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Randomized Controlled Trials
Randomized controlled trials are one of the most powerful and revolutionary tools of research. This book is a convenient and accessible description of the underlying principles and practice of randomized controlled trials and their role in clinical decision-making. Structured in a jargon-free question-and-answer format, each chapter provides concise and understandable information on a different aspect of randomized controlled trials, from the basics of trial design and terminology to the interpretation of results and their use in driving evidence-based medicine. The authors end each chapter with their musings, going beyond the evidence or citations, and sometimes even beyond orthodox correct...
Effectiveness and Satisfaction in Antenatal Care
The potential contribution of antenatal care to health is enormous. However, if this potential is to be fully realised the content and organisation of that care must be more imaginatively conceived and realised and must take into account the uncomfortable paradox that antenatal care is a mixture of science and magic. This book faces that paradox, asking: 'what in antenatal care has been shown by proper scientific method to work?'; 'what is questionable dogma?'; 'what is magic?; 'what should be done now?'. This volume is intended not only for those professionals giving the care and for the potential mothers reveiving it, but also for all those who influence decisions concerning the future of antenatal care, such as politicians, researchers and the public in general.
Enjoying the Interval: Murray Enkin: A Life
Anyone who has enjoyed the great happiness and intimacy of a family-centred birth, and any midwife or health professional who has attended one, owes a debt of gratitude to internationally known Canadian doctor, researcher, and medical reformer, Murray Enkin. Enjoying the Interval takes on the fascinating, joyful task of exploring Dr Enkin’s identity and achievements along with the social context that shaped them. It offers a critical assessment of the ongoing challenges in maternity care, the field to which Enkin devoted his life, but it is also the story of an immigrant Jewish family's contribution to Canadian society and the wider world. Using archival sources and interviews, the book tr...
Guide to Effective Care in Pregnancy and Childbirth
A Guide to effective care in pregnancy and childbirth is a clearly written review of the important research evidence on the effects of the various care practices carried out during pregnancy, childbirth, and the early days after birth. In addition to the details provided in the text, the book concludes with valuable tables that list the practices which are beneficial, those of unknown effectiveness, and those likely to be ineffective or harmful.
Dynamic Positions in Birth
Most women give birth in hospitals, institutions modelled around the needs of the people who work there. The delivery room is designed around the obstetric bed which was designed for the benefit of the obstetrician rather than the woman giving birth. Despite research showing the benefit of upright positions in labour and birth, most women in the UK still give birth in the semi-reclined position, pushing their baby out against the forces of gravity. The author argues that unnatural positions make labour and birth more painful and difficult for modern women than it was for their ancestors. How did we come to put the needs of care givers above those of the labouring woman? Is there anything tha...
A Guide to Effective Care in Pregnancy and Childbirth
The second edition of A guide to effective care in pregnancy and childbirth will be invaluable to anyone involved in the care of pregnant women, and to expectant parents. The book is about the effects of care given and received during pregnancy and childbirth. Fifteen years ago the authors began a systematic review of the evidence. They analysed more than 7000 of the best clinical research studies, and classified the elements of care as effective, promising, not proven either way, or not worth using. The result of this work was two major publications: Effective care in pregnancy and childbirth and a regularly updated electronic database of reviews. All the main findings and conclusions of these publications are available here in an easily readable, inexpensive, and updated form. The new edition is extensively revised and rewritten, incorporating the results of the important evidence about the effects of care during pregnancy and childbirth that has accumulated since the first edition was published. The first edition received critical acclaim because its conclusions were based on sound evidence and has become a unique reference source for evaluating care policies and practices.
Family-Centred Perinatal Care
Since childbirth became a medicalized - and usually hospitalized - event a century ago, women's and families' psychosocial needs have been relegated to a somewhat peripheral role within the clinically focussed hierarchy of medical care. This text reinstates psychosocial issues as a primary focus of care, together with clinical excellence. Family-centred care is a familiar phrase in today's maternity services, with professional guidelines and hospital policies including the term in their care protocols; however, few definitions, and no specific standards, for family-centred care exist. While all caregivers and care services are likely to define their care as sensitive to women's needs, and family-centred, the actual implementation of a family-centred approach - despite it being a current fashion in care - is still inadequate. This book clearly defines family-centred perinatal care, and outlines how truly family-centred care can, and should, be implemented, and how, and where, this has been done.
Evidence-Based Medicine Toolkit
This bestselling pocket guide to the skills of evidence-basedmedicine succeeds in demystifying the terminology and processes ina handy and easy-to-follow format, all within the space of 100pages. With an improved layout, this second edition ofEvidence-based Medicine Toolkit offers more up-to-dateguidance as well as new sections on important areas ofresearch. New features of this second edition include: A box for each major database showing how to search theevidence, and highlighting the differences between them Flow charts for different study types New critical appraisal sections on qualitative research andeconomic evaluation Expanded list of EBM resources on the net. With these added features to make the job easier, the newToolkit is now an even better companion for all health careprofessionals using evidence-based methodology in their researchand practice.
Episiotomy
Altough there is little clinical evidence suggesting that episiotomies should be carried out routinely, over 200,000 of these operations are performed every year in the UK and over 1.5 million in the US. This book focuses on the process of innovation and change in the use of this controversial procedure by tracing the evolution of its liberal or routine use in the UK and the US. It discusses the influence of professional and institutional pressure on bringing about change, and highlights the importance of the recent backlash by midwives and women's groups to greatly reduce the use of this procedure. Episiotomy: Challenging Obstetric Interventions is an essential text for all those involved in effecting change within midwifery practice and management.
My Operation
Sholom Glouberman is a widely published health care expert, greatly appreciated by clients worldwide. He was sure he could handle the system when he became a patient. How wrong he was! My Operation sharply contrasts Sholom's experience as a patient with both his insights as an expert and his complete medical record. The result is a study of the health care system for everyone from professionals to policy-makers to patients.
