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1

Néret, Gilles. Pussycats. Köln: Taschen, 2003.

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2

The cookie book: Celebrating the art, power and mystery of woman's sweetest spot. Alameda, CA: Hunter House, 2011.

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3

Trivedi, P. K. Art traditions of the Paramaras of Vagada. Jaipur: Publication Scheme, 1995.

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4

Melecrinis, Anna Maria. Omaggio a Vaglia: Memorie, confraternite, immagini di un castellare fiorentino : la pieve, il borgo, l'oratorio. Firenze: L. Pugliese, 2004.

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5

Rees, Emma L. E. Can't: Uncovering the postmodern Vagina. Taylor & Francis Group, 2013.

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6

State-of-the-Art Vaginal Surgery. McGraw-Hill Professional Publishing, 2009.

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7

Dufour, Bernard. Les clichés-verre. Léo Scheer, 2001.

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8

Breitenbach, Maritza. Cookie Book: Celebrating the Art, Power and Mystery of Woman's Sweetest Spot. Turner Publishing Company, 2013.

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9

Goel, Neerja, Shalini Rajaram, and Sumita Mehta. State-Of-the-Art: Vaginal Surgery. Jaypee Brothers Medical Publishers, 2013.

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10

State-of-the-Art Vaginal Surgery. Jaypee Brothers Medical Publishers (P) Ltd., 2007. http://dx.doi.org/10.5005/jp/books/10782.

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11

State-of-the-Art: Vaginal Surgery. Jaypee Brothers Medical Publishers (P) Ltd., 2013. http://dx.doi.org/10.5005/jp/books/11818.

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12

Hoskin, Peter. Vulva and vagina. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199696567.003.0014.

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Chapter 9b discusses carcinoma of the vulva, which is primarily a surgical disease best treated by wide surgical resection, radical vulvectomy, and inguinal lymph node dissection based on presenting stage. Rarely, locally advanced primary disease may be presented for primary radiotherapy treatment. Postoperative radiotherapy is recommended for tumours invading >7 mm in a vertical direction. The first station regional lymph nodes in the inguinal region are best treated by radical surgical dissection, but fixed inoperable lymph nodes may benefit from primary radiotherapy which may be followed where appropriate by surgery if there is a residual mass. Postoperative radiotherapy should be considered for women having more than one node involved with metastatic tumour at surgery. This must be balanced against the increased risk of lymphoedema where both surgery and radiotherapy are delivered to the groins. Chemoradiation using cisplatin or 5-FU/mitomycin C-based schedules has been reported but no randomized comparison with radiotherapy alone has been undertaken; whilst high response rates are seen there is a considerable increase in acute toxicity.
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13

Yes, OhMyGosh. Drawings of Vaginas by Teenage Boys. Lulu Press, Inc., 2010.

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14

Hiddinga, Laura. Are You Coming?: A Vagina Owner's Guide to Orgasm. Experiment LLC, The, 2021.

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15

Hiddinga, Laura. Are You Coming?: A Vagina Owner's Guide to Orgasm. Experiment LLC, The, 2021.

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16

Cortes, Eduardo, Mohammed Belal, Arun Sahai, and Roland Morley. Pelvic organ prolapse. Edited by Christopher R. Chapple. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0039.

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Pelvic organ prolapse (POP) is a common condition in women. It is defined as a downward descent of pelvic organs through or at the introitus. Symptoms relate to the prolapse itself and its potential effects on the bowel and urinary systems. Careful assessment is required and all compartments of the vagina need to be examined to assess for multicompartment POP. Several classification systems exist but the Baden Walker and POP-Q systems are commonly employed today. Several patient and surgical factors will influence the management. Conservative management involves pelvic floor exercises and the use of pessaries. Goals of surgery are to reconstruct and restore the pelvic anatomy, maintain, or restore normal bowel and bladder function, and maintain vaginal capacity for sexual intercourse, if desired. Surgery can be transvaginal or abdominal. This chapter will outline the anatomy, aetiology, presentation, and management of anterior, posterior, and apical compartment prolapse.
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17

Addington, Deborah. A Hand in the Bush: The Fine Art of Vaginal Fisting. Greenery Press (CA), 1998.

