Obstetrics Normal And Problem Pregnancies 1st South Asia Edn E Book

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Obstetrics: Normal and Problem Pregnancies E-Book

Author : Mark B. Landon
Publisher : Elsevier Health Sciences
ISBN 13 : 0323613403
Total Pages : 1548 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Obstetrics: Normal and Problem Pregnancies E-Book by : Mark B. Landon

Download or read book Obstetrics: Normal and Problem Pregnancies E-Book written by Mark B. Landon and published by Elsevier Health Sciences. This book was released on 2020-02-17 with total page 1548 pages. Available in PDF, EPUB and Kindle. Book excerpt: Highly readable, well-illustrated, and easy to understand, Gabbe's Obstetrics: Normal and Problem Pregnancies is an ideal day-to-day reference or study tool for residents and clinicians. This 8th Edition of this bestselling text offers fast access to evidence-based, comprehensive information, now fully revised with substantial content updates, new and improved illustrations, and a new, international editorial team that continues the tradition of excellence established by Dr. Steven Gabbe. - Puts the latest knowledge in this complex specialty at your fingertips, allowing you to quickly access the information you need to treat patients, participate knowledgably on rounds, and perform well on exams. - Contains at-a-glance features such as key points boxes, bolded text, chapter summaries and conclusions, key abbreviations boxes, and quick-reference tables, management and treatment algorithms, and bulleted lists throughout. - Features detailed illustrations from cover to cover—many new and improved—including more than 100 ultrasound images that provide an important resource for normal and abnormal fetal anatomy. - Covers key topics such as prevention of maternal mortality, diabetes in pregnancy, obesity in pregnancy, vaginal birth after cesarean section, and antepartum fetal evaluation. - Provides access to 11 videos that enhance learning in areas such as cesarean delivery and operative vaginal delivery. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices

Sabiston Textbook of Surgery, First South Asia Edition - E-Book

Author : Courtney M. Townsend
Publisher : Elsevier Health Sciences
ISBN 13 : 813124671X
Total Pages : 2189 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Sabiston Textbook of Surgery, First South Asia Edition - E-Book by : Courtney M. Townsend

Download or read book Sabiston Textbook of Surgery, First South Asia Edition - E-Book written by Courtney M. Townsend and published by Elsevier Health Sciences. This book was released on 2016-09-30 with total page 2189 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since its first publication in 1936, Sabiston Textbook of Surgery has been regarded as the preeminent source for definitive guidance in all areas of general surgery. The First South Asia edition continues the rich tradition of quality that has made this classic text synonymous with the specialty and a part of generations of surgery residents and practitioners. Meticulously updated throughout, this classic text concisely covers the breadth of material needed for certification and practice of general surgery. Detailed, full-color intraoperative illustrations and high-quality video clips capture key teaching moments, allowing you to better understand the basic science of surgery, make the most informed decisions and achieve optimal outcomes for every patient. Key Features - Understand the underlying science and its clinical application to make informed surgical decisions and achieve optimal outcomes. - Overcome tough challenges, manage unusual situations, and avoid complications with the most trusted advice in your field. - Get the depth of coverage you need in an easily accessible, single volume organized by organ and along traditional lines beginning with principles common to surgical specialties including fluid and electrolyte management, metabolic support, and wound healing. Subsequent sections review the management of injury, transplantation, oncology, breast, endocrine, and abdominal procedures. - Explore topics encountered by general surgery residents in training as well as in-depth coverage of subspecialty areas including head and neck, thoracic, vascular, urology, neurosurgery, pediatrics, and gynecology. - Visually grasp and retain difficult concepts thanks to a full-color design featuring an abundance of illustrations, intraoperative photographs, video clips and tables as well as more schematic diagrams that facilitate the comprehension of surgical techniques and procedures.

