Obstetrik og gynækologi

This book considers the family doctor relationship and the process of ending that relationship. What happens when a family doctor or someone like them, deeply committed to long-term relationships, decides to end those commitments? What¿s involved? What are the embodied experiences for doctor and patient, for doctor and staff, for physician leader and others? What comes next? This book invites the reader to immerse in personal stories and reflections of family physicians who choose to retire from practice, depart long-standing leadership roles, or shift from one place of deep relational commitments to something else. These stories concern the particulars of family medicine and general practice, but they share much with any vocation rooted in the duties, challenges, and rewards of relationships bound by covenant and not transaction. This book is relevant to all professionals involved in healing relationships.

Featuring over 100 positive affirmations this beautiful, simple go-to support will help any HSP to thrive in a world that can feel overwhelming.

Are you trapped in the relentless cycle of period and hormonal mayhem, feeling disillusioned by your health and mainstream medical approaches?If you're searching for an alternative solution, then look no further. Holistic menstrual health coach Gemma Barry is here to help put you in control of your menstrual health. Mixing both traditional and holistic approaches, Gemma explores:Why periods can hurt and how to investigate the reasons why yours are painfulHow to become body literate and understand the importance of hormonesWhy the taboos surrounding periods may actually be harming your menstrual healthWhat you can do about painful periods and related conditionsThe importance of nutrition, herbs and exerciseThis empowering guide is your roadmap to becoming the queen of your own menstrual health, packed with tools, health tips and the knowledge you need to ensure you have better periods.

Der Schwangerschaftsabbruch ist ein vielschichtiges und kontrovers diskutiertes Thema. Relativ wenig Beachtung finden dabei jedoch die Ursachen von Abtreibungen. Dieses Buch stellt die Gründe für den Schwangerschaftskonflikt in den Kontext der Abtreibungsdebatte in Deutschland. Dazu wird in einem historisch-theoretischen Teil zunächst die Geschichte und der Diskurs um den Schwangerschaftsabbruch und § 218 StGB bis ins Jahr 2021 dargestellt. Thematisiert wird insbesondere die seit dem 1. Oktober 1995 bestehende Gesetzgebung mit der sogenannten Beratungsregelung im Zentrum und ihre medizinrechtlichen und -ethischen Folgen. Anschließend untersucht ein empirischer Teil die Gründe für den Schwangerschaftskonflikt. Dazu wird ein detaillierter Forschungsansatz auf Grundlage von über 1800 Konfliktfällen präsentiert. Die Ergebnisse werden mit den wenigen bereits existierenden Daten zu den Gründen des Schwangerschaftskonflikts abgeglichen. Es zeigt sich, dass Schwangerschaftskonflikte multikausal sind, wobei Partnerschaftsprobleme und die Einflussnahme Dritter, insbesondere die ablehnende Haltung des Kindesvaters, von besonderer Bedeutung sind. Diese Erkenntnisse sind eine wesentliche Ergänzung für den gesellschaftspolitischen Diskurs und beleuchten das Spannungsfeld zwischen Selbstbestimmung der Frau und Lebensrecht des Kindes neu. Auch lassen sich daraus verbesserte Hilfen für Schwangere entwickeln. All dies wird abschließend vor dem Hintergrund etwaiger Reformbestrebungen diskutiert.

Cardiovascular disease is currently the leading cause of death of pregnant and postpartum women in the United States. Pregnancy can exacerbate known cardiovascular disorders and unmask previously unrecognized problems. The field of cardio-obstetrics is emerging and a clear area of need for improved quality of care.This book is the first authoritative and comprehensive volume dedicated to contemporary and practical topics in Cardio Obstetrics. It provides an up-to-date and highly illustrated synopsis of the pathophysiological, biomolecular, genetic, imaging features, translational and clinical applications of cardiometabolic disease, adverse pregnancy outcomes, cardiomyopathy, ischemic heart disease, maternal shock and structural heart disease in pregnancy and their role in maternal and fetal outcomes.It relays to the reader a contemporary view of the emerging interplay between the pregnancy and cardiovascular disease and risk factors and focuses on the pathophysiology, obstetrical and cardiac management of complex disorders in pregnancy. In addition, this volume discusses the clinical implications and therapeutic targets of a wide range of diseases in pregnancy from the preventive cardiology to critical care and advanced heart failure.Contemporary Topics in Cardio-Obstetrics is an essential resource for physicians, residents, fellows, and medical students in cardiology, endocrinology, primary care, and health promotion and disease prevention.

Dieses essential zeigt anhand von Fallbeispielen auffällige und pathologisches Befunde in der Transfusionsmedizin. Das Werk wendet sich an medizinisch technische Assistentinnen und Assistenten, ebenso wie an Ärztinnen und Ärzte, die noch mehr Sicherheit bei Transfusionen erlangen und bei Problemfällen gewappnet sein möchten.

¿Aufgrund von Besonderheiten des Immunsystems weisen sowohl Schwangere, Ungeborene und Neugeborene als auch ältere Frauen eine erhöhte infektionsbedingte Morbidität und Mortalität auf, die durch Impfungen reduziert werden kann.Das essential vermittelt ärztlich Tätigen die wichtigsten immunologischen Grundlagen und konkrete Praxistipps, um Frauen und Mädchen in den unterschiedlichen Lebensphasen sachgerechte Impfempfehlungen zu geben, sie fundiert zu Impffragen zu beraten und Impfungen sicher anzuwenden. Der Leitfaden basiert auf den aktuellen STIKO-Empfehlungen.