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18

Madeleine, Margaret M., and Lisa G. Johnson. Vulvar and Vaginal Cancers. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190238667.003.0049.

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Vulvar and vaginal cancers are rare and predominantly involve squamous cell carcinomas. Some studies combine these cancers, presumably because of their rarity, anatomic proximity, and shared risk factors. Major risk factors include human papillomavirus (HPV) and cigarette smoking. This chapter explores the similarities and important differences in etiology between these cancer sites. In addition to its focus on invasive cancer, the chapter also discusses high-grade precursor lesions, or in situ disease, that sometimes progress to cancer and must, therefore, be treated.
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19

Vaginal Infections: What They Are and What to Do About Them. Health Education Authority, 1992.

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20

Lockhart, Mark E., and Rupan Sanyal. Case 82. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0082.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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21

Lockhart, Mark E., and Rupan Sanyal. Case 83. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0083.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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22

Lockhart, Mark E., and Rupan Sanyal. Case 84. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0084.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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23

Lockhart, Mark E., and Rupan Sanyal. Case 85. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0085.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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24

Lockhart, Mark E., and Rupan Sanyal. Case 86. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0086.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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25

Lockhart, Mark E., and Rupan Sanyal. Case 87. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0087.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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26

Lockhart, Mark E., and Rupan Sanyal. Case 88. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0088.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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27

Lockhart, Mark E., and Rupan Sanyal. Case 89. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0089.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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28

Lockhart, Mark E., and Rupan Sanyal. Case 90. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0090.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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29

Lockhart, Mark E., and Rupan Sanyal. Case 91. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199975747.003.0091.

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This is a case from the Urethra, Vagina, and Penis section of Genitourinary Imaging Cases. The specific content of each case and its diagnosis are necessarily hidden from this abstract. Each case contains case history, followed immediately by the diagnosis, which is supported with findings, differential diagnosis, teaching points, management, and further reading suggestions.
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30

haki, jou. I Hope My Vagina Will Be Ok: Funny Gag Gift Journal Notebook for Moms or Mums Who Are Pregnant. Independently Published, 2021.

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31

Devlieger, Roland, and Maria-Elisabeth Smet. Obstetric management of labour, delivery, and vaginal birth after caesarean delivery. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0012.

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This chapter describes the events surrounding normal and abnormal labour and delivery with particular relevance to the anaesthetist. The first two sections explain the course of a normal labour, delivery, and third stage. Subsequently attention is paid to obstructed labour, delivery, and prolonged third stage. Since induction of labour has become common practice in many pathological conditions, several methods of induction and their complications are then discussed. Next, some basic knowledge about intrapartum fetal monitoring is presented, followed by some specific and potentially complicated situations such as shoulder dystocia, operative vaginal delivery, caesarean delivery, breech delivery, twin birth, and vaginal birth after previous caesarean delivery.
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32

Medforth, Janet, Linda Ball, Angela Walker, Sue Battersby, and Sarah Stables. High-risk labour. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198754787.003.0021.

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The principles of high-risk labour and the midwifery management are discussed in this chapter. The care of women encountering difficult births is a theme throughout. Issues, such as induction of labour, vaginal birth after a Caesarean section, and instrumental birth, are discussed step by step. New and updated evidence has been used to inform the reader’s practice.
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33

Keag, Oonagh, and E. Sarah Cooper. Prematurity, multiple gestation, and abnormal presentation. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198713333.003.0033.

