Clinical Obstetrics: The Fetus and Mother / Edition 3

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This book was formerly known as Medicine of the Fetus and Mother and has been highly succesful in two previous editions. The change in title reflects the shift in emphasis towards clinical obstetrics and a reduction in the content of basic science. This book addresses the biology, pathology, and clinical management of disorders affecting the foetus and the mother. The illustrations, including ultrasound scans and colour plates, highlight essential diagnostic features and treatment procedures. The topics covered include: ultrasonographic diagnosis; gene therapy; cord blood sampling; and in-utero cardiac therapy. This revised edition contains new chapters on three-dimensional ultrasound, foetal stem cell therapy, and benign tumours in pregnancy. There is increased coverage of teratogens, infections, second trimester prenatal diagnosis, and foetal diseases, and a greater emphasis on labour and delivery. Also new to this edition are extensive discussions of prenatal diagnosis of congenital malformations using both invasive and noninvasive modalities. The Editors have modernised the book and increased its usefulness by the addition of 10 or so key points for reader review at the end of each chapter. This book was formerly known as Medicine of the Fetus and Mother and has been highly succesful in two previous editions. The change in title reflects the shift in emphasis towards clinical obstetrics and a reduction in the content of basic science. This book addresses the biology, pathology, and clinical management of disorders affecting the foetus and the mother. The illustrations, including ultrasound scans and colour plates, highlight essential diagnostic features and treatment procedures. The topics covered include: ultrasonographic diagnosis; gene therapy; cord blood sampling; and in-utero cardiac therapy. This revised edition contains new chapters on three-dimensional ultrasound, foetal stem cell therapy, and benign tumours in pregnancy

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Editorial Reviews

From the Publisher
"This is an excellent resource: I particularly liked the Q&A booklet which was very useful." (BMA Medical Book Competition - Programme and Award Winners, September 2008)
Doody's Review Service
Reviewer: Gilad A. Gross, MD (Washington University School of Medicine)
Description: Although this is the third edition of this book, it is the first with this title, which the authors chose to convey more strongly the notion of the fetus as a patient. This is a fairly comprehensive textbook of obstetrical practice that covers the entire gamut of the reproductive process from conception through fetal development and delivery. The content is presented in a straightforward manner with end of chapter "key points" adding a unique review of important concepts. The previous edition was published in 1992.
Purpose: The purpose is to provide a comprehensive text that covers obstetrical practice with an emphasis on the role of the fetus as a patient with issues and morbidities that are unique and separate from those of the mother. These objectives represent the backbone of obstetrics. The scope of information makes this potentially a one stop shop for obstetrical reading. For the most part, the objectives are met. Nearly all aspects of obstetrical practice are covered, but the degree to which topics are addressed is unbalanced at times and the information is not as up-to-date as it could be.
Audience: The authors target any person who is studying and practicing obstetrics, both general and perinatal practice. They hope that students/practitioners of all levels will benefit. This is a helpful resource for those studying obstetrics (students, residents) and those needing a comprehensive review (general obstetricians). In addition, it would serve someone preparing for board exams very well. However, I don't believe that the depth of information would be very helpful to the practicing perinatologist, as many topics are covered rather briefly. The authors collectively represent a highly authoritative pool.
Features: This book does a good job of covering the very early basics of conception and the complex nature of fetal development. The content is well organized and the book flows easy. The authors have done a terrific job of designing the segments and their chapters. The book has many strengths. The comprehensiveness makes it a worthwhile resource to have. The chapters are written skillfully and are easy to read. The author pool is a significant attraction. Many diagrams and figures are clever and the visuals help in understanding some difficult concepts. The ample ultrasound images are appropriate and demonstrative. End of chapter "key points" are helpful and appreciated. There are not many shortcomings, but there is a curiously disproportionate amount of text on certain topics. A glaring example is a 70-page chapter on fetal skeletal anomalies (ch. 26) compared to just 15 pages on hypertensive disease (ch. 38). Some passages are nearly identical to the first edition, yet clearly warrant an updated angle, such as the paragraphs on fetal lung maturity testing in chapter 6.
Assessment: Overall, this is a high quality book that would be valuable for anyone studying/practicing obstetrics. It is impossible to encompass the scope of an entire practice within one book, but this one does a very good job. This is valuable as an excellent starting point in a student's/practitioner's search for answers, recognizing that other sources may be needed for more depth or more up-to-date information. The newest edition has valuable contemporary information.
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Product Details

  • ISBN-13: 9781405132169
  • Publisher: Wiley
  • Publication date: 11/16/2006
  • Edition description: Revised
  • Edition number: 3
  • Pages: 1560
  • Product dimensions: 9.00 (w) x 11.20 (h) x 3.00 (d)

Meet the Author

E Albert Reece MD PhD MBA, Vice Chancellor and Dean, UAMS College of Medicine, University of Arkansas for Medical Sciences, USA. Chair of the section on pediatrics, obstetrics, and gynecology of the Institute of Medicine of the National Academies  

John C Hobbins MD, Chief of Obstetrics and Director of the Prenatal Diagnosis and Genetics Center at the University of Colorado Health Sciences Center. He is Fellow of the American College of Obstetrics and Gynecology and Subspecialty Certified in Maternal-Fetal medicine.

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Table of Contents


Overview: historical perspectives of fetal medicine.

Part I: Conception and Conceptus Development.

1 Early conceptus growth and immunobiologic adaptations of pregnancy.

Kenneth H.H. Wong and Eli Y. Adashi.

2 Normal embryonic and fetal development.

Trivedi Vidhya N. Persaud and Jean C. Hay.

Part II: Pregnancy and the Fetoplacental Unit.

3 Normal and abnormal placentation.

Soheila Korourian and Luis De Las Casas.

