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  • 70.00 lei

    Am pornit la drum cu dorinta de a aduce un instrument de lucru care, tinand cont de situatia actuala din Romania, sa delimiteze testarile cu adevarat necesare de cele facultative sau complet inutile. Un alt rol al sau este facilitarea obtinerii unei solutii cat mai rapide si corecte in dilema: este sau nu permis in timpul sarcinii acest antibiotic? Dar acest vaccin?

    De ce o asemenea initiativa? Pentru ca nu suntem un popor al regulilor si al masurii in ceea ce facem asa ca avem in acelasi timp:

    gravide ce ajung sa nasca fara sa stie din timp ca sunt infectate cu VHB sau cu HIV astfel incat sa se poata da o sansa in plus sanatatii copiilor lor, dar si gravide suprainvestigate incat rezultatele testelor sunt contradictorii sau imposibil de interpretat

    medici care recomanda gravidelor fara indicatie serologie de Listeria sau alte teste inutile, dar si medici care nu recomanda nicio testare

    gravide care repeta de mai multe ori aceleasi teste intr-un interval de timp de cateva saptamani si ajung de multe ori sa nu mai creada in rezultatele acestora si sa actioneze la intamplare 

    medici care induc gravidei decizia de intrerupere a sarcinii pe baza unei interpretari fanteziste a rezultatelor testarilor recomandate de ei, dar si medici care neglijeaza sa transmita interpretarea acestor rezultate gravidei si sa ii faca recomandarile necesare.

    Pe parcursul elaborarii acestui ghid am realizat tot mai mult ca avem un bun prilej de a incerca sa facem din el si un instrument de lucru impotriva utilizarii excesive si/sau eronate de antibiotice in infectiile caracteristice si in cele frecvente la gravida/lauza.

    Lasand continutul ghidului sa indeplineasca rolul de instrument de lucru ne-am permis sa evidentiem unele obstacole in calea im­plementarii unei atitudini coerente in acest domeniu medical, sub forma de raspunsuri la cateva intrebari.

     Cand testam?

    Suntem inca una dintre acele state ale Uniunii Europene in care primul bilant al unei gravide se mai efectueaza cand travaliul s-a declansat. Despre planning si evaluare preconceptionala vorbim inca rar, iar sarcina este adesea privita drept o intamplare, un dar sau o problema; din pacate, si generalizarea evaluarii initiale a gravidei in primul trimestru ramane un deziderat de atins in anii ce vin.

     Cine recomanda testarile? Cine prescrie antibiotice, care anume si in ce situatii?

    La aceasta intrebare un raspuns unic este hazardat: ginecologul? Medicul de familie? Infectionistul? De fapt, raspunsul nu ar mai avea nicio relevanta daca ar exista un consens in privinta a ceea ce este necesar sa fie testat. Este insa evident ca actualul circuit, in care pe fluxul medic de familie – ginecolog – infectionist, de la ultima veriga se poate decide reluarea ciclului pentru testari omise la pasii anteriori sau se ajunge la inlocuirea/intreruperea administrarii unui antibiotic prescris gravidei in mod eronat/excesiv, este nefunctional. 

     

    Ce se testeaza?

    in domeniul patologiei infectioase se aplica insa foarte bine regula lui „aici si acum“; de aceea, si testarile pentru infectiile cu potentiala transmitere maternofetala au un continut specific situatiei din fiecare regiune. A recomanda anumite teste „dupa ureche“ si a trimite apoi gravida cu rezultatele la interpretare „la un infectionist“ poate expune la cateva riscuri:

    pune in dificultate infectionistul in a furniza interpretari unor testari inutile sau fara semnificatie pentru situatia actuala a sarcinii

    expune medicul ginecolog riscului de scadere a credibilitatii in fata gravidei daca infectionistul se vede nevoit sa prescrie teste omise in bilantul initial

     Cine deconteaza testarile?

    Nu toata raspunderea in privinta derapajelor acestor testari apartine lipsei de educatie a gravidei in acest domeniu si/sau deficientelor profesionale ale medicului sau curant. De multe ori am intalnit gravide care aveau o lista de teste recomandate si neefectuate; cel mai adesea iti spun – „nu am avut bani ca sa fac aceste analize“.  Daca ne referim doar la testele cu adevarat utile, majoritatea sunt asigurate in mod gratuit pentru toate gravidele din Romania, dar unele nu. De aici se desprind cel putin doua idei:

    - necesitatea de a sustine efectuarea gratuita a tuturor acelor teste cu adevarat necesare, beneficiul medical si cel economic fiind cert;

    - necesitatea limitarii recomandarilor la testarile justificate, fara a incarca lista de analize cu alte teste inutile dar care costa, ceea ce va determina uneori ca gravida sa renunte la efectuarea oricarui test

  • Pregnancy The Beginner's Guide
    Pe comanda in aproximativ 4 saptamani
    75.00 lei

    The essential guidebook to pregnancy and beyond You're having a baby and starting parenthood- the adventure of a lifetime! Pregnancy The Beginner's Guide is a trusty travel guide for this amazing journey, from conception to birth and beyond. Being pregnant can feel like being in a foreign country- people use words you've never heard of, such as effacement, you have to visit new places, like birthing units, and you don't know what to wear or what's safe to eat. Pregnancy The Beginner's Guide has the answers with lists, Top 10 facts and a helpful translation guide for the new experiences and words you'll encounter.

    It follows the progress of mother and baby month-by-month, making it easy for you to use at all stages of your pregnancy and includes special sections for dads that give tips on what to expect and what's expected of them. Pregnancy The Beginner's Guide is a practical handbag-sized handbook for your journey through pregnancy and birth.

  • 130.00 lei

    A must read for every student appearing for the final MBBS examinations, this book prepares students for both the theory and viva examinations. It covers essays and short-answer questions, with short notes and recent advances added. Includes easily-reproducible figures and flow charts. Facilitates students to score higher marks in their exams. Designed for rapid revision and quick understanding of the concepts.

  • 17000lei 150.00 lei

     The second edition of Emergencies in Obstetrics and Gynaecology 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, or treat an emergency. The 'Obstetric emergencies' section covers topics from early pregnancy through to post-delivery complications, whilst the 'Gynaecologic emergencies' section addresses those issues that could potentially pose a threat to a women's fertility or even her life. 

    Addressing new topics on issues that have become more prevalent, such as substance misuse in pregnancy, and violence against women and children, the second edition ofEmergencies in Obstetrics and Gynaecology is an essential read. A new topic on 'preoperative assessment' outlines how to manage consent, the risks, benefits, and what the patient should expect.

  • Ob/Gyn Secrets
    La comanda in aproximativ 4 saptamani
    17800lei 150.00 lei


    Description:

    For 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Ob/Gyn Secrets, 4th Edition, by Drs. Amanda Mularz, Steven Dalati, and Ryan A. Pedigo, features the Secrets’ popular question-and-answer format that also includes lists, tables, and an easy-to-read style – making reference and review quick, easy, and enjoyable.

    Features:

    • Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice.
    • The proven Secrets® format gives you the most return for your time – concise, easy to read, engaging, and highly effective.
    • Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.

    New To This Edition:

    • NEW: Expert Consult access provides an enhanced e-book version with the print, available online or on mobile devices.
    • This edition features updated content to keep you current with what’s new in obstetrics and gynecology, including new technologies that can improve your patient care.
    • A new author team leads a team from prominent institutions, bringing a fresh perspective to this best-selling review.

    Table Of Contents:

    Section I. General Gynecology

    1 The Menstrual Cycle

    2 Premenstual Syndrome and Dysmenorrhea

    3 Abnormal Uterine Bleeding

    4 Endometriosis and Adenomyosis

    5 Leiomyomatous Uterus

    6 Anovulation

    7 Female Sexual Dysfunction

    8 Menopause

    9 Benign Lesions of the Vulva and Vagina

    10 Lower Genital Tract Infections

    11 Pelvic Inflammatory Disease

    12 Ectopic Pregnancy

    13 Induced Abortion

    14 Contraception

    15 Benign Adnexal Masses

    16 Acute and Chronic Pelvic Pain

    17 Urinary Incontinence

    18 Pelvic Organ Prolapse

    19 Breast Disease

    20 Intimate Partner Violence

    Section II. Reproductive Endocrinology

    21 Puberty

    22 Amenorrhea

    23 Infertility

    24 Ovulation Induction and In vitro Fertilization

    25 Spontaneous Abortion and Recurrent Pregnancy Loss

    26 Hirsutism and Polycystic Ovarian Syndrome

    Section III. Gynecologic Oncology

    27 Precancerous Lesions of the Lower Genital Tract

    28 Vulvar and Vaginal Cancer

    29 Cervical Cancer

    30 Endometrial Hyperplasia and Uterine Cancer

    31 Ovarian Cancer

    32 Gestational Trophoblastic Disease

    Section IV. General Obstetrics

    33 Normal Physiology of Pregnancy

    34 Pathophysiology of the Placenta

    35 Preconception Counseling

    36 Comprehensive Prenatal Care

    37 Nutrition and Exercise in Pregnancy

    38 Obstetric Ultrasound

    39 Prenatal Diagnosis

    40 Antepartum Fetal Surveillance

    Section V. Complications of Pregnancy

    41 Genetics in Pregnancy

    42 Cervical Insufficiency and Cerclage

    43 Nausea and Vomiting in Pregnancy

    44 Disorders of Fetal Growth

    45 Amniotic Fluid Disorders

    46 Alloimmunization

    47 Renal Disease in Pregnancy

    48 Pregestational and Gestational Diabetes

    49 Hypertension in Pregnancy

    50 Thyroid Disease in Pregnancy

    51 Autoimmune Diseases in Pregnancy

    52 Neurologic Issues in Pregnancy

    53 Pulmonary Disease in Pregnancy

    54 Cardiovascular Disease in Pregnancy

    55 Infections in Pregnancy

    56 Surgery During Pregnancy

    57 Trauma in Pregnancy

    58 Alcohol and Drug Abuse During Pregnancy

    59 Obesity in Pregnancy

    60 Multiple Gestation

    Section VI. Labor, Delivery, and Postpartum

    61 Labor and Vaginal Delivery

    62 Intrapartum Fetal Surveillance

    63 Cesarean Delivery and Vaginal Birth After Cesarean Delivery

    64 Obstetric Anesthesia

    65 Preterm Labor and Preterm Premature Rupture of Membranes

    66 Placenta Previa and Placental Abruption

    67 Malpresentation

    68 Postpartum Hemorrhage

    69 Newborn Resuscitation

    70 Postpartum Care

       

    Bottom of Form

     

  • 18900lei 170.00 lei

     

    Written by the authors of the renowned embryology textbooks The Developing Human and Before We Are Born, Concise Clinical Embryology: An Integrated, Case-Based Approach offers essential, high-yield information and high-quality clinical cases to illustrate key principles of embryology and their relevance to everyday practice. Ideally tailored to the needs of today's medical students and medical courses, this concise text clearly explains how embryology relates to other medical disciplines and its importance in safe, effective clinical practice. Abundant illustrations throughout help you grasp highly visual concepts quickly and easily.

    ·         Provides easily digestible, clinically oriented coverage of human development, establishing key principles in a week-by-week, stage-by-stage approach, before moving on to fetal organ development by body system.

    ·         Includes clinical cases and follow-up questions in each chapter that help relate key principles to everyday practice, aid in problem-based learning, and offer review for exam preparation.

    ·         Covers the latest advances in embryology, including normal and abnormal embryogenesis, causes of birth defects, and the role of genes in human development.

    ·         Contains superb illustrations from cover to cover, including diagnostic images, full color figures, histology, and more.

    ·         Summarizes molecular biology highlights throughout the text.

    ·         Enhanced eBook version included with purchase. Your enhanced eBook allows you to access 18 3D animations with expert commentary, plus all of the text, figures, and references from the book on a variety of devices.

     

  • 185.00 lei

    Uses a step-by-step approach to fertility management from basic to advanced procedures. All the chapters are written in the form of a one page algorithm that catalogues the line of action, and one page text elaborating the algorithm. This simple format makes this book an excellent choice and a ready reckoner for practising fertility specialists. The beauty of the book lies in its crisp, clear cut, and extremely practical approach. Algorithm-based practice-oriented book. Covers all aspects of infertility management from basics to advanced. Chapters are relevant to routine practice. Step-by-step management of each condition from diagnosis to treatment.

  • 22600lei 200.00 lei

     

    Description:

    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

     

     

    ·  Section 1. Essential reproductive science

    ·  Chapter 1. Anatomy of the female pelvis

    ·  The bony pelvis

    ·  The external genitalia

    ·  The internal genital organs

    ·  The blood supply to the pelvic organs

    ·  The pelvic lymphatic system

    ·  Nerves of the pelvis

    ·  The pelvic floor

    ·  The perineum

    ·  Chapter 2. Conception and implantation

    ·  Oogenesis

    ·  Hormonal events associated with ovulation

    ·  The endometrial cycle

    ·  Production of sperm

    ·  Fertilization

    ·  The physiology of coitus

    ·  Chapter 3. Physiological changes in pregnancy

    ·  Immunology of pregnancy

    ·  The uterus

    ·  The vagina

    ·  The cardiovascular system

    ·  The blood

    ·  Respiratory function

    ·  Renal function

    ·  The alimentary system

    ·  Nutrients in blood

    ·  Maternal weight gain

    ·  The breasts

    ·  The skin

    ·  Endocrine changes

    ·  Conclusion

    ·  Chapter 4. Placental and fetal growth and development

    ·  Early placental development

    ·  Further placental development

    ·  Uteroplacental blood flow

    ·  Placental transfer

    ·  Placental function

    ·  Fetal development

    ·  Amniotic fluid

    ·  Amniocentesis

    ·  Chapter 5. Perinatal and maternal mortality

    ·  Perinatal mortality

    ·  Maternal mortality

    ·  Section 2. Essential obstetrics

    ·  Chapter 6. History taking and examination in obstetrics

    ·  Taking a relevant and comprehensive history

    ·  Obstetric history

    ·  Previous medical history

    ·  Examination

    ·  Abdominal palpation

    ·  Palpation of fetal parts

    ·  Chapter 7. Normal pregnancy and antenatal care

    ·  Aims and patterns of routine antenatal care

    ·  Pre-conceptual care and vitamin supplementation

    ·  Changing demographics of pregnancy

    ·  The booking visit

    ·  Consideration of past obstetric history, including mode of delivery

    ·  Recommended routine screening tests

    ·  Screening for fetal anomaly

    ·  Schedules of routine antenatal care

    ·  Antenatal education

    ·  Substance use and misuse in pregnancy

    ·  Breast care

    ·  Social and cultural awareness

    ·  Safe prescribing in pregnancy

    ·  Chapter 8. Obstetric disorders

    ·  Hypertensive disorders of pregnancy

    ·  Antepartum haemorrhage

    ·  Multiple pregnancy

    ·  Prolonged pregnancy

    ·  Breech presentation

    ·  Unstable lie, transverse lie and shoulder presentation

    ·  Chapter 9. Maternal medicine

    ·  Introduction

    ·  Minor complaints of pregnancy

    ·  Medical problems arising in pregnancy

    ·  Pre-existing medical conditions and pregnancy

    ·  Conclusions

    ·  Chapter 10. Congenital abnormalities and assessment of fetal wellbeing

    ·  Neural tube defects

    ·  Congenital cardiac defects

    ·  Defects of the abdominal wall

    ·  Chromosomal abnormalities

    ·  Assessing fetal normality

    ·  Assessing the health of a normally formed fetus

    ·  Interventions

    ·  Conclusions

    ·  Chapter 11. Management of labour

    ·  Stages of labour

    ·  Onset of labour

    ·  Uterine activity in labour: the powers

    ·  The passages

    ·  The mechanism of labour

    ·  The third stage of labour

    ·  Pain in labour

    ·  The management of normal labour

    ·  Pain relief in labour

    ·  Posture in labour

    ·  Fetal monitoring

    ·  Pre-term delivery

    ·  Pre-labour rupture of the membranes

    ·  Induction of labour

    ·  Precipitate labour

    ·  Delay in progress in labour

    ·  Efficiency of uterine activity

    ·  Cephalopelvic disproportion

    ·  Cord presentation and cord prolapse

    ·  Chapter 12. Management of delivery

    ·  Normal vaginal delivery

    ·  Repair of episiotomy or perineal injury

    ·  Malpresentations

    ·  Malposition of the fetal head

    ·  Instrumental delivery

    ·  Caesarean section

    ·  Shoulder dystocia

    ·  Abnormalities of the third stage of labour

    ·  Chapter 13. Postpartum and early neonatal care

    ·  The normal postpartum period

    ·  Physiological changes

    ·  The importance of breast-feeding

    ·  Complications of the postpartum period

    ·  Contraception in the postnatal period

    ·  Neonatal problems

    ·  Conducting a routine postnatal clinical review

    ·  Chapter 14. Mental health and childbirth

    ·  The role of the obstetrician as relates to mental illness and childbirth

    ·  Taking a basic mental health history

    ·  Making a mental health plan

    ·  Making a mental health plan for pregnancy, birth and the postnatal period

    ·  Specific mental health diagnoses in pregnancy and the postnatal period

    ·  Principles of prescribing psychotropic medication in pregnancy

    ·  Capacity and mental health

    ·  Summary

    ·  Section 3. Essential gynaecology

    ·  Chapter 15. Basic clinical skills in gynaecology

    ·  History

    ·  Examination

    ·  Presenting your findings

    ·  Chapter 16. Gynaecological disorders

    ·  Introduction

    ·  Benign conditions of the upper genital tract

    ·  Lesions of the ovary

    ·  Endometriosis

    ·  Abnormal uterine bleeding

    ·  Heavy menstrual bleeding

    ·  Secondary amenorrhoea and oligomenorrhoea

    ·  Dysmenorrhoea

    ·  Premenstrual syndrome

    ·  Disorders of puberty

    ·  Benign conditions of the lower genital tract

    ·  Neoplastic lesions of the vaginal epithelium

    ·  Emergency gynaecology

    ·  Chapter 17. Infertility

    ·  History and examination

    ·  Female infertility

    ·  Male infertility

    ·  Investigation of infertility

    ·  Treatment of female subfertility

    ·  Ovarian hyperstimulation syndrome

    ·  Treatment of male infertility

    ·  Chapter 18. Early pregnancy care

    ·  Bleeding in early pregnancy

    ·  Miscarriage

    ·  Ectopic pregnancy

    ·  Gestational trophoblastic disease

    ·  Vomiting in early pregnancy

    ·  Chapter 19. Sexual and reproductive health

    ·  Contraception and termination of pregnancy

    ·  Genital tract infections

    ·  Disorders of female sexual function

    ·  Disorders of male sexual function

    ·  Chapter 20. Gynaecological oncology

    ·  Lesions of the vulva

    ·  Neoplastic lesions of the vaginal epithelium

    ·  Lesions of the cervix

    ·  Malignant disease of the uterus

    ·  Lesions of the ovary

    ·  Benign ovarian tumours

    ·  Ovarian malignancy

    ·  Principles of palliative care in gynaecological cancer

    ·  Chapter 21. Prolapse and disorders of the urinary tract

    ·  Uterovaginal prolapse

    ·  Urinary tract disorders

    ·  Appendices

  • Obstetric Medicine
    La comanda in aproximativ 4 saptamani
    23000lei 200.00 lei

