Obstetric Medicine, the first title in a new Oxford Specialist Handbooks series covering Obstetrics and Gynaecology, contains relevant, accessible, and focused information to help both general physicians to manage medical conditions during pregnancy, and the specialist obstetrician manage general medicine in the pregnant patient. Pregnant women regularly present with medical problems to many different medical specialties, and as their physiology is changed by the pregnancy, so too is the way in which many chronic illnesses behave. There are also differences in which drugs or investigations may be appropriate during pregnancy. This new specialist handbook provides a comprehensive overview of medical conditions in the pregnant patient, and covers the syllabus for both the RCOG Advanced Training Skills Module (ATSM) and the maternal medicine for obstetric trainees. 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, this handbook is an essential new addition to the literature for all physicians who work with pregnant patients in their practice.

The management of the pregnant woman with a medical problem presents the clinician with particular problems. An understanding of how a medical disease affects pregnancy and how any pre-existing medical condition is affected by pregnancy is required. In addition the clinician must take into account the second patient - the fetus - and be aware of ho

Recognition of the importance of maternal medicine is now reflected in the content of the MRCOG exam, core training and higher training in both obstetrics and medicine. This book approaches obstetric medicine from the point of view of real patients and clinical scenarios as well as model answers to exam questions. The book will be invaluable for trainees and consultants who want to ‘test themselves’.

The most comprehensive evidence-based guide to both obstetrics and gynecology Aimed at practicing obstetricians, gynecologists, and trainees in the specialty, Evidence-based Obstetrics and Gynecology concentrates on the clinical practice areas of diagnosis, investigation and management. The first section of the book discusses evidence-based medicine methodology in the context of the two specialties. The second and third sections cover all the major conditions in obstetrics and gynecology, with each chapter reviewing the best available evidence for management of the particular condition. The chapters are structured in line with EBM methodology, meaning the cases generate the relevant clinical questions. Evidence-based Obstetrics and Gynecology provides in-depth chapter coverage of abnormal vaginal bleeding; ectopic pregnancy; pelvic pain; lower genital tract infections; contraception and sterilization; breast diseases; urogynecology; endocrinology and infertility; puberty and precocious puberty; cervical dysplasia and HPV; cervical, vaginal, vulvar, uterine, and ovarian cancer; preconception care; prenatal care and diagnosis; drugs and medications in pregnancy; maternal complications; chronic hypertension; diabetes mellitus; thyroid disease; neurologic disease; psychiatric disease; postterm pregnancy; fetal complications; preeclampsia; and more. First book to address evidence-based practice for obstetrics and gynecology combined EBM is a highly relevant approach for this high risk specialty Edited by leading US specialist involved in the evidence-based medicine movement Evidence-Based Obstetrics and Gynecology is an important text for obstetricians and gynecologists in practice and in training, as well as for specialist nurses.

The subspecialty of Obstetric Medicine sits in a unique intersection of the disciplines of Internal Medicine and Obstetrics. Its focus is in the skilled management of medical problems in pregnancy: from pre-pregnancy optimization to the management of acute and chronic conditions in pregnancy, and in the postpartum period to ensure resolution and safe transition back to the primary care provider. This book will provide novel insights into the management of pregnant women. Clinical pearls will be emphasized, such as illustrating atypical aspects of a presenting symptom/finding, and when a subspecialty referral (or transfer to a high risk centre) must occur for patient safety. This book will combine basic science principles, build on existing guidelines, and provide crucial tips on how to safely manage acute and chronic medical conditions in pregnancy. It is THE book for sub-specialists in Obstetric Medicine.

