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Most women initially discuss health-related matters with a primary care clinician and can have a plethora of sex-specific medical needs throughout the life course. With greater expectations for GPs and allied health professionals to manage many women's health conditions, this is an invaluable guide for primary care practitioners looking to deliver holistic care to their female patients. This new edition has been thoroughly updated with the most recent guidelines, covering topics such as contraceptive choices, infertility, breast conditions, pregnancy and menopause, along with specific diseases such as ovarian cysts and ovarian cancer. There is a spotlight on the early diagnosis of endometriosis as well as the need for wider menopausal and psychosexual care. Chapters include a list of key points as well as patient cases to illustrate the application of the content. The book is invaluable for primary care clinicians and those preparing for the DRCOG and MRCGP examinations.
PROMPT (Practical Obstetric Multi-Professional Training) is an international organisation providing training tools and resources to support multi-professional maternity teams providing care during obstetric emergencies. This is the fourth edition of the Manual, which summarises key evidence-based knowledge for a range of obstetric emergencies. Including 23 chapters covering both common or immediately life-threatening obstetric emergencies, this Manual also features wider considerations, such as civility and teamworking, that are required for safe multi-professional working in maternity care. New chapters in this edition include mental health, equity and equality, impacted fetal head, unplanned preterm birth and diabetes emergencies in pregnancy. The content is highly readable, with accessible content, frequent use of figures, tables and flow charts to present the evidence-based concepts in an easily digestible format. PROMPT is known for clear, logical and easy-to-follow algorithms and tools to be utilised in obstetric emergencies, ensuring safe and inclusive care for women and their babies.
Focusing on the principles of physiological interpretation of CTG, this new edition promotes an evidence-based approach to interpreting fetal heart rate changes. Traditional classification systems are arbitrary and associated with increased caesarean sections without improvements in perinatal outcomes. Guiding the reader in the use of novel tools to help eliminate avoidable, intrapartum-related fetal hypoxic-ischaemic brain injuries and their long term consequences such as cerebral palsy and learning difficulties, this book moves away from traditional, illogical classification systems. Topics such as non-hypoxic causes of fetal brain injury, types of intrapartum hypoxia, and medico-legal issues are clearly explained, and new chapters on human factors in CTG interpretation and the development of new technologies that can reduce human errors are included. Methods discussed comply with the International Expert Consensus Statement on Physiological Interpretation of CTG (October 2024), authored by over 50 CTG experts from over 20 countries.
The practice of surgery has been revolutionized since the introduction of video-assisted endoscopy. Minimally invasive procedures are now available for almost all severe gynecologic diseases and conditions and innovations such as the use of video-assisted and robotic-assisted hysteroscopy and vaginoscopy make this one of the most dynamic and technically demanding specialties. The new edition of this authoritative textbook covers the full spectrum of laparoscopic and hysteroscopic procedures used in gynecologic surgery. Containing descriptions of new techniques such as fetoscopic surgery and practical advice on how to set up the operating theater, the avoidance and management of complications will be stressed throughout. Over 700 high-quality images and accompanying videos are included in the book, illustrating the concepts covered and helping readers incorporate information.
The focus of the third edition of Best Practice in Labour and Delivery is on improvement of technical and non-technical skills, multidisciplinary team working, high quality training and audit with the goal of improving safety and quality of intrapartum care. The editor and authors from a range of international backgrounds have decades of hands-on experience in managing high risk labour wards and promoting both multidisciplinary working and high-quality training. The latest evidence from the Cochrane library and the WHO, NICE and RCOG guidelines have been incorporated into chapters spanning the stages of labour and delivery and the complications that may arise. Chapters also provide practical advice on risk management, triage and prioritisation, and non-technical skills such as leadership and decision making. The well-illustrated book is an essential read for practicing obstetricians, trainees, midwives, neonatologists, anaesthetists and obstetric physicians.
The prompt recognition and management of medical problems occurring in the first trimester can significantly improve the health and outcomes of mother and baby. Early Pregnancy was the first book to embrace a multidisciplinary approach to this rapidly growing field. It combines the expertise of a wide range of internationally renowned authors to produce an authoritative reference on the subject. This new and updated edition reflects the latest changes in the field in response to changing clinician needs, such as COVID 19 infections and novel 3D imaging techniques. Features key recommendations, providing clinicians with the tools to improve the patient's experience of the management of first-trimester complications. By combining essential elements of scientific research and clinical care, Early Pregnancy continues to set a benchmark for evidence-based management and will be essential reading for obstetricians, gynaecologists, neonatologists, ultrasonographers, and nurses seeking an understanding of the reproductive science of early pregnancy.
