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This work includes Foreword by Phillip J S Steer, Professor of
Obstetrics, Faculty of Medicine, Imperial College London. It
includes Introduction by Gwyneth Lewis, National Clinical Lead for
Maternal Health and Maternity Services, Department of Health,
England and Director of the UK Confidential Enquiries into Maternal
Deaths. 'The reductions in maternal mortality over the last half
century are an eloquent testimony to the value of the technical
expertise in life support that anaesthetists bring to the
management of labour complications. Many direct causes of maternal
death have been substantially reduced as a result of anaesthetic
innovations ranging from advances in regional anaesthesia to the
panoply of techniques used in intensive care. This book is
essential reading.' - Phillip J Steer, in his Foreword. Offering a
unique insight into real cases, this book covers the physiology,
pharmacology and organisational factors involved in previous
maternal deaths, highlighting key lessons to be learnt. This
practical guide provides an ideal introduction for new
anaesthetists and up-to-date information for senior practitioners,
particularly those who cover labour wards. It is also invaluable
for anaesthetic nurses, obstetricians and midwives. 'For more than
50 years the Confidential Enquiries into Maternal Deaths in the UK
have collected together invaluable information about why mothers
die in pregnancy and childbirth. For the first time ever, this
unique book collects together all the valuable lessons into one
volume. Experts in their fields provide a physiological,
pharmacological, and evidence based commentary on the events of
each death. The overall result pays homage to the value of
collecting together lessons from the past, and we hope will help
people avoid repetition of these situations in the future.' - Daryl
Dob, Anita Holdcroft and Griselda Cooper, in the Preface.
"Managing Obesity in the Workplace" comprehensively examines how
obesity impacts business and provides examples of action that can
be taken by employers to prevent weight gain and facilitate weight
loss in their staff. A considered, evidence-based analysis of the
extent of the obesity problem reveals how this public health
epidemic affects all workplaces influencing fitness to work,
sickness absence, discrimination and bullying.Case studies from
around the world clearly illustrate the extent of the problem and
offer practical, innovative and budget friendly solutions for all
businesses, large and small. With a focus on nutrition, physical
activity, motivation and education, this book is ideal for
occupational health professionals, public health and primary care
doctors and nurses, health and safety officers, and nutritionists
and dieticians. Organisations promoting workplace health, including
sports/exercise equipment suppliers, will find it enlightening
reading, as will business owners and managers.
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.
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