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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.
Addresses the challenges of managing critically ill obstetric patients, with chapters authored by intensivists/anesthesiologists and obstetricians/maternal-fetal medicine specialists.
This time honoured classic has been re-built completely: after sixeditions the editor has decided that a radical revision isnecessary. The new edition has been developed as a result ofintensive consultation with trainees in OB/GYN as to what theywant, what they need and how they learn. The book is organised into two halves covering obstetrics andgynaecology. Within each, the chapters are structured into sectionscontaining pedagogic features such as boxes, highlights and keypoints for the first time. It contains everything the clinicianneeds to practice the art of obstetrics and gynaecology andsufficient information to help sub-specialists develop theirspecific interests. This text is recommended reading for the RoyalCollege of Obstetrics and Gynaecology membership examination. This seventh edition contains 21 new chapters: Anatomy of the Pelvis and Reproductive Tract Placenta and Fetal Membranes Antenatal Care Anaesthesia and Analgesia Recurrent Miscarriage Ectopic Pregnancy Trophoblastic Disease Genetics and Prenatal Diagnosis Drugs and Pregnancy Obstetric Emergencies Prolonged Pregnancy Renal Disease Termination of Pregnancy Imaging in Gynaecology PMS Assisted Reproduction Hysteroscopy and Laparoscopy Sexual Dysfunction Psychological Aspects of Pregnancy Domestic Violence and Sexual Assault - now on MRCOG curriculum Ethical Dilemmas This seventh edition has been significantly updated with a widerange of internationally renowned contributors who are all expertsin their field, bringing this book to the cutting edge of knowledgein obstetrics and gynaecology. "It was my favourite textbook when I was working for myexaminations and I am still using it. I can recommend this editionto current trainees wholeheartedly. It is certainly worth buying."Journal of Obstetrics and Gynaecology
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.
This guide provides a full range of updated, evidence-based norms and standards that will enable health care providers to give high quality care during pregnancy, delivery and in the postpartum period, considering the needs of the mother and her newborn baby. All recommendations are for skilled attendants working at the primary level of health care, either at the facility or in the community. They apply to all women attending antenatal care, in delivery, postpartum or post abortion care, or who come for emergency care, and to all newborns at birth and during the first week of life (or later) for routine and emergency care. This guide is a guide for clinical decision-making. It facilitates the collection; analysis, classification and use of relevant information by suggesting key questions, essential observations and/or examinations, and recommending appropriate research-based interventions. It promotes the early detection of complications and the initiation of early and appropriate treatment, including time referral, if necessary. Correct use of this guide should help reduce high maternal and perinatal mortality and morbidity rates prevalent in many parts of the developing world, thereby making pregnancy and childbirth safer.
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.