The present book on Clinical Progress in Obstetrics and Gynecology provides a ready resource of a review of subjects related to gynecology and obstetrics. The aim is to keep the reader abreast with the existing knowledge and future trends in the most notable and worked upon areas in our field.
Salient Features * This book has been created as an evidence-based ready resource of subjects related to Gynecology and Obstetrics * In the interest of postgraduates, it highlights selected areas that are currently under extensive research and subjects of controversy * With latest and the most recent advances, it serves as an effective reference for practicing clinicians * Few chapters carry an update on subjects related to day-to-day practice, such as fibroids, tubal pregnancy, menopause, gestational DM, intrapartum fetal monitoring, ovulation induction and emergency contraception * Also covers offbeat subjects such as third party reproduction, mesh in urogynecology, violence against women, female sexual pain, tuberculosis in pregnancy and tumor markers.
Table of Contents 1. Current Approaches to the Management of Fibroids * Isaac Manyonda, Latika Narang * Expectant Management * Surgical Management * Radiological Treatments * Medical Management * Other Treatment Modalities * Concluding Remarks
2. Tumor Markers in Gynecological Cancers * Asha Kapadia, Muzammil Shaikh * Serum Markers for Ovarian Cancer * Serum Markers in Epithelial Ovarian Cancer * Other Markers for Ovarian Cancer * Serum Tumor Markers in Nonepithelial Ovarian Cancer * Serum Markers for Other Gynecological Cancers
3. Emergency ContraceptionRational Use for Womens Health * Suneeta Mittal, Neha Gupta * History * Need for Emergency Contraception in India * Indications of Use of Emergency Contraception * Contraindications of Use of Emergency Contraception * Current Methods of Emergency Contraception * Mechanism of Action of Emergency Contraception * Effectiveness and Probability of Conception * Prescribing the Pill * Initiating Regular Contraception after Emergency Contraception * Social and Ethical Issues with Emergency Contraception Use * Future of Postcoital Contraceptives
4. Current Management of Tubal Pregnancy * Vishwanath Karande, Sigal Klipstein * Incidence * Risk Factors for Tubal Ectopic Pregnancy * Pathogenesis * Diagnosis of Tubal Ectopic Pregnancy * Use of Transvaginal Ultrasonography and Serial Human Chorionic Gonadotropin Levels * Medical Treatment of Tubal Pregnancy * Surgical Treatment of Ectopic Pregnancy * Salpingectomy versus Salpingostomy * Laparoscopic Salpingectomy * Laparoscopic Linear Salpingostomy * Adjunctive Use of MTX
5. Optimizing Ovulation Induction * Madhuri Patil * Ovarian Cycle and its Physiology * Ovulation Induction * Clinical Progress in Obstetrics and Gynecology * Luteal Phase Support * Ovulation Induction in Special Situations * Monitoring Ovulation Induction Cycles * 6. Third Party Reproduction. * Duru Shah, Anita Soni, Seeru Garg * Important Definitions * Historical Context * Reproductive Tourism in India * Surrogacy and Law * Egg (Ovum) Donation * Sperm Donation * Embryo Donation * Types of Surrogacy * Our Experiences with Gestational Surrogacy
7. A Clinical Approach to Female Sexual Pain * Shantanu Abhayankar * Prevalence * Problem of Classification * Definitions * Neurobiology of the Pelvis * Individual Psychological and Personality Characteristics in Women with Vaginismus * Individual Psychological and Personality Characteristics in Women with Dyspareunia (and/or Vestibulitis) * Mucous Membranes and Sexual Pain Disorders * Common Etiologies * Clinical Approach to Sexual Pain * Treatment
8. Domestic Violence Against WomenA Universal Challenge * Suchitra Dalvie * Risk Factors * Scope of the Problem * Womens Rights are Human Rights * Intimate Partners and Sexual Violence * Social and Economic Costs * Prevention * WHO Response * Violence Against Women in Asia and India * Medical Complications Because of Violence Against Women * Economic Violence * Role of the Law * Role of Physician/Gynecologist
9. Metabolic Disorders after Menopause * Stamatina Iliodromiti, Mary Ann Lumsden * Menopause and Hyperlipidemia * Menopause and Hypertension * Menopause and Diabetes * Menopause and Endothelial Function * Menopause and Obesity * Menopause and Coronary Heart Disease * Menopause and Ethnicity
10. Use of Mesh in Urogynecology * Jay Iyer, Ajay Rane * Anatomy of the Pelvic Floor and the Functional Relationship to Pelvic Organ Prolapse * Why did Pelvic Floor Surgeons Feel the Need for Mesh? * Tips and Pearls * Postoperative Orders and Management * Change in Practice Following the FDA Notifications * The Future of Mesh in Urogynecology
11. Intrapartum Fetal Monitoring Towards Improved Perinatal Outcome * Niraj Yanamandra, Sabaratnam Arulkumaran * Prognosis * Clinical Surveillance * Shortfalls with Intermittent Auscultation * Biophysical Methods of Fetal Surveillance * Shortfalls of Electronic Fetal Monitoring Using Cardiotocography * Shortfalls of Fetal ECG * Shortfalls of Fetal Pulse Oximetry * Biochemical Means of Fetal Surveillance * Shortfalls of Fetal Blood Sampling
12. Gestational Diabetes MellitusA Growing Concern * Sujata Mishra * Gestational Diabetes Mellitus Pathogenesis * Etiopathogenesis of Gestational Diabetes mellitus Possible Explanations * Screening and Diagnosis * World Health Organization Diagnostic Criterion * American Diabetes Association Criterion-Evolution * Ada Diagnostic Criteria * Hyperglycemia and Adverse Pregnancy Outcome (Hapo) Study * International Association of Diabetes and Pregnancy Study Groups (Iadpsg) Recommendations * Pharmacotherapy * Contraception or Pregnancy Planning * Diabetes Prevention * Cardiovascular Disease Risk Factor Assessment * Lifestyle Modification
13. Tuberculosis in Pregnancy * Rucha S Dagaonkar, Zarir Udwadia * Epidemiology in the Female Population * TB Infection and TB Disease in Pregnancy * Clinical Features * Diagnosis * Treatment of Tuberculosis * Index
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