Practical Obstetric Fistula Surgery

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Publisher :
ISBN 13 : 9781853157660
Total Pages : 0 pages
Book Rating : 4.1/5 (576 download)

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Book Synopsis Practical Obstetric Fistula Surgery by : Brian Hancock

Download or read book Practical Obstetric Fistula Surgery written by Brian Hancock and published by . This book was released on 2008-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: There is now a worldwide awareness of the vast number of women with untreated childbirth injury in Africa and other poor countries. These shameful injuries are preventable but this will not occur until there is improved access to quality obstetric care. While improvements in these services are the top priority, there is a great need to train more surgeons, especially nationals, to have the skill and resources to help these long-suffering incontinent women.

Obstetric Fistula

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3709189217
Total Pages : 305 pages
Book Rating : 4.7/5 (91 download)

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Book Synopsis Obstetric Fistula by : Robert F. Zacharin

Download or read book Obstetric Fistula written by Robert F. Zacharin and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 305 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obstetric fistula is as old as mankind. While the incidence has diminished progressively with better health care in Western societies, the situation has changed little in many developing countries. Fistulae of pelvic organs, often monstrous defects, still are a major complication of child-birth causing misery to uncounted young women, and if they cannot find help in one of the very few hospitals with trained specialists, they became urological cripples losing everything: family, home and job. The magnitude of the problem is illustrated by some figures given by Reginald and Catherine Hamlin-about 700 fistula patients treated each year-a total of over 10,000 cases operated upon in their fistula hospital in Addis Ababa, Ethio pia. Most of these injuries could be prevented by better health care at the village level as some studies have shown conclusively. The incidence of fistula is an indicator of the standard of health and obstetrical care. The author of this book-Obstetric Fistula-is an internationally known Australian gynaecologist who for many years has been interested in all aspects of gynaecological urology, especially urinary stress inconti nence, other forms of involuntary loss of urine, and associated gynaeco logical conditions. He has devised a number of new operations to treat pelvic defects. Robert Zacharin's interest in obstetric fistula was a con sequence of his surgical activity in developing countries.

Obstetric Fistula

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Publisher : World Health Organization
ISBN 13 : 9241593679
Total Pages : 82 pages
Book Rating : 4.2/5 (415 download)

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Book Synopsis Obstetric Fistula by : Gwyneth Lewis

Download or read book Obstetric Fistula written by Gwyneth Lewis and published by World Health Organization. This book was released on 2006 with total page 82 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical manual has three main objectives: to draw attention to the urgent issue of obstetric fistula; provide background information along with principles for developing fistula prevention and treatment strategies and programmes; and contribute to the development of more effective services for women under treatment for fistula repair.

An Introduction to Obstetric Fistula Surgery

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Publisher :
ISBN 13 : 9780955228292
Total Pages : 0 pages
Book Rating : 4.2/5 (282 download)

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Book Synopsis An Introduction to Obstetric Fistula Surgery by : Brian Hancock

Download or read book An Introduction to Obstetric Fistula Surgery written by Brian Hancock and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Tears for My Sisters

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Publisher : JHU Press
ISBN 13 : 1421424185
Total Pages : 371 pages
Book Rating : 4.4/5 (214 download)

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Book Synopsis Tears for My Sisters by : L. Lewis Wall

Download or read book Tears for My Sisters written by L. Lewis Wall and published by JHU Press. This book was released on 2018-01-15 with total page 371 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Disease Control Priorities, Third Edition (Volume 1)

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Publisher : World Bank Publications
ISBN 13 : 1464803676
Total Pages : 445 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Disease Control Priorities, Third Edition (Volume 1) by : Haile T. Debas

Download or read book Disease Control Priorities, Third Edition (Volume 1) written by Haile T. Debas and published by World Bank Publications. This book was released on 2015-03-23 with total page 445 pages. Available in PDF, EPUB and Kindle. Book excerpt: Essential Surgery is part of a nine volume series for Disease Control Priorities which focuses on health interventions intended to reduce morbidity and mortality. The Essential Surgery volume focuses on four key aspects including global financial responsibility, emergency procedures, essential services organization and cost analysis.

