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Responding to the growing need for tried-and-trusted solutions to
the reproductive health care issues confronting millions of women
worldwide, Obstetrics and Gynecology in Low-Resource Settings
provides practical guidelines for ensuring the delivery of quality
OB/GYN care to women in resource-poor countries. Including
contributions from leading clinicians and researchers in the field,
this welcome overview fills an important gap in existing medical
literature on women's health care and will be an invaluable
resource for doctors, clinicians, and medical students at all
stages of their careers who work in the global health arena. The
reproductive health risks that all women face are greatly
exacerbated when health care facilities are inadequate, equipment
and medications are in short supply, and well-trained medical staff
are few and far away. Often in these settings, the sole doctor or
medical professional on hand has expertise in some areas of women's
reproductive care but needs a refresher course in others. This
informative guide features hands-on, step-by-step instruction for
the most pertinent OB/GYN conditions-both acute and chronic-that
health care workers in the field confront. The authors examine a
wide range of topics, including: strategies to reduce maternal
mortality and stillbirths; infectious and sexually transmitted
diseases, including malaria and HIV; cervical cancer;
contraception; prenatal, delivery, and newborn care; and
complications arising from gender-based violence and female genital
cutting. Published in a convenient format with a durable binding,
this reference will be an essential companion to health care
providers throughout the world.
Traces the horror of obstetric fistula-a condition that has been
largely forgotten in the developed world-and lays out a plan for
its eradication. Millions of women suffer from obstetric fistula, a
catastrophic childbirth complication that exists today mainly in
the world's poorest countries. Fistulas are created by the
prolonged pressure of the fetal head in the birth canal during
obstructed labor, which grievously injures a woman's bladder,
leaving her incontinent. With a fistula, a woman's life revolves
around futile attempts to control her condition and the stigma
associated with it. Abandoned by their loved ones, ostracized from
their communities, and cut off from modern surgical care, which can
repair fistulas and return patients to full health, these women
suffer wretchedly. Based on over 20 years of personal experience
with fistula patients in multiple African countries, Dr. L. Lewis
Wall's Tears for My Sisters describes the ancient history of
obstetric fistula, tracing it as far back as ancient Egypt. An
expert in repairing obstetric fistula, Dr. Wall explains how these
injuries occur and how Western medicine developed the technical
capacity to overcome obstructed labor and repair fistulas. Arguing
that obstetric fistula results from a general disregard for women's
human rights and reproductive health around the globe, he lays bare
the obstacles that poor women face in getting emergency obstetric
care. Finally, he presents a solution to this problem based on the
inspiring story of Drs. Reginald and Catherine Hamlin, who created
a hospital system in Ethiopia to care for fistula patients, improve
health care, and eradicate these injuries. Providing these women
with a much-needed voice, this compassionate book is the first to
tell the comprehensive story of this tragic but preventable
condition. It is compelling reading for everyone interested in
women's health, reproductive rights, the history of medicine, and
social justice.
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