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Anti-D in Midwifery: Panacea or Paradox? by Sara Wickham

Price: NZ$77.00 (add to order)

First published in 2001; pages165; 21.5 x 14 cms;

Index to this page:

Table of Contents; About the Author; Book Reviews

Table of Contents:

Acknowledgements vii; Chapter 1 Introduction and background 1; Chapter 2 Initial research 10; Chapter 3 Subsequent research 24; Chapter 4 The question of antenatal anti-D 37; Chapter 5 The search for midwifery evidence; Chapter 6 Philosophy and the question of iatrogenesis 63; Chapter 7 Clinical and immunological factors 73; Chapter 8 Placental physiology and the third stage 87; Chapter 9 Positive intercessions 100; Chapter 10 Supporting women making decisions 112; Chapter 11 Midwifery and medical paradigms 123; Chapter 12 Moving midwifery knowledge forward 134; Glossary 143; Bibliography 151; Index 161

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About the Author:

Sara Wickham is a Lecturer in Midwifery at Anglia Polytechnic University, United Kingdom.

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Book Reviews:

"A well researched and thought provoking theory, which must make every midwife ensure that their practice is based on evidence and not just tradition"Contemporary Nurse, Volume 10 Issue 1 2, March 2001

From the book cover:
Over the last thirty years, anti-D, or Rhogam as it is known in the USA, has become accepted as being routinely advisable for rhesus negative women. Yet the question remains that - if women's bodies are designed to give birth without intervention for the majority of the time - why is this necessary? This book explores the paradox between physiological birth and the routine 'need' for anti-D and highlights some interesting evidence which may throw light on this paradox. Are women's bodies really fallible,or could some women's need for anti-D be caused by medical intervention in childbirth? Do women being offered anti-D know that this is a blood product which may carry attendant risks? What information do women need in order to decide whether or not they will have anti-D?

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