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       Library of Congress Cataloging‐in‐Publication Data Applied for

      Paperback ISBN: 9781119645740

      Cover Design: Wiley

      Cover Image: Courtesy of ALSG

       Richard Johanson 1957–2002

A photograph of Richard Johanson.

      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.

      Initially he organised structured training for life‐threatening obstetric emergencies in the West Midlands and in 1997 he and Charles Cox were the inspiration for developing the ‘Managing Obstetric Emergencies and Trauma’ (MOET) course, aimed at senior obstetricians and anaesthetists. A modified MOET course was taken overseas where he introduced ideas and protocols with tact and efficiency.

      He worked closely with midwives in research and in the implementation of labour ward guidelines. He organised national meetings dealing with childbirth and worked with the National Childbirth Trust and Baby Lifeline, again to promote safer childbirth without overmedicalisation. The foundation of his research charity ‘Childbirth without Fear’ aims to continue to improve the care of women during childbirth.

      Perhaps instinctively feeling that time was precious led him to achieve so much so quickly. Much of it was due to the intellectual sparking between him and his anaesthetist wife, Charlotte. They demonstrated the teamwork that is part of the philosophy of MOET.

       ‘To see a human being reveal really exceptional qualities one must be able to observe his activities over many years. If these activities are completely unselfish; if the idea motivating them is unique in its magnanimity; if it is quite certain that they have never looked for any reward; and if in addition they have left visible traces on the world – then one may say, without fear of error, that one is in the presence of an unforgettable character.’

      Jean Giono, from a short story called The Man Who Planted Trees

      Virginia Beckett

      Alastair Campbell

      Charles Cox

      Johan Creemers

      Kara Dent

      R. John Elton

      Diana Fothergill

      Simon Grant

      Brigid Hayden

      Kim Hinshaw

      Charlotte Howell

      Shirin Irani

      Geraldine Masson

      Douglas Mein

      Sara Paterson‐Brown

      Felicity Plaat

      Bheemasenachar Prasad

      Rahul Sen

      Paul Sharpe

      Contributors to third edition

Charles Cox Consultant Obstetrician and Gynaecologist, Wolverhampton
Johan Creemers Consultant Obstetrician and Gynaecologist, The Netherlands
James Drife Professor of Obstetrics and Gynaecology, Leeds
R. John Elton Consultant Anaesthetist, Coventry
Peter‐Marc Fortune Paediatric Intensive Care, Manchester
Diana Fothergill Consultant Obstetrician and Gynaecologist, Sheffield
Simon Grant Consultant Obstetrician and Gynaecologist, Bristol
Brigid Hayden Consultant Obstetrician and Gynaecologist, Bolton
Carol Henshaw Consultant in Perinatal Mental Health, Liverpool
Kim Hinshaw Consultant Obstetrician and Gynaecologist, Sunderland
Charlotte Howell Consultant Anaesthetist, Stoke‐on‐Trent
Shirin Irani Consultant Obstetrician and Gynaecologist, Birmingham
Geraldine Masson Consultant Obstetrician and Gynaecologist, Stoke‐on‐Trent
Douglas Mein Consultant Anaesthetist, New Zealand
Jane Mooney
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