By Jo Ann Rosenfeld

This functional instruction manual presents a transparent and accomplished evidence-based primary-care consultant to the care of ladies sufferers in ambulatory perform, meant for normal and kin practitioners, nurses, physicians' assistants and all who perform basic care of ladies. It emphasizes preventive care and well-woman care through the lifecycle of a lady, together with sexuality, birth control, treatment in being pregnant, mental and demanding scientific matters. It stresses the energy of proof underlying universal practices of care of girls. Hb ISBN (2001): 0-521-78833-1

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Additional resources for Handbook of Women's Health: An Evidence-Based Approach

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12 2. 13 Susceptible women of childbearing age should not be vaccinated during pregnancy. Instead, they should be vaccinated immediately after delivery. Every woman should receive rubella vaccine in the form of MMR (measles, mumps and rubella). Hormone replacement therapy 1. BeneWts of use: a. Osteoporosis: In postmenopausal women, use of supplemental estrogen can reduce the risk of osteoporosis. Osteoporosis contributes to 32 D. 2 million fractures in the USA annually, two-thirds of which occur in women (see Chapter 33).

3 The American Heart Association states that care should be exercised before beginning a life-long program of aspirin therapy. The decision to begin taking aspirin should be made only after consultation by each individual with her physician. The individual who begins a regular aspirin regimen should be aware of the side eVects of the drug and should report symptoms to her physician. 4. 16,17 The Nurses’ Health Study found that daily low dose aspirin use significantly decreased the incidence of first myocardial infarction in middle-aged women.

4. Kniiishkowy B, Palti H, Schein M, Yaphe J, Edman R, Baras M. Adolescent preventive health visits: A comparison of two invitation protocols. J Am Board Fam Prac 2000;13:11–16. 5. Montalto NJ. Implementing the guidelines for adolescent preventive services. Am Fam Physician 1998; 57: 2181–8. 6. Forman SF, Emans SJ. Current goals for adolescent health care. Hosp Physician 2000;35: 27–42. 7. Himes JH, Dietz WH. Guidelines for overweight in adolescent preventive services: Recommendations from an expert committee.

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