    This handbook is filled with links to national and international guidelines, expert advice, and evidence-based management strategies for a range of acute and chronic conditions that can occur in the pregnant woman. It is an essential new addition to the literature for all physicians who work with pregnant patients in their practice.1 Hypertensive disorders of pregnancy; 2 Cardiology; 3 Respiratory; 4 Gastroenterology; 5 Liver disease; 6 Renal disease; 7 Neurology; 8 Rheumatology; 9 Haematology; 10 Venous thromboembolism; 11 Diabetes mellitus; 12 Endocrinology; 13 Infectious diseases; 14 Oncology; 15 Dermatology; 16 Perinatal mental health; 17 Ophthalmology

  • 225.00 lei

      Table of Contents:

    I. Obstetrics
    1. Labor & Delivery
    2. Clinic
    3. Diagnostic Imaging and Pregnancy
    4. Medications and Pregnancy

    II. Gynecology
    5. Gynecologic Surgery
    6. Writing Orders/Notes
    7. Common Post-Op Complications
    8. Contraception
    9. CDC Guidelines for STDs
    10. Miscellaneous Gynecology
    11. Cervical Cancer Screening - Pap Tests
    12. Miscellaneous Management Algorithms

    III. Gynecologic Oncology
    13. Common Medical Oncology Issues 14. Cervical Cancer
    15. Ovarian Cancer
    16. Uterine Cancer
    17. Vulvar Cancer
    18. Vaginal Cancer
    19. Anatomy

    IV. Reproductive Endocrinology and Infertility
    20. Mentrual Cycle
    21. Infertility
    22. Common Disorders Related to Infertility
    23. Normal and Abnormal Puberty
    24. Congenital Mullerian Anomalies
    25. Menopause
    26. Osteoporosis

    Urogynecology
    27. Normal Urinary Function
    28. Urinary Incontinence
    29. Stress Urinary Incontinence
    30. Overactive Bladder
    31. Pelvic Organ Prolapse
    32. Anatomy

  • 230.00 lei

    To its proponents, the ultrasound scanner is a safe, reliable, and indispensable aid to diagnosis. Its detractors, on the other hand, argue that its development and use are driven by the technological enthusiasms of doctors and engineers (and the commercial interests of manufacturers) and not by concern to improve the clinical care of women. In some U.S. states, an ultrasound scan is now required by legislation before a woman can obtain an abortion, adding a new dimension to an already controversial practice. "Imaging and Imagining the Fetus" engages both the development of a modern medical technology and the concerted critique of that technology. Malcolm Nicolson and John Fleming relate the technical and social history of ultrasound imaging – from early experiments in Glasgow in 1956 through wide deployment in the British hospital system by 1975 to its ubiquitous use in maternity clinics throughout the developed world by the end of the twentieth century. Obstetrician Ian Donald and engineer Tom Brown created ultrasound technology in Glasgow, where their prototypes were based on the industrial flaw detector, an instrument readily available to them in the shipbuilding city. As a physician, Donald supported the use of ultrasound for clinical purposes, and as a devout High Anglican he imbued the images with moral significance. He opposed abortion – decisions about which were increasingly guided by the ultrasound technology he pioneered – and he occasionally used ultrasound images to convince pregnant women not to abort the fetuses they could now see. "Imaging and Imagining the Fetus" explores why earlier innovators failed where Donald and Brown succeeded. It also shows how ultrasound developed into a "black box" technology whose users can fully appreciate the images they produce but do not, and have no need to, understand the technology, any more than do users of computers. These "images of the fetus may be produced by machines", the authors write, "but they live vividly in the human imagination".

  • Aesthetic Vaginal Plastic Surgery: A Practical Guide
    La comanda in aproximativ 4 saptamani
    26200lei 235.00 lei

     

    Fills a gap in the literature, regarding practical guides for successful aesthetic vaginal proceduresWritten in a concise and practical way, intended for direct surgical applicabilityFeatures figures and illustrations that present surgical procedures step-by-stepIncludes sections on internal and external procedures, as well as non-surgical procedures that detail use of lasers and fillers for rejuvenation

     

    This book schematically discusses the available techniques for aesthetic vaginoplasty, including vagina rejuvenation and other related surgical and non-surgical approaches. By furthering our understanding of the field, it promotes a better surgical practice on aesthetic vaginal surgeries. More specifically, this book will enable surgeons to correctly assess patients, choose and plan procedures, and reproduce the most common surgical aesthetic vaginal procedures.
    Each chapter is written in a pedagogical way, promoting a direct applicability. For each surgical procedure discussed, it features topics such as consultation and patient’s intentions, clinical examination, anatomy and important landmarks, surgical technique and possible complications. Aesthetic Vaginal Plastic Surgery: A Practical Guide is intended for any medical professional interested in vagina aesthetic and rejuvenation procedures, especially those in the fields of plastic surgery, gynecology and urology.

     

    Table of contents (18 chapters):

     

    Why Genital and Vaginal Rejuvenation

    Pages 3-11

    Triana, Lina

     

    Challenges When Starting My Vaginal Rejuvenation Practice

    Pages 13-24

    Triana, Lina

     

    Wedge Labiaplasty

    Pages 27-36

    Triana, Lina

     

    Lazy S Labiaplasty (Edge Labiaplasty)

    Pages 37-51

    Triana, Lina

     

    Longitudinal Hoodplasty

    Pages 53-66

    Triana, Lina

     

    Horseshoe Hoodplasty

    Pages 67-78

    Triana, Lina

     

    Labiaplasty and Hoodplasty Combined

    Pages 79-88

    Triana, Lina

     

    Labia Majora Augmentation

    Pages 89-97

    Triana, Lina

     

    Labia Majora Resection

    Pages 99-108

    Triana, Lina

     

    Pubic Region

    Pages 109-117

    Triana, Lina

     

    Hymenoplasty

    Pages 119-127

    Triana, Lina

     

    Perineoplasty

    Pages 131-144

    Triana, Lina

     

    Anterior Vaginoplasty

    Pages 145-158

    Triana, Lina

     

     

    Posterior Vaginoplasty

    Pages 159-170

    Triana, Lina

     

    Combination of Anterior and Posterior Vaginoplasty Plus Perineoplasty

    Pages 171-189

    Triana, Lina

     

     

    Labia Majora Non-surgical Options: Lightening, Fillers, and Skin Tightening

    Pages 193-197

    Triana, Lina

     

    Non-surgical Vaginal Tightening Procedures

    Pages 199-207

    Triana, Lina

     

    G Spot Enhancement

    Pages 209-215

    Triana, Lina

     

     

     

  • 30000lei 250.00 lei

     

    Description:

    This practical guide covers all aspects of gynaecological ultrasound, focusing on good technique, the ultrasound machine and reporting. Written by experts with a strong reputation for training in the field, this book takes a 'tips and tricks' approach. Chapters cover topics such as equipment familiarization, principles of transvaginal ultrasound, the awkward uterus, the difficult ovary, and ART-related procedures. The authors discuss the use of both basic ultrasound and 3D machines, and provide tips on how to optimize the image and gain useful clinical information even in the most challenging of assessments. With a multitude of images included to train the eye to identify normal anatomy and common pathologies, chapter summary boxes and case-based examples also provide an easy reference for assessing conditions and lesions. This book will greatly improve the scanning technique of trainees in obstetrics and gynaecology, sonographers, reproductive medicine practitioners, and gynaecologists of any level.

     

    ·  Chapter 1 Get to Know Your Machine and Scanning Environment

    ·  Chapter 2 Baseline Sonographic Assessment of the Female Pelvis

    ·  Chapter 3 Difficult Gynaecological Ultrasound Examination

    ·  Chapter 4 Sonographic Assessment of Uterine Fibroids and Adenomyosis

    ·  Chapter 5 Sonographic Assessment of Congenital Uterine Anomalies

    ·  Chapter 6 Sonographic Assessment of Endometrial Pathology

    ·  Chapter 7 Sonographic Assessment of Polycystic Ovaries

    ·  Chapter 8 Sonographic Assessment of Ovarian Cysts and Masses

    ·  Chapter 9 Sonographic Assessment of Pelvic Endometriosis

    ·  Chapter 10 Sonographic Assessment of Fallopian Tubes and Tubal Pathologies

    ·  Chapter 11 Role of Ultrasound in Assisted Reproductive Treatment

    ·  Chapter 12 Operative Ultrasound in Gynaecology

    ·  Chapter 13 Sonographic Assessment of Complications Related to Assisted Reproductive Techniques

    ·  Chapter 14 Sonographic Assessment of Early Pregnancy

    ·  Chapter 15 Tips and Tricks when Using Ultrasound in a Contraception Clinic

    ·  Chapter 16 Doppler Ultrasound in Gynaecology

     

  • 31200lei 250.00 lei

  • 30000lei 270.00 lei

     Published in collaboration with the American College of Obstetrics and Gynecology, this highly respected resource provides the foundational knowledge medical students need to complete an Ob/Gyn rotation, pass national standardized exams, and competently care for women in clinical practice.

  • 32500lei 280.00 lei

     

    Description:

    Extensively revised to incorporate recent research and current clinical practiceThe Developing Human: Clinically Oriented Embryology, 11th Edition, covers all aspects of normal and abnormal embryonic and fetal development. In a clear, concise manner and lavishly illustrated throughout, this textbook is designed to successfully meet the needs of medical and health sciences profession students, as well as those in graduate programs. It provides an easy-to-digest, comprehensive review of what can be a complex and challenging subjectBONUS online features such as multiple-choice questions and narrated animations further support student success.

    Table Of Contents:

    1  Introduction to Human Development
    2  First Week of Human Development
    3  Second Week of Human Development
    4  Third Week of Human Development
    5  Fourth to Eighth Weeks of Human Development
    6  Fetal Period: Ninth Week to Birth
    7  Placenta and Fetal Membranes
    8  Body Cavities, Mesenteries, and Diaphragm
    9  Pharyngeal Apparatus, Face, and Neck
    10  Respiratory System
    11  Alimentary System
    12  Urogenital System
    13  Cardiovascular System
    14  Skeletal System
    15  Muscular System
    16  Development of Limbs
    17  Nervous System
    18  Development of Eyes and Ears
    19  Integumentary System
    20  Human Birth Defects
    21  Common Signaling Pathways Used During Development

       

     

  • 37000lei 300.00 lei

    Features:

    Authoritative, world-known editors and author team.

    Presents a contemporary and pragmatic summary ofrecent developments in operative obstetrics.

    Contextualises practice in the history of obstetric practice.

    Accurate line drawings throughout clearly demonstrating relevant procedures and equipment.

    Advice and management for obstetricians working in resource-limited areas.

    New To This Edition:

    New chapter to cover labour and delivery in high-BMI women

    Extensive coverage of Caesarean section to reflect current critical thinking

    New chapters exploring assisted vaginal delivery in greater depth

    Management areas and guidelines fully updated (e.g. for fetal monitoring in labour).

    Covers significant new research, e.g. the WOMAN trial.

    New editor, Michael Robson

    Table Of Contents:

    ANTENATAL

    1. Human birth

    Richard Greene

    2. Preterm labour and delivery

    Jane E. Norman

    3. Cervical cerclage

    Shane Patrick Higgins

    4. Antepartum haemorrhage: an overview

    Alan Cameron

    5. Vasa praevia

    Marie Anne Ledingham and Andrew Thomson

    6. Abruption

    Fiona Nugent, Andrew Thomson

    7. Induction of labour

    Tracey A. Johnston

    LABOUR AND DELIVERY

    8. Assessment and management of labour and delivery

    Michael Robson

    9. Fetal surveillance in labour

    Sabaratnam Arulkumaran

    10. Fetal asphyxia

    Sabaratnam Arulkumaran

    11. Acute tocolysis

    Edwin Chandraharan

    12. Cord prolapse

    Austin Ugwumadu

    13. The use of oxytocin to accelerate or induce labour

    Michael Robson

    14. Malpresentations and malposition

    Michael Robson and Thomas Baskett

    15. Assisted vaginal delivery: an overview

    Stephen O’Brien, Dimitrios Siassakos and Kim Hinshaw

    16. Assisted vaginal delivery: non-rotational forceps and manual rotation

    Simon Cunningham and Kim Hinshaw

    17. Assisted vaginal delivery: vacuum

    Thomas van den Akker and Kim Hinshaw

    18. Assisted vaginal delivery: rotational forceps

    Karl Olah and Kim Hinshaw

    19. Shoulder dystocia

    Joanna Crofts

    20. Breech delivery

    Lawrence Impey and Anita Hedditch

    21. Twin and triplet delivery

    Austin Ugwumadu

    22. Labour and delivery after previous caesarean

    Michael Robson

    23. Uterine rupture

    Jose Miguel Palacios-Jaraquemada and Donal Brennan

    24. Caesarean section: controversies, audit and indications

    Michael Robson

    25. Caesarean section: procedure

    Thomas Bergholt

    26. Caesarean section: clinical challenges

    Sara Paterson-Brown

    27. Additional procedures at caesarean section: salpionghectomy, myomectomy, ovarian surgery and hysterectomy

    Donal Brennan and Jose Miguel Palacios-Jaraquemada

    28. Placenta praevia and the morbidly adherent placenta

    Donal Brennan and Jose Miguel Palacios-Jaraquemada

    29. Haemorrhagic shock, disseminated intravascular coagulation and obstetric resuscitation

    Jennifer M. Walsh and Niamh Ellen Hayes

    30. Thromboprophylaxis in labour and delivery

    Niamh Ellen Hayes and Jennifer M. Walsh

    31. Amniotic fluid embolism

    Derek Tuffnell

    32. Analgesia and anaesthesia in labour and delivery

    Siaghal Mac Colgáin

    33. Labour and delivery in high-BMI women

    Dan Farine and Cynthia Maxwell

    POSTPARTUM

    34. Postpartum haemorrhage

    Andrew Weeks

    35. Retained placenta

    Andrew Weeks

    36. Uterine and vaginal tamponade

    Andrew Weeks

    37. Uterine compression sutures

    Andrew Weeks

    38. Pelvic vessel ligation and embolization: obstetric and radiological perspective

    Donal Brennan, David Paul Brophy and Jose Miguel Palacios-Jaraquemada

    39. Lower genital tract trauma

    Abdul Hameed Sultan and Bharati R. Thakar

    40. Acute uterine inversion

    Sabaratnam Arulkumaran

    41. Symphysiotomy

    Priya Soma-Pillay and Robert Pattinson

    42. Destructive operations on the fetus

    Priya Soma-Pillay and Robert Pattinson

    ORGANIZATIONAL ASPECTS

    43. Perinatal audit in labour and delivery - safety, consistency and quality

    Michael Robson

    44. Competence and skills training

    Timothy Draycott, Emily Hotton and Sophie Renwick

       

     


  • The Johns Hopkins Manual of Gynecology and Obstetrics
    La comanda in aproximativ 4 saptamani
    34600lei 300.00 lei

     

    Description:

    Portable and easy to consult, The Johns Hopkins Manual of Gynecology and Obstetrics is a trusted on-the-spot reference for virtually any issue you’ll encounter in obstetrics, high-risk obstetrics, gynecology, reproductive endocrinology, infertility, and gynecologic oncology. The updated 6th Edition has been reorganized for quick reference, and contains thoroughly revised information culled from the collective expertise of residents and attending physicians at The Johns Hopkins University.

