Download or read book ECAB Clinical Update OBS GYN May June Issue 3 written by Daftary and published by Elsevier India. This book was released on with total page 128 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Critical Issues in Obstetrics and Gynecology ECAB E Book written by Gita Ganguly Mukherjee and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Critical Issues in Obstetrics and Gynecology - ECAB - E-Book
Download or read book Critical Issues in Obstetrics ECAB written by Prakash Trivedi and published by Elsevier Health Sciences. This book was released on 2009-09-15 with total page 150 pages. Available in PDF, EPUB and Kindle. Book excerpt: Globally, pregnancy and childbirth are periods of high morbidity and mortality for women. The key to reducing the risks associated with pregnancy and childbirth is early recognition and provision of high quality care. The aims of critical care issues’ management are broad, the need to address the defects in conceiving followed by early recognition, prevention, and management of preterm births and threatened miscarriages along with studying the essential factors responsible for the same. Infertility has been ranked as one of the greatest sources of stress in a person’s life, comparable to a somatic disease such as cancer and ranked second to that involving the death of a family member or divorce. The role of stress and immunomodulation as a causative factor for infertility has been studied in greater details in recent times due to the changing lifestyles and a relevant discussion has been provided by the author with specific considerations in the Indian clinical settings. Endometriosis is the disease of the millennium, a sticky, perplexing and unconquerable pathology, which has remained an enigma. With increased awareness about endometriosis, improved methods of diagnosis like transvaginal sonography, liberal use of laparoscopy and more frequent evaluation of CA 125, the incidence of endometriosis is rising and thus, a clear understanding of the condition with application of the various advances in the recognition and also the new management protocols being followed, are the need of the day for the practitioners across the country. The polycystic ovary syndrome (PCOS), which features amenorrhea, hirsutism, and obesity, which was initially considered a reproductive and cosmetic concern of young women of reproductive age group, has more recently been recognized to have metabolic and cardiovascular associations that make it of major consequence for women of all age groups worldwide. Keeping in mind the requirements of the society, the practitioners need to update themselves on the current approach and the wide variety of choices now available. This book encompasses the rich experience of the specialists in India who are among the stalwarts in this field.
Download or read book Obstetrics Counseling ECAB written by Uday Thanawala and published by Elsevier Health Sciences. This book was released on 2012-07-05 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: Informed choice is the right of an individual. Gynecologists have immense responsibility and a unique opportunity to guide their patients through the various milestones/changes in their life by good counseling—menarche, sexuality, pregnancy, pelvic operations, and menopause. Adolescents should be taught about safe sex practices, premarital counseling, and contraception. Preconception counseling is also important in the identification of risk factors, disease states, and potential teratogens in the pregnancy. The availability of first-trimester prenatal diagnosis and the advent of presymptomatic diagnosis by DNA analysis have created increasing opportunities to avoid disorders characterized by early death, severe disease, or irreparable mental retardation, for example, periconceptional maternal folic acid supplementation has now been shown to provide high protective effect against neural tube defects. Similarly, certain maternal diseases, including diabetes, lupus, and myotonic muscular dystrophy, impose potential maternal, fetal, neonatal, and other complications. The preconception visits provide important opportunities for intervention, avoidance, or prevention in these cases. The patients’ ethnicity and medical and genetic family history are key elements in their evaluation, whereas patients with prolonged infertility of unknown cause or recurrent spontaneous abortion may have a 3–10% risk of a parental chromosome abnormality, which may also require chromosome analysis, as do their spouses.
Download or read book Recurrent Pregnancy Loss ECAB written by Kamini Rao and published by Elsevier Health Sciences. This book was released on 2009-12-15 with total page 108 pages. Available in PDF, EPUB and Kindle. Book excerpt: Recurrent miscarriage is a distressing problem that affects 1% of all women in the reproductive age group. This incidence is greater than that expected by chance alone, since 10–15% of all clinically recognised pregnancies end in a miscarriage. The calculated risk of three consecutive pregnancy losses is estimated to be 0.34%. Hence, only a proportion of women presenting with recurrent miscarriage will have a persistent underlying cause for their pregnancy losses. Maternal age and previous number of miscarriages are two independent risk factors for a further miscarriage. The advanced maternal age adversely affects ovarian function, giving rise to a decline in the number of good quality oocytes, resulting in chromosomally abnormal conceptions that rarely develop further. The eminent authors for "Recurrent Pregnancy Loss" have enumerated the various options available described in detail their experiences regarding the various aspects of the condition.