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Preterm labour is a common cause of neonatal morbidity and mortality. This chapter describes the definition, aetiology, diagnosis, and management of preterm labour and delivery with a focus on tocolytic therapy, the use of antenatal corticosteroids, and of magnesium sulphate. Anaesthesia for preterm delivery is discussed. The section on multiple pregnancy details the recommended antenatal careplan for dichorionic and monochorionic twin pregnancies, the fetal and maternal risks and potential complications, and the management of labour and delivery of twins, as well as the anaesthetist’s role in managing these high-risk pregnancies. There are a number of abnormal presentations managed by obstetricians, including abnormal cephalic presentations such as occiputo-posterior positions, breech, transverse, and compound presentations. This chapter focuses specifically on breech presentation, comparing the evidence for vaginal breech delivery versus planned caesarean delivery. It also discusses external cephalic version and vaginal breech delivery itself.
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34

Osman, Nadir I., and Christopher R. Chapple. Urinary fistula. Edited by Christopher R. Chapple. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199659579.003.0041.

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Genitourinary fistulae (GuF) are one of the oldest described causes of incontinence. They are associated with significant social and psychological debilitation. In developed countries, they most commonly occur after iatrogenic injury to the urinary tract during gynaecological surgery for benign conditions, whereas in developing countries the most common cause remains prolonged obstetric labour. The most frequent type of GuF occurs between the bladder and vagina. GuF require careful evaluation to confirm the diagnosis and assess the number, location, and anatomy of defects, as well as any associated injuries before operative management is undertaken. The surgical approach to each fistula is individualized and relies upon the use of healthy vascularized tissue to repair defects, preferably with interposition of a tissue flap to augment repairs.
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35

Negari, Shelly Ben-Harush, and Jessica A. Kahn. Human Papillomavirus. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190604813.003.0009.

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Human papillomavirus (HPV) is a ubiquitous, single-stranded DNA virus that is commonly sexually transmitted and an important cause of cervical cancer. Manifestations of infection in the perinatal and childhood periods are recurrent respiratory papillomatosis (RRP) and anogenital warts (AGWs). Children with respiratory papillomatosis most commonly develop papillomas in the larynx, but papillomas may develop in any location along the respiratory tract. Although RRP is rare, it is the most common benign neoplasm of the larynx among children and the second-most-frequent cause of childhood hoarseness. AGWs are uncommon in the perinatal period and typically benign. They may develop on the vulva, hymen, vagina, urethra, or perianal area in girls and on the perianal area in boys. The clinical manifestations, epidemiology, diagnostic studies, and management strategies pertinent to these infections are reviewed.
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36

Medforth, Janet, Linda Ball, Angela Walker, Sue Battersby, and Sarah Stables. Sexual health. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198754787.003.0003.

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This chapter is mainly concerned with sexually transmitted infections and covers a range of issues, including Chlamydia, gonorrhoea, hepatitis B and C, herpes, syphilis, and other vaginal infections such as Candida, Trichomonas vaginalis, and bacterial vaginitis. Each of these is taken separately with reference to a screening programme, if appropriate, clinical symptoms and appearance, diagnosis, the latest guidance on treatment, and considerations for pregnancy. Fetal and neonatal infections, congenital transmission, treatment, and surveillance options for the neonate, along with specific advice for the mother are also given.
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37

Biro, Peter, and Marc Van de Velde. Obstetric anaesthesia and analgesia. Edited by Philip M. Hopkins. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199642045.003.0066.

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The pregnant woman is a unique and challenging patient for the anaesthetist. When analgesia or anaesthesia is administered, the anaesthetic effects on the fetus or neonate, or both, should be carefully considered. Additionally, pregnancy induces significant maternal physiological changes, which may be influenced by and have an impact on routine anaesthetic management. Hence, anaesthetists are forced to adapt conventional anaesthetic techniques. This chapter reviews the physiological changes associated with pregnancy and describes the anaesthetic care of these patients during vaginal and operative delivery and for non-obstetric interventions during pregnancy.
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38

Medforth, Janet, Linda Ball, Angela Walker, Sue Battersby, and Sarah Stables. Normal labour: second stage. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198754787.003.0017.