Hacker & Moore's Essentials of Obstetrics and Gynecology: First South Asia Edition - E-Book

Author : Neville F. Hacker
Publisher : Elsevier Health Sciences
ISBN 13 : 8131247228
Total Pages : 513 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Hacker & Moore's Essentials of Obstetrics and Gynecology: First South Asia Edition - E-Book by : Neville F. Hacker

Download or read book Hacker & Moore's Essentials of Obstetrics and Gynecology: First South Asia Edition - E-Book written by Neville F. Hacker and published by Elsevier Health Sciences. This book was released on 2016-08-25 with total page 513 pages. Available in PDF, EPUB and Kindle. Book excerpt: The case in previous editions of this text, we have worked to include only the "essentials ofobstetrics and gynecology, making difficult choices about the breadth and depth of the material presented.All of the 42 chapters in this edition have been updated. Some chapters have been completely rewritten. Others have been modified due to changes in clinical practice.

Wong's Essentials of Pediatric Nursing: Third South Asian Edition - E-Book

Author : Jyoti Sarin
Publisher : Elsevier Health Sciences
ISBN 13 : 8131264467
Total Pages : 1007 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Wong's Essentials of Pediatric Nursing: Third South Asian Edition - E-Book by : Jyoti Sarin

Download or read book Wong's Essentials of Pediatric Nursing: Third South Asian Edition - E-Book written by Jyoti Sarin and published by Elsevier Health Sciences. This book was released on 2022-11-02 with total page 1007 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wong's Essentials of Pediatric Nursing: Third South Asian Edition - E-Book

Saunders Comprehensive Review for the NCLEX-RN® Examination, Fourth South Asia Edition - E-Book

Author : Annu Kaushik
Publisher : Elsevier Health Sciences
ISBN 13 : 8131266338
Total Pages : 1423 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Saunders Comprehensive Review for the NCLEX-RN® Examination, Fourth South Asia Edition - E-Book by : Annu Kaushik

Download or read book Saunders Comprehensive Review for the NCLEX-RN® Examination, Fourth South Asia Edition - E-Book written by Annu Kaushik and published by Elsevier Health Sciences. This book was released on 2022-11-15 with total page 1423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by the most trusted name in NCLEX review and updated to reflect the latest NCLEX test plan, Saunders is THE book of choice for NCLEX examination review. Targeted for undergraduate students of nursing, post graduate and trained nurses, this book essentially helps all nurses prepare for the NCLEX exam and work in the US as a registered nurse.Unit I ▲ NEW! Next Generation NCLEX® (NGN)–Style questions prepare students for the biggest change to the NCLEX-RN® test plan to date ▲ Over 2,500 practice questions in the text and online offer ample testing practice ▲ NEW! Thoroughly updated content incorporates clinical updates and reflects the latest NCLEX-RN test plan ▲ NEW! Clinical Judgment boxes identify a clinical judgment situation and address one of the 6 cognitive skills for the Next Generation NCLEX ▲ NEW! Additional questions covering Health Problem areas and Complex Care ▲ NEW! Reorganization of the Foundations of Care section makes this section more user-friendly for beginning nursing students ▲ NEW! Urinary and Bowel Elimination chapter and Hygiene, Mobility, and Skin Integrity chapters ▲ Health Problem code with every practice question focuses student study on particular topics, such as heart failure or pneumonia ▲ Systematic case scenarios help students apply health and physical assessment concepts

Nephrology Secrets: First South Asia Edition - E - Book

Author : Edgar V. Lerma
Publisher : Elsevier Health Sciences
ISBN 13 : 8131249603
Total Pages : 659 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Nephrology Secrets: First South Asia Edition - E - Book by : Edgar V. Lerma

Download or read book Nephrology Secrets: First South Asia Edition - E - Book written by Edgar V. Lerma and published by Elsevier Health Sciences. This book was released on 2018-08-30 with total page 659 pages. Available in PDF, EPUB and Kindle. Book excerpt: For more than 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Nephrology Secrets : First South Asia Edition, features the Secrets' popular question-and-answer format that also includes lists, tables, and an easy-to-read style – making reference and review quick, easy, and enjoyable. - The proven Secrets® format gives you the most return for your time – concise, easy to read, engaging, and highly effective. - Covers the full range of essential topics in nephrology for in-training or practicing professionals. - Written and fully updated by global experts and thought leaders in nephrology. - Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice and on exams. - Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.