Download or read book Hyperhomocysteinemia and Pregnancy ECAB written by Mala Arora and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hyperhomocysteinemia and Pregnancy - ECAB
Download or read book Howkins Bourne Shaw s Textbook of Gynaecology 18th Edition E Book written by Sunesh Kumar and published by Elsevier Health Sciences. This book was released on 2022-09-01 with total page 605 pages. Available in PDF, EPUB and Kindle. Book excerpt: Content Organized in a logical sequence that aids learning and enables the students to build sound knowledge of the subject. Book covers the entire course curriculum in a narrative manner that helps build concepts and makes it easy to retain and reproduce. Colored Illustrations, pathological images and slides, and supporting sonographs have been included extensively to enhance understanding of various diseases. Key points at the end of chapter for quick revision. Self-assessment questions at the end of each chapter help in preparing for expected/frequently asked questions in the examination. Updated and revised as per new CBME curriculum. Vertical and horizontal integration of the topics has been done. Keeping in view wide variation in practice and opinion in the latest suggestions made by WHO and Govt of India, new guidelines pertaining to Indian perspective have been included in chapter Diagnosis of Female Genital Tuberculosis’. The book is updated with recent guidelines and staging. Latest FIGO classification Ca Cervix has been included. Clinical cases included at the end of most of the chapters to provide the students a detailed workup for commonly encountered conditions.
Download or read book Managing Infertility ECAB written by Kamini Rao and published by Elsevier Health Sciences. This book was released on 2012-06-15 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Assisted reproduction refers to a number of advanced techniques that aid fertilization in a couple diagnosed to have reduced fertility such as in women who have irreversible damage to their fallopian tubes or cervical mucous problems. These techniques can also benefit couples with unexplained infertility. Before 1978, infertility diagnosis and treatment revolved around surgical interventions such as fallopian tube(s) repair or inserting sperms into the uterus. Thus, the management was applicable and aimed at removing the mechanical blockage that prevented the fertilization of egg. Then ca.me Louise Brown and Dr. Patrick Steptoe, a couple who were destined to be associated forever in the infertility history books forever. This is because in 1978, Dr. Steptoe made it possible for Louise to conceive in a laboratory in England with IVF. From this turning point in the science of infertility, came techniques that addressed the biochemical and hormonal aspects of infertility thus marking the beginning of a whole new subspecialty called Reproductive Endocrinology. With Dr. Steptoe’s technique, called IVF (In Vitro Fertilization), couples who otherwise had no problems that could be surgically treated now had another option. With the inclusion of Information technology in all aspects of our life, the explosion of Assisted Reproduction Technologies (ART) has resulted in further sophistication of additional techniques, now responsible for the existence of over 20,000 human beings a year that would never have existed. ART deals with all aspects of the science of conception, be it investigating the couple, or determining their ovarian reserve to application of the most appropriate technique to aid conception in that couple.
Download or read book Medical Disorders in Pregnancy ECAB written by Hema Divakar and published by Elsevier Health Sciences. This book was released on 2009-11-15 with total page 194 pages. Available in PDF, EPUB and Kindle. Book excerpt: The management of medical disorders in pregnancy has undergone significant changes in the recent years. The pattern of disease has changed with improvements in socio-economic conditions. For example, the incidence of antenatal anemia has decreased progressively in the past few decades, and pulmonary tuberculosis (which used to be prevalent) is now seen only rarely. Chronic rheumatic heart disease has also become less common. On the other hand, gestational diabetes has become more common. This may be due partly to the setting up of screening services for gestational diabetes in many hospitals. The four most common medical disorders complicating pregnancy are anemia, diabetes mellitus, cardiac disease, and thyroid disorders. In addition, because of the improvements in the medical, obstetric, and anesthetic management of pregnancy, many women with medical disorders can go through a pregnancy without major problems. There has also been a progressive decrease in the perinatal mortality associated with some medical disorders, such as diabetes. It is important for all healthcare professionals involved in the management of pregnant women with medical disorders to be conversant with the latest developments in order to provide the best care to these women. The chapters in this issue are certainly helpful in this respect. The eminent authors for the various chapters have discussed the various options available describing in detail their experiences regarding the various aspects of the condition.