     

    Table of Contents:

     

    Part I: Obstetrics

    1 Prepregnancy Counseling and Prenatal Care

    PREPREGNANCY CARE AND COUNSELING

    Health Optimization and Medical Assessment

    Substance Use Assessment

    Psychiatric Health

    Review of Medications

    Infectious Disease Screening

    Immunizations

    Social Assessment

    Family History

    Maternal Age

    Nutritional Assessment

    ROUTINE PRENATAL CARE

    Pregnancy Dating

    Nutrition, Weight Gain, and Exercise

    Immunizations

    Genetic Screening

    Screening Tests

    First Trimester Screening

    Second Trimester Screening

    Combined Screening

    Cell-Free Fetal DNA Screening

    Screening for Neural Tube Defects

    Ultrasonographic Screening

    Diagnostic Testing

    2 Normal Labor and Delivery, Operative Delivery, and Malpresentations

    STAGES AND PHASES OF LABOR

    MECHANISM OF LABOR

    MANAGEMENT OF NORMAL LABOR AND DELIVERY

    Initial Assessment

    History

    Physical Exam

    Standard Admission Procedures

    Management of Labor

    Induction of Labor

    Oxytocin Administration

    Labor Progress Assessment: Historical and Contemporary

    Interventions for Abnormal Labor

    FETAL HEART RATE EVALUATION

    Overall Assessment

    Management of Nonreassuring Fetal Heart Rate Patterns

    Noninvasive Management

    Invasive Management

    ASSISTED SPONTANEOUS VAGINAL DELIVERY

    OPERATIVE VAGINAL DELIVERY

    Forceps Delivery

    Vacuum Delivery

    OBSTETRIC LACERATIONS

    SHOULDER DYSTOCIA

    Management

    CESAREAN SECTION

    VAGINAL BIRTH AFTER CESAREAN SECTION

    MALPRESENTATIONS

    Breech Presentation

    External Cephalic Version

    Abnormal Lie

    3 Complications of Labor and Delivery

    UTERINE DEHISCENCE OR RUPTURE

    UMBILICAL CORD PROLAPSE

    EMBOLIC DISEASE

    Amniotic Fluid Embolism

    Venous Thromboembolism

    Postpartum Hemorrhage

    Uterine Atony

    Lacerations and Hematomas

    Retained Products of Conception

    Placenta Accreta Spectrum Disorders

    Coagulopathy

    UTERINE INVERSION

    CHORIOAMNIONITIS

    POSTPARTUM ENDOMYOMETRITIS

    SEPTIC PELVIC THROMBOPHLEBITIS

    4 Fetal Assessment

    BACKGROUND

    METHODS OF FETAL ASSESSMENT

    Fetal Movement

    Fetal Heart Rate Monitoring

    Fetal Heart Monitoring With Ultrasonography

    Fetal Blood Flow/Velocity and Dopplers

    CONFOUNDING FACTORS IN FETAL ASSESSMENT

    INDICATIONS FOR FETAL TESTING

    5 Prenatal Complications

    NAUSEA AND VOMITING OF PREGNANCY

    CERVICAL INSUFFICIENCY

    AMNIOTIC FLUID DISORDERS

    Polyhydramnios

    Oligohydramnios

    FETAL GROWTH RESTRICTION

    POSTTERM AND LATE-TERM PREGNANCY

    INTRAUTERINE FETAL DEMISE

    6 Preterm Labor and Preterm Prelabor Rupture of Membranes

    PRETERM LABOR

    Definitions

    Incidence and Significance

    Risk Factors

    Steps to Minimize Risk of Preterm Labor and Delivery

    Evaluation

    Management

    Route of Delivery Varies by Gestational Age

    PRETERM PRELABOR RUPTURE OF MEMBRANES

    Definitions

    Incidence and Significance

    Etiology

    Evaluation

    Management

    7 Third-Trimester Bleeding

    ABRUPTIO PLACENTAE

    Epidemiology

    Etiology

    Complications

    Diagnosis

    History and physical examination

    Laboratory tests

    Management

    Term Gestation, Hemodynamically Stable

    Preterm and Term Gestations, Hemodynamic Instability

    Preterm Gestation, Hemodynamically Stable

    PLACENTA PREVIA

    Epidemiology

    Etiology

    Complications

    Diagnosis

    History and Physical Exam

    Laboratory Studies

    Management

    Term Gestation, Hemodynamically Stable

    Preterm and Term Gestation, Hemodynamic Instability

    Preterm Gestation, Hemodynamically Stable

    LOW-LYING PLACENTA

    VASA PREVIA

    Epidemiology

    Etiology

    Complications

    History

    Diagnosis

    Management

    8 Perinatal Infections

    VIRAL INFECTIONS

    Human Immunodeficiency Virus

    Cytomegalovirus

    Varicella Zoster Virus

    Parvovirus B19

    Rubella (German Measles)

    Influenza

    Viral Hepatitis

    Hepatitis A

    Hepatitis B

    Hepatitis C

    Herpes Simplex Virus 1 and 2

    BACTERIAL INFECTIONS

    Group A Streptococcus (Bacteremia)

    Group B Streptococcus

    Listeria

    Lyme disease

    Syphilis

    PROTOZOAN INFECTIONS

    Toxoplasmosis

    Malaria

    EMERGING INFECTIONS

    West Nile

    Zika

    9 Congenital Anomalies

    EPIDEMIOLOGY

    ETIOLOGY

    SCREENING AND MANAGEMENT

    CHROMOSOMAL ABNORMALITIES WITH ASSOCIATED CONGENITAL ANOMALIES

    Trisomy 21 (Down Syndrome)

    Trisomy 13 and 18

    Turner Syndrome

    Triploidy

    COMMON SPECIFIC CONGENITAL ANOMALIES

    10 Multifetal Gestation

    DIAGNOSIS

    ANTEPARTUM MANAGEMENT

    MATERNAL COMPLICATIONS

    FETAL COMPLICATIONS

    DELIVERY

    SPECIAL CONSIDERATIONS

    11 Endocrine Disorders of Pregnancy

    DIABETES MELLITUS

    Pregestational Diabetes Mellitus

    Diagnosis

    Fetal Complications

    Neonatal Complications

    Maternal Complications

    Management of Pregestational Diabetes in Pregnancy

    Fetal Assessment for Pregestational Diabetes

    Labor and Delivery in Diabetic Pregnancies

    Postpartum Care for Diabetics

    Gestational Diabetes

    Screening and Diagnosis

    Fetal and Neonatal Complications

    Maternal Complications

    Gestational Diabetes Mellitus Management

    Fetal Assessment for Gestational Diabetes Mellitus

    Labor and Delivery

    Postpartum

    THYROID DISORDERS

    Thyroid Hormones in Pregnancy

    Hyperthyroid Conditions

    Hyperthyroid Management

    Hypothyroid Conditions

    Nodular Thyroid

    PARATHYROID DISORDERS

    Hyperparathyroidism

    Hypoparathyroidism

    PITUITARY DISORDERS

    Prolactinoma

    Acromegaly

    Diabetes Insipidus

    Other Pituitary Disorders

    ADRENAL DISORDERS

    Cushing Syndrome

    Hyperaldosteronism

    Pheochromocytoma

    Adrenal Insufficiency

    12 Hypertensive Disorders of Pregnancy

    DEFINITIONS OF HYPERTENSIVE DISORDERS

    CHRONIC HYPERTENSION

    GESTATIONAL HYPERTENSION

    PREECLAMPSIA

    Management of Preeclampsia

    Management of Preeclampsia Without Severe Features

    Management of Preeclampsia With Severe Features

    HELLP SYNDROME

    ECLAMPSIA

    13 Cardiopulmonary Disorders of Pregnancy

    CARDIAC DISORDERS

    Hemodynamic Changes During Pregnancy

    Cardiac Disease in Pregnancy

    Management of Patients With Known Cardiac Disease

    Antibiotic Prophylaxis for Endocarditis

    Congenital Heart Disease

    Heart Transplant Recipients

    Specific Cardiac Conditions

    Cardiomyopathy

    Valvular Disease

    Arrhythmias

    Ischemic Heart Disease

    Cardiovascular Drugs in Pregnancy

    RESPIRATORY DISORDERS

    Pulmonary Changes During Pregnancy

    Specific Respiratory Disorders

    Asthma

    Influenza

    Cystic Fibrosis

    Tuberculosis

    Acute Respiratory Distress Syndrome

    14 Genitourinary Assessment and Renal Disease in Pregnancy

    KIDNEY AND URINARY TRACT DISORDERS

    Renal Physiology in Pregnancy

    Urinary Tract Disorders in Pregnancy

    Urinary Tract Infection

    Pyelonephritis

    Nephrolithiasis

    Polycystic Kidney Disease

    Glomerular Disease

    Acute Kidney Injury

    Chronic Kidney Disease

    15 Gastrointestinal Disease in Pregnancy

    NONHEPATIC GASTROINTESTINAL DISORDERS

    Nausea and Vomiting of Pregnancy

    Acid Reflux

    Peptic Ulcer Disease

    Effects of Prior Bariatric Surgery on Pregnancy

    Inflammatory Bowel Disease

    Pancreatitis

    Appendicitis

    GALLBLADDER DISORDERS

    LIVER DISORDERS

    Hepatic Physiology in Pregnancy

    Hepatic Disorders Unique to Pregnancy

    Cholestasis of Pregnancy

    Acute Fatty Liver of Pregnancy

    Hepatic Disorders Not Directly Related to Pregnancy

    Hepatitis

    Cirrhosis

    Budd-Chiari Syndrome

    16 Autoimmune Disease in Pregnancy

    PATHOPHYSIOLOGY

    COMMON GENERAL MANAGEMENT CONCERNS

    AUTOIMMUNE DISORDERS ENCOUNTERED IN PREGNANCY

    Systemic Lupus Erythematosus

    Preconception

    Antenatal Period

    Postpartum

    Antiphospholipid Syndrome

    Sjögren Syndrome

    Addison Disease

    Autoimmune Thyroid Disease

    Type I Diabetes

    Rheumatoid Arthritis

    Scleroderma

    Preconception

    Antenatal

    Postpartum

    Dermatomyositis and Polymyositis

    Mixed Connective Tissue Disease

    Crohn Disease and Ulcerative Colitis

    Myasthenia Gravis

    Multiple Sclerosis

    Immune Thrombocytopenic Purpura

    Autoimmune Hemolytic Anemia

    Autoimmune Neutropenia

    Vasculitic Syndromes

    Autoimmune Bullous Disease

    Autoimmune Hepatitis

    17 Neurologic Diseases in Pregnancy

    HEADACHE

    Imaging/Diagnosis

    Common Obstetric Causes of Headache

    Primary Headaches

    Migraine

    Tension Headaches

    Cluster Headaches

    Secondary Headaches

    Cerebral Venous Thrombosis

    Pseudotumor Cerebri (Idiopathic Intracranial Hypertension)

    CARPAL TUNNEL SYNDROME

    CHRONIC NEUROLOGIC DISEASES

    Multiple Sclerosis

    Preconception

    Antepartum

    Postpartum

    Epilepsy

    Preconception

    Antepartum

    Postpartum

    Myasthenia Gravis

    Preconception

    Antepartum

    Postpartum

    Spinal Cord Injury

    Bell Palsy in Pregnancy

    POSTPARTUM COMPRESSION NERVE INJURIES

    18 Psychiatric Disorders in the Pregnant and Postpartum Patient

    MOOD DISORDERS AND PREGNANCY

    Major Depressive Disorder

    Postpartum Depressive Disorders

    Bipolar Affective Disorders

    Postpartum Mania and Psychosis

    ANXIETY DISORDERS AND PREGNANCY

    Pregnancy-Related Anxiety

    Generalized Anxiety Disorder

    Panic Disorder

    POSTTRAUMATIC STRESS DISORDER AND PREGNANCY

    OBSESSIVE-COMPULSIVE DISORDER AND PREGNANCY

    PRIMARY PSYCHOTIC DISORDERS AND PREGNANCY/POSTPARTUM

    PERIPARTUM TREATMENT OF PSYCHIATRIC ILLNESS

    Pharmacotherapy

    Strategies for Prepregnancy Planning and Unplanned Pregnancy

    Nonpharmacologic Therapies

    CARE OF THE DIFFICULT PREGNANT PATIENT

    19 Substance Use Disorders in Pregnancy

    DEFINITIONS AND GENERAL PRINCIPLES

    EPIDEMIOLOGY, PATHOPHYSIOLOGY, AND MATERNAL/FETAL EFFECTS BY DRUG CATEGORY

    Alcohol

    Benzodiazepines

    Club Drugs (Including MDMA [Ecstasy] and LSD [Acid])

    Cocaine

    Inhalants

    Marijuana

    Methamphetamines

    Opioids

    Tobacco

    SCREENING AND ROUTINE CARE

    MANAGEMENT AND REFERRAL

    TREATMENT

    LABOR AND DELIVERY PAIN MANAGEMENT

    BREASTFEEDING AND POSTPARTUM ISSUES

    20 Hematologic Disorders of Pregnancy

    MATERNAL HEMATOLOGIC DISORDERS

    Anemia

    Hemoglobinopathies

    Thrombocytopenia

    Thromboembolic Disease

    von Willebrand Disease

    FETAL HEMATOLOGIC DISORDERS

    Fetal Anemia and Alloimmunization

    Fetal Thrombocytopenia

    21 Neoplastic Diseases in Pregnancy

    GENERAL TREATMENT CONCEPTS

    Imaging

    Surgery

    Radiotherapy

    Chemotherapy

    SPECIFIC NEOPLASTIC CARCINOMAS

    Cervical Carcinoma

    Ovarian Carcinoma

    Breast Carcinoma

    Other Common Carcinoma in Reproductive-Aged Women

    Melanoma

    Hematologic

    OUTCOMES AND FOLLOW-UP

    Neonatal Outcomes

    Breastfeeding

    Future Pregnancy

    22 Skin Conditions in Pregnancy

    NORMAL AND COMMON CHANGES IN PREGNANCY

    Connective Tissue

    Vascular Changes Affecting Skin

    Changes in Skin Pigmentation in Pregnancy

    SKIN CONDITIONS UNIQUE TO PREGNANCY

    SKIN CONDITIONS OUTSIDE OF PREGNANCY AND THE RESPONSE TO PREGNANCY

    23 Surgical Disease and Trauma in Pregnancy

    PERIOPERATIVE CONSIDERATIONS FOR NONOBSTETRIC SURGERY

    Anatomic and Physiologic Changes in Pregnancy

    Timing of Surgery

    Diagnostic Imaging

    Anesthesia and Intraoperative Hemodynamics

    Surgical Technique

    Fetal Monitoring

    SURGICAL DISEASES IN PREGNANCY

    Acute Appendicitis

    Acute Cholecystitis

    Bowel Obstruction

    Ovarian Cysts and Torsion

    Breast Mass During Pregnancy

    Pregnancy After Bariatric Surgery

    TRAUMA IN PREGNANCY

    Specific Traumatic Injuries

    Blunt Trauma

    Penetrating Trauma

    Thermal Injuries/Burns

    Trauma Assessment in Pregnancy

    CARDIOPULMONARY RESUSCITATION IN PREGNANCY

    24 Postpartum Care and Breastfeeding

    ROUTINE POSTPARTUM CARE

    Normal Postpartum Physiology

    The Perineum

    Postpartum Immunizations and Injections

    Discharge From the Hospital

    The Postpartum Care Continuum: The “Fourth Trimester”

    COMMON POSTPARTUM COMPLICATIONS

    BREASTFEEDING

    Recommendations

    Contraindications to Breastfeeding

    Breastfeeding and Maternal Medications

    Breastfeeding and Contraception

    Lactational Mastitis

    Decreased Milk Supply

    Weaning

    25 Obstetric Anesthesia

    PAIN PATHWAYS

    OVERVIEW OF OBSTETRIC ANALGESIA/ANESTHESIA

    TYPES OF OBSTETRIC ANALGESIA/ANESTHESIA

    Local Injection (Field Block)

    Peripheral Nerve Block (Pudendal, Paracervical)

    Regional Anesthesia (Epidural, Spinal)

    Systemic Analgesia

    General Anesthesia

    Anesthesia Consultation

    Part II: General Gynecology

    26 Primary and Preventive Care

    ANNUAL WELL WOMAN VISIT

    CANCER

    Screening for Breast Cancer

    Screening for Lung Cancer

    Screening for Colorectal Cancer

    Screening for Endometrial Cancer

    Screening for Skin Cancer

    Screening for Ovarian Cancer

    Screening for Cervical Cancer

    HEART AND VASCULAR CONDITIONS

    Screening for Coronary Heart Disease

    Screening for Dyslipidemia

    Screening for Hypertension

    METABOLIC, ENDOCRINE, AND NUTRITIONAL CONDITIONS

    Screening for Diabetes

    Screening for Thyroid Disorders

    Screening for Osteoporosis

    Screening for Obesity

    Counseling on Nutrition

    INFECTIOUS DISEASES

    Screening for Human Immunodeficiency Virus

    Screening for Chlamydia and Gonorrhea

    SCREENING FOR OTHER MEDICAL CONDITIONS

    Screening for Depression

    Screening for Intimate Partner Violence

    Screening and Counseling for Substance Abuse

    Alcohol Abuse

    Tobacco Use

    COUNSELING

    CARE FOR LESBIANS, BISEXUAL, AND TRANSGENDER WOMEN

    IMMUNIZATIONS

    OTHER PRIMARY CARE PROBLEMS

    27 Infections of the Genital Tract

    SCREENING

    INFECTIONS OF THE LOWER FEMALE GENITAL TRACT

    Vulvar Infections

    Human Papillomavirus

    Molluscum Contagiosum

    Parasites

    Pediculosis Pubis

    Scabies

    Genital Ulcers

    Genital Herpes

    Syphilis

    Acute Genital Ulceration (Lipschütz Ulcers)

    Other Ulcerative Lesions

    Vaginitis

    Bacterial Vaginosis

    Trichomoniasis

    Vulvovaginal Candidiasis

    Cervicitis

    Chlamydia

    Gonorrhea

    Mycoplasma genitalium

    INFECTIONS OF THE UPPER GENITAL TRACT

    Pelvic Inflammatory Disease

    Tubo-ovarian Abscess

    Endometritis (Nonpuerperal)

    28 Contraception and Sterilization

    TIERS OF EFFECTIVENESS

    HIGHLY EFFECTIVE CONTRACEPTIVE METHODS

    Sterilization (Permanent Contraception)

    Female Sterilization

    Male Sterilization

    Long-Acting Reversible Contraception

    Intrauterine Contraception

    Implantable Contraception

    SHORT-ACTING HORMONAL CONTRACEPTIVE METHODS

    Progestin-only Methods

    Injectable Contraception

    Progestin-Only Pills

    Combined Hormonal Contraceptives

    Combined Oral Contraceptive Pills

    Transdermal Patch

    Intravaginal Ring

    BARRIER METHODS

    Condoms

    Male (“Outside”) Condom

    Female (“Inside”) Condom

    Diaphragm

    FERTILITY AWARENESS–BASED METHODS

    EMERGENCY (POSTCOITAL) CONTRACEPTION

    Levonorgestrel Emergency Contraceptive Pills

    Ulipristal Acetate Emergency Contraceptive Pills

    Copper Intrauterine Device

    29 Abortion

    PREGNANCY TERMINATION

    Epidemiology and Safety

    Evaluation and Counseling

    SURGICAL ABORTION

    Surgical Abortion in the First Trimester

    Surgical Abortion in the Second Trimester

    MEDICATION ABORTION

    Medication Abortion in the First Trimester

    Medication Abortion in the Second Trimester (Labor Induction)