Lewis's Medical-Surgical Nursing, Fourth South Asia Edition - E-Book

Author : Chintamani
Publisher : Elsevier Health Sciences
ISBN 13 : 8131262928
Total Pages : 947 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Lewis's Medical-Surgical Nursing, Fourth South Asia Edition - E-Book by : Chintamani

Download or read book Lewis's Medical-Surgical Nursing, Fourth South Asia Edition - E-Book written by Chintamani and published by Elsevier Health Sciences. This book was released on 2021-12-21 with total page 947 pages. Available in PDF, EPUB and Kindle. Book excerpt: - Content mapped and aligned to the revised BSc Nursing syllabus - Nearly 60 nursing care plans incorporated within the textbook, focusing on nursing assessment, diagnoses, intervention, and outcome, applying them to nursing practice - Several new pathophysiology maps added to the chapters - National programs added - National Blindness Control Program - National Deafness Control Program - Indian Transplantation programs - Other topics incorporated in the text - Eye banking - Post heart transplant follow-up management with checklist - Nursing management of patients in emergency and disaster situations - Highlights of newly introduced courses, e.g. Nurse Practitioner Midwifery - Hospice care in India - National Pressure Ulcer Advisory Panel (NPUAP) guidelines for assessment of pressure ulcers - Screening for breast cancer and cervical cancer - Content on occupational and industrial disorders added Ancillary Content on MedEnact Website - Educator Resources - TEACH for Nurses lesson plans - PowerPoint presentations - Image Collection - Nursing Care Plans - Student Resources - Key Points - Review Questions - Case Studies - Answer Keys for Case Studies and Rationales for Bridge to NCLEX Examination questions Nursing Care Plans

Avery's Diseases of the Newborn: First South Asia Edition-E-Book

Author : Christine A Gleason, MD
Publisher : Elsevier Health Sciences
ISBN 13 : 8131254720
Total Pages : 1973 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Avery's Diseases of the Newborn: First South Asia Edition-E-Book by : Christine A Gleason, MD

Download or read book Avery's Diseases of the Newborn: First South Asia Edition-E-Book written by Christine A Gleason, MD and published by Elsevier Health Sciences. This book was released on 2018-05-23 with total page 1973 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covering the evaluation and management of every key disease and condition affecting newborns, Avery's Diseases of the Newborn, by Drs. Christine A. Gleason and Sandra E. Juul, remains your #1 source for practical, clinically relevant information in this fast-changing field. You'll find the specific strategies you need to confidently diagnose and treat this unique patient population, easy-to-use single volume that focuses on key areas of practice. Now in a thoroughly revised first South Asia Edition, this highly respected reference is an authoritative clinical resource for neonatal practitioners. Provides up-to-date information on every aspect of newborn evaluation and management in a new, visually improved format featuring more than 500 all-new illustrations integrated within each chapter. Includes greatly expanded Neurology and Hematology sections that highlight the knowledge and expertise of new co-editor, Dr. Sandra E. Juul. Features all-new chapters on Palliative Care, Gastroesophageal Reflux, Platelet Disorders, Transfusion Therapy, Hypertension, and The Ear and Hearing Disorders, as well as expanded coverage of brain injury and neuroprotective strategies in the preterm and term infant. Contains new Key Points boxes at the beginning of every chapter. Brings you up to date on current topics such as the evolving epidemic of neonatal abstinence syndrome and the new clinical uses of ultrasound

Obstetrics: Normal and Problem Pregnancies E-Book

Author : Steven G. Gabbe
Publisher : Elsevier Health Sciences
ISBN 13 : 0323392172
Total Pages : 1426 pages
Book Rating : 4.3/5 (233 download)

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Book Synopsis Obstetrics: Normal and Problem Pregnancies E-Book by : Steven G. Gabbe

