Thanks Jan. Yes I have forwarded the document you mentioned which, as you said is excellent, also "The Worldwide Need for Education in Nonblood Management in Obstetrics Obstetrics and Gynaecology" by J Mervyn Thomas, 1994. I don't know what else the doctor needs but, owing to different attitudes here, I'd rather give her more than she needs than to not live up to her expectations. Jan Wade from NJ has offered assistance, so I'm taking her up on her offer. Thank you again. Mark.