This unique book, designed to support obstetrician-gynecologists, midwives, and family medicine specialists caring for obstetric patients, will guide clinicians to a clear understanding of the ways to recognize, manage, and importantly prevent obstetrical complications. Utilising clinical vignettes combined with comprehensive, authoritative discussions from experienced clinicians, this book is an essential resource to support practice and preparation for various certification type of examinations. Following the same effective approach as other titles in this series, Acute and Emergency Care Gynecology: A Case-Based Approach, Office Gynecology: A Case-Based Approach and Surgical Gynecology: A Case-Based Approach, this book is the perfect guide to navigate common and rare obstetrical complications.
There are unique challenges to the care of women with epilepsy, including the gender-specific influences that women may experience owing to their age, hormonal status, and co-morbidities. Many healthcare providers are not informed about the unique issues facing women with epilepsy. This new edition comprehensively reviews the impacts of epilepsy at different life-stages, from adolescence, through pregnancy and to menopause, highlighting appropriate therapies. The book covers topics including managing patients' fertility and preconception counselling, obstetric and fetal monitoring and post-partum seizure management. Chapters on drug-drug interactions, the effect of hormones and anti-epileptic drugs have been thoroughly updated according to new guidelines. Information is presented practically, with bullet points allowing readers to access take home messages easily. This is a highly practical, up-to-date and concise manual for the practical approach in caring for women with epilepsy aimed at general practitioners, midwives, obstetricians, general neurologists, and anesthetists.
Globally, almost nine million women are diagnosed with cancer each year. Nearly every type of cancer affects the female reproductive system. This book is a comprehensive reference for the gynecologic care of women who have been directly impacted by cancer. Providing streamline management approaches to common clinical problems, the text is split into two sections. The first addresses common gynecologic concerns for all cancer patients, with chapters covering topics such as fertility assessment and preservation options, managing sexual health, and cancer and pregnancy. The second section addresses gynecologic considerations based on specific cancer sites including breast cancer, head and neck cancers and leukemias. Representative patient vignettes are included at the end of each chapter to reinforce clinical guidance, along with bulleted 'take home points' for rapid information access.
Research in the field of Developmental Origins of Health and Disease has had a fundamental impact on our understanding of how environmental experiences and contexts influence the development of health and disease over the entire lifecourse. Covering a wide range of geographic regions, this volume includes an overview of the field, key concepts, and cutting-edge examples of interdisciplinary collaboration. The first reference text covering the interdisciplinary work of DOHaD, a broad list of contents maps the history of DOHaD, showcases examples of biosocial collaboration in action, offers a conceptual toolkit for interdisciplinary research, and maps future directions for the field. The definitive volume on biosocial collaborations in DOHaD, this will be indispensable for scholars working at the intersections of public health, lifecourse epidemiology and the social science of DOHaD. This title is also available as Open Access on Cambridge Core.
Assisted vaginal birth (AVB) remains a key aspect of respectful, effective care for women in labour. In trained hands, it is associated with better maternal and neonatal outcomes than the alternative of a caesarean section in late labour. Written to accompany the RCOG Assisted Birth Simulation Training (ROBuST) course, this book provides guidance on the only RCOG-approved, evidence-based techniques for when and how to perform AVB and complex caesarean sections. There are clear descriptions of techniques, plus photographs, diagrams and videos to improve learning. Internationally recognised contributors discuss all aspects of assisted birth, including vacuum and forceps-assisted birth; caesarean section at full dilatation; safe and effective practice of Kielland's forceps; and essential non-technical skills. This second edition includes chapters on providing care within the medico-legal context of modern obstetric practice and on exploring the worldwide trends in AVB. This remains a much-valued, and much-consulted, part of any accoucheur's library.
This book closely examines the current parental leave provisions in Australia, both paid and unpaid, provided by both the government and private sector. In order to provide a comprehensive analysis of the Australian parental leave system, a comparison is made between the Australian provisions and those of Canada, Germany and Sweden. Applying various feminist theories to the analysis, recommendations for reform are identified to address the gaps found in the current system.
A thoroughly revised third edition of the acclaimed textbook for caregivers involved in the management of pregnant women with uncommon diseases or an unusual or rare condition. The book offers valuable case reports and experience collated by an international team of editors and contributors who are leading experts in the field. This edition contains five additional chapters covering topics like cardiac and neuraxial point of care ultrasound, substance abuse, rare inherited conditions, and anesthesia for rare fetal and placental conditions. Clear, concise management guidelines and algorithms are provided, and each chapter is written from the viewpoint of the obstetric anesthesiologist. Numerous tables, figures and photographs provide visual aids and each chapter contains valuable clinical insights highlighting the essential facts. Featuring updated figures and references, links to useful websites for further reading and a list of commonly used abbreviations. A valuable resource for obstetric anesthetists, perinatologists and other obstetric care providers.
