A sharp-eyed exploration of the promise and peril of having children in an age of genetic tests and interventionsIs screening for disease in an embryo a humane form of family planning or a slippery slope toward eugenics? Should doctors tell you that your infant daughter is genetically predisposed to breast cancer? If tests revealed that your toddler has a genetic mutation whose significance isn’t clear, would you want to know?In The Gene Machine, the award-winning journalist Bonnie Rochman deftly explores these hot-button questions, guiding us through the new frontier of gene technology and how it is transforming medicine, bioethics, health care, and the factors that shape a family. Rochman tells the stories of scientists working to unlock the secrets of the human genome; genetic counselors and spiritual advisers guiding mothers and fathers through life-changing choices; and, of course, parents (including Rochman herself) grappling with revelations that are sometimes joyous, sometimes heartbreaking, but always profound. She navigates the dizzying and constantly expanding array of prenatal and postnatal tests, from carrier screening to genome sequencing, while considering how access to more tests is altering perceptions of disability and changing the conversation about what sort of life is worth living and who draws the line. Along the way, she highlights the most urgent ethical quandary: Is this technology a triumph of modern medicine or a Pandora’s box of possibilities?Propelled by human narratives and meticulously reported, The Gene Machine is both a scientific road map and a meditation on our power to shape the future. It is a book that gets to the very core of what it means to be human.
This is a terrific book that identifies the multiple, devastating repercussions of reproductive trauma by examining the disruptions to one's own personalized reproductive story. Grounded in developmental theory and richly illustrated with clinical examples, it is a welcome, much-needed guide for all therapists working with this overlooked population. Beyond its stated purpose of teaching mental health professionals, its accessibility, sensitivity, and comprehensive scope make it a volume that will be useful to obstetric health providers, medical social workers, and bereavement specialists as well as the couples who experience these losses.ùIrving G. Leon, PhD, Adjunct Associate Professor of Obstetrics and Gynecology, University of Michigan Health System, Ann Arbor; author of When a Baby Dies: Psychotherapy for Pregnancy and Newborn LossJaffe and Diamond have done it again! Their concept of the "reproductive story" simultaneously validates a patient's experience and provides guidelines for processing reproductive events. It is an extremely valuable technique for therapists confronting increasingly complex medical technology and the psychological fallout. A much-needed contribution!ùLeslie Westlund Tam, MD, Reproductive Psychiatrist, San Diego, CAA comprehensive guide for the clinical practitioner. The authors draw from a wealth of empirical research as well as numerous case studies to provide a deep understanding of the experience of infertility and how to help guide patients through the process.ùMary P. Riddle, PhD, The Pennsylvania State University, World CampusSince the birth of the first in vitro fertilization baby 30 years ago, assisted reproductive technology continues to advance exponentially. But despite this progress in medical technology, our psychological understanding of the related emotional, ethical, and moral dilemmas has yet to be advanced.Written by specialists in the field of reproductive counseling, this volume aims to help clinicians understand and treat the unique needs of clients who have experienced adverse reproductive events, including infertility, miscarriage, perinatal or newborn loss, and premature or other complicated births. Therapists will learn the importance of their clients' reproductive story, how to help them identify and grieve losses, and how to guide them in making complicated decisions about family building. Illustrated with numerous clinical examples, this volume will help mental health professionals gain both insight and clinical skill in working with this complex and growing clinical population.
Finally, a concise and practical guide to reproductive endocrinology and infertility for the non-specialist! Written and designed especially for use by the ob/gyn clinician in general practice, Essential Reproductive Medicine addresses the full range of reproductive endocrinology and infertility (REI) issues, from the fundamentals of reproductive medicine through disorders of the endocrine system, infertility, contraception, and menopause. Featuring the insights of the world’s leading authorities, Essentials is clinically focused and logically organized, to reflect how the clinician should approach the REI patient. STATE-OF-THE-ART COVERAGE INCLUDES: *Diagnostic evaluation and treatment of the infertile couple, including male infertility *Disorders of the endocrine system, including sexual development, puberty, the adrenal and thyroid glands, polycystic ovarian disease and obesity *Endometriosis and tubal disease *Clinical trials for reproductive medicine *Assisted reproductive technologies *Recurrent pregnancy loss *Hormonal and non-hormonal contraception *Perimenopause/Transition *The benefits and risks of hormone replacement therapy *Alternative treatments for aging women including phytoestrogens and herbals *And much more FEATURES: *Easy-to-use format enhances readability, and speeds access to specific information, maximizing comprehension of even the most difficult topics *Highly focused chapters guide you systematically through evaluation, diagnosis, and management *Handy tables highlight differential diagnoses, clinical features, and appropriate lab evaluation *“Key Points" summarizes each chapter’s critical information *Targeted, high-yield reference lists assist further research or study Designed for optimal clinical utility, Essential Reproductive Medicine provides authoritative guidance to REI, and serves as a concise yet comprehensive, and highly affordable alternative to existing tomes in the literature.