Beyond Surgery

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Publisher : University of Chicago Press
ISBN 13 : 022645729X
Total Pages : 260 pages
Book Rating : 4.2/5 (264 download)

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Book Synopsis Beyond Surgery by : Anita Hannig

Download or read book Beyond Surgery written by Anita Hannig and published by University of Chicago Press. This book was released on 2017-04-24 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past few decades, maternal childbirth injuries have become a potent symbol of Western biomedical intervention in Africa, affecting over one million women across the global south. Western-funded hospitals have sprung up, offering surgical sutures that ostensibly allow women who suffer from obstetric fistula to return to their communities in full health. Journalists, NGO staff, celebrities, and some physicians have crafted a stock narrative around this injury, depicting afflicted women as victims of a backward culture who have their fortunes dramatically reversed by Western aid. With Beyond Surgery, medical anthropologist Anita Hannig unsettles this picture for the first time and reveals the complicated truth behind the idea of biomedical intervention as quick-fix salvation. Through her in-depth ethnography of two repair and rehabilitation centers operating in Ethiopia, Hannig takes the reader deep into a world inside hospital walls, where women recount stories of loss and belonging, shame and delight. As she chronicles the lived experiences of fistula patients in clinical treatment, Hannig explores the danger of labeling “culture” the culprit, showing how this common argument ignores the larger problem of insufficient medical access in rural Africa. Beyond Surgery portrays the complex social outcomes of surgery in an effort to deepen our understanding of medical missions in Africa, expose cultural biases, and clear the path toward more effective ways of delivering care to those who need it most.

Campaign to End Fistula in Nepal

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Publisher : Women's Rehabilitation Center (WOREC)
ISBN 13 :
Total Pages : 57 pages
Book Rating : 4./5 ( download)

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Book Synopsis Campaign to End Fistula in Nepal by : Pierre Marie Tebeu

Download or read book Campaign to End Fistula in Nepal written by Pierre Marie Tebeu and published by Women's Rehabilitation Center (WOREC). This book was released on 2012 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Introduction: Obstetric fistula is the presence of an opening between a woman’s genital tract and urinary tract or between the genital tract and the rectum due to untreated obstructed labor or iatrogenic causes. This disease is characterized by the leakage of the urine and/or stools through the vagina. Objective: The general objective of this need assessment is to contribute in decreasing the obstetric fistula related morbidity Nepal by providing strong information that could help in struggle against Obstetric Fistula related morbidity. Methods: This is a cross-sectional study of 4 health sites in the Republic of Nepal between, November 1rst 2011 and December 16th 2011. Data were collected on the prevention, the management, the social reintegration, the training and the research related obstetric fistula. Standard assessment tool, structured questionnaire for health workers and patient’s interview were used. We have also performed a literature review on obstetric fistula in Nepal. Results: With the MMR of 281/100,000 live birth, it is estimated that there is 200 to 400 new cases of OF in Nepal each year leading to the overall 4300 prevalent cases. Our assessment shows that, obstetric fistula surgery is practiced in three sites with information verifiable on the registers and files. One fourth site is willing to be really involved in struggle against OF. None of the site is dealing with the five pillar of obstetric fistula. Two of three sites have OF surgery in permanent base while one site actually proceeds by camps. Even where surgery is practiced, there is still a need for training, nursing and surgical technical protocol related to obstetric fistula. Struggle against obstetric fistula is not really coordinated at the country and regional level. Conclusion and recommendations: We recommend elaborating a national strategy of struggle against the obstetric fistulas, to elaborate protocols for care, training tools; organize the struggle against obstetric fistula while founding on the five pillars that are the prevention, management, reintegration, training and operational research. While dealing with the national strategy, it is urgent to empower the facilities really involved in OF surgery and the one committed to start the program.

Operative Techniques in Obstetric Surgery

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Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1975136748
Total Pages : 1001 pages
Book Rating : 4.9/5 (751 download)

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Book Synopsis Operative Techniques in Obstetric Surgery by : Michael Belfort

Download or read book Operative Techniques in Obstetric Surgery written by Michael Belfort and published by Lippincott Williams & Wilkins. This book was released on 2022-01-03 with total page 1001 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fifth volume in Dr. Jonathan Berek’s bestselling series, Operative Techniques in Obstetric Surgery provides superbly illustrated, authoritative guidance on operative techniques along with a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. Easy to follow, up to date, and highly visual, this step-by-step reference edited by Drs. Michael A. Belfort, Alireza A. Shamshirsaz, Steven L. Clark, and Karin A. Fox covers the most common operations in obstetrics and is ideal for residents and physicians in daily practice. Succinct text, bulleted points, and quick-reference tables allow you to review information quickly and understand best practices and potential problems for each procedure. Hundreds of full-color intraoperative photographs and drawings, as well as more than 20 high-quality videos, capture procedures step by step and help you immediately apply your knowledge. Each clinical problem is discussed in the same templated format: general principles, anatomy and differential diagnosis, imaging and other diagnostics, preoperative planning, surgical management, procedures and techniques, pearls and pitfalls, postoperative care, outcomes, and complications. Coverage includes Cesarean delivery, management of postpartum hemorrhage including hysterectomy for placenta accreta spectrum, operative vaginal delivery and repair of lacerations, obstetric fistula repair, and more. Perfect for a quick preoperative review of the steps of a procedure. Volume editors and contributors are thought leaders in their respective subspecialties and are known for their surgical expertise. Enrich Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