Download or read book Endoscopy in Infertility Part II A Perspective on Laparoscopy ECAB written by Urvashi Prasad Jha and published by Elsevier Health Sciences. This book was released on 2013-07-12 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: Historically, gynecologic endoscopy began in the 1930s with the development of diagnostic laparoscopy, but today gynecologic endoscopy, both laparoscopy and hysteroscopy, has become an essential part of gynecologic surgery. In present practice, the benefits of laparoscopy, hysteroscopy, and minimally invasive surgical procedures have become safely entrenched behind undeniable facts, to the patients as well as the hospitals. The endoscopic gynecologic surgery now involves the whole gamut of fetal surgery, embryoscopy, outpatient local anesthetic laparoscopy, total laparoscopic hysterectomy, and embolization of myomas. Another interesting fact to come to the fore is that, increasingly, the traditional treatments for infertility are being rendered obsolete by advanced reproductive technologies and gynecologic endoscopy. Endoscopy in Infertility has addressed the relevant issues with dexterity by substantiating with relevant clinical experiences of its authors, who are among the pioneers in this field.
Download or read book Bleeding in Pregnancy ECAB E Book written by Hema Divakar and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bleeding in Pregnancy - ECAB - E-Book
Download or read book ECAB Dysfunctional Uterine Bleeding in Reproductive Age Group Women E Book written by Shirish N Daftary and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 116 pages. Available in PDF, EPUB and Kindle. Book excerpt: ECAB Dysfunctional Uterine Bleeding in Reproductive Age Group Women - E-Book
Download or read book Threatened Miscarriage ECAB written by Suneeta Mittal and published by Elsevier Health Sciences. This book was released on 2013-07-12 with total page 159 pages. Available in PDF, EPUB and Kindle. Book excerpt: Even though it seems simple the ability of the mother’s body to retain and nurture the fetus, which is of a non-identical genetic makeup, throughout the gestational period requires a delicate balance of hormonal orchestration to achieve the required immunological permissiveness. The obvious outcome of a failure to achieve this is rejection of the fetal "semi-allograft", which manifests as threatened miscarriage. The occurrence of threatened miscarriage or symptoms suggestive of it is fraught with anxiety both for the patient and the obstetrician, especially if the baby is eagerly awaited. In such a situation, a correct diagnosis and prompt evaluation is imperative to start immediate interventions and prevent the expulsion of the fetus. However it is equally important to rule out the other conditions that may mimic threatened miscarriage and avoid unnecessary interventions. This clinical update handbook attempts to address these and other issues associated with this potentially elusive condition. The first chapter serves to give a concise yet relevant overview about this topic. The various modes of presentation as well as the management protocol are elaborately covered in the second chapter. The chapter on Diagnostic Modalities explains how the risk factors and investigative findings can be used to predict and make an early diagnosis of the condition. It has also touched upon the other conditions that mimic threatened miscarriage and how those can be differentiated from it. The role of stress and how it affects the immunomodulation which is the basis of maternal tolerance of the fetus, is explored in detail in the fourth chapter. The last chapter highlights the complications associated with inappropriate treatment of the condition and explores the adverse effects and relative safety of the recommended treatment protocol. Most of the chapters also include several case reviews that illustrate the aspects covered and are enriched with the vast repertoire of personal experience of the eminent authors.
Download or read book Perinatal Medicine ECAB written by Shirish N Daftary and published by Elsevier Health Sciences. This book was released on 2012-07-05 with total page 182 pages. Available in PDF, EPUB and Kindle. Book excerpt: Perinatal medicine encompasses various current topics in fetal diagnosis and management, besides preconception counseling. The concept of preconception counseling and healthcare evaluation optimizes a couple’s readiness for childbearing. This helps to minimize any foreseeable adverse factors through a careful diagnostic review and provision of appropriate intervention and therapy in advance. This has been dealt with in detail. The section on etiology and management aspects of Intrauterine Growth Retardation (IUGR) covers investigation and management of suspected or known fetal abnormalities, placental failure, and fetal growth retardation. Prenatal diagnostic procedures had limited access and safety so far, but this is a thing of the past today, especially after the advent of real-time ultrasonography. It brings an increasingly clearer visualization of the intrauterine space and has vastly broadened the scope for fetal diagnosis and treatment. The currently available ultrasound-guided procedures for fetal diagnosis and therapy are discussed at length in the chapter invasive ultrasound procedures. The discussed invasive ultrasound procedures include amniocentesis, cordocentesis, and chorionic villus sampling, done to detect neural tube defects, fetal lung maturity, and chromosomal abnormalities. The controversies surrounding the evaluation of fetal anomalies by ultrasound procedures are covered at length which we expect would be of special interest to the readers. Opinions abound as well as differ on the interpretation of the findings and counseling of couples, based on the same. This section focuses on the implications of missed fetal anomalies in this background and its impact on pregnancy outcome.