Download or read book Obstetrics: Normal and Problem Pregnancies E-Book written by Steven G. Gabbe and published by Elsevier Health Sciences. This book was released on 2016-03-18 with total page 1426 pages. Available in PDF, EPUB and Kindle. Book excerpt: After 30 years, Obstetrics: Normal and Problem Pregnancies remains your go-to choice for authoritative guidance on managing today’s obstetric patient. International experts put the latest knowledge in this specialty at your fingertips, with current and relevant information on everything from fetal origins of adult disease, to improving global maternal health, to important topics in day-to-day obstetrical practice. Highly readable, well-illustrated, and easy to understand, this bestselling obstetrics reference is an ideal tool for residents and clinicians. Take advantage of the collective wisdom of global experts in the field, including two new editors— Drs. Vincenzo Berghella and William Grobman -- and nearly 30 new contributors. Gain a new perspective on a wide range of today's key issues - all evidence-based and easy to read. Sweeping updates throughout including four new chapters: ‘Vaginal Birth after Cesarean Delivery’; ‘Placenta Accreta’; ‘Obesity’; and ‘Improving Global Maternal Health: Challenges and Opportunities’ New Glossary of the most frequently used key abbreviations for easy reference Expanded use of bolded statements and key points as well as additional tables, flow diagrams, and bulleted lists facilitates and enhances the mastery of each chapter More than 100 images in the Obstetrical Ultrasound chapter provide an important resource for normal and abnormal fetal anatomy

Practical Guide to High Risk Pregnancy and Delivery - E-Book

Author : Fernando Arias
Publisher : Elsevier Health Sciences
ISBN 13 : 8131231631
Total Pages : 583 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Practical Guide to High Risk Pregnancy and Delivery - E-Book by : Fernando Arias

Download or read book Practical Guide to High Risk Pregnancy and Delivery - E-Book written by Fernando Arias and published by Elsevier Health Sciences. This book was released on 2008-07-15 with total page 583 pages. Available in PDF, EPUB and Kindle. Book excerpt: The third edition of the book, Practical Guide to High-Risk Pregnancy and Delivery, has been completely revised to present more up-to-date approach to the field. Several changes have been made in the book to keep up with multiple new developments and to facilitate the finding of information. However, the purpose of the book remains unchanged: to provide residents in Obstetrics and Gynecology, fellows in Maternal–Fetal Medicine, obstetricians, general physicians, and interested nurses and medical students with a source of practical information about complications of pregnancy. - The book is organized into three sections: Fetal Medicine, Obstetrical Complications and Tropical Diseases in Pregnancy - All chapters have been rearranged, expanded, and updated - Several new flowcharts, tables, and boxes have been included to make the coverage more comprehensive and contemporary - Important points at the end of every chapter help in quick recapitulation. - Separate chapters on Hypertensive Disorders in Pregnancy, Diabetes and Pregnancy, and Cardiac Diseases in Pregnancy.

Williams Textbook of Endocrinology, 14 Edition: South Asia Edition, 2 Vol SET - E-Book

Author : Shlomo Melmed
Publisher : Elsevier Health Sciences
ISBN 13 : 8131262162
Total Pages : 2250 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Williams Textbook of Endocrinology, 14 Edition: South Asia Edition, 2 Vol SET - E-Book by : Shlomo Melmed

Download or read book Williams Textbook of Endocrinology, 14 Edition: South Asia Edition, 2 Vol SET - E-Book written by Shlomo Melmed and published by Elsevier Health Sciences. This book was released on 2020-06-30 with total page 2250 pages. Available in PDF, EPUB and Kindle. Book excerpt: Williams Textbook of Endocrinology, 14 Edition: South Asia Edition, 2 Vol SET - E-Book

Textbook of Obstetrics - E - Book

Author : Usha Vishwanath
Publisher : Elsevier Health Sciences
ISBN 13 : 8131256529
Total Pages : 511 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Textbook of Obstetrics - E - Book by : Usha Vishwanath