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This chapter covers the second stage of labour, from onset through to latent and active phases. It describes the physiology and diagnosis of the second stage of labour for low-risk women. It considers the mechanism of normal labour which underpins the principles of care and conduct of a normal vaginal birth. The care of the perineum in line with the current evidence base is also described. Categorization of perineal trauma is given and the performance of an episiotomy described. The incidence and management of female genital mutilation are discussed.
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39

Freedman, David A. On Types of Scientific Enquiry: the Role of Qualitative Reasoning. Edited by Janet M. Box-Steffensmeier, Henry E. Brady, and David Collier. Oxford University Press, 2009. http://dx.doi.org/10.1093/oxfordhb/9780199286546.003.0012.

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This article argues that ‘substantial progress derives from informal reasoning and qualitative insights’. It shows the role played by causal process observations (CPOs), and qualitative reasoning more generally, in a series of well-known episodes drawn from the history of medicine. Edward Jenner published twenty-three case studies to demonstrate the safety and efficacy of ‘vaccination’. Ignac Semmelweis discovered the cause of puerperal fever. John Snow revealed that cholera was a water-borne infectious disease, which could be prevented by cleaning up the water supply. Christiaan Eijkman's research plan was to use Koch's methods, and show that beriberi was an infectious disease. Joseph Goldberger believed that pellagra was a deficiency disease. Frederick McKay and his connection with fluoridation, and the discovery of Alexander Fleming to penicillin, are discussed. In addition, the breakthrough of German measles by Norman Gregg is reported. Finally, Arthur Herbst offers the association between diethylstibestrol and adenocarcinoma of the vagina.
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40

Directions for optimizing activities to ensure the quality and safety of medical care. Collection of materials. Remedium Privolzhje, 2020. http://dx.doi.org/10.21145/978-5-906125-80-4_2020.

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Editorial Board: Poklad L.A. — Doctor of Economics and Management, Director of the State Autonomous Establishment of Supplementary Professional Education of the Nizhny Novgorod region «Center for Advanced Training and Professional Retraining of Health Professionals», chief freelance specialist on nursing management of the Volga Federal District. Vagina E.V. — Candidate of Medical Sciences, Deputy Director of the State Autonomous Establishment of Supplementary Professional Education of the Nizhny Novgorod region «Center for Advanced Training and Professional Retraining of Health Professionals». The collection of materials contains scientific and practical materials that reflect modern trends in the development of education and health care, ways of their effective interaction. The authors of the articles presented innovative approaches to nursing practice and professional education of medical workers, offered their views on the problem of increasing the professionalism and prestige of a nursing specialist, the implementation of continuous medical education for specialists with secondary medical and pharmaceutical education. The articles are published in the original, author’s edition. The authors declare that there is no potential conflict of interest and that it is necessary to disclose it in the material.
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41

Medforth, Janet, Linda Ball, Angela Walker, Sue Battersby, and Sarah Stables. Normal labour: first stage. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198754787.003.0014.

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This chapter covers the first stage of labour, from onset through to latent and active phases. It describes the physiology and diagnosis of the first stage of labour and gives the definitions of low- and high-risk women. It considers birth in both hospital and home settings and the current recommendations for the place of birth. The basic care and support of low-risk women during both the latent and active first stage of labour are described for both home and hospital settings. Mobility and optimum positions during the first stage, labouring in water, and current guidance regarding maternal nutrition and monitoring vital signs are discussed. Guidance on the assessment of progress by observation, abdominal and vaginal examination, monitoring fetal well-being, and record-keeping on the partogram are also considered.
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42

Justaniah, Almamoon I. Permanent Ureteral Occlusion. Edited by S. Lowell Kahn, Bulent Arslan, and Abdulrahman Masrani. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780199986071.003.0090.

