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Although disorders of the coagulation system are uncommon in pregnancy, the two main hazards - haemorrhage and thromboembolism - are leading causes of direct maternal death in the UK and worldwide. Gynaecologists may encounter abnormal haemostasis as a cause of intractable menorrhagia or perioperative haemorrhage, and thromboembolism is a significant risk for women undergoing major gynaecological surgery. This book brings together various aspects of haemostasis in relation to obstetrics and gynaecology to provide practical guidance to clinicians, who may only occasionally encounter these problems. Emphasis is placed on the need for good working relationships and close liaison between obstetricians and gynaecologists, anaesthetists, haematologists and blood transfusion services. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for haemorrhage and thrombosis. It is also a valuable guide for all healthcare professionals working in the field.
A multidisciplinary approach to the care of women with gynaecological cancer - with treatment delivered in linked local or specialist centres - has been established in the UK. The second edition of this book therefore includes chapters which focus on the multidisciplinary approach. Chapters on pathology, radiology, chemotherapy and radiotherapy will increase understanding of these disciplines that are central to the care of women with gynaecological cancers. Chapters on laparoscopic surgery, basic surgical principles, palliative care, emergencies and treatment-related complications provide additional information. All content has been updated to reflect current practice and present the latest evidence on investigation, staging and management. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for gynaecological oncology. It is also a valuable guide for all healthcare professionals working in the field, including trainees, consultants and midwives.
A solid understanding of fetal medicine is essential for the practice of obstetrics and gynaecology. This comprehensive book, which has been extensively updated to reflect current clinical practice and developments in the field since publication of the original edition, provides a thorough overview of fetal medicine, covering: screening for chromosomal abnormalities; prenatal diagnostic techniques; the routine anomaly scan; fetal structural abnormalities; fetal therapy; prenatal diagnosis and management of non-immune hydrops fetalis; termination of pregnancy for fetal abnormality; fetal growth restriction; twin pregnancy; and fetal infection. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for fetal medicine. It is also a valuable guide for all healthcare professionals working in the field, including trainees, consultants and midwives.
Understanding endocrinology is central to understanding the key processes that affect normal reproductive function, while an understanding of normal endocrinology and the pathophysiology of endocrine disorders is important when dealing with reproductive disorders. This book provides a comprehensive background for all gynaecologists, covering: sexual differentiation and intersex disorders; adrenal disorders; normal puberty and adolescence; abnormal puberty; the menstrual cycle; disorders of menstruation; amenorrhoea; polycystic ovary syndrome; anovulatory fertility and ovulation induction; lactation and lactational amenorrhoea; hyperprolactinaemia; thyroid disease; diabetes; lipid metabolism and lipoprotein transport; premature ovarian failure; and calcium metabolism and its disorders. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for reproductive endocrinology. It is also a valuable guide for all healthcare professionals working in the field, including trainees, consultants and any health professional coming into contact with women.
This book covers the psychological conditions associated with the many phases of a woman's lifespan: the menarche; the menstrual cycle; infertility; pregnancy and the puerperium; and menopause and perimenopause. Issues such as eating disorders, substance misuse and other disorders are also addressed. For each condition, the nature and extent of the condition, detection or diagnosis, the pharmacological and psychosocial interventions available, and the importance of referral and co-working with multidisciplinary teams are covered. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for psychological disorders. It is also a valuable guide for all healthcare professionals needing a clearer understanding of this important area.
With the emergence of early pregnancy issues in many hospitals, demand for educational support and the development of clear management guidelines is more pressing than ever. This book covers a wide range of early pregnancy-related issues, such as early pregnancy development, physiology and various pathological conditions encountered by clinicians in day-to-day practice, such as miscarriage, ectopic pregnancy, trophoblastic disease and hyperemesis gravidarum. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for early pregnancy issues. It is also a valuable guide for all healthcare professionals working in the field, including trainees, consultants and midwives.
This book lays out the fundamentals of both the investigation and management of children with gynaecological conditions - an area of work which can be intimidating for many gynaecologists. The contents cover: pubertal growth and development; indeterminate genitalia; gynaecological problems in childhood; endocrine disorders; child sexual abuse; amenorrhoea; menstrual problems in teenagers; contraception; female genital mutilation; and gynaecological tumours. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for paediatric and adolescent gynaecology. It is also a valuable guide for all healthcare professionals working in the field, at any level of practice.
While the upper renal tract remains the sole preserve of the urologist, gynaecologists have traditionally been involved in the assessment and treatment of female lower urinary tract infection disorders. Childbirth is a major causal factor in urogynaecology, and women often present with a combination of menstrual, genital, urinary and colorectal symptoms which require a holistic approach. This book provides a comprehensive overview of the assessment and treatment of a range of urogynaecological problems: urinary incontinence; lower urinary tract symptoms; overactive bladder; recurrent urinary tract infection; haematuria; painful bladder syndrome and interstitial cystitis; pregnancy and the renal tract; ageing and urogenital symptoms; fistulae and urinary tract injuries; pelvic organ prolapse; colorectal disorders; obstetric anal sphincter injuries. It has been comprehensively updated to reflect current clinical practice and new research since publication of the original edition.
This book examines some of the controversies in the management of the menopause and postmenopausal health following publication of the US Women's Health Initiative studies and the UK Million Women Study. It also focuses on how to explain risk to women coping with the menopause and the risks in certain clinical situations. Systemic HRT and non-HRT options for treatment are evaluated, together with diet and lifestyle, alternative and complementary therapies. Conditions associated with the menopause, such as vasomotor symptoms, urogenital and sexual problems, osteoporosis and autoimmune arthritis, breast disease and gynaecological benign and malignant conditions, are covered. The symptoms, diagnosis and treatment of premature menopause, or premature ovarian failure, are detailed, and a section on treating women with concomitant medical problems completes the text. Primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, it is also a valuable guide for all healthcare professionals.
This book is an essential guide to the complexities of gynaecological and obstetric histopathology. Fully updated for the second edition and illustrated with colour photographs throughout, it provides a comprehensive overview of the field for practising clinicians and Part 2 MRCOG examination candidates. Conveniently organised around the relevant anatomical structures, the book covers issues such as immunohistochemistry (particularly of tumours), the manner of taking biopsies and new pathological entities which have been recognised since the original edition. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for pathology. It is also a valuable guide for all healthcare professionals working in the field who need a synopsis of obstetric and gynaecological pathology.
This book provides a comprehensive overview of clinical intrapartum care, with an emphasis on a pragmatic approach which promotes the necessary vigilant care while also supporting the wishes of the pregnant woman who wants minimal interference. This second edition has been thoroughly updated to reflect current practice and developments in the field since publication of the first edition, with six new chapters added on topics that are of increasing importance: improving intrapartum care, lower genital tract trauma, emergency obstetric hysterectomy, acute uterine inversion, disseminated intravascular coagulation and acute tocolysis. The book is primarily designed to provide a comprehensive summary for candidates preparing for the Part 2 MRCOG examination, and as such covers the RCOG curriculum for intrapartum care. It is also a valuable guide for all healthcare professionals working in the field, including trainees, consultants and midwives.
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