Download or read book Textbook of Obstetrics - E - Book written by Usha Vishwanath and published by Elsevier Health Sciences. This book was released on 2019-06-10 with total page 511 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook of obstetrics will be an updated comprehensive book for both the undergraduates and postgraduates. This will also be a handy, practical reading material for those practising obstetrics. - Topics covered as per the latest revised curriculum of Medical Council of India - History taking for important obstetric conditions have been included which will be of great help to students during the examination and in clinical practice - Commonly asked questions provided at the end of every chapter in order to have immediate self-assessment and identify the learning needs - 50 clinical case scenarios provided to enable students to practice the steps of evaluation and clinical management - Emphasis on communication, informed consent, clinical documentation in an exclusive chapter which is most often an overlooked entity - Compilation of the important scientific trials in obstetrics that can be of great help to the postgraduates - Coloured photographs and videos on important practical topics in obstetrics so as to give a good visual impact and better understanding - First step in operating theatre is a chapter that addresses the common important aspects of operating room standards which will help the undergraduates especially when they graduate to be residents - Chapter on decision making algorithms for some of the essential topics to simplify the understanding of these conditions - Easy, comprehendible language with concise and focused information for students to understand even complex entities in obstetrics

Gabbe's Obstetrics

Author : Mark B. Landon
Publisher :
ISBN 13 : 9780323613415
Total Pages : 1197 pages
Book Rating : 4.6/5 (134 download)

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Book Synopsis Gabbe's Obstetrics by : Mark B. Landon

Download or read book Gabbe's Obstetrics written by Mark B. Landon and published by . This book was released on 2021 with total page 1197 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Arias' Practical Guide to High-Risk Pregnancy and Delivery - E-Book

Author : Fernando Arias
Publisher : Elsevier Health Sciences
ISBN 13 : 8131238768
Total Pages : 417 pages
Book Rating : 4.1/5 (312 download)

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Book Synopsis Arias' Practical Guide to High-Risk Pregnancy and Delivery - E-Book by : Fernando Arias

Download or read book Arias' Practical Guide to High-Risk Pregnancy and Delivery - E-Book written by Fernando Arias and published by Elsevier Health Sciences. This book was released on 2014-09-15 with total page 417 pages. Available in PDF, EPUB and Kindle. Book excerpt: Thoroughly revised edition of this well-known text is prompted by the popularity of the previous edition among both students and practitioners. The revised edition has been endeavoured keeping the key objective of Dr Fernando Arias alive—to provide Obs & Gynae residents, fellows in Maternal–Fetal Medicine, obstetricians, general physicians and interested nurses and medical students with a source of practical information about complications of pregnancy.• Most of the chapters have been completely re-written. • A new chapter 'Impact of Advances in Genetics on Prenatal Diagnosis' has been added, which does justice to the enormous advances in the field of Prenatal Genetics in the recent years. • Our understanding of multiple pregnancies has increased considerably. A separate chapter on multiple pregnancy has been added given that multiple pregnancies are at high risk of developing problems and therefore require greater attention. • An entire section of intrapartum problems has been added, making this a comprehensive Obstetric text. • The editors have managed to persuade leaders in the field to write for this edition. The chapters are authored by researchers working on the coalface. Their first-hand experience, knowledge, wisdom and hard work are evident in this edition.

Blueprints Obstetrics and Gynecology

Author : Tamara Callahan
Publisher : LWW
ISBN 13 : 9781975134877
Total Pages : 0 pages
Book Rating : 4.1/5 (348 download)

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Book Synopsis Blueprints Obstetrics and Gynecology by : Tamara Callahan

