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Endometriosis - ECAB
Endometriosis is a condition that often leads to a variety of symptoms that range from pain complaints to infertility. Endometriosis is also found in women who are asymptomatic. The diagnosis of endometriosis can be made clinically with reliability similar to that of one made surgically. Medical treatment options are effective, as are surgical treatment options. Complications associated with surgery, however, push the balance in favor of medical therapy whenever possible. Based on the body of evidence available at present, women with endometriosis-related complaints should be treated with a first-line medical therapy. If that fails, a second-line medical therapy is warranted under most conditions. Laparoscopic surgery should be reserved for patients in whom second-line medical therapy has failed or is contraindicated by desire to conceive immediately or as soon as possible.
Gynecologic Endocrinology - ECAB
The diagnostic approach as well as the management of several endocrinological disorders underwent major modifications. Gynecological endocrinology made no exception, and light was finally thrown on a scarcely known area, so heavily influenced by ignorance and prejudices. Here some authoritative experts have addressed the several possibilities of hormonal interventions in the field of gynecology. The most recent research development has led to the better understanding of the physiopathological rationale, underlying appropriate treatments and even evaluation of the new routes of hormone administration. Current medical therapy of different conditions has been thoroughly reviewed, including prec...
Perinatal Medicine - ECAB
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 ...
High-Risk Labor and Delivery - ECAB
The high-risk pregnant patient can present to the labor and delivery setup with significant complications that can result in morbidity and mortality. The goal of the obstetricians is always to have a safe outcome for both the mother and the baby, irrespective of the severity of the illness. Therefore, a thorough understanding of the underlying problems and expert management by the obstetrician are extremely important. Further, these parturient can be critically ill, requiring intensive care management. So, good communication among the various teams and the latest information on the management of such patients are critical in order to provide the highest possible level of care. The information in this text will hopefully give the reader the best and most up-to-date knowledge with regard to management of problems and challenges in dealing with a high-risk parturient. This book brings together an outstanding group of authors from the discipline of Obstetrics and Gynaecology in an attempt to present a comprehensive and current summary of high-risk labor and delivery and will be useful to both the practitioner in academic medicine and in private practice.
Medicine: Prep Manual for Undergraduates, 3/e
Since the inception of second edition of Prep Manual, a large body of knowledge has become available in various areas of medicine. The third edition has been substantially revised and updated incorporating the most recent knowledge in the subject. Almost every chapter has been revised or rewritten, and many new topics in each chapter have been added. It is hoped that this edition will fulfill all the needs of an undergraduate medical student. In addition, the basic concepts presented in this edition will be useful to the postgraduate students also. The third edition provides a new and comprehensive update of medicine. About the Author : - K. George Mathews MD, Associate Specialist, Department of Orthogeriatrics, Torbay Hospital, Torquay, Devon, London.Praveen Aggarwal, MD, DNB, Professor, Division of Emergency Medicine, All India Institute of Medical Sciences, New Delhi.
Managing Infertility - ECAB
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 infe...
Menopause - ECAB
Menopause is defined by the World Health Organization (WHO) and the Stages of Reproductive Ageing and Workshop (STRAW) working group as the permanent cessation of menstrual periods that occurs naturally or is induced by surgery, chemotherapy, or radiation. Natural menopause is recognized after 12 consecutive months without menstrual periods that are not associated with other causes. Although surprising, it is interesting to note the plethora of complaints that menopausal women present with all over the world. In the US, UK, and the United Arab Emirates, hot flushes are the most common symptom reported, while women from Japan, India, and Singapore suffer mostly from joint pain. A postmenopaus...
Fertility Control - ECAB
With the objective of limiting the individual family size to just one or two children, most women spend the larger part of their reproductive years attempting to avoid an unwanted or unplanned pregnancy. Effective fertility control is important in a woman’s life to give her the choices of planning her family and to empower her to accomplish her goals in life besides, those of mere childbearing and childrearing. As with many other preventative medical interventions, the efficacy of contraceptive measures cannot be directly assessed; only failures can be quantified. The Pearl index is a statistical tool in this context, for measuring the effectiveness of the fertility control method and estimation of the number of unintended pregnancies per 100 woman-years of exposure. It is also used to compare the birth control methods with a lower Pearl index denoting a lower chance of getting unintentionally pregnant. Fertility Control has come up with comparative study of different controlling techniques, along with the clinical experiences of its eminent authors.
Recurrent Pregnancy Loss - ECAB
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.