    Follow-up

    COMPLICATIONS

    Complications of Surgical Abortion

    Complications of Medication Abortion

    30 First and Second Trimester Pregnancy Loss and Ectopic Pregnancy

    ASSESSMENT OF PREGNANCY LOCATION AND VIABILITY IN THE FIRST TRIMESTER

    EARLY PREGNANCY LOSS IN THE FIRST TRIMESTER

    SECOND-TRIMESTER PREGNANCY LOSS

    ECTOPIC PREGNANCY

    31 Abnormal Uterine Bleeding

    MENSTRUAL DIMENSIONS

    DIFFERENTIAL DIAGNOSIS OF ABNORMAL UTERINE BLEEDING

    Premenarchal Bleeding

    Reproductive-Aged Abnormal Bleeding

    Postmenopausal Bleeding

    EVALUATION OF ABNORMAL UTERINE BLEEDING

    History

    Physical Examination

    Laboratory Testing

    IMAGING TECHNIQUES AND TISSUE SAMPLING METHODS

    Ultrasonography

    Computed Tomography

    Magnetic Resonance Imaging

    Hysteroscopy

    Endometrial Sampling

    Dilation and Curettage

    SPECIFIC CAUSES OF ABNORMAL UTERINE BLEEDING

    Pregnancy-Associated Bleeding

    Abnormal Uterine Bleeding in Nonpregnant Women

    Structural Causes of Abnormal Uterine Bleeding

    Polyp (AUB-P)

    Adenomyosis (AUB-A)

    Leiomyoma (AUB-L)

    Malignancy and Hyperplasia (AUB-M)

    Nonstructural Causes of Abnormal Uterine Bleeding

    Coagulopathy (AUB-C)

    Ovulatory Dysfunction (AUB-O)

    Endometrial (AUB-E)

    Iatrogenic (AUB-I)

    Not Yet Classified (AUB-N)

    MANAGEMENT OF ABNORMAL UTERINE BLEEDING

    Medical Therapy

    Surgical Treatment

    32 Chronic Pelvic Pain

    TYPES OF PELVIC PAIN

    EVALUATION OF CHRONIC PELVIC PAIN

    Imaging and Laboratory Testing

    Laparoscopy and Consults

    DIFFERENTIAL DIAGNOSIS OF PELVIC PAIN

    MANAGEMENT OF CHRONIC PELVIC PAIN

    Medical Therapy

    Surgical Treatment

    Other Treatment Options

    33 Uterine Leiomyomas and Benign Adnexal Masses

    ADNEXAL MASSES

    Evaluation and Diagnosis

    Paratubal/Paraovarian Cysts

    Ovarian Masses

    Functional Ovarian Cysts

    Endometriomas

    Ovarian Teratomas

    Infectious Etiologies

    The Unstable Patient

    The Pediatric and Adolescent Population

    Pregnancy

    UTERINE MASSES

    Leiomyoma

    Etiology and Pathophysiology

    Classification and Types of Fibroids

    Clinical Manifestations and Diagnosis

    Treatment for Leiomyomas

    Observation

    Medical Therapy

    Surgical Therapy

    Myomectomy

    Hysterectomy

    Uterine Artery Embolization

    Magnetic Resonance Imaging–Guided Focused Ultrasound Surgery

    Radiofrequency Ablation

    Congenital Anomalies

    34 Breast Diseases

    ANATOMY

    BREAST EXAM

    COMMON BREAST DISORDERS AND COMPLAINTS

    Mastalgia

    Nipple Discharge

    Breast Infections

    Breast Mass

    BREAST CANCER

    Risk Factors

    Screening and Diagnosis

    Mammography

    Abnormal Mammogram

    Alternate Screening Modalities

    Premalignant Breast Lesions

    Malignant Breast Lesions

    Staging and Prognostic Factors

    Treatment

    Surgical or Local Treatment

    Systemic Therapy

    Metastatic or Advanced Disease

    Prevention

    Pregnancy and Breast Cancer

    35 Benign Vulvar Disorders

    ANATOMY OF THE VULVA

    INFECTIOUS DISEASES OF THE VULVA

    Sexually Transmitted Infections

    Bacterial Skin Infections of the Vulva

    DERMATOSES AND INFLAMMATORY CONDITIONS

    Behçet Syndrome

    Fox-Fordyce Disease

    Hidradenitis Suppurativa

    Atrophic Vulvovaginitis

    Contact Dermatitis

    Psoriasis

    Lichen Simplex Chronicus

    Lichen Planus

    Lichen Sclerosus

    VULVAR PAIN SYNDROMES

    Vulvodynia

    Vulvar Vestibulitis Syndrome

    Levator Ani Syndrome

    Vulvar Neuropathy

    BENIGN VULVAR LESIONS

    Urethral Caruncle

    Acrochordon

    Seborrheic Keratoses

    Lipoma

    BENIGN VULVAR CYSTS

    Bartholin Gland Cyst

    Epidermal Inclusion Cysts

    Mucus Cysts

    Gartner Duct Cysts

    Skene Duct Cysts

    36 Female Sexual Function and Dysfunction

    EPIDEMIOLOGY

    PHYSIOLOGY OF SEXUAL FUNCTION

    THEORIES OF SEXUAL FUNCTION

    DIAGNOSIS OF SEXUAL DISORDERS

    Screening

    Physical Exam

    SEXUAL DYSFUNCTION DISORDERS

    Desire

    Arousal

    Treatments for Both Desire and Arousal Disorders in Women

    Orgasmic

    Pain

    Genitopelvic Pain/Penetration Disorder

    Vaginismus and Vulvodynia

    Assessment and Exam for Vaginismus and Vulvodynia

    Treatment for Vaginismus and Vulvodynia

    SEXUAL FUNCTION AND SPECIAL POPULATIONS

    37 Intimate Partner and Sexual Violence

    INTIMATE PARTNER VIOLENCE

    Definitions

    Background and Statistics

    Routine Intimate Partner Violence Screening

    Suspecting Intimate Partner Violence

    Assessment of Risk

    Interventions

    Special Populations

    Pregnancy

    Elder Abuse

    Child Abuse

    Abuse of Disabled Women

    Women With Undocumented Immigrant Status

    Sex Workers

    SEXUAL VIOLENCE

    Definitions

    Background

    Evaluation and Management

    Resources

    Patient History

    Physical Examination

    Diagnostic Testing

    Treatment

    Psychosocial Sequelae

    Special Populations

    Children

    Adolescents

    Human Trafficking

    Female Genital Mutilation

    38 Pediatric Gynecology

    GYNECOLOGIC EVALUATION OF A PREPUBERTAL CHILD

    General Pediatric Physical Exam

    Pediatric Pelvic Exam: Positioning

    Pediatric Pelvic Exam: Assessment

    Pediatric Exam: Documentation

    GYNECOLOGIC EVALUATION OF AN ADOLESCENT

    Special Considerations in Care of the Adolescent

    Adolescent Gynecologic Exam

    COMMON PEDIATRIC GYNECOLOGY COMPLAINTS

    Vulvovaginitis

    History: Key Points

    Physical Examination

    Etiologies of Vulvovaginitis

    Prepubertal Vaginal Bleeding

    Vulvovaginitis

    Urethral Prolapse

    Genital Tumors

    Endometrial Shedding

    Trauma and Sexual Abuse

    Traumatic Injuries

    Sexual Abuse

    Labial Adhesions

    Adnexal Masses/Ovarian Torsion

    Surgical Considerations for Laparoscopy in Children

    DISORDERS OF PUBERTY

    Delayed Puberty

    Hypergonadotropic Hypogonadism (High Follicle-Stimulating Hormone)

    Hypogonadotropic Hypogonadism (Low Follicle-Stimulating Hormone)

    Eugonadism (Normal Follicle-Stimulating Hormone)

    Key Points in Evaluation and Management of Delayed Puberty

    Precocious Puberty

    Gonadotropin-Dependent Disorders—Central Precocious Puberty

    Gonadotropin-Independent Disorders—Pseudoprecocious Puberty

    Key Points in Evaluation and Management of Precocious Puberty

    Premature Thelarche

    AMBIGUOUS GENITALIA

    Male Feminization

    Female Virilization

    CONGENITAL ANOMALIES OF THE FEMALE REPRODUCTIVE TRACT

    Part III: Reproductive Endocrinology and Infertility

    39 The Menstrual Cycle

    MENSTRUAL CYCLE OVERVIEW

    PHASES OF THE MENSTRUAL CYCLE

    The Early Follicular Phase

    The Midfollicular Phase

    The Late-Follicular Phase

    The Luteal Phase

    40 Infertility and Assisted Reproductive Technologies

    INFERTILITY

    Definitions

    Incidence

    DIFFERENTIAL DIAGNOSIS

    Ovarian Factor

    Uterine Factor

    Tubal Factor

    Cervical Factor

    Male Factor

    Recurrent Implantation Failure

    EVALUATION

    Indications for Evaluation

    History and Physical Examination

    Evaluation for Ovarian Factor

    Evaluation for Structural Factor

    Evaluation for Male Factor

    TREATMENT FOR INFERTILITY

    Treatment of Ovulatory Disorders

    Treatment of Endometriosis

    Treatment of Uterine Factor

    Treatment of Tubal Factor

    Treatment of Recurrent Implantation Failure

    Treatment of Male Factors

    TREATMENTS BEYOND OVULATION INDUCTION WITH TIMED INTERCOURSE

    Intrauterine Insemination

    Assisted Reproductive Technologies

    Preimplantation Genetic Testing

    CONTROLLED OVARIAN HYPERSTIMULATION AND PROTOCOLS FOR IN VITRO FERTILIZATION

    OOCYTE RETRIEVAL, CULTURE, FERTILIZATION, AND TRANSFER

    THIRD-PARTY REPRODUCTION

    COMPLICATIONS OF ASSISTED REPRODUCTIVE TECHNOLOGIES

    Ovarian Hyperstimulation Syndrome

    Multiple Pregnancy

    Heterotopic Pregnancy

    Fetal/Neonatal Effects

    Effects of Intracytoplasmic Sperm Injection

    FERTILITY PRESERVATION

    Embryo Cryopreservation

    Oocyte Cryopreservation

    Ovarian Tissue Cryopreservation

    Gonadotropin-Releasing Hormone Agonists Treatment Prior to Chemotherapy

    Ovarian Transposition

    41 Recurrent Pregnancy Loss

    EPIDEMIOLOGY AND DEFINITION

    ETIOLOGIES

    Genetic

    Uterine Pathology

    Endocrine/Metabolic Dysfunction

    Antiphospholipid Syndrome

    Hereditary Thrombophilias

    Immune Dysfunction

    Male Factors

    Infection and Environmental Exposures

    Psychological Factors

    EVALUATION

    TREATMENT PRINCIPLES

    42 Menstrual Disorders: Endometriosis, Dysmenorrhea, and Premenstrual Dysphoric Disorder

    ENDOMETRIOSIS

    Theories of the Pathogenesis of Endometriosis

    Patient Characteristics

    Clinical Presentation

    Abnormal Clinical Findings Associated With Endometriosis

    Diagnosis of Endometriosis

    Treatment

    Surgical Treatment

    Endometriosis and Infertility

    Endometriosis and Ovarian Malignancy

    DYSMENORRHEA

    Pertinent Findings in History and Physical Exam

    Treatment of Dysmenorrhea

    PREMENSTRUAL DISORDER: PREMENSTRUAL DYSPHORIA AND PREMENSTRUAL DYSPHORIC DISORDER

    Evaluation and Diagnosis

    Treatment

    43 Evaluation of Amenorrhea

    DEFINITION

    EVALUATION OF AMENORRHEA

    When to Evaluate for Amenorrhea

    Pertinent History for Amenorrhea

    Physical Examination for Amenorrhea

    Laboratory Evaluation of Amenorrhea

    Imaging Evaluation of Amenorrhea

    Further Evaluation and Other Considerations

    Progesterone Withdrawal for Evaluation of Amenorrhea

    Differential Diagnosis for Primary Amenorrhea

    Differential Diagnosis for Secondary Amenorrhea

    ETIOLOGIES OF AMENORRHEA—SYSTEMATIC EVALUATION

    Genital Outflow Tract and Uterine Abnormalities Resulting in Amenorrhea

    Ovarian Abnormalities Resulting in Amenorrhea (Hypergonadotropic Hypogonadism)

    Hypothalamic Dysfunction Resulting in Amenorrhea (Hypogonadotropic Hypogonadism)

    Pituitary Disorders Resulting in Amenorrhea

    Normogonadotropic Amenorrhea

    44 Polycystic Ovary Syndrome and Hyperandrogenism

    DEFINITION AND ANDROGEN PHYSIOLOGY

    SIGNS AND SYMPTOMS OF HYPERANDROGENISM

    Normal Hair Growth and Physiology

    Hirsutism

    Hypertrichosis

    Hair Loss

    Virilization and Clitoromegaly

    Skin Changes

    Voice Changes

    ANDROGENS IN THE FEMALE

    Testosterone

    Androstenedione

    Dehydroepiandrosterone and Dehydroepiandrosterone Sulfate

    Dihydrotestosterone

    Sex Hormone–Binding Globulins

    CAUSES OF HYPERANDROGENISM

    DIAGNOSIS OF HYPERANDROGENISM

    History and Physical Examination

    Laboratory Evaluation

    POLYCYSTIC OVARY SYNDROME

    Diagnosis of Polycystic Ovary Syndrome

    Pathophysiology of Polycystic Ovary Syndrome

    Consequences of PCOS

    Treatment for Hyperandrogenism/Polycystic Ovary Syndrome

    Fertility Treatment for Polycystic Ovary Syndrome

    NONCLASSICAL (LATE-ONSET) CONGENITAL ADRENAL HYPERPLASIA

    Epidemiology

    Signs and Symptoms

    Diagnosis

    Treatment

    ANDROGEN-PRODUCING OVARIAN OR ADRENAL TUMORS

    CUSHING SYNDROME

    Signs and Symptoms

    Diagnosis

    Treatment

    IDIOPATHIC AND DRUG-INDUCED HIRSUTISM

    45 Definitions and Epidemiology of Menopause

    PHYSIOLOGY OF MENOPAUSE

    Natural Menopause

    Primary Ovarian Insufficiency

    Medical Menopause

    Surgical Menopause

    SYMPTOMS

    Menstrual Cycle Disturbances

    Vasomotor Menopause Symptoms

    Genitourinary Syndrome of Menopause

    Cognitive Changes

    Depression and Anxiety

    SPECIAL CONCERNS FOR MENOPAUSAL WOMEN

    Bone Health

    Cardiovascular Health

    HORMONAL REPLACEMENT THERAPY STUDY SUMMARIES

    Nurses’ Health Study Observational Study

    Women’s Health Initiative Prospective Randomized Controlled Trial

    Heart and Estrogen/Progestin Replacement Study Prospective Randomized Controlled Trial

    Kronos Early Estrogen Prevention Study

    Postmenopausal Estrogen/Progestin Interventions Trial Prospective Randomized Controlled Trial

