Challenging Concepts in Obstetrics and Gynaecology: Cases with Expert Commentary

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Natasha Hezelgrave, Danielle Abbott, Andrew Shennan
Oxford University Press, Jan 16, 2015 - Medical - 353 pages
Challenging Concepts in Obstetrics and Gynaecology is a case-based guide to difficult scenarios faced in both fields, covering many of the major sub-speciality areas of each. The 24 cases have been selected to cover a spectrum of challenges in obstetrics and gynaecology. Recognising that any
attempt to cover the whole curriculum is impossible, the authors have instead chosen specific, challenging scenarios that are commonly encountered in clinical practice, but by no means have simple answers or outcomes.

Complex cases are examined from a multidisciplinary approach with consideration of diagnostic procedures, practical skills, evidence base, and the application of national and international guidelines. There is also a summary of evidence from the medical literature in various subspecialty areas of
obstetrics and gynaecology, alongside current controversies in management. Cases are punctuated by easy-to-read Learning Points, Clinical Tips, and Evidence Base boxes, speeding the learning process as well as providing a handy dip-into guide for those just refreshing their memory.

Each case is set off by an 'Expert Commentary' written by an internationally-renowned expert in each field, leaving the reader with both a solid base of knowledge and a nuanced view of current challenges in obstetrics and gynaecology. This collaboration between trainees and experts provides a unique
insight into the management of complex and often rare but important obstetrics and gynaecology cases, within a highly user-friendly format and a ready-made means of self-learning and self-testing. Challenging Concepts in Obstetrics and Gynaecology makes for a useful, relevant and interesting read,
enabling the reader to readily transfer the knowledge gained to everyday clinical practice.


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CASE 1 A classic case of heavy menstrual bleeding?
CASE 2 Severe endometriosis in a young woman with unexpected endorgan failure
a diagnostic and management dilemma
CASE 4 Preimplantation genetic diagnosis in oligozoospermia
is conservative management the best we can offer?
the importance of a multidisciplinary approach
CASE 7 Monochorionic diamniotic twin pregnancy complicated by twintwin transfusion syndrome
delaying the inevitable?
lupus nephritis flare or preeclampsiaa diagnostic challenge
CASE 15 Management of a pregnant woman with morbid obesity
balancing maternal and neonatal morbidity
CASE 17 Vaginal birth after caesarean section
challenges in optimal perinatal management
CASE 19 Forewarned is forearmed in massive obstetric haemorrhage
not the same as the normal menopause
an evolving challenge for us all

CASE 9 Earlyonset fetal growth restriction
CASE 10 Dilemmas of preterm birth
CASE 11 Pulmonary hypertension in pregnancy
CASE 12 The challenges and controversies of pregnancy and diabetes
the dilemmas of management
CASE 22 Postmenopausal bleeding
CASE 23 Recurrent ovarian cancer
CASE 24 Cervical cancer

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About the author (2015)

Natasha Hezelgrave, Academic Clinical Fellow in Obstetrics and Gynaecology, Maternal and Fetal Research Unit, St Thomas' Hospital, London, UK.,Danielle Abbott,Clinical Research Fellow, Maternal and Fetal Medicine Department, St Thomas' Hospital, London, UK.,Andrew Shennan,Professor of Obstetrics, Maternal and Fetal Research Unit, School of Biomedical and Health Sciences, King's College London, UK.

Dr Natasha Hezelgrave is currently an Academic Research Fellow working in the Academic Women's Health Centre, King's College London. She is a Specialist Registrar in the London Deanery Training Programme, and has taken time out to complete a PhD. Her main interests are prediction and prevention of preterm birth, pre-eclampsia, and global public health. She is currently coordinating a Gates Foundation funded research project to examine ways to improve detection of pre-eclampsia in rural sub-Saharan Africa.

Dr Danielle Abbott is currently a clinical Research Fellow in Obstetrics working in the Academic Women's Health Centre, Kings College London. She is completing a MD in Obstetrics. Her main interests are the prediction and prevention of preterm birth.

Andrew Shennan is Professor of Obstetrics at King's College London. He qualified with MBBS in 1980 from St Mary's Hospital Medical School and became a Member of the RCOG in 1991. He was awarded his MD thesis from Imperial College in 1997. He leads the clinical research programme within the Maternal and Fetal Research Unit into the causes of low birthweight and pre-eclampsia. In addition, he runs the research programme into the measurement of blood pressure in pregnancy and the development of accurate/novel 'mercury free' devices, as well as prediction and prevention of preterm labour.

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