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FOURTH EDITION

Advanced Life Support Group

EDITED BY

Rosamunde Burns

Kara Dent

This fourth edition first published 2022 © 2022 John Wiley & Sons Ltd

Edition History Cambridge University Press (3e, 2014, 2e 2007, 1e 2002)

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Limit of Liability/Disclaimer of Warranty The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Richard Johanson 1957–2002

This book is dedicated to the memory of Richard Johanson, who died on 20 February 2002, before he could see this work come to fruition.

‘It’s never too late to be what you might have been’

George Eliot

This quotation had meaning for Richard – it was posted on his study wall.

Richard had two major aims in obstetrics – to avoid unnecessary intervention but to apply urgent skilled intervention when needed, and he had a gift for both. He wanted interventions to be based on the best evidence available and for there to be good audit to check that the correct processes were being followed. His experience in Stoke and overseas had given him the skills to achieve these aims. His drive was for simple emergency protocols to save the lives of mothers and babies. This led to his leadership in practice and education in labour ward emergencies.