Download or read book Blueprints Obstetrics and Gynecology written by Tamara Callahan and published by LWW. This book was released on 2018 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wolters Kluwers is dedicated to providing quality content. This is a reprint of the Seventh Edition, corrected to address typographical errors identified by reviewers. Clinical high-yield content covers what you need to know for the USMLE, shelf exam, and your Obstetrics & Gynecology rotation This best-selling Blueprints title is an ideal resource for the obstetrics and gynecology rotation and board preparation. This is the perfect companion for quick study breaks during rotation downtime, with concise chapters that appeal to students who want a review of key concepts, research, and therapies in today's practice. Blueprints are also utilized by students in physician assistant, nurse practitioner, and osteopathic programs, as well as residents preparing for USMLE Step 3. Features include: Expanded coverage of topics, evidence-based research, therapies, and the latest changes in the management of cervical dysplasia and cervical cancer screening, abnormal uterine bleeding, hypertension in pregnancy, cervical insufficiency, prenatal diagnosis, and preterm labor. Updates on the latest techniques in contraception, sterilization, and hormone replacement, as well as current treatment options for uterine fibroids and ovarian cysts. Updated tables and figures that improve student's assimilation and retention of information. Case-based clinical vignette questions at the end of each chapter help you review the material and prepare for exams. New and updated board-style questions, with full explanations of both correct and incorrect options, increase understanding.

Disease Control Priorities, Third Edition (Volume 2)

Author : Robert Black
Publisher : World Bank Publications
ISBN 13 : 1464803684
Total Pages : 419 pages
Book Rating : 4.4/5 (648 download)

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Book Synopsis Disease Control Priorities, Third Edition (Volume 2) by : Robert Black

Download or read book Disease Control Priorities, Third Edition (Volume 2) written by Robert Black and published by World Bank Publications. This book was released on 2016-04-11 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: The evaluation of reproductive, maternal, newborn, and child health (RMNCH) by the Disease Control Priorities, Third Edition (DCP3) focuses on maternal conditions, childhood illness, and malnutrition. Specifically, the chapters address acute illness and undernutrition in children, principally under age 5. It also covers maternal mortality, morbidity, stillbirth, and influences to pregnancy and pre-pregnancy. Volume 3 focuses on developments since the publication of DCP2 and will also include the transition to older childhood, in particular, the overlap and commonality with the child development volume. The DCP3 evaluation of these conditions produced three key findings: 1. There is significant difficulty in measuring the burden of key conditions such as unintended pregnancy, unsafe abortion, nonsexually transmitted infections, infertility, and violence against women. 2. Investments in the continuum of care can have significant returns for improved and equitable access, health, poverty, and health systems. 3. There is a large difference in how RMNCH conditions affect different income groups; investments in RMNCH can lessen the disparity in terms of both health and financial risk.

Mayes' Midwifery E-Book

Author : Sue Macdonald
Publisher : Elsevier Health Sciences
ISBN 13 : 0702063363
Total Pages : 1221 pages
Book Rating : 4.7/5 (2 download)

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Book Synopsis Mayes' Midwifery E-Book by : Sue Macdonald

Download or read book Mayes' Midwifery E-Book written by Sue Macdonald and published by Elsevier Health Sciences. This book was released on 2017-06-03 with total page 1221 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new edition of a classic textbook fully updated to meet the needs of today's midwifery student. Now available for the first time in full color, the 15th edition of Mayes Midwifery has an enhanced artwork program and comes with an extensive website which provides 600 MCQs and wide selection of case studies and reflective activities; a downloadable image bank assists with essay and assignment preparation. - New edition of a classic textbook updated and designed for today's midwifery student! - Chapters authored by experts in their field, including midwifery academics and clinicians as well as allied professionals such as researchers, physiotherapists, neonatal nurse specialists, social scientists and legal experts - Evidence and research based throughout to help facilitate safe clinical practice - Learning outcomes and key points help readers structure their study and recap on what they have learned - Reflective activities encourage the application of theory to practice - Contains practice based tools and checklists - Presents and discusses the latest national and international guidelines - Associated website with over 600 MCQs, reflective activities to encourage the application of theory to practice, case studies and additional learning tools - Downloadable image bank to assist readers with essay preparation and other assignments - Suitable for use in normal community and midwife led arenas, high tech environments and more rural areas of clinical practice - Brand new design - incorporating helpful learning features - aids reader engagement and retention of facts - Updated artwork program helps clarify complex physiological processes and other challenging concepts