    Women’s Health Initiative Memory Study

    Part IV: Female Pelvic Medicine and Reconstructive Surgery

    46 Urinary Incontinence and Lower Urinary Tract Symptoms

    IMPACT ON HEALTH

    ETIOLOGY AND RISK FACTORS

    TYPES OF URINARY INCONTINENCE AND LOWER URINARY TRACT SYMPTOMS

    PATIENT EVALUATION

    History

    Physical Exam

    Diagnostic Tests

    TREATMENT

    Conservative Treatment of Lower Urinary Tract Symptoms/Urinary Incontinence

    Nonsurgical Treatment of Stress Urinary Incontinence

    Surgical Treatment of Stress Urinary Incontinence

    Conservative Treatment of Overactive Bladder

    Medical Management of Overactive Bladder

    Surgical Management of Overactive Bladder

    Treatment of Mixed Urinary Incontinence

    URINARY RETENTION

    Etiology

    Treatment for Urinary Retention

    47 Pelvic Organ Prolapse

    EPIDEMIOLOGY

    RISK FACTORS

    PELVIC ORGAN PROLAPSE SIGNS AND SYMPTOMS

    RECOMMENDED EVALUATION FOR PATIENT WITH SUSPECTED PROLAPSE

    TREATMENT OF PELVIC ORGAN PROLAPSE

    Surgical Procedures for Pelvic Organ Prolapse

    Reconstructive Surgery

    Obliterative Procedures

    Augmented Surgery

    Use of Mesh in Vaginal Prolapse Surgery

    48 Anal Incontinence

    ETIOLOGY

    PATIENT EVALUATION

    TREATMENT

    Conservative Treatments

    Procedural Treatments

    Surgical Treatments

    Part V: Gynecologic Oncology

    49 Cervical Intraepithelial Neoplasia

    EPIDEMIOLOGY OF CERVICAL NEOPLASIA

    PRIMARY PREVENTION

    Vaccination

    Other Primary Prevention

    SCREENING GUIDELINES

    Special Populations

    SCREENING METHODS

    Pap Smear Cytology

    Human Papillomavirus Testing

    DIAGNOSTIC CATEGORIES: CYTOLOGY

    Atypical Squamous Cells

    Atypical Glandular Cells

    Low-Grade Squamous Intraepithelial Lesions

    High-Grade Squamous Intraepithelial Lesions

    MANAGEMENT STRATEGIES: CYTOLOGIC ABNORMALITIES

    Atypical Squamous Cells of Undetermined Significance

    Special Populations

    Atypical Squamous Cells Cannot Exclude High-Grade

    Atypical Glandular Cells

    Special Populations

    Low-Grade Squamous Intraepithelial Lesion

    Special Populations

    High-Grade Squamous Intraepithelial Lesion

    Special Populations

    MANAGEMENT STRATEGIES: hrHPV POSITIVE ON PRIMARY SCREENING

    DIAGNOSTIC CATEGORIES VIA COLPOSCOPY: HISTOLOGY

    Cervical Intraepithelial Neoplasia 1

    Cervical Intraepithelial Neoplasia 2/3

    Adenocarcinoma In Situ

    MANAGEMENT STRATEGIES: HISTOLOGIC ABNORMALITIES

    Treatment Modalities

    Ablative Methods

    Excisional Methods

    Management of Cervical Intraepithelial Neoplasia 1

    Special Populations

    Management of Cervical Intraepithelial Neoplasia 2/3

    Special Populations

    Management of Adenocarcinoma In Situ

    Special Populations

    50 Cervical Cancer

    EPIDEMIOLOGY OF CERVICAL CANCER

    SCREENING, PRESENTATION, AND DIAGNOSIS

    Clinical Presentation

    Diagnosis of Cervical Cancer

    DISEASE PROGRESSION, STAGING, AND PROGNOSIS

    Routes of Cervical Cancer Spread

    Staging of Cervical Cancer

    Prognostic Factors for Cervical Cancer

    Histologic Subtype

    Histologic Grade

    Other Prognostic Factors

    MANAGEMENT OF CERVICAL CANCER

    Surgical Management

    Fertility-Preserving Surgical Options

    Primary Chemoradiation Therapy

    Chemotherapy

    Immunotherapy

    Combined Modalities

    Management by Stage of Disease

    Treatment-Related Complications

    Posttreatment Surveillance and Recurrence

    Special Management Issues

    Cervical Cancer in Pregnancy

    Cervical Cancer in Human Immunodeficiency Virus–Infected Women

    Cervical Hemorrhage

    Obstructive Uropathy

    Venous Thromboembolism

    CERVICAL CANCER AND GLOBAL HEALTH

    51 Cancer of the Uterine Corpus

    EPIDEMIOLOGY OF UTERINE CANCER

    RISK FACTORS FOR UTERINE CANCER

    SCREENING

    PRESENTATION, EVALUATION, AND DIAGNOSIS

    Clinical Presentation

    Evaluation

    STAGING AND PROGNOSIS

    Pretreatment Evaluation

    Staging of Uterine Cancer

    Surgical Staging Procedures

    Cytoreduction

    Histopathologic Factors for Uterine Cancer

    PROGNOSTIC FACTORS

    MANAGEMENT OF UTERINE CANCER

    Management of High-Risk Uterine Cancer

    Radiation Therapy

    Cytoreductive Surgery

    Chemotherapy and Immunotherapy

    Special Considerations

    Clear Cell and Uterine Serous Carcinoma

    Carcinosarcoma

    Fertility Preservation

    Incomplete Surgical Staging

    Medical Contraindications to Surgery

    POSTTREATMENT SURVEILLANCE

    UTERINE SARCOMA

    Leiomyosarcoma

    Endometrial Stromal Sarcoma

    Prognosis for Uterine Sarcoma

    52 Ovarian Cancer

    EPIDEMIOLOGY OF OVARIAN CANCER

    EPITHELIAL OVARIAN TUMORS

    Risk Factors

    Screening and Prevention

    Presentation and Diagnosis

    Staging and Prognosis

    Prognostic Factors

    Management of Epithelial Ovarian Cancer

    Tumors of Low Malignant Potential

    Early Invasive Disease (Stage I or II)

    Advanced Invasive Disease

    Posttreatment Surveillance

    Complications of Advanced Ovarian Cancer

    Survival

    Peritoneal Carcinoma

    GERM CELL OVARIAN TUMORS

    Epidemiology

    Pathology

    Diagnosis

    Germ Cell Tumor Types

    Management of Germ Cell Tumors

    SEX CORD–STROMAL OVARIAN TUMORS

    Granulosa Cell Tumor

    Sertoli-Leydig Cell Tumor

    SPECIAL CONSIDERATIONS IN OVARIAN CANCER

    53 Hereditary Cancer Syndromes

    IDENTIFICATION OF HIGH-RISK WOMEN AND REFERRAL STRATEGIES

    SPECIFIC HEREDITARY GYNECOLOGIC CANCER SYNDROMES

    Hereditary Breast and Ovarian Cancer

    BRCA1 and BRCA2

    Other Ovarian Cancer–Associated Gene Mutations

    Lynch Syndrome

    Cowden Syndrome

    Peutz-Jeghers Syndrome

    Li-Fraumeni Syndrome

    Newly Defined Nonsyndrome Mutations

    TARGETED THERAPY FOR MUTATION CARRIERS

    54 Premalignant and Malignant Disease of the Vulva and Vagina

    PREMALIGNANT NEOPLASTIC DISEASES OF THE VULVA AND VAGINA

    Vulvar Intraepithelial Neoplasia

    Vaginal Intraepithelial Neoplasia

    Treatment of Vulvar Intraepithelial Neoplasia and Vaginal Intraepithelial Neoplasia

    MALIGNANT NEOPLASTIC DISEASES OF THE VULVA

    Vulvar Squamous Cell Carcinoma

    Verrucous Carcinoma

    Basal Cell Carcinoma

    Melanoma

    Paget Disease of the Vulva

    Bartholin Gland Carcinoma

    Vulvar Sarcoma

    MALIGNANT NEOPLASTIC DISEASES OF THE VAGINA

    Squamous Cell Vaginal Cancer

    Adenocarcinoma of the Vagina

    Melanoma

    Sarcoma

    Embryonal Rhabdomyosarcoma (Sarcoma Botryoides)

    55 Gestational Trophoblastic Disease

    TYPES OF TROPHOBLASTIC CELLS

    CLASSIFICATION OF GESTATIONAL TROPHOBLASTIC DISEASE: ETIOLOGY, PATHOLOGY, AND CLINICAL PRESENTATION

    Nonneoplastic Trophoblastic Lesions: Exaggerated Placental Sites and Placental Site Nodules

    Exaggerated Placental Sites

    Placental Site Nodules

    Molar Pregnancy: Complete and Incomplete Mole

    Complete Mole

    Incomplete Mole

    Gestational Trophoblastic Neoplasia: Invasive Mole, Choriocarcinoma, and Placenta Site and Epithelioid Trophoblastic Tumor

    Invasive Mole

    Choriocarcinoma

    Placental Site and Epithelioid Trophoblastic Tumor

    DIAGNOSIS AND MANAGEMENT

    Nonneoplastic Trophoblastic Lesions

    Molar Pregnancy

    Risk Factors

    Imaging and Lab Evaluation

    Pathologic Diagnosis

    Management

    Considerations for Future Pregnancies

    Persistent Gestational Trophoblastic Disease/Gestational Trophoblastic Neoplasia

    Risk Factors

    Imaging and Lab Evaluation

    Diagnostic Criteria

    Staging and Management of Gestational Trophoblastic Neoplasia

    Management of Nonmetastatic Disease and Low-Risk Metastatic Disease

    Management of High-Risk or Metastatic Disease

    Considerations for Future Pregnancies

    Management of Intermediate Trophoblastic Tumors: Placental Site Trophoblastic Tumor and Epithelioid Trophoblastic Tumor

    56 Chemotherapy, Antineoplastic Therapy, and Radiation Therapy

    CELL CYCLE

    CHEMOTHERAPY, TARGETED THERAPY, AND HORMONAL AGENTS

    Chemotherapy

    Targeted Therapy

    Hormonal Therapy

    COMMON SIDE EFFECTS OF CHEMOTHERAPY, TARGETED THERAPY, AND HORMONAL AGENTS

    RADIATION THERAPY

    Clinical Radiation Sources

    Common Side Effects of Radiation Therapy

    PRIMARY TREATMENT MODALITIES ACCORDING TO CANCER SITE

    Epithelial Ovarian Cancer

    Nonepithelial Ovarian Cancers

    Cervical Cancer

    Vulvar Cancer

    Vaginal Cancer

    Uterine Cancers

    Endometrioid Endometrial Carcinoma

    Uterine Leiomyosarcomas

    Uterine Carcinosarcomas

    Gestational Trophoblastic Tumors

    57 Palliative and End-of-Life Care

    DEFINITIONS

    Palliative Care

    Hospice Care

    SYMPTOM MANAGEMENT

    Pain

    Dyspnea

    Anorexia/Cachexia

    Nausea/Vomiting

    Ascites

    Malignant Bowel Obstruction

    Constipation

    Sleep/Wake Disturbances

    Fatigue

    Delirium

    Mood Disorders

    COMMUNICATION

    ADVANCE CARE PLANNING

    END-OF-LIFE CARE ISSUES

    CAREGIVER SUPPORT

    Part VI: Surgery in Obstetrics and Gynecology

    58 Anatomy of the Female Pelvis

    ABDOMINAL WALL

    Layers of the Anterior Abdominal Wall

    Vasculature of the Abdominal Wall

    PELVIC VISCERA

    Vagina

    Uterus

    Ligaments of the Uterus

    Adnexae

    Ureter

    SURGICAL SPACES OF THE PELVIS

    VASCULATURE OF THE ABDOMEN AND PELVIS

    VULVA AND PERINEUM

    External Anatomy

    Superficial Compartment of the Vulva

    Pelvic Floor

    Posterior Triangle

    NERVES OF THE PELVIS AND PERINEUM

    Pelvic Diaphragm

    Perineum

    LYMPHATIC DRAINAGE OF THE PELVIS

    59 Surgical Approaches in Gynecologic Surgery

    MINIMALLY INVASIVE SURGERY IN GYNECOLOGY

    Benefits of Minimally Invasive Surgery

    Laparoscopy

    Robot-Assisted Laparoscopic Surgery

    Laparoendoscopic Single Site/Single-Site Incision Laparoscopic Surgery

    Minimally Invasive Hysterectomy

    Transvaginal Hysterectomy

    Laparoscopically Assisted Vaginal Hysterectomy

    Laparoscopic Hysterectomy (Including Robotic Assisted)

    Minimally Invasive Myomectomy

    Laparoscopic Entry Techniques

    Laparoscopic Entry Sites

    Port Placement

    Removal of Large Specimens

    Port Closure and Trocar Site Complications

    Uterine Manipulation During Minimally Invasive Surgery Procedures

    Minimally Invasive Surgery in the Obese Patient

    LAPAROTOMY IN OPERATIVE GYNECOLOGY

    Abdominal Wall Incisions

    Closure Techniques

    60 Perioperative Care and Complications of Gynecologic Surgery

    PREOPERATIVE CARE

    Informed Consent

    Medical Evaluation and Optimization

    Preoperative Evaluation

    Preoperative Management

    Hemorrhage Prevention Optimization

    INTRAOPERATIVE COMPLICATIONS

    Hemorrhage

    Ureteral Injury

    Bladder Injury

    Bowel Injury

    Nerve Injury

    Complications Specific to Laparoscopy

    Complications Specific to Hysteroscopy

    POSTOPERATIVE COMPLICATIONS

    Postoperative Fever

    Postoperative Infection

    Wound Infection

    Incisional or Vaginal Cuff Cellulitis

    Necrotizing Fasciitis

    Venous Thromboembolism

    Imaging

    Therapy

    Ileus and Bowel Obstruction

    Diarrhea

    Genitourinary Fistulae

    ENHANCED RECOVERY AFTER SURGERY

    Preadmission/Preoperatively

    Intraoperatively

    Postoperatively

    Outcomes

    61 Critical Care

    CARDIOVASCULAR CRITICAL CARE

    Heart Failure

    Acute Coronary Syndrome

    Cardiac Arrhythmias

    Hypotension and Shock

    RESPIRATORY CRITICAL CARE

    Acute Respiratory Distress Syndrome

    Oxygen Therapy

    FLUIDS AND ELECTROLYTES

    Hyponatremia

    Hypernatremia

    Hypokalemia

    Hyperkalemia

    Hypocalcemia

    Hypercalcemia

    Acid-Base Disorders

    RENAL FAILURE

    HEMATOLOGIC CRITICAL CARE

    Anemia

    Thrombocytopenia

    Disseminated Intravascular Coagulation

    INFECTIOUS DISEASES

    Sepsis

    SPECIAL OBSTETRIC CONSIDERATIONS IN CRITICAL CARE

    62 Quality, Safety, and Value in Women’s Health

    BACKGROUND

    QUALITY ASSURANCE

    CONTINUOUS IMPROVEMENT

    CLINICAL INNOVATION

    Index

     

  • Handbook of Obstetric and Gynecologic Emergencies
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    Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Perfect as a quick reference in the emergency room or your office, the newest edition of this handbook is diagnostic and treatment focused, touching on a range of everyday conditions and problems. These include newer issues such as medico-psychological ramifications of sexual assault, complications from abortion, assisted reproductive technologies, and immunologic therapies. Ob-gyns as well as non-obstetric providers will find much here to help them assess and manage clinical situations.

     

    Table of Contents:

     

    PART I: OBSTETRIC

    1 Medical Emergencies in the Pregnant Patient

    PULMONARY EMBOLISM

    Patient Presentation

    Diagnostic Tests

    Therapy

    ASTHMA

    Pharmacologic Agents

    Emergency Therapy

    THYROID STORM

    Diagnostic Criteria

    Differential Diagnosis

    Laboratory Evaluation

    Management

    DIABETIC KETOACIDOSIS

    Pathophysiology

    Diagnosis

    Management

    SEIZURE DISORDERS

    Pregnancy Effects on Epilepsy

    Fetal Effects of Anticonvulsant Medications

    Management of an Acute Seizure

    2 Acute Abdominal Pain in Pregnancy

    PHYSIOLOGIC CHANGES IN PREGNANCY

    PHYSICAL EXAMINATION CHANGES IN PREGNANCY

    DIAGNOSTIC IMAGING DURING PREGNANCY

    COMMON CAUSES OF ACUTE ABDOMINAL PAIN IN PREGNANCY

    Appendicitis

    Cholelithiasis and Cholecystitis

    Acute Pancreatitis

    Intestinal Obstruction

    Nephrolithiasis and Pyelonephritis

    Adnexal Masses

    LAPAROSCOPIC SURGERY IN PREGNANCY

    SUMMARY

    3 Ectopic Pregnancy

    ETIOLOGY

    CLINICAL PRESENTATION

    DIFFERENTIAL DIAGNOSIS

    AMBULATORY EVALUATION

    History

    Physical Examination

    Pregnancy Tests

    Ultrasonography

    Culdocentesis

    Serial hCG Evaluation

    Suction Curettage and Endometrial Biopsy

    Serum Markers

    MANAGEMENT

    Surgical Management

    Medical Management

    Expectant Management

    SUMMARY AND CONCLUSION

    4 Trauma in Pregnancy

    OUTCOMES

    ANATOMIC AND PHYSIOLOGIC ALTERATIONS OF PREGNANCY

    Anatomic Changes

    Cardiovascular System

    Respiratory System

    Gastrointestinal System

    Urinary System

    Endocrine System

    Neurologic System

    PATTERNS OF MATERNAL AND FETAL INJURY

    Blunt Abdominal Trauma

    Fetomaternal Hemorrhage

    Use of Restraints

    Penetrating Abdominal Trauma

    EVALUATION AND MANAGEMENT

    Prehospital Management

    Evaluation of the Mother and the Fetus

    Routine Laboratory Studies

    Radiographic Procedures

    Ultrasonography

    Fetal Monitoring

    Peritoneal Lavage

    Tetanus Prophylaxis

    Injury Severity Score

    SPECIFIC TRAUMA EPISODES

    Thoracic Injuries

    Pelvic Fractures

    Head and Spinal Cord Injuries

    Thermal Burns

    Electrical Injury

    PERIMORTEM CESAREAN SECTION

    DOMESTIC VIOLENCE

    SUMMARY

    5 Cardiopulmonary Resuscitation During Pregnancy

    UNIQUE ANATOMIC AND PHYSIOLOGIC CONSIDERATIONS (SEE TABLES 5.2 AND 5.3)

    RESUSCITATION OVERVIEW

    BASIC LIFE SUPPORT

    ADVANCED LIFE SUPPORT

    Cardiac Rhythm Analysis

    Basic Rhythm Analysis

    Bradyarrhythmias

    Tachyarrhythmias

    Cardiac Arrest: Ventricular Fibrillation, Pulseless Electrical Activity, and Asystole

    AIRWAY MANAGEMENT IN ALS

    BREATHING/RESPIRATORY INTERVENTIONS IN ALS

    ADVANCED LIFE SUPPORT; OTHER INTERVENTIONS

    COMPLICATIONS OF CPR

    SUMMARY

    6 Perimortem Cesarean Delivery

    HISTORICAL BACKGROUND

    Incidence and Outcomes

    Physiologic Considerations

    CONSIDERATIONS FOR UNDERTAKING POSTMORTEM CESAREAN DELIVERY

    EQUIPMENT NECESSARY FOR PMCD

    TECHNIQUE FOR PERFORMANCE OF PMCD

    MEDICOLEGAL CONSIDERATIONS

    SUMMARY

    7 Hypertensive Disorders of Pregnancy: Preeclampsia/Eclampsia

    PATHOPHYSIOLOGY

    DIAGNOSIS

    PREPARTUM MANAGEMENT

    INTRAPARTUM MANAGEMENT

    POSTPARTUM MANAGEMENT

    PREVENTION

    8 Bleeding in Pregnancy

    VAGINAL BLEEDING BEFORE VIABILITY

    ABORTION

    Threatened Abortion

    Missed Abortion

    Inevitable Abortion

    Incomplete Abortion

    Complete Abortion

    Postabortion Care

    ADDITIONAL MARKERS

    CERVICAL INCOMPETENCE

    PRETERM PREMATURE RUPTURE OF THE MEMBRANES

    GESTATIONAL TROPHOBLASTIC DISEASE

    CERVICAL AND VAGINAL INFECTIONS OR LESIONS

    VAGINAL BLEEDING APPROACHING AND AFTER FETAL VIABILITY

    Placenta Previa

    Abnormal Placental Implantation (Accreta, Increta, Percreta)

