, psychology, psychiatry, and other medical specialties. Integrative Sexual Health includes clinical vignettes, detailed treatment strategies for mitigating the side effects of medications, and sexual dysfunction associated with medical illness and poor lifestyle habits, as well as citing extensive research and further resources. Integrative treatment modalities not typically consulted in mainstream sexual medicine, such as traditional Chinese medicine, Ayurvedic medicine, aromatherapy, and botanical medicine are presented with the best available evidence, in a clinically relevant manner. This volume in the Weil Integrative Medicine Library will be valuable to the specialist and non-specialist alike, who seek to understand and treat sexual problems using an integrative medicine approach, and acquire tools to help patients maintain lifetime optimal general health and vitality that supports healthy sexuality.Less

Integrative Women’s Health is an in-depth, broad-based reference on integrative women’s health written for health professionals. It helps providers address not only women’s reproductive health but also conditions that manifest differently in women than in men, including cardiovascular disease, arthritis, HIV, depression, and cancer. The text presents the best evidence, in a clinically relevant manner, for the safe and effective use of herbs, vitamins, diet, and mind-body strategies alongside conventional medical treatments. This volume is a resource for clinicians on implementing their recommendations in practice, going beyond practical care to examine how to motivate patients, enhance a health history, and understand the spiritual dimensions of healing. In managing the patient, alternative therapies are never seen as substitutes for mainstream medical care, but always “integrated” into the overall regimen, and always subjected to the best available evidence. New to this second edition are chapters on environmental medicine and women’s reproduction, thyroid health, and lesbian, bisexual, and transgender health.Less

This book is intended for practitioners in the field of neurology, maternal fetal medicine, and obstetrics and gynecology. It is comprehensive in that it covers most neurological diseases, issues related to delivery and postpartum, use of neurological drugs during pregnancy, and prepregnancy counseling and planning. Care maps in each chapter are focused on specific issues relating to each neurological disease and their management. The authors list includes experts in the field of maternal fetal medicine, neurology, obstetrics and gynecology, and lactation.Less

Explaining the practical implications of new discoveries in 'life-course biology', Nutrition and Lifestyle for Pregnancy and Breastfeeding is an informed resource on factors that affect offspring development. The impact of parental lifestyle and behavioural choices influence not only foetal development and birth outcomes, but also postnatal development, yet guidance on appropriate diet, behaviour, and exposures during pregnancy is often confusing and contradictory. With accessible explanations of the latest scientific research, and clear summaries and recommendations, this online resource is a valuable and authoritative guide for all levels of health care providers. It provides an overview of the background evidence, highlighting the importance of lifestyle choices prior to and during pregnancy, and it includes in-depth discussions of nutritional and lifestyle factors that impact on pregnancy and offspring that are based on the latest research and exploration of key scientific studies. Less

This title covers all aspects of obstetric anaesthesia that the trainee anaesthetist will encounter on the labour ward. Its accessible style makes it essential reading for other members of the labour ward team.Less

This concise and practical online reference covers the basic principles of obstetric anaesthesia with a special emphasis on the unique challenges of service delivery in the developing world.

This resource offers step-by-step, to-the-point information on how to manage patients in specific situations. Every aspect of obstetric anesthesia practice is covered, including patient evaluation, anesthesia for labor and delivery, anesthesia for cesarean delivery, management of patients with concurrent medical problems, management of obstetric emergencies, fetal assessment, and neonatal resuscitation.Less

Ovarian Cancer Immunotherapy provides a broad overview of several aspects of basic sciences and clinical and therapeutic aspects of immunotherapy for ovarian cancer, as well as state-of-the-art information on molecular genetics and biology. Chapters are written by a team of expert contributors from around the world and explore topics such as antibody therapeutics for ovarian carcinoma, emerging serum biomarkers, ovarian cancer immunity, adoptive cell immunotherapy, the biology of dendritic cells, the role of growth factors, and more. Readers will also gain a better understanding of the molecular and cellular events that underlie ovarian cancer immunology. This book is an ideal reference for clinicians and medical students caring for patients with ovarian cancer, including attending surgeons and physicians, and clinical fellows and residents in the disciplines of gynecologic oncology, medical oncology, and surgical oncology.Less

This irreplaceable reference compiles the most up-to-date and relevant material on obstetrics and gynaecology into one volume. Strongly evidence-based, it includes the latest knowledge and guidelines from a wide range of sources and contains the key recommendations that a practising obstetrician or gynaecologist needs to know.Less