This issue of the Obstetrics and Gynecology Clinics provides an update in Gynecologic Oncology. Vulvar/Vaginal, cervical, uterine, and ovarian cancer are all covered, along with early detection and screening, and genetics and hereditary risk. There is also an article on trends in cancer care in North America, which discusses cancer care and cost and sustainability as well as practice evloution.

This issue of Obstetrics and Gynecology Clinics covers the most common and uncommon obstetric emergencies, including emergency caesarean section, resuscitation of the newborn, and hypertensive crisis. Other articles include coverage of the most daunting ob complications--shoulder dystocia and intrapartum hemorrhage. James Alexander, MD, serves as Guest Editor for this important issue.

Perimenopause has not been covered in the Obstetrics and Gynecology Clinics for over 10 years. This timely issue includes articles on BMI and its influence, Androgens, Cognition and Menopause, and Sexual Activity/Quality of Life.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editor Dr. Catherine Stika brings her considerable expertise to the topic of Drugs in Pregnancy. The use of medications during pregnancy can be difficult to manage because not only is research lagging in this area, but typically drugs are not studied for use in pregnant women. In this issue, key experts provide a state-of-the-art review on clinical pharmacology in pregnancy, with a look at commonly prescribed medications as well as over-the-counter medications. - Contains 17 practice-oriented topics including obstetrical pharmacology; over-the-counter medications in pregnancy; antibiotic use in pregnancy; opioids in pregnancy; mood disorder medications in pregnancy; and more. - Provides in-depth clinical reviews on drugs in pregnancy, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Issues in Gynecology, Obstetrics, Fertility, and Pregnancy Research: 2013 Edition is a ScholarlyEditions™ book that delivers timely, authoritative, and comprehensive information about Additional Research. The editors have built Issues in Gynecology, Obstetrics, Fertility, and Pregnancy Research: 2013 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Additional Research in this book to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Issues in Gynecology, Obstetrics, Fertility, and Pregnancy Research: 2013 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

This issue provides a timely update for for the ob/gyn on genetics in reproductive medicine. Dr. Dugoff has created an issue with the goals of providing the most currently clinical information on genetic screening and prenatal genetics. Top authors have written reviews on the following topics: Genetic counseling overview for the ob/gyn; Cell-free DNA screening for aneuploidy; Cell-free DNA screening for single gene disorders; The use of microarray in prenatal diagnosis; Whole exome sequencing: Applications in prenatal diagnosis; Screening for aneuploidy in multiple gestations: The challenges and available options; Expanded carrier screening; Ethnicity-based carrier screening overview; Prenatal genetic diagnosis and prenatal genetic screening; Ethical issues in prenatal genetics; Ultrasound findings and associated genetic syndromes; Hereditary cancers in gynecology: and What physicians should know about genetic testing, screening and risk reduction. Readers will come away with the knowledge they need to diagnose, treat, and manage patients based on the most current evidence and data.

In this issue of Obstetrics and Gynecology Clinics of North America, guest editors Drs. Henry Galan and Patricia Huguelet bring their considerable expertise to the topic of Emergencies in Obstetrics and Gynecology. This issue provides a comprehensive overview of obstetric and gynecologic emergencies, with emphasis on standards of practice and interdisciplinary collaboration. Expert authors discuss how to arrive at a differential diagnosis and how to prevent, manage, and treat an emergency. - Contains 15 practice-oriented topics including hypertensive crisis in pregnancy; sexual assault/domestic violence; evaluation and management of heavy vaginal bleeding (non-cancerous); first trimester miscarriage; simulation in Ob/Gyn emergencies; and more. - Provides in-depth clinical reviews on emergencies in obstetrics and gynecology, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

Collaborative care has been used successfully in obstetrics and gynecology for years. This issue reviews the basic collaborative model, that is collaboration among ob/gyns, midwives, and family physicians, and includes articles on successful birth center practice, secrets to a successful collaboration, and collaboration in today's environment. Dr. Waldman is past-President of ACOG, and his co-editor, Dr. Kennedy, is President of ACNM.

Together with Consulting Editor Dr. William Rayburn, Dr. Curtis Lowery has put together a unique issue that discusses the telemedicine in obstetrics and gynecology. Expert authors have contributed clinical review articles on the following topics What is telehealth and what do I need to know about it; Licensing, reimbursement and regulatory issues in the delivery of telemedicine and connected health; Telemedicine for low-risk obstetrics; Telemedicine In high-risk obstetrics; Telemedicine for gynecology; Telemedicine and Connected Health for GYN oncology; Telemedicine and connected health for contraception; Maternal Health and monitoring devices for obstetrics and gynecology; Telepsychiatry and drug treatment in obstetrics; Telemedicine as a method to reduce perinatal mortality; and Telemedicine and distance learning for OB/GYN provider education. Readers will come away with the information they need to incorporate telemedicine into their care of gynecologic or obstetric patients.

In consultation with Dr. William Rayburn, Dr. Muller has put together an issue designed to educate the reader on the rapid progress in Gynecologic Cancer Care. More than any other field in obstetrics and gynecology, gynecologic oncology has seen an explosion in integrated drug development and technology, including personalized medicine, germline and somatic testing, targeted therapeutics, biologic and immunotherapies, improved robotic technology, and a paradigm shift towards “less is more. Evolving data in quality measures including enhanced surgical recovery, integrative palliative care, and survivorship management has strengthened the need for a seemless team approach to the care of our patients. Despite the complexity and rapid discoveries leading to significant change in practice, the dedication to patients is the driver to stay up to date and participate in the research and clinical trials that lead to the cancer care advances that are substantial in this update. Expert authors have contributed articles on the following topics: Trends in Gynecologic Cancer Care in North America: Safety, Value and Quality; Cancer Screening and Prevention Highlights in Gynecologic Cancer; Germline and Somatic Tumor Testing in Gynecologic Cancer Care; Less is More: Minimally Invasive and Quality Surgical Management of Gynecologic Cancer; Ovarian Cancer: Clinical Trial Breakthroughs and Impact on Management; Endometrial Cancer: Obesity, Genetics and Targeted Trials; Cervical Cancer: A Global and Access to Care Crisis; Vulvar and Vaginal Cancer; Gestational Trophoblastic Neoplasia; Chemotherapy, Biologic and Immunotherapy Breakthroughs in Cancer Care; Palliative Care in Gynecologic Oncology; Personalized Medicine in Gynecologic Cancer: Fact or Fiction; and Survivorship Care in Gynecologic Cancer.