6^th Asia Pacific Gynecology and Obstetrics Congress July 26-27, 2019 Melbourne, Australia

As many Gynecological conferences and meetings worldwide, it states that around 80,000 women are diagnosed with gynecologic cancers in the USA, and half of the people were uterine cancer diagnosed with deaths of 8,000 women per year. Ovarian cancer is found to be the 2nd most common gynecologic cancer with around 22,000 new cases every year, leading to 16,000 deaths per year. Mortality of cases in cervical cancer has been decreased as Pap smears have become common in place. However, there are about 12,000 diagnoses every year in which about 4,200 women die from this disease every year. Vulvar and vaginal cancer is comparatively rare and when diagnosed and treated early it offers a good prognosis. 4,500 women are being diagnosed with vulvar cancer each year, in which there are about 950 deaths among them. Vaginal cancer account for about 2,600 diagnosed each year causing about 840 deaths. Every woman is at risk for augmenting gynecologic cancer. It is calculated that there will be around 98,000 new cases diagnosed and approximately causing 30,000 deaths from gynecological cancers in the USA during the year 2015 stated as per The American Cancer Society, in which Uterine cancer may have the large portion of about 50% cases with an estimated mortality rate of approximately 18.5%. Ovarian cancer has the highest estimated mortality rate at 66%.

Maternal-fetal medicine is a vast topic and is professional in gynecology and the Number of Research institutes working on the  Maternal-fetal medicine are approximately 33 or more and  as well as some universities which are giving training to women to be Professionals in Maternal-fetal medicine , total number of universities offering this promising topic are approximately 160 working on Maternal-fetal medicine and there is also a funding of around $30000- $50000 and Academia 30%, 20% industry and Others 50% are included in this topic. Maternal-fetal medicine specialists are specialists within the field of obstetrics. They may perform prenatal tests, provide treatments, and perform surgeries. After birth, they may work closely with pediatricians or neonatologists. Perinatologists assist with pre-existing health concerns and complications caused by pregnancy in mothers. Obstetrician-gynecologists who undergo an additional 3 years of specialized training in the assessment and management of high-risk pregnancies are called Maternal-fetal medicine specialists. In the United States, such obstetrician-gynecologists are certified by the American Board of Obstetrician Gynecologists (ABOG) or the American Osteopathic Board of Obstetrics and Gynecology.

Assisted reproductive technology which is used to achieve pregnancy artificially. Assisted reproductive technology includes procedures namely fertility medication, in vitro fertilization (IVF) and surrogacy. ART is primarily used in treating infertility among couples. It belongs mainly to the field of reproductive endocrinology and infertility. It includes techniques which are IntraCytoplasmicSpermInjection (ICSI), cryopreservation, embryo transfer, assisted zona hatching, autologous endometrial co-culture, zygote intrafallopian transfer, cytoplasmic transfer, egg donors, sperm donors, preimplantation genetic diagnosis, embryo splitting, GIFT, ZIFT, sex selection and surgical sperm retrieval. All these methods are being widely used as problems of infertility are increasing at an alarming rate worldwide. While some of these methods are safe but the majority of them are harmful to the fetus as the babies are born with some kind of birth defects or genetic defects. ART also carries the risk of heterotopic pregnancy. In IVF and ICSI babies are born with low birth weight, decreased expression of proteins in energy metabolism, visual impairment, and cerebral palsy. An ART procedure in the United States has doubled in the last 10years with the cost ranging from $2,000 to $30,000. ART procedures should be only performed after examing the medical condition of the couple. Many times ART proves to be harmful to both the mother and child.

• Intrauterine Insemination
• In vitro Fertilization
• Surrogates and Gestational Carriers

Urogynecology is an extensive topic and is professional in gynecology and the number of Research institutes working on the  Urogynecology are approximately 30 or more and  some universities also give training to women on Urogynecology , total number of universities which focus on this area are approximately 70 and also obtain a funding of around $10000- $30000 and includes 10% industry, 30% of academia and Others 60% . It is a surgical sub-specialty of urology and gynecology.

Urogynecology involves diagnosis and treatment of urinary incontinence and female pelvic floor disorders. Urogynecology is also a subspecialty of Female Pelvic Medicine and Reconstructive Surgery. Robotic-assisted surgery has evolved vastly over the past two decades with persistently improving technology, proving to assist surgeons in multiple subspecialty disciplines as discussed in many gynecologic conferences and gynecologic meetings worldwide.