A Multidisciplinary Approach to Obstetric Fistula in Africa

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Author :
Publisher : Springer Nature
ISBN 13 : 3031063147
Total Pages : 492 pages
Book Rating : 4.0/5 (31 download)

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Book Synopsis A Multidisciplinary Approach to Obstetric Fistula in Africa by : Laura Briggs Drew

Download or read book A Multidisciplinary Approach to Obstetric Fistula in Africa written by Laura Briggs Drew and published by Springer Nature. This book was released on 2022-09-19 with total page 492 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book applies a multi-disciplinary lens to examine obstetric fistula, a childbirth injury that results from prolonged, obstructed labor. While obstetric fistula can be prevented with emergency obstetric care, it continues to occur primarily in resource-limited settings. In this volume, specialists in the anthropological, psychological, public health, and biomedical disciplines, as well as health policy experts and representatives of governmental and non-governmental organizations discuss a scoping overview on obstetric fistula, including prevention, treatment, and reducing stigma for survivors. This comprehensive resource is useful in understanding the risk factors, epidemiology, and social, psychological, and medical effects of obstetric fistula. Topics explored include: A Human Rights Approach Toward Eradicating Obstetric Fistula Obstetric Fistula: A Case of Miscommunication – Social Experiences of Women with Obstetric Fistula Classification of Female Genital Tract Fistulas Training and Capacity-Building in the Provision of Fistula Treatment Services Designing Preventive Strategies for Obstetric Fistula Sexual Function in Women with Obstetric Fistula Social and Reproductive Health of Women After Obstetric Fistula Repair Making the Case for Holistic Fistula Care Addressing Mental Health in Obstetric Fistula Patients Physical Therapy for Women with Obstetric Fistula A Multidisciplinary Approach to Obstetric Fistula in Africa is designed for professional use by NGOs, international aid organizations, governmental and multilateral agencies, healthcare providers, public health specialists, anthropologists, and others who aim to improve maternal health across the globe. Although the book’s geographic focus is Africa, it may serve as a useful resource for individuals who aim to address obstetric fistula in other settings. The book may also be used as an educational tool in courses/programs that focus on Global Health, Maternal and Child Health, Epidemiology, Medical Anthropology, Gender/Women's Studies, Obstetrics, Global Medicine, Nursing, and Midwifery.

Obstetric Fistula Surgery

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Publisher :
ISBN 13 : 9789079633012
Total Pages : 156 pages
Book Rating : 4.6/5 (33 download)

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Book Synopsis Obstetric Fistula Surgery by : Kees Waaldijk

Download or read book Obstetric Fistula Surgery written by Kees Waaldijk and published by . This book was released on 2008 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt:

PREVENTION AND IDENTIFICATION OF OBSTETRIC FISTULA

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Publisher : Newredmars Education Pvt Ltd
ISBN 13 : 9393620091
Total Pages : 193 pages
Book Rating : 4.3/5 (936 download)

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Book Synopsis PREVENTION AND IDENTIFICATION OF OBSTETRIC FISTULA by : Mrs Dharitri swain

Download or read book PREVENTION AND IDENTIFICATION OF OBSTETRIC FISTULA written by Mrs Dharitri swain and published by Newredmars Education Pvt Ltd. This book was released on with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: Obstetric fistula is a very serious complication of childbirth affecting millions of women in the developing world and its prevalence also exists in rural part of India. The main objective of the Training Module is to provide a sensitization programme for the target populations through community health workers. The module emphasizes on prevention of Obstetric Fistula and council the cases for Obstetric Fistula repair and treatment. Community awareness is very important to understand the basic concept of obstetric fistula and its prevention. We had a great experience for the development of the module by applying various strategies related to safe motherhood and quality care during pregnancy and childbirth. This module is a stepping stone of our project. We are pledged to present this module in which proper organization and integration of contents have been done for imparting the training programme. I have contributed regarding Prevention of Obstetric Fistula & Counselling of Obstetric Fistula cases. I hope this module will definitely provide guidelines for community health workers to identify obstetric fistula cases and aware of the measures for the prevention of obstetric fistula in their locality.