This practical book focuses on the most recent advances in natural cycle and minimal stimulation in vitro fertilization (IVF).The volume presents the steps that need to be followed to successfully perform these techniques and covers all aspects and competences involved.The book provides information on physiology of folliculogenesis, ovulation, oocytes and luteal phase and based on this information on clinical practice of stimulation, ovulation induction and inhibition, follicle aspiration and luteal phase support in natural cycle and minimal stimulation IVF. In addition costs, risks, success rates and several treatment protocols are provided.An overview of large European, Japanese and American programs and the discussion of clinical cases will complete the coverage of the topic.This practical and easy-to-use guide is a valuable resource for all clinicians performing any kind of IVF techniques.

This book provides a practically orientated resource that details the use a range of imaging techniques across major specialties plus those that are less well represented in standard textbooks (e.g. cardiothoracic surgery, palliative care, geriatric medicine, skin conditions from diverse ethnic groups). Emphasis is placed on enabling the reader to interpret images and clinical data, while avoiding mistakes and pitfalls in their day-to-day practice. Detailed question and answer sections along with insightful videos reinforce key messages (e.g. visualizing heart murmurs). Grading of questions aids navigation, with more difficult questions to benefit the high-flying students/junior doctors preparing for postgraduate exams/physician associates and advanced nurse practitioners working in a specialist area.Practical Guide to Visualizing Medicine: A Self-Assessment Manual concisely covers how to use imaging techniques in medicine, surgery, pediatrics, obstetrics and gynecology. It emphasizes the value of being able to accurately visualize signs and symptoms to make accurate diagnoses and provide patient-centered care. The added insight given from experienced medical educators on how to select an appropriate medical specialty makes this work critical for all trainee and early-career medical practitioners and allied healthcare professionals.

This comprehensive volume covers all aspects of the revolution in prenatal diagnosis brought about by the introduction of non-invasive prenatal testing (NIPT), which primarily relies on the detection of free fetal DNA circulating in maternal blood from the early stages of pregnancy. The book explores the potential of NIPT to provide full genome screening of the fetus and identify many common or rare disorders. The counseling process, as well as the limitations and pitfalls of various techniques used to perform NIPT, are described, evaluated, and critically discussed by renowned international experts. The book also compares the new technology with more conventional tests, preimplantation diagnosis, and the invasive procedures currently in use.This book will be a valuable resource for gynecologists, obstetricians, geneticists, maternal-fetal medicine specialists, pathologists, neonatologists, reproductive medicine specialists, midwives, and anyone interested in prenatal geneticdiagnosis.

Cancer sadly afflicts many women of reproductive age and infertility affects 10 % of couples. Without doubt cancer and infertility have a devastating effect on women's lives and their families. The vast majority of people will go to enormous lengths to seek remission from long-term cancer, but a woman who has cancer and no children will often be prepared to risk her life to have a baby.This book is about hope. Hope of a cure. Hope of having a baby. Hope of good strategies to live well. The majority of women with gynaecological cancer are cured and the remainder live for many years with their disease. There are an increasing number of clinical and support options open to women facing a life-changing diagnosis.¿Dr Richard Smith, a world-leading expert and pioneer in the management of gynaecological cancer and infertility provides practical guidance and reassurance on the best choices available to women. This book will be essential reading not only for those facing a life changing diagnosis, but for their partners and families who inevitably share the burden.

Exploring a wide variety of visualizations of pregnancy and fetuses through 300 years of history, this timely volume offers a fresh look at the influential feminist concept of the "public fetus."

This edited volumeaims to describe physiological and pathophysiological mechanisms that underlie human maternal-fetal interactions. The book emphasizes the structure and development of the fetoplacental unit, the endocrine and nutritional regulation of fetal development, nitric oxide signalling, solute carriers function and ion channels regulation in healthy pregnancies and diseases, like preeclampsia, gestational diabetes, and maternal obesity, among others. Also, we highlight novel mechanisms associated with language impairment in children, the use of serotonin inhibitors or cannabis during pregnancy, and maternal conditions' potential impact on cerebrovascular development in newborns and infants. The cellular and molecular understanding of maternal-fetal physiology and pathophysiology will allow the readers to understand the impact of diseases or conditions that are highly prevalent in pregnant women.

In recent decades, the advances in and consolidation of Intraoperative Neurophysiological Monitoring (IOM) in several highly complex surgical areas have been undeniable.Currently all modalities of neurophysiological tests (SSEP, MEP, EMG, PEATC, VEP, BRAIN MAPPING, ETC) are performed in the operating room, where they are used to provide trans operative information on the patient's neurological status in real time (monitoring), and to identify neural structures which are at immediate risk (mapping). With the inarguably positive impact of IOM on surgical outcomes, there is an increasing interest in reliable, technically focused literature. This volume provides cutting-edge information in the field of IOM, and highlights new neurophysiological tools being used in various surgeries.The book's initial sections cover a range of topics, including an anatomical overview, electrical safety, and detailed technical descriptions of the neurophysiological tests used in IOM. The subsequent sections address e.g. the brain, brainstem, spinal cord, vascular and peripheral nerves, epilepsy, head and neck, movement disorders and special topics.Some chapters are accompanied by videos of surgeries and IOM so that the reader will have the real sensation of having been in the operating room and will gain an overview of the key steps.Written by experts in the field of IOM, the book offers a valuable resource for both experienced and early-career neurophysiologists, neurosurgeons, vascular and orthopedic surgeons, and surgeons involved with pelvic procedures. Further, its goal is to provide a real rapport, never before attained, between neurophysiologists and surgeons with a sole focus: excellence in terms of the final outcome.