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Distal ureteral injuries are uncommon. When present, urine leakage may ensue. Common etiologies are gynecologic surgeries (75%), trauma, pelvic malignancy, and radiation therapy. Clinical presentation varies according to the location of leakage or fistula. For example, patients with ureterovaginal fistula may present with vaginal discharge. Patients with intra-abdominal leakage may develop urinoma or abscess. Unfortunately, most of these patients are poor surgical candidates due to prior surgery and/or radiation. Therefore, operative repair can be challenging and at times not a valid option. Transrenal ureteral occlusion may provide the best available option for such patients. A trial of urine diversion via percutaneous nephrostomy tube may allow spontaneous healing. If this fails, ureteral occlusion proximal to the leak/fistula can be attempted with a success rate up to 100%. Occlusion techniques include ureteral clipping, radiofrequency cauterization, embolization coils, Amplatzer vascular plugs, detachable balloons, absolute alcohol, and isobutyl-2-cyanoacrylate (glue).
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43

Jefferis, Helen, and Natalia Price. Urogynaecology. Edited by Sally Collins. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198829065.001.0001.

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Urogynaecological problems are one of the most common reasons that women are referred to the hospital services, and can account for up to a fifth of the gynaecological surgery waiting list at any time. Pelvic floor problems can have a huge impact on the patient’s quality of life, and therefore should be managed appropriately. Succinct yet comprehensive, this new addition to the Oxford Specialist Handbooks in Obstetrics and Gynaecology series covers all aspects of pelvic floor function and dysfunction, and approaches to assessment and management in all compartments (the bladder, reproductive system, and bowel). Special chapters are dedicated to urogynaecological issues in pregnancy and childbirth, and also to the effects of age on the pelvic floor. Covering all material needed for those undertaking the RCOG advanced training skills module in urogynaecology and vaginal surgery, this is an invaluable guide for both senior general trainees in gynaecology, and subspecialty trainees in urogynaecology.
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44

Thaisetthawatkul, Pariwat, and Eric Logigian. Guillain-Barré Syndrome and Chronic Inflammatory Demyelinating Polyradiculoneuropathy in Pregnancy. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190667351.003.0026.

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Guillain-Barré syndrome (GBS) and chronic inflammatory demyelinating polyradiculoneuropathy (CIDP) are both immune-mediated diseases of the peripheral nervous system that typically present with symmetric, progressive muscle weakness, areflexia, and sensory symptoms or signs. GBS evolves rapidly with a nadir at 2–4 weeks usually with an antecedent viral illness, while CIDP progresses more slowly over months to years. GBS is sometimes complicated by life-threatening respiratory failure or dysautonomia. Onset of GBS and relapse of CIDP can occur during pregnancy or postpartum. But with appropriate supportive care and immunotherapy, maternal and fetal outcome in both conditions is typically excellent. The exception is fetal outcome in GBS triggered by maternal CMV or Zika infection transmitted to the fetus. Full-term vaginal delivery and regional anesthesia are preferred in maternal GBS and CIDP, but if C-section and general anesthesia are indicated, non-depolarizing agents such as succinylcholine should be avoided.
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45

Beckman, Thomas J., and Haitham S. Abu-Lebdeh. Men’s Health. Oxford University Press, 2012. http://dx.doi.org/10.1093/med/9780199755691.003.0465.

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Benign prostatic hyperplasia (BPH) and erectile dysfunction are among the commonest diagnoses in a men's health practice. BPH is common among older men. The prostate is the size of a walnut (20 cm3) in men younger than 30 years and it gradually increases in size, leading to BPH in most men older than 60 years. BPH results from epithelial and stromal cell growth, which begins in the transitional zone of the prostate and causes urinary outflow resistance. Over time, this resistance leads to detrusor muscle dysfunction, urinary retention, and lower urinary tract symptoms (LUTS). Male sexual dysfunction includes erectile dysfunction (ED), decreased libido, anatomical abnormalities (eg, Peyronie disease), and ejaculatory dysfunction. ED, defined as the inability to achieve erections firm enough for vaginal penetration, affects millions of men in the United States.
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46

Jenkins, Todd R., Lisa Keder, Abimbola Famuyide, Kimberly S. Gecsi, and David Chelmow, eds. Surgical Gynecology. Cambridge University Press, 2021. http://dx.doi.org/10.1017/9781009003674.