Gynecologic Surgery is giving data for clinical articles managing all parts of agent and office gynecology. "Gynecological surgery ", established in 2004, is the first and head peer-surveyed logical diary devoted to all parts of research, advancement, and preparing in gynecological surgery. Gynecological surgery alludes to surgery on the female conceptive framework. It incorporates strategies for amiable conditions, malignancy, fruitlessness, and incontinence. Gynecological surgery may once in a while be performed for elective or restorative purposes. Also, this field is quickly changing because of new advancements and developments in endoscopy, apply autonomy, imaging and other interventional systems. Gynecological surgery is presently developing every surgical intercession relating to ladies wellbeing, including urogynecologyo Oncology and fetal surgery.

Endometriosis is when the tissue that creates up the uterine lining (the lining of the womb) is present on alternative organs within your body. Endometriosis is typically found within the lower abdomen, or pelvis, however, will seem anyplace within the body. girls with endometriosis typically have lower abdominal pain, pain with periods, or pain with sex, and should report having a tough time obtaining pregnant. On the opposite hand, some ladies with endometriosis might not have any symptoms in the least. Endometriosis is calculable to have an effect on between third-dimensional and 100% of reproductive-aged girls. adenomyosis will only be really diagnosed by a doctor playacting a laparotomy (a surgery wherever a doctor appearance within the abdomen with a camera typically through the belly button) and taking a sample of a suspected abnormality. Thus, the proportion of ladies plagued by endometriosis differs among women having surgery for various reasons. In women without symptoms, World Health Organization are having surgery for elective sterilization (having their tubes tied), 1-7% can even have endometriosis diagnosed at the time of their surgery, as can 12-32% of ladies having surgery for girdle pain, and 9-50% of ladies having surgery for sterility. Endometriosis isn't found in women before they begin their amount, however, it's found in up to 1/2 young women and teenagers with girdle pain and painful periods.

Adolescent gynecology is an emerging specialty that includes adolescent endocrinology, gynecology, adolescent surgery, dermatology, psychiatry, public health medicine and genetics. It thus addresses a wide spectrum of diseases from the newborn period to adolescence. The gynecological problems encountered in children and adolescents are often both medically and psychologically complex and thus require a highly skilled and coherent approach. The adolescent, who is no longer a child but not quite an adult, posses a particular management problem to the traditional specialties. In the field of adolescent gynecology more than anywhere else, the medical attitude is often striking by its extremes.

Women’sHealthNursePractitioners (WHNP) are the advanced practice registered nurses (APRN) who are educated and trained to provide health promotion and maintenance through the diagnosis and treatment of acute illness and chronic condition. According to the International Council of Nurses, an WHNP/advanced practice registered nurse is "a registered nurse  who has acquired the knowledge base, decision-making skills, and clinical competencies for expanded practice beyond that of an RN, the characteristics of which would be determined by the context in which he or she is credentialed to practice.WHNP will develop specialized skills and experience to treat and prevent illnesses unique to women, as well as provide focused care in areas such as:

·         Prenatal and postpartum care

·         Lifespan care through menopause

·         General wellness and preventive care

·         Reproductive health care

 The WHNP program helps aspiring nurse leaders in a variety of settings, including physician’s offices, primary care clinics, hospitals, emergency care clinics, and nursing homes, among others.

A midwife is a professional in midwifery. Also known as obstetrics, midwifery is the health science and the health profession concerned with pregnancy, childbirth, and the postpartum period, besides sexual and reproductive health of women throughout their lives. The actual duties of the midwife are mainly to assist in the birthing process. It is said that the rates of obstetrical intervention in birth are rising worldwide. Although professional midwives attend the majority of births in some of these countries, they are biomedically socialized and often overworked, and have been unable to stem the rising cesarean tide, which is largely obstetrician-driven. Though both midwives and obstetricians have worked hard to preserve normal vaginal delivery in these countries the Scandinavian and Japan are the exceptions. Here cesarean rates range from 12 to 17 percent. Gynecology and OB nurses also are referred to as OB/GYN nurses, and square measure specially trained to produce medical care for girls throughout gestation, labor and vaginal birth, yet as give medical care for girls with health issues of or involving their system. OB/GYN nursing could be a broad field, therefore nurses usually any concentrate on a particular space, like perinatal nursing or labor & delivery nursing at hospitals and biological process centers or in gynecology nursing in an exceedingly physician's workplace. OB/GYN nurses give care and support for girls from the instant they begin their playing period all the manner through climacteric. They educate girls on physical and sexual health, and discuss patients' choices for contraception, yet as preventative measures like HPV vaccinations for the interference of cervical cancer and mammograms for the first detection of carcinoma. OB/GYN nurse practitioners usually serve below the authority of a medical man as medical caregivers to girls, and may write prescriptions, order workplace tests and build diagnoses.

