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Fifty years ago, we learned that giving a medicine called Anti-D to childbearing women with rhesus negative blood could help protect their future babies from an age-old disease. But the same research which showed this also raised some tantalising questions, to which we still don't know all the answers. Today, rhesus negative women are offered Anti-D at several points during their pregnancy and birth journeys. Many would like to know more than they can read in the standard information leaflets on this topic. Many have questions about whether they really need this medicine. This book has been written to explain the issues, to answer key questions and to share information about what we do and do not know about Anti-D and related topics from research evidence and current thinking. Dr Sara Wickham is an author, speaker and researcher who has been writing and lecturing about Anti-D and pregnancy and birth related topics for more than twenty years. "Sara Wickham has found an original way to raise judicious yet unusual questions. Thanks to her exceptional capacity for lateral thinking she has developed the art of 'hitting the nail on the head'. The genuine pioneers are those who raise the right questions at the right time." Dr Michel Odent, Founder, Primal Health Research Centre. Foreword by Dr Michel Odent.
Group B strep (or GBS) is a common and usually harmless type of bacteria, but it can very occasionally cause serious disease in newborn babies. Many pregnant women are offered screening and prevention for GBS, but there are pros and cons to this, as the main preventative (or prophylactic) measure involves women having antibiotics given to them by intravenous drip in labour. In this updated second edition of her popular book, Dr Sara Wickham discusses the different perspectives on GBS, the screening and prevention options that are available, the wider issues relating to this area, the alternative paths that some people take, the answers to parents' most frequently asked questions and more. Dr Sara Wickham is a midwife, educator and researcher. She is the author or editor of sixteen books, has edited three midwifery journals and provides in-person and online educational and consultancy services for midwifery and health-related organisations around the world. "Sara has written an excellent and important book. She has pulled all of the evidence (in its many forms) together into a comprehensive woman-centred resource. Sara's writing makes complex information accessible to all. I'd recommend this book to women, and anyone involved in caring for childbearing women. I learned lots." - Dr Rachel Reed, Midwifery Lecturer and Author of MidwifeThinking. "Sara has a remarkable ability to search through extensive amounts of research and to translate it into simple, easy to understand language. She has achieved that once again in this beautifully written book. The choices women face as they negotiate their births are challenging, but are always made easier by having accurate, easy to understand information. This is THE book to go to for everything you need to know about GBS." - Dr Kirsten Small, Obstetrician Gynaecologist.
This book helps parents and professionals better understand the issues and the evidence relating to the current induction epidemic. Looks at due dates, 'post-term', older and larger women, suspected big babies, maternal race and more.
What is Vitamin K? Why is it offered to all newborn babies? Does my baby need it? Should we agree to an injection, oral supplements or decide to do neither? Are there alternatives? Can we postpone the decision? Are some babies more at risk, and why? Vitamin K has been routinely recommended for newborn babies for several decades, and many parents are happy for their child to be given this. But others want more information, have questions about why this intervention is offered or want to know whether there are downsides. This book guides the reader on a journey through the information, debate and research on this topic. It explains the issues and clarifies the different perspectives, drawing upon up-to-date midwifery and medical evidence and opinion and parents' stories.
The Model Rules of Professional Conduct provides an up-to-date resource for information on legal ethics. Federal, state and local courts in all jurisdictions look to the Rules for guidance in solving lawyer malpractice cases, disciplinary actions, disqualification issues, sanctions questions and much more. In this volume, black-letter Rules of Professional Conduct are followed by numbered Comments that explain each Rule's purpose and provide suggestions for its practical application. The Rules will help you identify proper conduct in a variety of given situations, review those instances where discretionary action is possible, and define the nature of the relationship between you and your clients, colleagues and the courts.
The New York Times best-selling book exploring the counterproductive reactions white people have when their assumptions about race are challenged, and how these reactions maintain racial inequality. In this “vital, necessary, and beautiful book” (Michael Eric Dyson), antiracist educator Robin DiAngelo deftly illuminates the phenomenon of white fragility and “allows us to understand racism as a practice not restricted to ‘bad people’ (Claudia Rankine). Referring to the defensive moves that white people make when challenged racially, white fragility is characterized by emotions such as anger, fear, and guilt, and by behaviors including argumentation and silence. These behaviors, in turn, function to reinstate white racial equilibrium and prevent any meaningful cross-racial dialogue. In this in-depth exploration, DiAngelo examines how white fragility develops, how it protects racial inequality, and what we can do to engage more constructively.
When is it better to induce labour than to let a woman's body or baby decide the best time for birth? What are the pros and cons of waiting and of being induced? What about after the due date? When the baby is thought to be bigger than average? When the woman is older? If she had IVF? Or when her waters have broken earlier than usual? Induction of labour is an increasingly common recommendation and more and more women find themselves having to decide whether to let their body and baby go into labour spontaneously or agree to medical intervention. This book explains the process of induction of labour and shares information from research studies, debates and women's, midwives' and doctors' experiences to help women and families become more informed and make the decision that is right for them.
This volume, written by well-known experts in the field, covers all aspects of Anti-Neutrophil Cytoplasmic Antibody (ANCA) Associated Vasculitis (AAV). The expression refers to a group of diseases, characterized by destruction and inflammation of small vessels. The clinical signs vary and affect several organs, such as the kidney, lung, skin, nervous system and others. The opening chapters give some historical hints, explain the genetic basis of the disease and provide insights into the pathogenesis derived from recent experimental studies and guides the reader through classification and nomenclature. A large part of the book is then devoted to a detailed description of the specific related diseases and their clinical presentations, the disease course, and potential complications. The advice regarding treatment is based on the best currently available evidence in this constantly evolving area. The book is part of Springer’s series Rare Diseases of the Immune System, which presents recently acquired knowledge on pathogenesis, diagnosis, and therapy with the aim of promoting a more holistic approach to these conditions. AAVs are systemic autoimmune diseases of unknown cause that affect small (to medium) sized blood vessels. They include granulomatosis with polyangiitis (formerly Wegener's granulomatosis), microscopic polyangiitis, and eosinophilic granulomatosis with polyangiitis (formerly Churg–Strauss syndrome). This volume will be an invaluable source of up-to-date information for all practitioners involved in the care of patients with these diseases.