One of the most dramatic changes to women's lives in the twentieth century was the advent of safe childbirth, reducing the maternal mortality rate from 1 in 400 births to 1 in 10,000 in just 80 years. The impetus behind this change was the Confidential Enquiries into Maternal Death (CEMD), now the world's longest running self-audit of a healthcare service. Here, leading authors in the CEMD tell the story of the pioneering clinicians behind the push for improvements, who received little recognition for their work despite its far-reaching consequences. One by one, the leading causes of maternal death were identified and resolved, from sepsis to safe abortions and more recently psychiatric illness and social and ethnic disparities in healthcare. Global maternal mortality is still too high; this valuable book shows how significant advances in maternal healthcare are possible when clinicians, politicians and the public work together.
In January 1979, Robert Edwards and Patrick Steptoe delivered a lecture detailing the ten-year clinical and scientific research programme that led to the birth of Louise Brown, the first baby born utilising IVF. This thoroughly-researched book provides both a full annotated transcript of the lecture as well as recorded reminiscences from those who attended, detailing the contemporary understandings of the event. An essay on the lecture's historical context adds fresh insight into the biographies of Edwards and Steptoe and highlights sources from print and broadcast media that have received scant attention in earlier publications. Current and future implications of the advances in IVF since the first procedure are also explored, examining future medical and scientific possibilities as well as ethical issues that may arise. A foreword by Louise Brown herself places this remarkable leap of science in a personal context, one that so many families have since experienced themselves.
This book is a series of stories in which I ask, again and again, 'how to be in relation to the suffering of others.' It is a personal narrative about the political journey I have taken over the last twenty years as a humanitarian doctor, as a citizen, and as a man. This is a story about a way of seeing that requires humility, so that one can recognize the sameness of self in the other. It is about the mutuality that can exist between us, if we so choose. I have come to see humanitarianism not as separate from politics, but in relation to it, and as a challenge to political choices that too often kill or allow others to be killed. Speaking is the first political act. It is the first act of liberty, and it always implicitly involves another. In speaking, one inherently recognizes that 'I am and I am not alone.' In this space lies our humanity." Having seen things we hope never to see, confronted suffering, dispassion, and evil we hope never to encounter, and faced deep personal torment, James Orbinski still believes in "the good we can be if we so choose." His chosen medium is stories from his own experience-a form of testimony from the front lines-embodied in which are warnings, hope, and lessons in how we can inject humanitarian activity into our lives. Being political, he has discovered, is not only reserved for politicians; admitting imperfection is essential to compassion. The crystal clarity of Orbinski's voice is matched by the urgency of his message; at a time of great political and moral uncertainty, An Imperfect Offering is invaluable reading for anyone who feels he/she can make a difference.
Sexual Health in Obstetrics and Gynecology addresses many of the public health and social problems that appear to be ever-increasing in society today. The sections on sexually transmitted infections cover diagnosis and management in adults and their implications for neonates. Social health issues discussed include contraception, unplanned pregnancy and abortion, and teenage pregnancy. The authors are from two different branches of sexual healthcare and between them they are able to cover the many aspects discussed in a clear and easy to understand manner.
Everyone with an interest in women's issues needs to know how the appalling death rate from pregnancy was tackled during the 20th century and is still being tackled today. This insightful account is written for lay and professional readers by the women and men who ran the most recent Enquiries"--
What is it that separates the doers, leaders, and success stories among us from the dreamers, also-rans, and wannabes? To bestselling author James P. Owen, it’s all about having The Try—the quality of giving 110 percent to the task or challenge at hand. In The Try—a dozen true stories of ordinary people who’ve done extraordinary things across varied fields of endeavor—Owen reveals The Try as a character trait that can be forged in several ways. Some of those profiled are driven by a childhood dream or long held ambition. Others are fueled by someone else’s belief in them, an unwavering belief in themselves, or the urge to pit themselves against daunting odds. Still others find The Try in a life-changing moment when they hit rock bottom or come face-to-face with failure. What all high achievers have in common, Owen believes, is a blend of inner drive, focus, and determination that pushes them to pursue their goals relentlessly, confronting every obstacle, and never, ever giving up. His insightful profiles bring to life new scientific evidence that effort trumps ability. Owen provides inspiration that will strike a chord with anyone who has a lofty goal, a deep personal ambition, or a major challenge to face. By connecting the dots in this collection of stories, he also delivers practical “how to” advice for those who want to cultivate The Try in themselves or those they love.
This new edition of a favourite text continues to provide an excellent framework for approaching clinical problems in obstetrics and gynecology in addition to covering the fundamentals of the field. The material is organized into three sections: essential background knowledge, gynecology, and pregnancy and the puerperium. It also features thematic boxes to summarise key points and conclusions from research literature. Covers all aspects of Obstetrics and Gynecology Uses clear, full-colour line drawings and plentiful colour photos Boxes and tables interspersed throughout Consistent style throughout Editors supported by a team of contributors and advisers Modern, up-to-date approach to Obstetrics and Gynecology - with the focus firmly on the woman Thoroughly revised and updated Updated ethics section New material updating risk management New equipment and techniques covered Updates to cover recent developments in anaesthesia-use in childbirth and caesarian delivery Thirty new contributors from a wide range of institutions Chapters on history and ethics dropped New sections to include, for example, glossary of eponymous names
What is it that separates the doers, leaders, and success stories among us from the dreamers, also-rans, and wannabes? To bestselling author James P. Owen, it’s all about having The Try— the quality of giving 110 percent to the task or challenge at hand. In The Try—a dozen true stories of ordinary people who’ve done extraordinary things across varied fields of endeavor—Owen reveals The Try as a character trait that can be forged in several ways. Some of those profiled are driven by a childhood dream or longheld ambition. Others are fueled by someone else’s belief in them, an unwavering belief in themselves, or the urge to pit themselves against daunting odds. Still others find The Try in a life-changing moment when they hit rock bottom or come face-to-face with failure. What all high achievers have in common, Owen believes, is a blend of inner drive, focus, and determination that pushes them to pursue their goals relentlessly, confronting every obstacle, and never, ever giving up. His insightful profiles bring to life new scientific evidence that effort trumps ability. In other words, how much you can achieve depends not on how smart or talented you may be, but instead on the quality of your efforts and how much you try. Owen provides inspiration that will strike a chord with anyone who has a lofty goal, a deep personal ambition, or a major challenge to face. By connecting the dots in this collection of stories, he also delivers practical “how to” advice for those who want to cultivate The Try in themselves, or to encourage someone else on the road to realizing his or her full potential. Owen’s conclusion: “If you’ve got The Try, anything is possible. All it takes…is all you’ve got.”
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