Download or read book Thyroid Dysfunction and Pregnancy ECAB written by Sujata Misra and published by Elsevier Health Sciences. This book was released on 2012-07-26 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: It is an established fact that thyroid hormones play an important role in the metabolism of the body. Pregnancy is a state of significant hormonal as well as metabolic changes, and thyroid hormones have a significant impact on maternal metabolism and fetal development during pregnancy. The fetus relies on maternal thyroid hormone for the development of the CNS, especially in the early stages of gestation, and uncorrected maternal hypothyroidism in this period can leave the child with permanent life-long neurological deficits. From the maternal point of view, a thyroid dysfunction encountered during pregnancy may continue even after delivery as postpartum thyroiditis. Hence, any thyroid dysfunction, be it hypo- or hyperthyroidism, can have serious deleterious consequences if not detected promptly and managed properly. The established guidelines and newer trends for the treatment of thyroid dysfunction are discussed in this update. Thyroid hypofunction has also been known to affect the fertility of women in reproductive age group. With the increasing incidence of infertility and advent of methods to treat them, the early detection and adequate treatment of thyroid hypofunction becomes an unavoidable part of assisted reproductive techniques, in the present day scenario. Even subclinical thyroid disorders can affect the reproductive capacity of non-pregnant women and impact the fetomaternal wellbeing in those who conceive. However, not all cases of subclinical hypothyroidism warrant pharmacological treatment. The guidelines for treatment of subclinical hypothyroidism in the pregnant and non-pregnant states are discussed in detail in this clinical update. An important aspect of reproductive health is family planning, and one of the commonly used means to achieve it is hormonal contraceptives. The interaction of thyroid hormones with hormonal contraceptives and the means of testing thyroid dysfunction in an individual taking hormonal contraceptives have been elucidated in this update.
Download or read book Postmenopausal Osteoporosis Basic and Clinical Concepts written by Meeta and published by JAYPEE BROTHERS PUBLISHERS. This book was released on 2013-12-15 with total page 281 pages. Available in PDF, EPUB and Kindle. Book excerpt: Postmenopausal osteoporosis falls in the preview of the gynecologists, rheumatologists, endocrinologists, family physicians, orthopedicians, surgeons, pediatricians, physiotherapists, nutritionists and dentists too. Osteoporosis is the most common bone disorder affecting humans. It is a skeletal disorder characterized by compromised bone strength, predisposing a person to an increased risk of fracture. The outcomes in morbidity and mortality can be devastating. Galaxy of distinguished contributors from India and different parts of the globe contributed according to their expertise in this field. Begins with an overview of the osteoporosis, the following chapters discusses pathogenesis, epidemiology, genetic factors, investigation, evaluation for postmenopausal and surgical ways of management of osteoporosis both old and new. It includes understanding of the effect of menopause and aging on bone health along with guiding on how to identify risk factors that contribute to fracture risk. Covers non-pharmacologic and lifestyle approaches to prevent bone loss and fractures. This book detailed understanding of the effects of various therapeutic agents on preventing osteoporotic fracture; comprehending their effects on bone density and turnover. It helps in understanding the clinical effects of discontinuing different antiresorptive and anabolic therapies.
Download or read book Shaw s Textbook of Gynecology E Book written by V. G. Padubidri and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 596 pages. Available in PDF, EPUB and Kindle. Book excerpt: Shaw's Textbook of Gynaecology, one of the best-selling gynaecological textbooks of all time, has maintained its popularity with teachers, examiners and students. It is now in its 79th year of publication. The organization of content in this book is such that it provides the reader with a logical sequence of events that aid learning. The main objective of this best-selling title is to meet the needs of undergraduate medical students and those preparing for postgraduate medical entrance examinations. This book will also be useful for nursing and physiotherapy students. Salient Features Extensively revised and updated to incorporate the latest changes and development of newer concepts Systematic presentation to make reading smooth and pleasurable by deleting redundant details, adding new tests, figures and tables, and improving the earlier figures Provides the current methodologies and standard techniques Attempts to reduce the in-depth explanations by giving the subject matter in pointwise form for some important topics Inclusion of self-assessment and suggested reading at the end of each chapter
