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This novel text outlines issues faced by the majority of women
living in low and middle income countries. The unique aspect of
this book is the numerous examples of innovative solutions that
have been implemented in various global settings. The chapter
authors are transparent concerning the barriers encountered and
successes experienced. This book covers well known medical issues
related to pregnancy (like maternal morbidity, and abortion, female
genital cutting), HIV, and gynecologic cancers with a focus on
cervical cancer prevention and treatment. This book goes beyond the
medical diagnoses to explore the social determinants of health such
as environment priorities like the water-health nexus, social ills
like human trafficking, political influencers like the impact of
advocacy and low and high resource countries' government agendas
and the books closes with a discussion on the bioethical dilemmas.
This goal of this book is to enable the reader to understand that
by improving the status of women how this benefits the whole family
and community. We ultimately hope that the reader becomes engaged
in the process of improving the status of these women's.
While childbirth is a normal part of most women's lives and a
process which usually proceeds without any real risk, for the
world's poorest women this is often not the case. Poverty,
malnutrition, female genital mutilation, child marriage and AIDS
put these women in a high risk bracket from Day 1 of their
pregnancies. To make matters worse, when things go wrong they often
have no easy access to healthcare, when they get to a clinic or
hospital skilled staff may not be available or, if they are, the
drugs and equipment they need may well not be at their disposal.
War, natural disasters and a lack of infrastructure, not to mention
corruption and entrenched cultural attitudes which are not
sympathetic towards the challenges women face present yet more
problems. In this book the author, an obstetrician gynaecologist
with extensive experience of working in developing countries,
provides an insight into these and other problems by telling
individual women's stories. Each account highlights a different
problem. For this special study edition university lecturer and
teacher Sylvie Donna has written questions to go with each account
to help facilitate reflection and discussion; the questions can
either be used for personal study or by tutors in seminars; the
book's index will help students complete assignments, think through
issues and develop potential solutions. Work which is already being
carried out to help vulnerable populations is also outlined by the
author, Dr Jean Chamberlain Froese, who founded the Canadian
charity Save the Mothers, and by her husband, freelance journalist
Thomas Froese. Where relevant, statistics are also provided so as
to give readers a clearer picture of the real situation facing
women and healthcare providers in some of the world's poorest
countries.
All over the world, even as you read this, mothers in poor
countries struggle to deliver their babies without lifesaving
medical care. This is, perhaps, the last unreached frontier of
modern medicine. Walk with Dr. Jean Chamberlain Froese as she
extends a hand of compassion and professional care to mothers in
desperate danger. "In these days of high-tech medicine, it is
refreshing that a doctor writes, first-hand, so passionately about
people and their real lives. These moving stories should serve as a
call for action by all who care." Professor Mahmoud F. Fathalla
Past-President of the International Federation of Gynaecology and
Obstetrics "Reading Dr. Chamberlain Froese's vignettes, I was moved
to tears and anger and prayer for the women who live in such
poverty of health care. She has captured the pathos, hope and
despair of women who have so little of what we see as essential
health care during pregnancy and delivery. I believe this book has
a vital message that will open new dimensions in understanding and
compassion." Becky Davey, RN, BS, MN, International Consultant for
Medical and Educational Advance "The medicalization of health care
in the West has lead to a 'laissez faire' attitude towards
childbirth. Blending experience with passion, Dr. Chamberlain
Froese confronts and dispels conventional thinking by unveiling the
tragic realities of pregnancy-related complications. Reading this
book makes you uncomfortable; and it should. It unfolds the plight
of those who daily live on the fulcrum of life.or death." Dr. John
D. Hull President, EQUIP International Atlanta, Georgia Dr. Jean
Chamberlain Froese is a Canadian obstetrician/gynaecologist whose
work has taken her to some of themany neglected mothers in the
developing world: in Zambia, Zimbabwe, Pakistan, Ecuador, and most
recently, Yemen and Uganda. When in Canada, she is based in
Hamilton, Ontario, where she is an assistant professor at McMaster
University and executive director of Save the Mothers. She is
happily married to Thomas Froese, a freelance journalist. They have
two children, Elizabeth and Jonathan.
This is an innovative text using didactic information and case
studies to address those issues that affect most of the world's
women. The first half of the book focuses on health issues that
specifically affect women such as maternal mortality, fistulas, and
cervical cancer. The second part of the book discusses how agencies
such as governments, non-governmental organisations, and
professional societies can partner and improve standards for women.
By affecting the status of women, the whole family and community
ultimately benefit.
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