The landmark text that has served generations of obstetrician-gynecologists—fully updated with the most current perspectives of the field A Doody's Core Title for 2023! Williams Obstetrics has defined the discipline for generations of obstetrician-gynecologists. Written by authors from the nationally renowned University of Texas Southwestern Medical Center and Parkland Hospital, the new edition of this authoritative, evidence-based work maintains its trademark comprehensive coverage and applicability at the bedside, while offering the most current information and insights. The culmination of a century of clinical thought, Williams Obstetrics, 26th Edition delivers expert coverage of obstetrical complications, such as preterm labor, pregnancy-related hypertension, infection, and hemorrhage. It additionally offers foundational content on reproductive anatomy, physiology, and prenatal care. The authors have enhanced this edition with 1,000+ full-color illustrations, plus an increased emphasis on the fast-growing subspecialty of Maternal-Fetal Medicine. No other text matches the long-established scientific rigor and accessibility of Williams Obstetrics. With its state-of-the-art design and review of the newest advances and protocols, this not-be-missed clinical companion brings positive outcomes within reach. New and updated content includes: Increased focus on Maternal-Fetal Medicine Greater coverage of hypertension and hemorrhage Deeper insights into in-utero complications Expanded fetal t section includes cutting-edge fetal imaging, genetics, prenatal diagnosis, and fetal disorders and therapy Basic science, physiology of labor, preterm labor updated with contemporaneous publications in the literature More obstetrical sonography figures Eye-catching illustrations, including updated graphs, sonograms, MRIs, photographs, and photomicrographs

This is a major new textbook on medical disorders and medical complications in pregnancy, which provides an authoritative and practical guide to the management of these potentially life-threatening conditions. Written in a consistent, accessible style, the book discusses each medical problem at all stages - from pre-pregnancy through the post-partum period - and provides a stage-by-stage management plan for each condition. Organized by systems, each chapter begins with a review of important background information on the physiology and pathology of the system as it relates to pregnancy and then moves on to consider individual medical problems, such as hypertension, cariomyopathies, etc. The book's scope also includes the management of the acutely ill patient, pre-pregnancy counselling, anaesthesia, effects on the neonate, and the long-term implications of medical complications. Written by a team of expert contributors from the UK, Australia, New Zealand and Europe, under the editorship of 2 leading experts from the UK and AustraliaTakes a modern, problem-based approach to the subjectEmphasis is on 'what to do', using a consistent, stage-by-stage approach to management for each conditionProvides a comprehensive overview of the underlying physiology and pathology of medical problems for each systemic group of conditionsRelated topics are also covered, including pre-pregnancy counselling, fetal assessment, anaesthesia, and problems of the neonate

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

The accomplishments of pioneering doctors such as John Peter Mettauer, James Marion Sims, and Nathan Bozeman are well documented. It is also no secret that these nineteenth-century gynecologists performed experimental caesarean sections, ovariotomies, and obstetric fistula repairs primarily on poor and powerless women. Medical Bondage breaks new ground by exploring how and why physicians denied these women their full humanity yet valued them as “medical superbodies” highly suited for medical experimentation. In Medical Bondage, Cooper Owens examines a wide range of scientific literature and less formal communications in which gynecologists created and disseminated medical fictions about their patients, such as their belief that black enslaved women could withstand pain better than white “ladies.” Even as they were advancing medicine, these doctors were legitimizing, for decades to come, groundless theories related to whiteness and blackness, men and women, and the inferiority of other races or nationalities. Medical Bondage moves between southern plantations and northern urban centers to reveal how nineteenth-century American ideas about race, health, and status influenced doctor-patient relationships in sites of healing like slave cabins, medical colleges, and hospitals. It also retells the story of black enslaved women and of Irish immigrant women from the perspective of these exploited groups and thus restores for us a picture of their lives.

This new edition of an acclaimed text reviews the evidence for best practice in Maternal-Fetal Medicine, to present the reader with the right information, with appropriate use of proven interventions and avoidance of ineffectual or harmful ones. The information is presented in the right format by summarizing evidence succinctly and clearly in tables and algorithms. The aim is to inform the clinician, to reduce errors and "to make it easy to do it right." The volume can be purchased separately or together with the companion volume on Obstetric Evidence Based Guidelines (set ISBN 9780367567033). The Series in Maternal-Fetal Medicine is published in conjunction with the Journal of Maternal-Fetal and Neonatal Medicine. From reviews of previous editions: An excellent resource with quick and easy protocols... this book has a permanent spot on my shelf. —Doody’s Review Service