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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.
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.
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.
The emphasis of the manual is on rapid assessment and decision making. The clinical action steps are based on clinical assessment with limited reliance on laboratory or other tests and most are possible in a variety of clinical settings.
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.
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.
Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.
Within the continuum of reproductive health care, antenatal care provides a platform for important health-care functions, including health promotion, screening and diagnosis, and disease prevention. It has been established that, by implementing timely and appropriate evidence-based practices, antenatal care can save lives. Endorsed by the United Nations Secretary-General, this is a comprehensive WHO guideline on routine antenatal care for pregnant women and adolescent girls. It aims to complement existing WHO guidelines on the management of specific pregnancy-related complications. The guidance captures the complex nature of the antenatal care issues surrounding healthcare practices and delivery, and prioritizes person-centered health and well-being --- not only the prevention of death and morbidity --- in accordance with a human rights-based approach.
Over the last 30 years, Anti-D, or Rhogam as it is known in the USA, has become accepted as being routinely advisable for rhesus negative women. Yet the question remains that - if women's bodies are designed to give birth without intervention for the majority of the time - why is this necessary? This book explores the paradox between physiological birth and the routine 'need' for anti-D and highlights some interesting evidence which may throw light on this paradox. Are women's bodies really fallible, or could some women's need for anti-D be caused by medical intervention in childbirth? Do women being offered anti-D know that this is a blood product which may carry attendent risks? What information do women need in order to decide whether or not they will have anti-D?