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Sir Donald Irvine asks what further changes have to be made to the culture and regulation of medicine to make it as trustworthy as the public today expects. As President of the General Medical Council between 1995 and 2002, Sir Donald helped shape the changes that followed disasters like the deaths of babies at Bristol and the murders of Dr Harold Shipman. In this frenetic period a new ethos of professionalism emerged, embodying the concept of the autonomous patient and more robust, transparent professional regulation founded on a partnership between the public and doctors. Sir Donald discusses candidly the struggles in the profession and with successive Governments over the key issues. He p...
Birthing Autonomy brings some balance to the difficult arguments that arise from debates about home births, and focuses on women’s views and their experiences of planning home births. It provides an in-depth exploration of how women make decisions about home births and what aspects matter most to them. Comparing how differently the pros and cons of home births are constructed and contemplated by mothers and by the medical profession, the book looks at how current obstetric thinking and practices can disempower and harm women emotionally and spiritually as well as physically. Written in an accessible style, this book is enlightening for student and practicing midwives and obstetricians, as well as researchers and students of nursing, medical sociology, health studies, gender studies, feminist practitioners and theorists. It will also be invaluable to expectant mothers who want to be more informed about the choices they are facing and the wider context within which their birth options are considered.
Medical treatments designed to help people can also be harmful or fatal. Around 2.5 million people die this way each year. So if any kind of medicine makes someone unwell, they or their doctor should report it. Those reports, from nearly every country in the world, go to the Uppsala Monitoring Centre (UMC) in Sweden. As the Centre’s first director, Professor Ivor Ralph Edwards transformed it from a tiny operation with limited horizons into an internationally acclaimed scientific organization at the heart of the World Health Organization’s Programme for International Drug Monitoring. He was then succeeded by his wife, Dr Marie Lindquist. This is the story of how a new science developed and a passionate and dedicated pursuit of worldwide medicines safety, with an unerring focus on the welfare of patients. The pioneering work of Ralph, Marie and their collaborators on every continent protected the lives of millions of people. It may yet improve the lives of billions more.
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