The purpose of sexual and reproductive healthcare should be the enhancement of personal relationships and a healthy sex life and not merely counselling and care related to procreation or sexually transmitted infections. Providing practical and evidence-based guidance, this textbook follows the curriculum of the joint EBCOG and ESCRH examination in Contraception and Sexual and Reproductive Health . Coverage is comprehensive, allowing readers to gain an in-depth understanding of each topic. Written by trusted experts in the field, topics covered include contraception, infertility and sexual dysfunction, sexual violence and STIs. The text provides advice and practical tips for how to practice patient-centred counselling and shared decision-making. Improving the relationship between the patient and healthcare-provider leads to increased trust, adherence of advice and more satisfactory treatment for the patient.
Cervical cancer kills almost 350,000 women each year. What's more horrifying, is that millions have died of this disease that's nearly 100% preventable. It's no secret that healthcare is full of inequities, with a severe lack of accessible screening programs. But women's health care is also impeded by cultural, gender, and political barriers, issues that have combined to create devastating consequences. A leading expert in cervical cancer prevention, Dr Linda Eckert takes her years of experience and weaves it together with the voices of the courageous women who use their own experience of cervical cancer to advocate for change. This heart-breaking, yet hopeful, book takes you through the world of cervical cancer with evidence-based information, personal stories and actionable outcomes. Society flourishes when women have access to safe and affordable healthcare. Together we can make this need a reality and eliminate the world's most preventable cancer.
Approximately one in twenty men have sperm counts low enough to impair fertility but little progress has been made in answering fundamental questions in andrology or in developing new diagnostic tools or management strategies in infertile men. Many of these problems increase with age, leading to a growing population of men seeking help. To address this, there is a strong movement towards integrating male reproductive and sexual healthcare involving clinicians such as andrologists, urologists, endocrinologists and counselors. This book will emphasize this integrated approach to male reproductive and sexual health throughout the lifespan. Practical advice on how to perform both clinical and laboratory evaluations of infertile men is given, as well as a variety of methods for medically and surgically managing common issues. This text ties together the three major pillars of clinical andrology: clinical care, the andrology laboratory, and translational research.
Conditions of the vulva are very common but often taboo, and can badly affect people's sex life, comfort and self-confidence. Despite this, clinicians receive little training in these conditions. This comprehensive yet handy third edition has been fully updated with research giving new insights into vulval diseases, vulvo-vaginal pain and vaginitis. Full-colour clinical photographs and illustrations demonstrate the clinical appearance of a wide spectrum of conditions. Chapters are organised by clinical presentation for ease of reference and information is presented practically, covering misconceptions and common patient questions. Co-written by a dermatologist and a gynaecologist - both specializing in vulval conditions - the handbook provides a unique visual and written guide to the diagnosis, treatment and management of both acute and chronic vulval presentations and explores the latest opinions on causation and classification of neoplasia in the vulva.
In-vitro fertilization (IVF) is a procedure practised worldwide, with patients and practitioners expecting higher live birth rates and excellent standards of quality as methodologies become more established. This practical book covers every stage in the life of an IVF laboratory, from designing and planning the laboratory to training the embryologists and ongoing management and troubleshooting, providing step-by-step protocols for today's best practice. Chapters follow the same structure, allowing readers to translate complex and specialized procedures into a standard workflow. Several new chapters are included in this second edition, including descriptions of the protocol for piezo-ICSI, safe and effective cryostorage of embryos, and how to manage emergency situations in the IVF laboratory. Written by an international team of experts, this is an exemplary portfolio of techniques, providing a good foundation of working practice for both new and experienced embryologists.
Confidently tackle the MRCOG Part 1 exam with this comprehensively updated revision guide, reflecting the latest changes to the curriculum and question format. Edited by experienced examiners and written by course lecturers, the full syllabus is summarised using their extensive knowledge of the exam. Topics covered include the anatomy of the pelvic area, data interpretation in gynaecology and obstetrics, and the pathology of neoplastic and non-neoplastic diseases amongst others. Collections of single best answer (SBA) questions for several topics provide an invaluable opportunity for readers to test their retention of knowledge and practice for the exam. Bullet point formatting is used, enabling readers to absorb key information quickly. Over 200 illustrations aid understanding and engage the reader in the material being discussed, leading to a deeper appreciation of the topic. This is an indispensable revision guide for all MRCOG Part 1 candidates.