    Placental Abruption

    Vasa Previa

    Uterine Rupture

    Labor

    NONVAGINAL SITES

    WOMEN ON ANTICOAGULANTS

    SUMMARY

    9 Infections in Pregnancy

    URINARY TRACT INFECTION

    Asymptomatic Bacteriuria

    Acute Cystitis

    Acute Pyelonephritis

    INTRA-AMNIOTIC INFECTION OR INFLAMMATION

    Background

    Diagnosis

    Management

    POSTPARTUM ENDOMETRITIS

    Background

    Diagnosis

    Management

    HERPES INFECTION

    Herpes Simplex Virus

    Cytomegalovirus

    Varicella Zoster

    10 Pregnant Women and Chemical–Biological Warfare

    GENERAL PREPARATION

    BIOLOGICAL AGENTS

    Anthrax

    Botulism

    Smallpox

    Tularemia

    Plague

    Q Fever

    Ricin

    TOXINS OR CHEMICALS

    Nerve Agents—Acetylcholinesterase Inhibitors

    Vesicants and Pulmonary Agents

    Explosion Trauma in Pregnancy

    RADIATION

    11 Mosquito-Borne Infections: Chikungunya, Dengue, Malaria, West Nile Virus, Yellow Fever, and Zika Virus

    INTRODUCTION

    CHIKUNGUNYA

    Epidemiology

    Clinical Manifestations

    Diagnosis

    Management

    DENGUE

    Epidemiology

    Clinical Manifestations

    Diagnosis

    Management

    MALARIA

    Epidemiology

    Clinical Manifestations

    Diagnosis

    Management

    Treatment

    WEST NILE VIRUS

    Epidemiology

    Clinical Manifestations

    Diagnosis

    Management

    YELLOW FEVER

    Epidemiology

    Clinical Manifestations

    Diagnosis

    Management

    ZIKA VIRUS INFECTION

    Epidemiology

    Clinical Manifestations

    Diagnosis

    Management

    12 Delivery in the Emergency Department

    EMS PREPAREDNESS

    SPONTANEOUS VAGINAL DELIVERY

    Delivery of the Head

    Delivery of the Shoulders

    Clearing the Nasopharynx

    Nuchal Cord

    Clamping the Cord

    Delivery of the Placenta

    Oxytocin Agents

    Infant Care

    Breast-feeding

    COMPLICATIONS OF EMERGENCY VAGINAL DELIVERY

    Shoulder Dystocia

    Breech Presentation

    Umbilical Cord Prolapse

    Neonatal Resuscitation

    Postpartum Hemorrhage

    Lacerations of the Genital Tract

    DOCUMENTATION

    Postdelivery Note

    SUMMARY

    13 Transport of the Pregnant Patient

    MEDICAL CONDITIONS WARRANTING TRANSPORT

    RESPONSIBILITIES OF THE REFERRING PROVIDER

    UNDERSTANDING LEVELS OF MATERNAL CARE

    LOGISTICS OF MATERNAL TRANSPORT

    TEAM CONFIGURATION

    TRANSPORT TEAM PRELIMINARY ASSESSMENT

    PRIMARY AND SECONDARY OBSTETRIC EVALUATION

    FETAL ASSESSMENT AND SURVEILLANCE

    NICHD Terminology for Fetal Heart Rate Characteristics

    Contractions

    Interventions for Abnormal FHR Patterns

    Standard of Care in the Transport Industry Regarding Fetal Monitoring

    LEGAL CONSIDERATIONS

    SUMMARY

    14 Human Immunodeficiency Virus (HIV) Disease Pregnancy: Labor and Delivery Management

    IDENTIFICATION OF HIV-INFECTED WOMEN IN LABOR

    INTERVENTIONS TO REDUCE PERINATAL HIV TRANSMISSION

    INTRAPARTUM CARE FOR ALL HIV-INFECTED WOMEN IN LABOR

    CARE FOR INFANT

    POSTPARTUM CARE

    SUMMARY

    15 Postpartum Emergencies

    SEIZURES

    POSTPARTUM HEMORRHAGE

    VENOUS THROMBOEMBOLISM

    CARDIOVASCULAR EMERGENCIES

    Peripartum Cardiomyopathy

    Acute Myocardial Infarction

    OVARIAN TORSION

    INFECTION

    Treatment of Endometritis and Pelvic Abscess

    Treatment of Abdominal Wound Infections

    Treatment of Vaginal Laceration Infections

    MASTITIS

    PYELONEPHRITIS

    PSYCHOLOGICAL EMERGENCIES

    16 Role of Imaging Modalities in Obstetric Emergencies

    RADIATION EXPOSURE IN PREGNANCY

    Risk Related to Gestational Age (5)

    IMAGING MODALITIES

    OBSTETRIC EMERGENCIES AND IMAGING

    VAGINAL BLEEDING IN PREGNANCY

    First Trimester Bleeding

    BLEEDING IN THE SECOND AND THIRD TRIMESTERS

    TRAUMA IN PREGNANCY

    17 Drug Therapy in Pregnancy

    FOOD AND DRUG ADMINISTRATION PREGNANCY CATEGORIES

    PREGNANCY AND LACTATION LABELING RULE

    TERATOGENESIS

    PREGNANCY REGISTRIES

    Hazardous Medication Handling During Pregnancy (16–19)

    ANTI-INFECTIVES

    ANALGESIA

    ASTHMA

    COAGULATION

    DEPRESSION

    DIABETES

    GASTROESOPHAGEAL REFLUX DISEASE

    HYPERTENSION

    MIGRAINES/HEADACHES

    NAUSEA/VOMITTING

    PSYCHOSIS/BIPOLAR DISORDER

    PULMONARY HYPERTENSION

    SEIZURE

    PART II: GYNECOLOGIC

    18 Complications of Medical and Surgical Abortion

    EPIDEMIOLOGY AND HISTORY OF ABORTION IN THE UNITED STATES

    SURGICAL ABORTION

    MEDICAL ABORTION

    MANAGING SPECIFIC COMPLICATIONS OF ABORTION

    Hemorrhage

    Infection

    Retained Tissue

    Abortion in the Second Trimester (at or After 13 Weeks of Gestation)

    CONTRACEPTION FOLLOWING ABORTION

    SUMMARY

    19 Sexually Transmitted Diseases

    PELVIC INFLAMMATORY DISEASE

    GONORRHEA

    ACQUIRED IMMUNODEFICIENCY SYNDROME

    SYPHILIS

    HERPES SIMPLEX VIRUS INFECTIONS

    20 Vulvar and Vaginal Diseases

    21 Abnormal Uterine Bleeding

    INTRODUCTION AND OBJECTIVES

    TERMINOLOGY AND DEFINITIONS

    ACUTE ABNORMAL UTERINE BLEEDING—EVALUATION AND STABILIZATION

    HISTORY AND PHYSICAL EXAM

    LABORATORY AND DIAGNOSTIC TESTING

    ACUTE MANAGEMENT

    LONG-TERM MANAGEMENT

    Polyps

    Adenomyosis

    Leiomyomas

    Malignancy

    Coagulopathies

    Ovulatory

    Endometrial

    Iatrogenic

    Not Otherwise Classified

    CONCLUSION

    22 Pelvic Mass

    INTRODUCTION

    ASYMPTOMATIC PELVIC MASSES

    SYMPTOMATIC PELVIC MASS

    UNUSUAL SITUATIONS PRESENTING AS A PELVIC MASS

    METHODS OF EVALUATING A MASS

    MANAGEMENT OF PATIENTS WITH A MASS

    SUMMARY

    23 Torsion of Ovary

    ETIOLOGY

    CLINICAL FEATURES

    DIFFERENTIAL DIAGNOSIS

    TREATMENT

    SPECIAL CONSIDERATIONS

    CONCLUSIONS

    24 Oncologic Emergencies

    INTRODUCTION

    VAGINAL BLEEDING

    Cervical Cancer

    Endometrial Cancer

    Vulvar Cancer

    Gestational Trophoblastic Disease

    THROMBOEMBOLISM

    POSTOPERATIVE COMPLICATIONS

    Surgical Site Infections

    Wound Dehiscence

    Bowel Evisceration

    ALTERED MENTAL STATUS

    Infection

    Cerebrovascular Accident

    Brain Metastasis

    GASTROINTESTINAL COMPLICATIONS

    Bowel Obstruction

    Bowel Perforation

    Gastrointestinal Fistulas

    Ostomy Complications

    UROLOGIC COMPLICATIONS

    Ureteral Obstruction

    Urologic Fistulas

    Urinary Conduit Complications

    COMPLICATIONS OF CHEMOTHERAPY

    Bone Marrow Suppression

    Gastrointestinal Effects

    Hypersensitivity Reactions

    COMPLICATIONS OF RADIATION THERAPY

    Radiation Enteritis

    Late Complications

    COMPLICATIONS OF IMMUNOTHERAPY

    NUTRITIONAL SUPPORT COMPLICATIONS

    SUMMARY

    ONCOLOGIC EMERGENCY PEARLS

    25 Postoperative Complications and Postoperative Emergencies After Open, Minimally Invasive, and Robotic Procedures

    COMPLICATIONS SPECIFIC TO MINIMALLY INVASIVE AND ROBOTIC PROCEDURES

    COMPLICATIONS ASSOCIATED WITH ABDOMINAL ACCESS

    Vascular Injuries

    Bowel Injuries

    Bladder Injuries

    Nerve Injury

    PORT COMPLICATIONS

    Port-Site Hernia

    Port-Site Metastasis

    COMPLICATIONS RELATED TO PNEUMOPERITONEUM

    Subcutaneous Emphysema

    Pneumomediastinum and Pneumothorax

    Hypercarbia

    Persistence of Pneumoperitoneum

    Gas Embolism

    Postoperative Shoulder Pain

    GENERAL COMPLICATIONS OF GYNECOLOGIC SURGERIES

    Wound Complications

    Hematoma and Seroma

    Surgical Site Infections

    Fascial Dehiscence and Hernia

    Vaginal Cuff Dehiscence

    UROLOGIC EMERGENCIES

    Ureteral Injuries

    Urinary Retention

    Bladder Injuries

    GASTROINTESTINAL EMERGENCIES

    Postoperative Ileus

    Postoperative Bowel Obstruction

    POSTOPERATIVE INFECTIONS

    Pelvic Cellulitis and Abscess

    Septic Pelvic Thrombophlebitis

    OTHER GYNECOLOGIC POSTOPERATIVE EMERGENCIES

    Uterine Perforation

    Uterine Artery Embolization

    Retained Foreign Objects

    SUMMARY

    26 Emergency Evaluation and Treatment of the Sexual Assault Victim

    TRIAGE

    FORENSIC MEDICINE

    OBTAINING A MEDICAL HISTORY

    PHYSICAL EXAMINATION OF THE ADULT

    EXAMINATION OF THE CHILD

    TREATMENT OF SEXUAL ASSAULT VICTIMS

    Prevention of Sexually Transmitted Disease

    Postexposure Prophylaxis for Sexually Transmitted Viruses

    Prevention of Pregnancy

    Psychological Support and Counseling

    CONCLUSION

    Acknowledgment

    27 Gynecologic Traumas

    SEXUALLY RELATED TRAUMA

    NONSEXUALLY RELATED TRAUMA

    SUMMARY

    28 Imaging in Gynecologic Emergencies

    INTRODUCTION

    THE PREGNANT PATIENT

    Normal Early IUP

    Abnormal Early IUP

    Ectopic Pregnancy

    Pregnancy of Unknown Location

    Role of hCG in Early Pregnancy

    PELVIC INFLAMMATORY DISEASE

    Endometritis

    Salpingitis and Tuboovarian Abscess

    OVARIAN TORSION

    RUPTURED OVARIAN CYST

    29 Urogynecologic Emergencies and Urgencies

    URINARY TRACT INJURY FOLLOWING PELVIC SURGERY

    URINARY RETENTION FOLLOWING UROGYNECOLOGIC PROCEDURES

    URETHRAL CARUNCLES AND PROLAPSE

    BOWEL EVISCERATION FOLLOWING VAGINAL SURGERY

    FOURNIER’S GANGRENE

    INCARCERATED UTEROVAGINAL PROLAPSE

    THE NEGLECTED PESSARY

    FECAL IMPACTION

    BLADDER TRAUMA

    ACUTE NEPHROLITHIASIS

    30 Emergency Room Communication Issues: Dealing with Crisis

    COMMON EMERGENCY SITUATIONS REQUIRING SENSITIVE COMMUNICATION SKILLS

    Consider the Following Situations

    PROCESS ISSUES

    CONTENT ISSUES

    PERSONALITY ISSUES

    SKILLS FOR SPECIFIC SITUATIONS

    Fetal Death

    Sexually Transmitted Infection

    Intimate Partner Violence

    Rape

    Potentially Serious Diseases

    Other Communication Issues

    SUMMARY

    31 Emergencies in the Assisted Reproductive Technology Patient

    INTRODUCTION

    IN VITRO FERTILIZATION

    OVARIAN HYPERSTIMULATION SYNDROME

    Classification and Evaluation

    Management

    Prevention

    MULTIFETAL GESTATION IN ASSISTED REPRODUCTION

    ECTOPIC PREGNANCY IN ASSISTED REPRODUCTION

    OTHER COMPLICATIONS ASSOCIATED WITH IN VITRO FERTILIZATION

    Ovulation Induction

    CLOMIPHENE CITRATE

    LETROZOLE

    EXOGENOUS GONODOTROPINS

    HYSTEROSALPINGOGRAPHY

    Infection

    Contrast Reaction

    SUMMARY

    32 Physician to Physician Communication During Emergent Conditions

    Index

     

  • 37000lei 300.00 lei

    Practical, authoritative, and up-to-date, Speroff & Darney's Clinical Guide to Contraception, 6th Edition, provides concise coverage of all of today's available contraceptive options. Under the leadership of new editors Jeffrey T. Jensen, MD, MPH, and Mitchell Creinin, MD, this well-regarded clinical reference remains a thorough, evidence-based, and readable resource for OB/GYNs, family planning specialists, primary care providers, and other healthcare providers.

    • Provides the essential information needed to choose the best contraceptive method for each patient's age and medical, social, and personal characteristics.
    • Covers each contraceptive method in a single chapter that includes history of the contraceptive, method of action, pharmacology (when applicable), contraindications, and use.
    • Features revised, expanded, and reorganized content to reflect the most current knowledge and use of today's contraceptive drugs and devices, their effectiveness, and limitations.
    • ·  1. Contraception, Population, and the Environment

      ·  2. Reproduction and Hormonal Contraception

      ·  3. Interpreting Evidence and Creating Clinical Guidance on Contraception

      ·  4. Permanent Contraception

      ·  5. Implantable Contraception

      ·  6. Intrauterine Contraception

      ·  7. Combined Hormonal Contraception

      ·  8. Injectable Contraception

      ·  9. Shorter-Acting Progestin-Only Contraception

      ·  10. Barrier Methods of Contraception

      ·  11. Behavioral Methods of Contraception

      ·  12. Emergency Contraception

      ·  13. The History of ContraceptionLeon Speroff, MD and Philip D. Darney, MD, MSc

  • 35300lei 320.00 lei

     

    Gynaecological disorders are often treated through minimally invasive laparoscopic, or open abdominal access surgery, rather than through vaginal surgery.

    This book is a guide to vaginal hysterectomy for gynaecologists.

    Divided into seven sections, each further sub-divided into a series of case studies, topics cover vaginal hysterectomy in different disorders and circumstances, including uterine debulking, patients who have previously had a caesarean section, previous uterine surgery, adnexal pathology, nullipara, and endometrial cancer. The final section describes special cases.

    Authored by an internationally recognised team of experts in the field, the text is further enhanced by clinical photographs and diagrams.

    Key points:

    • Guide to vaginal hysterectomy (VH) for gynaecologists
    • Presented as a series of case studies describing VH procedures for different disorders and circumstances
    • Includes section on special cases
    • Internationally recognised author team
    •  

    Table of Contents:

     