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Gynecology is principally an operative specialty and the range of gynecologic procedures managed is constantly expanding due to improved instrumentation and minimally invasive techniques. Covering the entire spectrum of gynecologic surgery through a case-based, digestible format, procedures such as vaginal, transvaginal, hysteroscopic, laparoscopic, robotic, and abdominal procedures are included, as well as common surgical challenges and complications. For each case, a clinical vignette outlines the situation and the clinical context of the patient, followed by a comprehensive discussion of the evidence-based management approach and key teaching points. The decision to operate, contraindications, alternatives to surgery and preoperative counseling is discussed in detail along with the level of care needed for each case. Readers will improve their knowledge base of gynecologic surgery and gain multiple tools to overcome common surgical obstacles.
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47

Holst, John. Pelvic Inflammatory Disease and Tubo-Ovarian Abscess. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199976805.003.0040.

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Pelvic inflammatory disease (PID) consists of inflammation in various parts of the upper genital tract and includes endometritis, salpingitis, tubo-ovarian abscess (TOA), and/or pelvic peritonitis. Overt acute PID patients typically present as ill-appearing with pain, fever, chills, purulent vaginal discharge, nausea, vomiting, and elevated white blood cells. “Silent” PID presents with dyspareunia, irregular bleeding, and urinary and gastrointestinal complaints. Bacterial vaginosis (BV) and associated microorganisms are present in acute PID patients. PID coverage is focused on a polymicrobial infection. HIV patients typically have more severe symptoms and are more likely to have a TOA than an immunocompetent patient, but HIV alone does not mandate hospital admission nor does parenteral therapy improve outcomes compared to non-HIV patients. Gonorrhea and chlamydia cases must be reported to the local health department; it is not mandatory for PID patients to remove an intrauterine device at the time of diagnosis.
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48

Chu, Carolyn, and Christopher M. Bositis. HIV Transmission Prevention. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190493097.003.0004.

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The prevention of HIV transmission involves a number of behavioral, structural, and biomedical interventions. Behavioral methods include education about sexual health, drug use, and risk reduction, as well as specific messages for at-risk populations who are HIV positive. Needle exchange programs and consistent use of condoms have proven effective for prevention of HIV infection. Post-exposure prophylaxis against HIV with antiviral drugs is often recommended in occupational health care and non-occupational settings. Voluntary male circumcision also reduces the risk of HIV acquisition. The treatment of pregnant women who are HIV infected can effectively eliminate mother-to-child transmission of the virus. Recently, the use of antiretroviral drugs for pre-exposure prophylaxis has proven highly effective in preventing HIV infections in high-risk groups including men who have sex with men. Promising therapies that likely will be available in the future include injectable antiviral drugs, vaginal microbicides, and HIV vaccines.
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49

Cartier, Alice. Mum, There Are Millions Vaginas in the World, but I'm So Happy I Felt Out of Yours!: Gag Gift Novelty Notebook, Funny Gifts Ideas for Mom. Mother's Day Journal / Diary Unique Alternative to a Greeting Card. Independently Published, 2020.

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50

N, Caroline C., Ina Ina May, Kathy Kathy Gaskin, and Heidi Heidi Murkoff. When You Are Expecting: Discover Two Things to Do Back Home and the Other Two at Your Next and Last Visit to the Hospital and You'll Be So Sure to Push Out Your Baby Easily Without Vaginal Cuts. Independently Published, 2022.

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