Thyroid Dysfunction and Pregnancy - ECAB

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131232352
Total Pages : 160 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Thyroid Dysfunction and Pregnancy - ECAB by : Sujata Misra

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.

Medical Disorders in Pregnancy - ECAB

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131232271
Total Pages : 194 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Medical Disorders in Pregnancy - ECAB by : Hema Divakar

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.

Recurrent Pregnancy Loss - ECAB

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131232255
Total Pages : 108 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Recurrent Pregnancy Loss - ECAB by : Kamini Rao

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.

Nutrition and Pregnancy - ECAB - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131239292
Total Pages : 138 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Nutrition and Pregnancy - ECAB - E-Book by : SN Tripathy

Download or read book Nutrition and Pregnancy - ECAB - E-Book written by SN Tripathy and published by Elsevier Health Sciences. This book was released on 2014-12-12 with total page 138 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nutrition and Pregnancy - ECAB - E-Book

Reproductive Endocrinology - ECAB - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131239373
Total Pages : 160 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Reproductive Endocrinology - ECAB - E-Book by : Shirish N Daftary

Download or read book Reproductive Endocrinology - ECAB - E-Book written by Shirish N Daftary and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reproductive Endocrinology - ECAB - E-Book

Hyperhomocysteinemia and Pregnancy - ECAB

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131239500
Total Pages : 112 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Hyperhomocysteinemia and Pregnancy - ECAB by : Mala Arora

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

Obstetrics Counseling - ECAB

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131232247
Total Pages : 127 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Obstetrics Counseling - ECAB by : Uday Thanawala

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.

ECAB Dysfunctional Uterine Bleeding in Reproductive Age Group Women - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131239551
Total Pages : 116 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis ECAB Dysfunctional Uterine Bleeding in Reproductive Age Group Women - E-Book by : Shirish N Daftary

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

Threatened Miscarriage - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232336
Total Pages : 159 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Threatened Miscarriage - ECAB by : Suneeta Mittal

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.

Managing Infertility - ECAB

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131232344
Total Pages : 148 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Managing Infertility - ECAB by : Kamini Rao

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.

ECAB Reviews in Neurology 2013 - E-Book

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131239691
Total Pages : 151 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis ECAB Reviews in Neurology 2013 - E-Book by : Shyamal Kumar Das

Download or read book ECAB Reviews in Neurology 2013 - E-Book written by Shyamal Kumar Das and published by Elsevier Health Sciences. This book was released on 2014-12-11 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt: ECAB Reviews in Neurology 2013 - E-Book

High-Risk Labor and Delivery - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 813123231X
Total Pages : 272 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis High-Risk Labor and Delivery - ECAB by : Shirish N Daftary

Download or read book High-Risk Labor and Delivery - ECAB written by Shirish N Daftary and published by Elsevier Health Sciences. This book was released on 2012-06-19 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Endometriosis - ECAB

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232328
Total Pages : 126 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Endometriosis - ECAB by : Sadhana Desai

Download or read book Endometriosis - ECAB written by Sadhana Desai and published by Elsevier Health Sciences. This book was released on 2012-06-15 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

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Publisher : Elsevier Health Sciences
ISBN 13 : 8131232301
Total Pages : 267 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Gynecologic Endocrinology - ECAB by : Suman Kher

Download or read book Gynecologic Endocrinology - ECAB written by Suman Kher and published by Elsevier Health Sciences. This book was released on 2012-06-15 with total page 267 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 precocious puberty, hyperandrogenism, premature ovarian failure, polycystic ovarian syndrome, and menopause. Keeping in mind the requirements of the society, the practitioners need to update themselves on the current approach and wide variety of treatment options now available. India has a distinct need for the comprehensive programs that fit into the Indian context of the situation. It has to be a continuous process, which approaches the problem on the basis of the experience of the specialists in India who are among the stalwarts in this field. In its quest to better approach the topic, Elsevier has pooled its existing resources with those of the internationally acclaimed Obstetricians and Gynecologists of India who have chosen to apply their rich clinical knowledge and expertise to serve the Indian patients.

Endoscopy in Infertility - Part II - A Perspective on Laparoscopy - ECAB

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131232298
Total Pages : 235 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Endoscopy in Infertility - Part II - A Perspective on Laparoscopy - ECAB by : Urvashi Prasad Jha

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.

Endoscopy in Infertility - ECAB

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 813123228X
Total Pages : 90 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Endoscopy in Infertility - ECAB by : Urvashi P Jha

Download or read book Endoscopy in Infertility - ECAB written by Urvashi P Jha and published by Elsevier Health Sciences. This book was released on 2009-12-15 with total page 90 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 has become an essential part of gynecologic surgery. In present practice, the benefits of hysteroscopy have become safely entrenched behind undeniable facts, to the hospitals as well as the patients. Hysteroscopy can be regarded as the gold standard for the evaluation of the uterine cavity in cases of abnormal uterine bleeding, infertility, recurrent pregnancy loss, and suspected intrauterine out-growth. It can be performed in the office setting (outpatient hysteroscopy) or as a day-case procedure, under general anesthesia (inpatient hysteroscopy). Outpatient hysteroscopy has been shown to be as accurate as inpatient hysteroscopy, and it has the advantage of reduced anesthetic risks, enhanced time–cost effectiveness, and patient preference. The factors behind the success of outpatient hysteroscopy are instrument quality, characteristics of the distension medium, the ability and experience of the operators, and recent technical advances, such as the introduction of small-diameter rigid and flexible hysteroscopes. The future looks to further simplification of instrumentation and hence, high safety and accuracy and expedited performance. "Hysteroscopy in Infertility" has addressed the relevant issues with dexterity by substantiating with relevant clinical experiences of authors, who are among the pioneers in this field.

Bleeding in Pregnancy - ECAB - E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 8131239381
Total Pages : 152 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Bleeding in Pregnancy - ECAB - E-Book by : Hema Divakar

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