    Section 1: Vaginal Hysterectomy with Uterine Debulking Introduction 3 Case 1: Vaginal Hysterectomy (VH) with Uterine Debulking 8 Case 2: Vaginal Hysterectomy (VH) with Uterine Debulking Plus Bilateral Salpingo-oophorectomy (BSO) (CA125: 516) 9 Case 3: Vaginal Hysterectomy with Uterine Debulking Plus Ovarian Cystectomy 10 Case 4: Vaginal Hysterectomy with Massive Uterine Debulking Plus Bilateral Salpingo-oophorectomy (Right Hydrosalpinx) 11 Case 5: Vaginal Hysterectomy with Debulking Plus Bilateral Salpingo-oophorectomy with H/O Two Caesarean Sections 13 Case 6: Vaginal Hysterectomy with Uterine Debulking Plus Bilateral Salpingo-oophorectomy and Laparoscopic Cholecystectomy 14 Case 7: Nullipara: Large Debulking and Adnexectomy 17 Case 8: Nullipara and Obese: Debulking with Bilateral Salpingectomy 19 Case 9: Massive Debulking of Kilogram Uterus with Bilateral Salpingectomy-1 20 Case 10: Massive Debulking of Kilogram Uterus with Bilateral Salpingectomy-2 21 Case 11: Debulking of Large Adenomyoma, Bilateral Salpingectomy-1 22 Case 12: Debulking of Large Adenomyoma, Bilateral Salpingectomy-2 23 Case 13: Large Debulking with Bilateral Salpingectomy for Recurrent Postmenopause Bleeding 24 Case 14: Early Debulking with the Aid of Vasopressin 25 Section 2A: Vaginal Hysterectomy with History of Caesarean Section(s) Introduction 29 Case 15: VH with Left Ovarian Cystectomy 30 Case 16: VH Plus Stress Urinary Incontinence (SUI) Repair 32 Case 17: VH with Uterine Debulking 33 Case 18: VH with Right Ovarian Cystectomy Plus ?Endometrial Hyperplasia 34 Case 19: VH with Left Salpingo-oophorectomy for Ovarian Endometrial Cyst in a Morbidly Obese Patient 35 Case 20: VH with BSO for Right Ovarian Endometriotic Cyst 37 Case 21: VH with BSO for Abnormal Uterine Bleeding (AUB) with History of Caesarean Sections and Rupture Uterus 39 Case 22: VH Plus Vaginal Cuff with BSO for Postmenopausal Bleeder in a Morbidly Obese and Diabetic Patient 41 Case 23: VH with Altered Approach to Vesicouterine Peritoneum (VUP) 42 Case 24: VH in Heavy Cigarette Smoker with H/O Two Classical Caesarean Sections via Midline Vertical Laparotomy 46 Case 25: VH with Uterine Debulking Plus Bilateral Salpingectomy of Tubal Remnants after Four Caesarean Sections and No Vaginal Births 47 Case 26: VH Plus Bilateral Salpingectomy after One Caesarean and No Vaginal Births 48 Case 27: VH with Uterine Debulking after Six Midline Vertical Laparotomies (Five Caesarean Sections and One Ectopic Pregnancy) in a Morbidly Obese Cigarette Smoker 49 Section 2B: Vaginal Hysterectomy with History of Uterine Surgery in Past Case 28: VH in Nullipara with H/O Abdominal Myomectomy 53 Case 29: VH Plus Salpingectomy in Primipara with H/O Abdominal Myomectomy and Recurrent Large Fibroids 54 Contents Prelims.indd 13 10-04-2017 16:55:29 xiv Advanced Vaginal Surgery Section 3: Vaginal Hysterectomy with Adnexal Pathology Introduction 57 Case 30: VH with BSO for Large Bilateral Hydrosalpinx 60 Case 31: VH with Left Salpingo-oophorectomy for Ovarian Endometrial Cyst in Morbidly Obese with Past History of Two Caesarean Sections 62 Case 32: VH with BSO for Left Ovarian Endometrial Cyst and Right Ovarian Teratoma with H/O Two Caesarean Sections 64 Case 33: VH with BSO for Bilateral Ovarian Endometrial Cysts with Positive “Dimple Sign” 66 Case 34: VH with BSO for a Solid Ovarian Tumor 68 Case 35: VH with BSO for ?Endometrial Polyp with an Ovarian Solid Tumor 69 Case 36: VH with BSO followed by Laparotomy for Ovarian Cyst (Failed “Trial Vaginal Route” because of Ovarian “CA”) 70 Case 37: VH with BSO and Right Broad Ligament Myomectomy for Right Broad Ligament Fibroid (BLF) 71 Case 38: VH with BSO for Twisted Left Ovarian Cyst 73 Section 4: Nullipara and Vaginal Hysterectomy Case 39: VH in Nullipara with Intact Hymen 77 Case 40: VH with Uterine Debulking 79 Case 41: VH with Uterine Debulking Plus Right Ovarian Endometrial Cystectomy (H/O Myomectomy) 80 Case 42: VH with BSO for Bilateral Large Hydrosalpinx 81 Case 43: VH Plus Vaginal Cuff with BSO in Obese, Diabetic with Endometrial Cancer 82 Case 44: VH with BSO for Twisted Left Ovarian Cyst 83 Section 5: Vaginal Hysterectomy for Endometrial Cancer Introduction 87 Case 45: VH Plus Vaginal Cuff with BSO: Postmenopausal Bleeder with Endometrial Complex Hyperplasia with Atypia 91 Case 46: VH Plus Vaginal Cuff with BSO: Postmenopausal Bleeder with Corpus Cancer Syndrome for Endometrial Cancer (CA) 93 Case 47: VH Plus Vaginal Cuff with BSO for Endometrial CA 95 Case 48: VH Plus Vaginal Cuff with BSO: Postmenopausal Bleeder with Corpus Cancer Syndrome. Failed “Trial Vaginal Route”. Abdominal Surgery for LNR for Endometrial CA 96 Case 49: VH Plus Vaginal Cuff with BSO for Endometrial Complex Hyperplasia with Atypia. Corpus CA Syndrome Plus a History of Cardiac Bypass 98 Case 50: VH Plus Vaginal Cuff with BSO for Well-differentiated Endometrial Adenocarcinoma 99 Case 51: VH Plus Vaginal Cuff with BSO: Postmenopausal Bleeder with Endometrial CA with History of Two Caesarean Sections Followed by Incisional Hernia Repair 100 Case 52: VH Plus Vaginal Cuff with BSO Plus Laparoscopic Cholecystectomy for Postmenopausal Bleeder with Multiple Gallstones 101 Case 53: Laparoscopic Cholecystectomy and VH Plus Vaginal Cuff with BSO: “Failed Trial Vaginal Route Case” Abdominal LNR for Endometrial CA 102 Section 6: Failed Trial Vaginal Hysterectomy/Trial Vaginal Route Case 54: Undiagnosed Uteroabdominal Band 107 Case 55: Uterocervical Adhesions with Abdominal Wall 108 Case 56: Diminished “Uterus-free” Space (Altered Uterocervical Angle) 110 Case 57: Ovarian Endometriosis with Positive “Dimple Sign” 111 Case 58: Large-sized Uterus 112 Case 59: Ovarian Malignancy 113 Prelims.indd 14 10-04-2017 16:55:29 Contents xv Case 60: Uterine Bulk Impedes Descent 115 Case 61: Extensive Adhesions from PID (Pelvic Inflammatory Disease) Limits Descent for VH 116 Case 62: Unanticipated Uterine Adhesions to Abdominal Wall-1 117 Case 63: Unanticipated Uterine Adhesions to Abdominal Wall-2 118 Case 64: Unanticipated Uterine Adhesions to Abdominal Wall-3 119 Case 65: Parasitic Myoma and Inaccessible Adnexa Leads to Laparoscopic Completion of VH 120 Section 7: Special Cases: Vaginal Hysterectomy Case 66: VH Plus H/O Rupture Uterus and Two Caesarean Sections 123 Case 67: VH Plus Broad Ligament Myomectomy without Laparoscopy Plus Contralateral Endometriotic Cyst 125 Case 68: VH for CIN III 126 Case 69: VH for Metastatic Breast Cancer Plus Uterine Adenomyosis 127 Case 70: VH: Prophylactic for Hydatidiform Mole 128 Case 71: VH with BSO for Twisted Ovarian Cyst 129 Case 72: VH for Uterine Fibroids with H/O Failed Abdominal Hysterectomy 130 Case 73: VH under Local Anesthesia for Pulmonary Fibrosis 132 Case 74: VH with Altered Approach to VUP (VH with BSO) 134 Case 75: VH with Bicornuate Uterus 135 Case 76: Bladder Stone Removal at VH Plus Anterior and Posterior Repair 136 Case 77: Vaginal Hysterectomy as Emergency Procedure for Cornual Ectopic Pregnancy 138 Case 78: Vaginal Supracervical Hysterectomy 10 Years after Mesh Hysteropexy 139 Case 79: Vaginal Hysterectomy (VH): Incarcerated Prolapse due to Cervical Leiomyoma and an Intramural Myoma 140 Case 80: VH in Nullipara with Ongoing Chemotherapy for Non-gynecologic Malignancies 141 Case 81: VH for Endometrial Carcinoma in Morbidly Obese with History of Caesarean Section 142 Index 143 Prelims.indd 15 10-04-2017 16:55:30

  • 345.00 lei

    Description:

    With coverage of all major aspects of obstetric care, Manual of Obstetrics, 9th Edition, is a practical point-of-care reference and review for medical students, ob/gyn residents, fellows, obstetricians, family medicine physicians, and advanced practice nurses. Fully updated from cover to cover, this bestselling manual covers prenatal care, labor and delivery, obstetric complications, medical complications of pregnancy, fetal assessment, fetal diagnosis and therapy, and neonatal care.

     

    Table of Contents:

     

    Part I Obstetric Care

    1 Prenatal Care

    2 Normal Labor

    3 Obstetric Anesthesia

    4 Postpartum Care

    5 Contraception, Sterilization, and Abortion

    Part II Obstetric Complications

    6 Pregnancy Loss and Spontaneous Abortion

    7 Ectopic Pregnancy

    8 Spontaneous Preterm Birth

    9 Third-Trimester Bleeding

    10 Abnormal Labor

    11 Hypertensive Disorders of Pregnancy

    Part III Maternal Complications

    12 Cardiovascular Disease and Chronic Hypertension

    13 Renal Complications

    14 Respiratory Complications

    15 Hepatobiliary Complications

    16 Gastrointestinal Complications

    17 Endocrine Disorders

    18 Endocrine Disorders: Thyroid, Parathyroid, Adrenal, and Pituitary Disease

    19 Hematologic Complications

    20 Immunologic Complications

    21 Vascular Complications

    22 Thromboembolic Disorders

    23 Infectious Complications

    24 Neurologic Complications

    25 Dermatologic Complications

    26 Substance-Related and Addictive Disorders in Pregnancy

    27 Gynecologic Complications

    28 Surgical Problems and Trauma

    Part IV Fetal Assessment

    29 Genetics, Genetic Counseling, and Risk Assessment

    30 Teratogens and Birth Defects

    31 Obstetric Ultrasound

    32 Fetal Monitoring and Testing

    Part V Fetal Complications

    33 Fetal Growth Abnormalities

    34 Multiple Gestations

    35 Alloimmunization

    36 Diseases of the Placenta

    37 Fetal Therapy

    Part VI Neonatal Care

    38 Neonatal Resuscitation

    39 Neonatal Complications

    Index

     


  • 42000lei 350.00 lei

  • 37500lei 350.00 lei

    Each patient seeking assisted reproduction has a unique set of circumstances that affects the outcome of treatment. Particularly challenging are those patients with pre-existing medical conditions or those receiving medical therapies that may impact the safety and success of their IVF treatments. Prior identification and preparation of the patient at increased risk of complications will enable the clinician to avoid problems in advance, anticipate the necessary management, and optimize outcomes. A new expanded edition of the prize-winning text IVF in the Medically Complicated Patient: A Guide to Management, Second Edition provides a readily accessible, authoritative, and didactic source of information to aid clinicians in this important field.

  • Pelvic Pain Management
    La comanda in aproximativ 4 saptamani
    350.00 lei

    Pelvic Pain Management is an evidence-based guide to understanding the basics of pain mechanisms, pharmacology, invasive and noninvasive treatment modalities, and pain management protocols related to the complex problem of pelvic pain. The book addresses all aspects of pain management essentials, new technologies and devices, chronic pain issues, opioid and non-opioid pharmacology, including newly approved drugs, and special populations including pediatrics, the elderly, and patients with co-existing disease. It provides information on performing a proper physical exam, diagnosing the origins of the pain, and developing a treatment plan with emphasis on multidisciplinary management. This is an ideal resource for physicians, trainees, and nurses looking to recognize, diagnose and manage all major issues related to pelvic pain.

  • 39000lei 350.00 lei

    The 3rd edition of Drugs During Pregnancy and Lactation is a succinct and accessible reference guide for researchers and clinicians involved in the prescription and risk assessment of drugs during pregnancy and lactation. This book includes primary source materials for additional reference, as well as new medicinal products, laws and regulations. Organized according to drug class and treatment indications, this book includes authoritative content on potential adverse developmental effects and safety recommendations while providing you with the current state of knowledge and risks associated with the use of drugs during pregnancy and lactation. It is a comprehensive and must-have resource for practicing clinicians who prescribe medicinal products and for those who evaluate environmental and occupational exposures in women who are or may become pregnant.

  • 350.00 lei

    This is an updated comprehensive guide about the latest developments in the field of ART. Eminent international experts have contributed their knowledge and practice protocols. Every chapter has been carefully written by respective authors who are paramount in the concerned subjects. This book endeavors to provide an in-depth insight into every aspect of reprodcutive technology. With a compilation of the most recent advances of infertility, the book stimulates its reader for future scientific research. The contributors involved are acknowledged pioneer in their respective fields. Includes experience-based treatment protocols. Take home messages provide the gist of the topics of each chapter. Ready resource for all practicing infertility experts, clinicians, embryologists and postdoctoral fellows, etc.

  • 44500lei 370.00 lei

     

    Description:

    Based on the current edition of the bestselling Gabbe’s Obstetrics: Normal and Problem Pregnancies, this new study guide is a useful resource for self-assessment and increasing your understanding of major concepts in the field, as well as a practical review tool for exam preparation. Gabbe’s Obstetrics Study Guide contains nearly 650 questions and answers that cover the information you need to know, in a format that mimics the board exam and prepares you for the next steps in your education and your career.

    Includes short-form and vignette-style questions to fully prepare you for what you’ll see on exams, as well as rationales for correct and incorrect answers and interactive self-assessment online.

    Offers teaching points with each question to help you identify core concepts and ensure that you thoroughly understand the material.

    Features nearly 1,000 full-color photos, line drawings, ultrasound images, and tables drawn from the parent text.

    Provides links to the parent text so you can quickly access a full review of relevant concepts, plus up-to-date reference at the end of each chapter for further reading.

     

    Table of Contents:

     

    SECTION I. Physiology

    1.  Placental anatomy and physiology

    Questions

    Answers

    References

    2.  Fetal development and physiology/cellular programming epi-clinical

    Questions

    Answers

    References

    3.  Maternal physiology

    Questions

    Answers

    References

    4.  Maternal-fetal immunology

    Questions

    Answers

    5.  Preconception and prenatal care

    Questions

    Answers

    SECTION II. Prenatal Care

    6.  Nutrition during pregnancy

    Questions

    Answers

    References

    7.  Medications and environmental agents in pregnancy and lactation

    Questions

    Answers

    References

    8.  Opioids and substance abuse

    Questions

    Answers

    9.  Obstetrical ultrasound: Imaging, dating, growth, and anomaly

    Questions

    Answers

    References

    10.  Genetic screening and prenatal genetic diagnosis

    Questions

    Answers

    11.  Normal and abnormal labor and delivery

    Questions

    Answers

    References

    SECTION III. Intrapartum Care

    12.  Induction of labor

    Questions

    Answers

    References

    13.  Operative vaginal delivery

    Questions

    Answers

    References

    14.  Shoulder dystocia

    Questions

    Answers

    References

    15.  Intrapartum fetal evaluation

    Questions

    Answers

    References

    16.  Obstetrical anesthesia

    Questions

    Answers

    References

    17.  Malpresentations

    Questions

    Answers

    References

    18.  Antepartum and postpartum hemorrhage

    Questions

    Answers

    References

    19.  Cesarean delivery

    Questions

    Answers

    References

    20.  Vaginal birth after cesarean delivery (VBAC)

    Questions

    Answers

    References

    21.  Placenta accreta

    Questions

    Answers

    References

    SECTION IV. Postpartum Care

    22.  Patient safety and quality measurement in obstetrical care

    Questions

    Answers

    23.  The neonate

    Questions

    Answers

    24.  Postpartum care and long-term health considerations

    Questions

    Answers

    References

    SECTION V. Complicated Pregnancy

    25.  Lactation and breastfeeding

    Questions

    Answers

    References

    26.  Pregnancy as a window to maternal and child health

    Questions

    Answers

    References

    27.  Antepartum fetal evaluation

    Questions

    Answers

    References

    28.  Amniotic fluid disorders

    Questions

    Answers

    References

    29.  Late and postterm pregnancy

    Questions

    Answers

    30.  Fetal growth restriction

    Questions

    Answers

    References

    31.  Surgery during pregnancy

    Questions

    Answers

    32.  Trauma in pregnancy

    Questions

    Answers

    33.  Early pregnancy loss

    Questions

    Answers

    References

    34.  Stillbirth

    Questions

    Answers

    35.  Cervical insufficiency

    Questions

    Answers

    SECTION VI. Pregnancy and Coexisting Disease

    36.  Preterm labor and birth

    Questions

    Answers

    37.  Premature rupture of the membranes

    Questions

    Answers

    References

    38.  Preeclampsia and hypertensive disorders

    Questions

    Answers

    References

    39.  Multiple gestations

    Questions

    Answers

    References

    40.  Red cell alloimmunization

    Questions

    Answers

    References

    41.  Maternal mortality: A global perspective

    Questions

    Answers

    42.  Heart disease in pregnancy

    Questions

    Answers

    43.  Respiratory disease in pregnancy

    Questions

    Answers

    References

    44.  Renal disease in pregnancy

    Questions

    Answers

    45.  Diabetes mellitus complicating pregnancy

    Questions

    Answers

    46.  Obesity in pregnancy

    Questions

    Answers

    47.  Thyroid and parathyroid diseases in pregnancy

    Questions

    Answers

    References

    48.  Pituitary and adrenal disorders in pregnancy

    Questions

    Answers

    References

    49.  Hematologic complications of pregnancy

    Questions

    Answers

    50.  Thromboembolic disorders in pregnancy

    Questions

    Answers

    References

    51.  Collagen vascular diseases in pregnancy

    Questions

    Answers

    52.  Hepatic disorders during pregnancy

    Questions

    Answers

    References

    53.  Gastrointestinal disorders during pregnancy

    Questions

    Answers

    References

    54.  Neurologic disorders in pregnancy

    Questions

    Answers

    References

    55.  Malignant diseases and pregnancy

    Questions

    Answers

    56.  Skin disease and pregnancy

    Questions

    Answers

    57.  Maternal and perinatal infection in pregnancy—viral

    Questions

    Answers

    58.  Maternal and perinatal infection: Bacterial, chlamydia, syphilis in pregnancy

    Questions

    Answers

    59.  Mental health and behavioral disorders in pregnancy

    Questions

    Answers

    DSM-5

    References

    Index

     

  • 370.00 lei

     

    Description:


    Offering a well-organized, straightforward approach to a highly complex subject, Larsen’s Human Embryology, 6th Edition, provides easy-to-read, comprehensive coverage of human embryonic development for today’s students. It integrates anatomy and histology with cellular and molecular mechanisms, focusing on both normal development and congenital anomalies. Highly illustrated with superb drawings and photographs, it features a strong clinical focus based on the most up-to-date scientific discoveries and understanding.


    Table Of Contents:

    Introduction

    Chapter 1 Gametogenesis, Fertilization, and First Week

    Chapter 2 Second Week: Becoming Bilaminar and Fully Implanting

    Chapter 3 Third Week: Becoming Trilaminar and Establishing Body Axes

    Chapter 4 Fourth Week: Forming the Embryo

    Chapter 5 Principles and Mechanisms of Morphogenesis and Dysmorphogenesis

    Chapter 6 Fetal Development and the Fetus as a Patient

    Chapter 7 Development of the Skin and Its Derivatives

    Chapter 8 Development of the Musculoskeletal System

    Chapter 9 Development of the Central Nervous System

    Chapter 10 Development of the Peripheral Nervous System

    Chapter 11 Development of the Respiratory System and Body Cavities

    Chapter 12 Development of the Heart

    Chapter 13 Development of the Vasculature

    Chapter 14 Development of the Gastrointestinal Tract

    Chapter 15 Development of the Urinary System

    Chapter 16 Development of the Reproductive System

    Chapter 17 Development of the Pharyngeal Apparatus and Face

    Chapter 18 Development of the Ears

    Chapter 19 Development of the Eyes

    Chapter 20 Development of the Limbs

       

     

  • 46500lei 380.00 lei

     

    Description:

    Written by emergency medicine practitioners for emergency medicine practitioners, Manual of Emergency Medicine Obstetrics provides a practical overview of all trimesters in a convenient manual format. Nearly two dozen expert contributors representing both emergency medicine and obstetrics offer evidence-based treatment and management guidelines for virtually any situation you may encounter, providing a unique emergency medicine perspective on best practices for high-risk, high-stress obstetric situations in the ED.