Good sexual and reproductive health is a state of physical, mental and social well-being in all matters relating to the reproductive system. It implies that individuals are able to have a satisfying and safe sex life, the capability to reproduce, and the freedom to decide if, when, and how often to do. One’s sexual and reproductive health, individuals want to access to accurate information and the safe, effective, affordable and acceptable contraception method of their choice. They will be informed and empowered to protect themselves from sexually transmitted infections. And when they decide to have children, women must have access to services that can help them have a fit pregnancy, safe delivery, and healthy baby. Every individual has the right to make their own choices about their sexual and reproductive health. UNFPA, in conjunction with partners, works towards the universal access to sexual and reproductive health and rights and also family planning.

Pediatric gynecologists provide care to a female reproductive system of children which are used to diagnose and treat conditions. It provides a comprehensive and multidisciplinary approach that is sensitive to the psychological and emotional needs of our patients and their families. Pediatric and Adolescent Gynecology mainly focuses on uterus, ovaries, vagina, and vulva.  It works closely with many kinds of healthcare providers to care for patients who have medical or developmental issues that can affect their reproductive health.

Pelvic pain is found between the belly button and the hips and groin. If it lasts for 6 months or more it is called chronic pelvic pain Chronic pelvic pain typically accustomed describes the persistent pain felt in very woman’s fruitful organs. It’s a big and customary drawback which will have an effect on any lady, in spite of age typically times, the etiology is unclear, and therefore the pain generally lasts for months. Researchers aren’t bound concerning the number of ladies within the united states un agency have chronic girdle pain, however, some studies have reportable that up to 15% of ladies of childbearing age have experienced it. Worldwide, this ranges from 14–32%. In 32% of affected girls, the pain is therefore severe that they have to miss work.

Some individuals are under the impression cosmetic gynecology is just that – cosmetic. the actual fact of the matter is, however, their area unit some medical things that need this sort of cosmetic surgery. it's terribly almost like general cosmetic surgery – generally, it’s done simply for aesthetics, different times it’s done as a result of there's a medical need, as within the case of a burn victim. Some girls don’t just like the look of their intimate parts. once girls bear a procedure, for this reason, it’s done to form them feel a lot of lovely and assured, particularly in sexual settings. A woman might opt to have a cosmetic gynecological procedure thanks to medical problems, like incontinence. Sometimes, when a girl has passed through maternity and delivery, her muscles and skin have been stretched in such the simplest way that produces bladder management a tough task. Our cosmetic surgical procedures will facilitate cut back instances of incontinence.

Gynecological disorders have an effect on the inner and external organs within the feminine girdle and abdominal areas. These disorders embrace pain (pain related to menstruation), vulvodynia (unexplained chronic discomfort or pain of the vulva), and chronic girdle pain (a persistent and severe pain occurring primarily within the lower abdomen for a minimum of six months). Some issues will have an effect on the right functioning of the genital system and will have an effect on a woman’s ability to urge pregnant. One example, polycystic ovary syndrome, happens once immature follicles within the ovaries type along to make an oversized cyst, preventing mature eggs from being discharged. Another fruitful disorder, endometriosis, happens once the kind of tissue that lines the female internal reproductive organ grows elsewhere, like on the ovaries or different abdominal organs. Female internal reproductive organ fibroids square measure non-cancerous tumors that grow within the uterine cavity, inside the wall of the female internal reproductive organ, or on the surface of the female internal reproductive organ.

Radiation therapy is a vital part in gynecology within the primary medical procedure management and therefore the adjuvant surgical treatment of elite malignancies arising within the feminine fruitful track. medical specialty cancers were among the primary malignancies treated with radiation, over a century past. irradiation uses high energy x-rays to destroy cancer cells. A radiation specialist can customize the treatment dose for individual wants. The goal is to do and kill the maximum amount of cancer whereas minimizing hurt to healthy tissue. Irradiation is usually handiest once utilized in combination with alternative treatments, like surgery and therapy. irradiation for carcinoma is commonly used once surgery to focus on any attainable remaining cancer cells. it's going to even be accustomed shrink giant tumors that are inflicting symptoms.