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Menstrual problems are among the most common reasons for primary care and specialist referral. Therefore, it is important for all gynaecologists and primary care practitioners to have a basic understanding of menstrual reproductive physiology to enable them to counsel women safely and accurately. This second edition has been comprehensively updated to reflect current clinical practice and new research. The contents cover the diagnosis, management and treatment - both medical and surgical - of a wide range of menstrual disorders, including excessive menstrual loss; fibroids; dysmenorrhoea; endometriosis; chronic pelvic pain; delayed menarche; premature ovarian failure; polycystic ovary syndrome; and premenstrual syndrome. This is a perfect introduction for any gynaecologist who needs an accessible and concise introduction to modern management of menstrual problems. It also acts as an ideal revision guide for candidates preparing for the Part 2 MRCOG examination, fully covering the RCOG curriculum for menstrual problems.
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.
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.
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.