     

    Table of Contents:

     

    Section I: General Overview in Pregnancy

    1. Physiologic Changes in Pregnancy

    2. Drug Therapy in Pregnancy

    3. Venous Thromboembolism in Pregnancy

    4. Airway Management in Pregnancy

    5. Trauma in Pregnancy

    6. Management of Common Medical Comorbidities During Pregnancy

    7. Management of Common Surgical Conditions During Pregnancy

    8. Ultrasound in Obstetric Emergencies

    Section II: EMS Management of Obstetric Emergencies

    9. Active Labor and Out-of-Hospital Delivery

    10. Prehospital Management of Obstetric Bleeding

    Section III: Early Pregnancy (<20 Weeks)

    11. Nausea and Vomiting of Pregnancy

    12. Vaginal Bleeding in the First Trimester of Pregnancy

    13. Ectopic Pregnancy

    14. Gestational Trophoblastic Disease

    Section IV: Later Pregnancy (>20 Weeks)

    15. Preparation for Precipitous Delivery

    16. Hypertensive Disorders in Pregnancy

    17. Peripartum Cardiomyopathy

    18. Preterm Labor

    19. Prelabor Rupture of Membranes

    20. Placental Abnormalities

    Section V: Delivery

    21. Normal Vaginal Deliveries

    22. Breech Deliveries

    23. Twin Deliveries

    24. Emergency Hysterotomy

    25. Umbilical Cord Abnormalities

    26. Shoulder Dystocia

    Section VI: Emergencies After Delivery

    27. Postpartum Hemorrhage

    28. Uterine Inversion and Uterine Rupture

    29. Amniotic Fluid Embolism

    30. Postpartum Infections

    Section VII: Care of the Mother and Newborn

    31. Resuscitation of the Newborn

    Index

     

  • 40000lei 380.00 lei

    Features

    • Emphasizes evidence-based medicine
    • Provides summary chapters on evidence for all main statements and all main recommendations
    • Includes international contributions

    Summary

    Anovulation – one of the most common causes of infertility – is here given a thorough review, with classification of the different subtypes, how they are diagnosed, how they are treated, and the possible complications and outcomes involved. This is a comprehensive evidence-based summary from an international expert team, with guidelines for daily practice clearly stated and summarized for your convenience.

  • Pelvic Pain and Dysfunction
    La comanda in aproximativ 4 saptamani
    390.00 lei

    Pelvic Pain and Dysfunction: A Differential Diagnosis Manual is a comprehensive guide on the management of patients suffering from pelvic pain as well as dysfunction of the bowel and bladder systems. It integrates differential diagnosis concepts with orthopedic medicine and helps clinicians learn how to apply these concepts when treating patients suffering from pelvic pain.

    Key Features:

    • Written by a leading expert in pelvic pain management
    • Includes a chapter on evaluation that is a step-by-step guide to determining the cause of pelvic pain dysfunction
    • Contains many attractive, high-quality illustrations from Gilroy’s award-winning Atlas of Anatomy

    This book is a key clinical resource for physical therapists, osteopaths, occupational therapists, and obstetricians-gynecologists and other professionals involved in the treatment of pelvic pain and dysfunction.

  • 45000lei 400.00 lei

    This text provides a quick reference to all the important facts in the clinical sciences for candidates aiming at a postgraduate qualification in obstetrics and gynaecology, including those candiadtes studying for the MRCOG Part II examination. The text has been revised and updated, but the concise style and comprehensive coverage of all the essential aspects of the subject are retained. Written by a highly expert team of authors, this text will be an invaluable reference for students and will also be of value to clinicians as a brief guide. This volume serves as a companion to the highly successful "Basic Sciences for Obstetrics and Gynaecology" by Chard and Lilford, which is now in its Fifth Edition.

  • 44600lei 400.00 lei

    Like the successful first edition, the great strength of this completely revised and updated second edition of Burghardt's Primary Care Colposcopy is its oversized, high-quality color colposcopic photographs. Novice and experienced examining practitioners will appreciate the utility of these diagnostic quality images in making confident assessments regarding the appearance of the cervix as seen in colposcopy. All requisite information for the successful implementation of this standard gynecologic procedure - histopathologic processes, fundamentals of colposcopic technique and examination, equipment, terminology, documentation, and standard guidelines - is encompassed in this concise and practical textbook and atlas.

    Augmentations and highlights of the second revised and updated edition:

    • More than 350 oversized, high-quality color colposcopic photographs and technical illustrations - 20% of which are new to the second edition
    • Updated information on the central role of the human papillomavirus (HPV) in cervical cancer and the development of preventative HPV vaccines
    • Essential new chapters on colposcopy of the vulva, vagina, and perianal region and the common etiology of lesions at these sites
    • Cohesive concept, organization and presentation - produced and authored by a working team of three experts with decades of experience in gynecology and histopathology
    • Current international guidelines and updated nomenclature formulated by the International Federation for Cervical Pathology and Colposcopy (IFCPC) with the International Society for the Study of Vulvar Disease (ISSVD) and the 2014 WHO Classification of Tumors of Female Reproductive Organs

    Primary care practitioners, nurse practitioners, residents/fellows-in-training in gynecologic oncology programs, and gynecologists and obstetricians in practice will prize Burghardt's Primary Care Colposcopy as an indispensable partner in accessing colposcopic findings, in reaching the right differential diagnosis, and in achieving the best possible treatment outcomes with assurance and efficiency.

  • 48500lei 400.00 lei

    Stay up to date with recent advances in the use of ultrasound in early gestation with this comprehensive, full-color reference. First Trimester Ultrasound Diagnosis of Fetal Abnormalities is an authoritative, systematic guide to the role of first trimester ultrasound in pregnancy risk assessment and the early detection of fetal malformations. High-quality illustrations and numerous tables throughout enhance readability, making this text an excellent daily resource in clinical practice.

    Features:

    • Presents state-of-the-art information accompanied by hundreds of superb illustrations reflecting today’s  best ultrasound technology.
    • Covers general aspects of first trimester ultrasound, including physical principles and bioeffects, technical aspects, fetal biometry and pregnancy dating, screening for chromosomal  aneuploidies, multiple pregnancies, and more.
    • Features a chapter on detailed first trimester ultrasound which presents a new, comprehensive and systematic approach to ultrasound imaging in early gestation.
    • Provides detailed coverage of first trimester ultrasound findings in normal and abnormal conditions, covering various organ systems as well as the placenta and umbilical cord.

    Your book purchase includes a complimentary download of the enhanced eBook for iOS, Android, PC & Mac. Take advantage of these practical features that will improve your eBook experience:
    • The ability to download the eBook on multiple devices at one time — providing a seamless reading experience online or offline
    • Powerful search tools and smart navigation cross-links that allow you to search within this book, or across your entire library of VitalSource eBooks
    • Multiple viewing options that enable you to scale images and text to any size without losing page clarity as well as responsive design
    • The ability to highlight text and add notes with one click

  • 44500lei 400.00 lei

    Description:

    Assess your comprehension and retention of Williams Obstetrics, Twenty-Fifth Edition with the only study guide keyed to that acclaimed text Here’s why this is the ultimate obstetrics study guide: •More than 2,000 evidence-based, multiple-choice questions carefully selected to highlight key points from each chapter of Williams Obstetrics, Twenty-Fifth Edition •The answer key guides you to the pages in Williams Obstetrics, Twenty-Fifth Edition, that contain the explanations and further discussion --- the perfect way to strengthen your weak areas •More than 400 color images are included as question material •Organization follows the chronology of pregnancy, from Maternal and Fetal Anatomy and Physiology to Labor and Delivery, with additional sections on the Fetus and Newborn, Puerperium, Obstetric Complications, and Medical and Surgical Complications •Clinical case questions give your knowledge practical, real-world application

     

    ·  Section 1: Overview

    ·  1. Overview of Obstetrics

    ·  Section 2: Maternal Anatomy and Physiology

    ·  2. Maternal Anatomy

    ·  3. Congenital Genitourinary Abnormalities

    ·  4. Maternal Physiology

    ·  Section 3: Placentation, Embryogenesis, and Fetal Development

    ·  5. Implantation and Placental Development

    ·  6. Placental Abnormalities

    ·  7. Embryogenesis and Fetal Development

    ·  Section 4: Preconceptional and Prenatal Care

    ·  8. Preconceptional Care

    ·  9. Prenatal Care

    ·  Section 5: The Fetal Patient

    ·  10. Fetal Imaging

    ·  11. Amnionic Fluid

    ·  12. Teratology, Teratogens, and Fetotoxic Agents

    ·  13. Genetics

    ·  14. Prenatal Diagnosis

    ·  15. Fetal Disorders

    ·  16. Fetal Therapy

    ·  17. Fetal Assessment

    ·  Section 6: Early Pregnancy Complications

    ·  18. Abortion

    ·  19. Ectopic Pregnancy

    ·  20. Gestational Trophoblastic Disease

    ·  Section 7: Labor

    ·  21. Physiology of Labor

    ·  22. Normal Labor

    ·  23. Abnormal Labor

    ·  24. Intrapartum Assessment

    ·  25. Obstetrical Analgesia and Anesthesia

    ·  26. Induction and Augmentation of Labor

    ·  Section 8: Delivery

    ·  27. Vaginal Delivery

    ·  28. Breech Presentation

    ·  29. Operative Vaginal Delivery

    ·  30. Cesarean Delivery and Peripartum Hysterectomy

    ·  31. Prior Cesarean Delivery

    ·  Section 9: The Newborn

    ·  32. The Newborn Infant

    ·  33. Diseases and Injuries of the Term Newborn

    ·  34. The Preterm Newborn

    ·  35. Stillbirth

    ·  Section 10: The Puerperium

    ·  36. The Puerperium

    ·  37. Puerperal Complications

    ·  38. Contraception

    ·  39. Sterilization

    ·  Section 11: Obstetrical Complications

    ·  40. Hypertensive Disorders

    ·  41. Obstetrical Hemorrhage

    ·  42. Preterm Birth

    ·  43. Postterm Pregnancy

    ·  44. Fetal-Growth Disorders

    ·  45. Multifetal Gestation

    ·  Section 12: Medical and Surgical Complications

    ·  46. General Considerations and Maternal Evaluation

    ·  47. Critical Care and Trauma

    ·  48. Obesity

    ·  49. Cardiovascular Disorders

    ·  50. Chronic Hypertension

    ·  51. Pulmonary Disorders

    ·  52. Thromboembolic Disease

    ·  53. Renal and Urinary Tract Disorders

    ·  54. Gastrointestinal Disorders

    ·  55. Hepatic, Biliary, and Pancreatic Disorders

    ·  56. Hematological Disorders

    ·  57. Diabetes Mellitus

    ·  58. Endocrine Disorders

    ·  59. Connective Tissue Disorders

    ·  60. Neurological Disorders

    ·  61. Psychiatric Disorders

    ·  62. Dermatological Disorders

    ·  63. Neoplastic Disorders

    ·  64. Infectious Diseases

    ·  65. Sexually Transmitted Infections

  • Fetal Medicine
    La comanda in aproximativ 4 saptamani
    410.00 lei

    Based on the curriculum of the Royal College of Obstetricians and Gynaecologists' Advanced Training Skills Module in Fetal Medicine, this book provides a comprehensive knowledge base for all doctors practising in obstetrics and maternal-fetal medicine worldwide. It acts as a reference source for the many changing concepts in fetal medicine and is well-illustrated with images of normal and abnormal findings in pregnancy that will facilitate proper understanding of normal and pathological fetal development. Coverage includes embryology, fetal physiology; fetal anomalies; fetal diseases; prescribing and teratogenesis in pregnancy; termination of pregnancy; fetal growth and wellbeing; multiple pregnancy; the placenta and amniotic fluid; and diagnostic and therapeutic invasive procedures. Readers will benefit from the theoretical knowledge and vast clinical experience of the internationally renowned authorship. Overall this book will prepare you for dealing with congenital abnormalities detected during pregnancy, including the organization and supervision of screening programmes for structural and chromosomal anomalies. Covers the curriculum for the RCOG's Advanced Training Skills Module (ATSM) in fetal medicine Also of interest to all trainees and consultants looking to develop and update their skills in fetal medicine Chapter authors are all recognized experts in their fields

  • 420.00 lei

    Features

    *Offers a cookbook approach to operational procedures

    *Covers both laboratory and clinical procedures

    *Benefits both starters and experienced staff

    *Provides an easy layout to take in the whole procedure at a glance

    *Contains the contributions of experts in the area

    Summary

    Compiled by two experts in Reproductive Medicine, with contributions from internationally respected specialists, this innovative text lets the whole team in Reproductive Medicine get literally on the same page. Taking a cook-book approach to the operational procedures in the laboratory and in the clinic, it details what needs to be prepared in advance, what needs to be prepared earlier the same day, and what steps to take before, during, and after the procedure itself. This is an essential tool for ensuring all staff - whether experienced or starters - can be confident in their tasks and are in touch with what is expected of them and their colleagues.

  • 430.00 lei

    The Fallopian tube has until recently been a neglected structure, bypassed by IVF and seen only as a tube that transports the egg to the uterus. More recently, its central role as the site of fertilization and early embryogenesis has been recognized, along with the major effects of tubal disease, such as chlamydia trachomatis, on fertility. Tubal surgery is an option for those women who avoid IVF because of anxiety about medication side-effects or for religious reasons. The tube is also the site for female sterilization and its reversal. This definitive guide to the Fallopian tube and its disorders collates all these topics, with authoritative text covering the spectrum of clinically relevant topics in a digestible fashion. It will be of interest to gynecologists, specialists in reproductive medicine and infertility and family planning, and others with interest in this fascinating and underestimated organ of reproduction.

  • 44500lei 430.00 lei

    The assessment and selection of oocytes and embryos is fundamental to the live birth rate data of all IVF units, the parameter that is used to gauge a clinic's success and credibility. This new atlas contains over 1000 high-quality images of oocytes, zygotes and embryos, presented with accompanying data on indications for treatment, stimulation type and duration, as well as short medical histories of each couple and final outcome of treatment. All images in the book can be downloaded from the accompanying CD-ROM. Structured on a patient-by-patient basis, the atlas describes 100 clinically documented case studies that follow the evolution of oocytes and zygotes between day two and day five. Pronuclear morphology and synchrony as well as embryo morphology are reported and described for each case. Written and produced by experienced embryologists, this practical atlas is an important resource for clinical embryologists and physicians in reproductive medicine.

  • 49000lei 440.00 lei

    Intra-uterine insemination (IUI) is a widely used fertility treatment for couples with unexplained and male subfertility. Although it is less invasive and less expensive than l other treatment options such as in vitro fertilization, several factors affect its outcome. In addition, IUI remains controversial due to concerns about some of the possible aspects of treatment, including side-effects such multiple pregnancies. This comprehensive evidence-based book from an international IUI expert team explores all of these topics and provides clear guidelines for daily practice.

  • Textbook of Caesarean Section
    La comanda in aproximativ 4 saptamani
    440.00 lei

    Caesarean Section has become the most common major operation in the world, and with the increasing number there are many serious and long-term healthcare implications for gynaecology, general surgery, neonatology, and epigenetics. A full perspective of the procedure and its consequences is therefore essential for practitioners, residents, and trainees alike.
    The Textbook of Caesarean Section is the key textbook on this subject, and is an informative and practical tool for clinicians performing this procedure in all areas of the world. The accompanying professional medical videos demonstrate in clear and expert detail the two alternative procedures for caesarean section, ensuring that readers of this book gain an in-depth understanding of the techniques involved, and supporting blended learning in postgraduate education globally.
    Written by a distinguished team of expert contributors, this book carefully describes current best practice for caesarean section alongside key chapters on the history of caesarean section, and other important and related issues that obstetricians must be aware of, such as anaesthesia, prevention of complications of surgery, reproduction after C-section, and perinatal outcomes. The text is extensively illustrated with colour images, and fully referenced throughout, providing all the information essential for the reader to perform the optimal caesarean delivery procedures, and diagnose and manage the short- and long-term complications associated with different methods of caesarean sections.

  • 49000lei 440.00 lei

    Features

    • Presents new material on egg freezing and endometriosis
    • Offers new material on legal aspects of the field
    • Features succinct practical summaries and handy guides to standard values in tests

    Summary

    Based on the gold standard procedures and protocols developed at Boston IVF, this new edition of a bestselling text continues to provide a structured approach to treating the infertile couple that can be of benefit to the gynecologist, reproductive endocrinologist, and reproductive medicine nurse alike. Both clinical and laboratory techniques are included, with material on preconception care. New to this edition are chapters on fertility care for the LGBT community, endometriosis, elective egg freezing, and effective nursing.

  • Pregnancy After Assisted Reproductive Technology
    La comanda in aproximativ 4 saptamani
    50000lei 450.00 lei

    It is estimated that more than 4.5 million couples experience infertility each year, and more than 4 million babies have been born using IVF since 1978. However, assisted reproductive technologies continue to raise many medical, social, ethical, political and religious questions, often leading to controversial and sometimes inaccurate opinions about the outcomes of pregnancies resulting from these techniques. This is the first book dedicated to pregnancies arising from assisted reproductive technologies (ART). Chapters cover the most important management issues, from early pregnancy to outcome of children resulting from ART, including gynaecological, genetic and obstetric complications. Each chapter is written and edited by leading experts in the field of human reproduction. A timely, practical and evidence-based guide to the management of ART pregnancies, based on 30 years of clinical experience, this is essential reading for reproductive and maternal-fetal specialists as well as general obstetricians and gynaecologists.