Complete, labeled illustrations of the reproductive system. From pre-teen to pre-med, this chart is loaded with beautifully illustrated diagrams, clearly and concisely labeled for easy identification. Illustrations by award-winning medical illustrator Vincent Perez. Chart includes detailed diagrams of: · female reproduction system · male reproduction system · uterine cycle · stages of sperm & ovum · sexual intercourse · full-term baby · full-term baby prior to delivery · full-term baby being delivered
Established for more than thirty years as one of the world's most widely read gynecology texts, Clinical Gynecologic Endocrinology and Infertility is now in its Eighth Edition. In a clear, user-friendly style enhanced by abundant illustrations, algorithms, and tables, the book provides a complete explanation of the female endocrine system and its disorders and offers practical guidance on evaluation and treatment of female endocrine problems and infertility. Major sections cover reproductive physiology, clinical endocrinology, contraception and infertility. This edition has a modern full-color design.A companion website includes the fully searchable text, image bank and links to PubMed references.
120 case-based cards offer a fun, fast way to review the pathophysiologic basis of common diseases 120 cards cover the topics most relevant to medical practice Each card begins with a case followed by questions designed to help you sharpen your clinical problem-solving skills Concise, bulleted answers are derived from the classic Pathophysiology of Disease: An Introduction to Clinical Medicine, Seventh Edition Essential when preparing for course and certification exams These flashcards are a great way to improve your knowledge of the pathophysiology associated with specific disorders.
A provocative examination of how unequal access to reproductive technology replays the sins of the eugenics movement Eugenics, the effort to improve the human species by inhibiting reproduction of “inferior” genetic strains, ultimately came to be regarded as the great shame of the Progressive movement. Judith Daar, a prominent expert on the intersection of law and medicine, argues that current attitudes toward the potential users of modern assisted reproductive technologies threaten to replicate eugenics’ same discriminatory practices. In this book, Daar asserts how barriers that block certain people’s access to reproductive technologies are often founded on biases rooted in notions of class, race, and marital status. As a result, poor, minority, unmarried, disabled, and LGBT individuals are denied technologies available to well-off nonminority heterosexual applicants. An original argument on a highly emotional and important issue, this work offers a surprising departure from more familiar arguments on the issue as it warns physicians, government agencies, and the general public against repeating the mistakes of the past.
Compiled by two experts in Reproductive Medicine, with contributions from internationally respected specialists, this innovative text lets the whole team in Reproductive Medicine get literally on the same page. Taking a cook-book approach to the operational procedures in the laboratory and in the clinic, it details what needs to be prepared in advance, what needs to be prepared earlier the same day, and what steps to take before, during, and after the procedure itself. This is an essential tool for ensuring all staff - whether experienced or starters - can be confident in their tasks and are in touch with what is expected of them and their colleagues.
In the United States, a healthy pregnancy is now defined well before pregnancy begins. Public health messages encourage women of reproductive age to anticipate motherhood and prepare their bodies for healthy reproduction—even when pregnancy is not on the horizon. Some experts believe that this pre-pregnancy care model will reduce risk and ensure better birth outcomes than the prenatal care model. Others believe it represents yet another attempt to control women’s bodies. The Zero Trimester explores why the task of perfecting pregnancies now takes up a woman’s entire reproductive life, from menarche to menopause. Miranda R. Waggoner shows how the zero trimester rose alongside shifts in medical and public health priorities, contentious reproductive politics, and the changing realities of women’s lives in the twenty-first century. Waggoner argues that the emergence of the zero trimester is not simply related to medical and health concerns; it also reflects the power of culture and social ideologies to shape both population health imperatives and women’s bodily experiences.