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£120.00
£120.00
ISBN: 978-1-906985-13-4
Page count: 367
Publisher: RCOG Press
Publication year: 2009
Since 1973, the RCOG has regularly convened Study Groups to address important topics in our specialty. Ageing and reproductive ageing affect us all as individuals and as society. Obstetricians and gynaecologists are witnesses to the impact of reproductive ageing and to some of the fears, misinformation and misapprehensions that the general public have.
One purpose of the Study Group was to raise awareness of the societal trends and implications. Practitioners, academics and informed lay contributors from around the world were brought together to look at the current situation and available evidence.
This volume gathers together a diverse but timely set of contributions in order to inform Members and Fellows of the RCOG, interested healthcare and research workers and the general public.
Table of contents:
SECTION 1 BACKGROUND TO AGEING AND DEMOGRAPHICS
1 Ageing: what is it and why?
2 Culture and reproductive ageing
3 Background to ageing
4 What has happened to reproduction in the 20th century?
5 Trends in fertility: what does the 20th century tell us about the 21st?
6 Demographics
SECTION 2 BASIC SCIENCE OF REPRODUCTIVE AGEING
7 Is ovarian ageing inexorable?
8 The science of ovarian ageing: how might knowledge be translated into practice?
9 Basic science: eggs and ovaries
10 Male reproductive ageing
11 The science of the ageing uterus and placenta
12 Basic science: sperm and placenta
SECTION 3 PREGNANCY: THE AGEING MOTHER AND MEDICAL NEEDS
13 The effect of age on obstetric (maternal and fetal) outcomes
14 The older mother and medical disorders of pregnancy
15 The ageing mother and medical needs
SECTION 4 THE OUTCOMES: CHILDREN AND MOTHERS
16 What is known about children born to older parents?
17 Consequences of changes in reproductive patterns on later health in women: a life course approach
18 The outcomes: children and mothers
SECTION 5 FUTURE FERTILITY INSURANCE: SCREENING, CRYOPRESERVATION OR EGG DONORS?
19 Screening for early ovarian ageing
20 Egg freezing: the reality and practicality
21 Assisted conception: uses and abuses
22 Future fertility insurance: screening, cryopreservation and egg donors
SECTION 6 SEX BEYOND, AND AFTER, FERTILITY
23 Contraception for older couples
24 Ageing, infertility and gynaecological conditions: how do they affect sexual function?
25 Sex beyond, and after, fertility
SECTION 7 REPRODUCTIVE AGEING AND THE RCOG: AN INTERNATIONAL COLLEGE
26 What should be the RCOG’s relationship with older women?
27 Reproductive ageing and the RCOG
SECTION 8 FERTILITY TREATMENT: SCIENCE AND REALITY – THE NHS AND THE MARKET
28 Evidence-based and cost-effective investigation and treatment of women aged over 35 or 40 years: moving beyond NICE
29 Bang for the buck: what purchasers and commissioners think and do?
30 Fertility treatment: science and reality – the NHS and the market
SECTION 9 THE FUTURE: DREAMS AND WAKING UP
31 In our wildest dreams: making gametes
32 The future: dreams
33 Managing expectations and achieving realism: the individual journey from hope to closure
34 Managing expectations and achieving realism: the realpolitik of reproductive ageing and its consequences
35 The future: waking up
SECTION 10 CONSENSUS VIEWS
36 Consensus views arising from the 56th Study Group: Reproductive Ageing in Older Mothers Index