A Doctor in Africa

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Publisher : Macmillan Publishers Aus.
ISBN 13 : 1760985988
Total Pages : 314 pages
Book Rating : 4.7/5 (69 download)

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Book Synopsis A Doctor in Africa by : Dr Andrew Browning

Download or read book A Doctor in Africa written by Dr Andrew Browning and published by Macmillan Publishers Aus.. This book was released on 2021-04-27 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt: Including a preface by HRH The Princess Royal, Princess Anne. The Australian doctor saving the lives and dignity of thousands of women in Africa, one surgery at a time. From Ethiopia to Sierra Leone, Tanzania to Togo, Dr Andrew Browning has been helping women affected by obstetric fistulas - a debilitating condition resulting from obstructed childbirth - for nearly two decades. Andrew began his African career in the 1990s working with the late Dr Catherine Hamlin and since then has started the Barbara May Foundation, which has built hospitals, trained staff and established programs to heal fistulas and also prevent them from occurring around Africa in the world's most disadvantaged women. Two million African women are estimated to be suffering with obstetric fistulas. They are often made outcasts in their own community, unable to leave their homes and left with little prospect of a happy, fulfilling life. Andrew's operations, and the spread of fistula-skilled surgeons he is training across the continent, don't just relieve the emotional and physical pain of the women affected, but give them hope and a future. A Doctor in Africa is the uplifting story of Andrew's life, from the challenges faced along the way to the stories of the women whose lives he has forever changed. All royalties from the sale of this book will be donated to the Barbara May Foundation. Praise for A Doctor in Africa 'Andrew's compassion for the women of Africa will inspire and uplift you. Written with warmth and enormous empathy, this book will make you cry - often with tears of joy - and on turning the page have you laughing out loud. A Doctor in Africa is a masterpiece in compassion, sensitivity and caring.' Dame Ann Gloag DBE. Founder, Freedom From Fistula 'Andrew Browning's deep compassion and wonderful surgical skills have given new life to thousands of mothers suffering severe, often horrific childbirth injuries. This Australian doctor has dedicated his life to helping women in Ethiopia, Tanzania and right throughout Africa and beyond regain their dignity and place in society.' Dr Robert Tong AM, Chair, Hamlin Fistula Australia 'Through Dr Browning's astonishing work, countless women shunned even by their own communities are healed, and rivers of tears are turned to laughter and joy. You will cry, you will weep, you will be aghast, but ultimately you will thank God for people like Andrew Browning. Read this if you want your heart broken, then sewn back together richer and pumping with gratitude.' Canon Tim Swan, CEO Anglican Aid 'Dr Andrew Browning is known to us as "the surgeon of difficult cases". In his book, he brings us real stories of the victims of fistula, but with restored good health. Andrew is a compassionate, skilled, devoted, young surgeon who has brought hope and dignity to many vulnerable African women. He awakens our inner being, moving us to become more compassionate.' Sister Dr Imelda Nabukalu, Deputy Medical Director Kitovu Mission Hospital, Masaka, Uganda 'Following in the footsteps of his legendary mentor, Dr Catherine Hamlin, Dr Andrew Browning's extraordinary life is as fascinating as it is inspiring. Dr Browning is living out his faith by giving the priceless gift of health to multitudes of African women suffering horrendous injuries simply for trying to bring a child into the world.' Kate Grant, CEO of the Fistula Foundation USA 'I urge you to take up this wonderful read and find your heart deeply thankful and your mind wonderfully informed. The work that Andrew has been doing is a bright signpost to the God he serves. If there is a more thrilling description of what one Aussie doctor has seen and done in African villages to get women restored and rejoicing I'd like to know about it. This book is one of the best antidotes to despondency and doubt I have ever read.' Simon Manchester, Former Rector, St Thomas Anglican Church North Sydney 'Andrew's deep connection with Africa, the land and her people is both confronting and inspiring. Restoring dignity to a marginalised woman is powerful for that individual and her society. His message is one of joy, and hope for a better world.' Dr Vijay Roach, President, Royal Australian and New Zealand College of Obstetricians and Gynaecologists 'Like an Odysseus of modern Africa, Andrew Browning's extensive, interesting and compassion-rich travels with his family to care for local women are also amazing for their rugged versatility and adventurous brio. An exciting story off the beaten track, both literally and medically.' Richard Hamlin 'It has been a privilege to know and work with Dr Andrew Browning. He has been a mentor, role model and great fistula surgeon. He has surrendered his life to help fistula patients. His dedication in fistula work has brought smiles to thousands of women. His life story is inspirational and I would wish to walk in his footsteps.' Dr James J. Chapa, MD, MMed (Obs/Gyn), MPH, Fistula Surgeon and FIGO Accredited Trainer, CCBRT Hospital, Dar es Salaam, Tanzania

Anthropologies of Global Maternal and Reproductive Health

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Author :
Publisher : Springer Nature
ISBN 13 : 3030845141
Total Pages : 225 pages
Book Rating : 4.0/5 (38 download)

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Book Synopsis Anthropologies of Global Maternal and Reproductive Health by : Lauren J. Wallace

Download or read book Anthropologies of Global Maternal and Reproductive Health written by Lauren J. Wallace and published by Springer Nature. This book was released on 2022-01-11 with total page 225 pages. Available in PDF, EPUB and Kindle. Book excerpt: This open access edited book brings together new research on the mechanisms by which maternal and reproductive health policies are formed and implemented in diverse locales around the world, from global policy spaces to sites of practice. The authors – both internationally respected anthropologists and new voices – demonstrate the value of ethnography and the utility of reproduction as a lens through which to generate rich insights into professionals’ and lay people’s intimate encounters with policy. Authors look closely at core policy debates in the history of global maternal health across six different continents, including: Women’s use of misoprostol for abortion in Burkina Faso The place of traditional birth attendants in global maternal health Donor-driven maternal health programs in Tanzania Efforts to integrate qualitative evidence in WHO maternal and child health policy-making Anthropologies of Global Maternal and Reproductive Health will engage readers interested in critical conversations about global health policy today. The broad range of foci makes it a valuable resource for teaching in medical anthropology, anthropology of reproduction, and interdisciplinary global health programs. The book will also find readership amongst critical public health scholars, health policy and systems researchers, and global public health practitioners.

First Steps in Vesico-vaginal Fistula Repair

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Publisher :
ISBN 13 : 9781853156113
Total Pages : 0 pages
Book Rating : 4.1/5 (561 download)

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Book Synopsis First Steps in Vesico-vaginal Fistula Repair by : Brian Hancock

Download or read book First Steps in Vesico-vaginal Fistula Repair written by Brian Hancock and published by . This book was released on 2005 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an expert in the obstetric damage repair field, this book shows that fears and concerns surrounding vesico vaginal repair are often unfounded, as many fistulae can be cured locally, without sophisticated equipment or specialist surgeons. It is for those dealing with obstetric fistulae in both developing or developed countries.

Step-by-step Surgery of Vesicovaginal Fistulas

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Author :
Publisher :
ISBN 13 : 9781873732175
Total Pages : 103 pages
Book Rating : 4.7/5 (321 download)

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Book Synopsis Step-by-step Surgery of Vesicovaginal Fistulas by : Kees Waaldijk

Download or read book Step-by-step Surgery of Vesicovaginal Fistulas written by Kees Waaldijk and published by . This book was released on 1994 with total page 103 pages. Available in PDF, EPUB and Kindle. Book excerpt: The obstetric fistula still constitutes a major health problem in many developing countries, but not much is being done to rectify the situation, and an international approach is lacking.

Obstetric and Intrapartum Emergencies

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Publisher : Cambridge University Press
ISBN 13 : 1108847382
Total Pages : 353 pages
Book Rating : 4.1/5 (88 download)

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Book Synopsis Obstetric and Intrapartum Emergencies by : Edwin Chandraharan

Download or read book Obstetric and Intrapartum Emergencies written by Edwin Chandraharan and published by Cambridge University Press. This book was released on 2021-06-03 with total page 353 pages. Available in PDF, EPUB and Kindle. Book excerpt: Global and national confidential inquiry reports show that 60 to 80% of maternal and neonatal morbidity and mortality are due to avoidable errors. This comprehensive and illustrated second edition offers a practical guide to the management of obstetric, medical, surgical, anaesthetic and newborn emergencies in addition to organisational and training issues. The book is divided conveniently into nine sections and updated throughout in line with modern research and practice. Several new chapters cover setting up skills and drills training in maternity services to reduce avoidable harm, managing obstetric emergencies during 'home births' and in low-risk midwifery units, and minimizing maternal and fetal morbidity in failed operative vaginal delivery. Each chapter includes a practical algorithm for quick reference, the scientific basis for proposed actions, a case-based practical exercise and useful learning tools such as 'Key Pearls' and 'Key Pitfalls'. An invaluable resource for obstetricians, neonatologists, midwives, medical students, anesthesiologists and the wider perinatal team.