4 Fetoplacental perfusion and transfer of nutrients.

Henry L. Galan and Frederick C. Battaglia.

5 Endocrinology of pregnancy and the placenta.

Alan DeCherney, Jessica Spencer, Tim Chard, and Karen A. Hutchinson.

Part III: Fetal Developmental Biology.

6 Fetal lung development and amniotic fluid analysis.

Ian Gross and Matthew J. Bizzarro.

7 Fetal cardiovascular physiology and response to stress conditions.

Jean-Claude Fouron and Amanda Skoll.

8 Immunology of the fetus.

Josiah F. Wedgwood and James G. McNamara.

9 Fetal endocrinology.

Charles E. Wood and Maureen Keller-Wood.

10 Fetal hematology.

Véronique Cayol and Fernand Daffos.

Part IV: Variations in Embryonal and Fetal Growth and Development.

11 Sporadic and recurrent pregnancy loss.

Robert M. Silver and D. Ware Branch.

12 Ectopic and heterotopic pregnancies.

Arnon Wiznitzer and Eyal Sheiner.

13 Multifetal pregnancies: epidemiology, clinical characteristics, and management.

Michelle Smith-Levitin, Daniel W. Skupski, and Frank A. Chervenak.

14 Biology of normal and deviant fetal growth.

Andrée Gruslin and the late Carl A. Nimrod.

Part V: Fetal Infections and Teratogenesis.

15 Developmental toxicology, drugs, and fetal teratogenesis.

Robert L. Brent and Lynda B. Fawcett.

16 Drugs, alcohol abuse, and effects in pregnancy.

Stephen R. Carr and Donald R. Coustan.

17 Teratogenic viruses.

Antonio V. Sison.

18 Transplacentally acquired microbial infections in the fetus.

Santosh Pandipati and Ronald S. Gibbs.

19 Antibiotics and other antimicrobial agents in pregnancy and during lactation.

Janet I. Andrews and Jennifer R. Niebyl.

Part VI: Fetal Diseases.

20 Principles of human genetics: chromosomal and singlegene disorders.

Joe Leigh Simpson and Maurice J. Mahoney.

21 Genetic counseling in prenatal and perinatal medicine.

Jeff Milunsky and Aubrey Milunsky.

22 Basic principles of ultrasound.

Mladen Predanic, Frank A. Chervenak, and E. Albert Reece.

23 Prenatal diagnosis of central nervous system malformations.

Gianluigi Pilu and Sandro Gabrielli.

24 Prenatal diagnosis of thoracic and cardiac abnormalities.

Gianluigi Pilu, Philippe Jeanty, and Juliana M.B. Leite.

25 Gastrointestinal and genitourinary anomalies.

Sandro Gabrielli, Nicola Rizzo, and E. Albert Reece.

26 Fetal skeletal anomalies.

Luís F. Gonçalves, Patricia L. Devers, Jimmy Espinoza, and Roberto Romero.

27 First- and second-trimester prenatal diagnosis.

John C. Hobbins.

28 First- and second-trimester screening for open neural tube defects and Down syndrome.

James E. Haddow, Glenn E. Palomaki, and Ronald J. Wapner.

Part VII: Methods of Evaluation of Fetal Development and Well-being.

29 Prenatal diagnosis of deviant fetal growth.

E. Albert Reece and Zion J. Hagay.

30 Three- and four-dimensional ultrasound and magnetic resonance imaging in pregnancy.

Teresita L. Angtuaco.

31 Doppler ultrasonography and fetal well-being.

Brian J. Trudinger.

32 Antepartum and intrapartum surveillance of the fetus and the amniotic fluid.

Lami Yeo, Michael G. Ross, and Anthony M. Vintzileos.

Part VIII: Fetal Therapy.

33 The fetus at surgery.

Robert H. Ball and Michael R. Harrison.

34 Fetal medical treatment.

Mark I. Evans, Yuval Yaron, Charles S. Kleinman, and Alan W. Flake.

Part IX: Maternal Biological Adaptations to Pregnancy.

35 Maternal biological, biomechanical, and biochemical changes in pregnancy.

Edward K.S. Chien and Helen Feltovich.

36 Maternal nutrition.

Barbara Luke.

Part X: Maternal Diseases Complicating Pregnancy.

37 Trauma, shock, and critical care obstetrics.

Erin A.S. Clark, Gary A. Dildy, and Steven L. Clark.

38 Hypertensive diseases in pregnancy.

Frederick U. Eruo and Baha M. Sibai.

39 Cardiac diseases in pregnancy.

Kjersti Aagaard-Tillery and Steven L. Clark.

40 Maternal pulmonary disorders complicating pregnancy.

Steven L. Clark and Calla Holmgren.

41 Diabetes mellitus in pregnancy.

Carol J. Homko, Zion J. Hagay, and E. Albert Reece.

42 Endocrine disorders in pregnancy.

Fred H. Faas.

43 Gastrointestinal diseases complicating pregnancy.

Washington Clark Hill and Alfred D. Fleming.

44 Liver disease in pregnancy.

Vivek Raj.

45 Pregnancy complicated by renal disorders.

Michelle W. Krause and Sudhir V. Shah.

46 Neurological disorders in pregnancy.

R. Lee Archer, Stacy A. Rudnicki, and Bashir S. Shihabuddin.

47 Thromboembolic disorders of pregnancy.

Michael J. Paidas, Christian M. Pettker, and Charles J. Lockwood.

48 Coagulation and hematological disorders of pregnancy.

Carl P. Weiner and Chien Oh.

49 Maternal alloimmunization and fetal hemolytic disease.

Anita C. Manogura and Carl P. Weiner.

50 Maternal infections, human immunodeficiency virus infection, and sexually transmitted diseases in pregnancy.

Richard L. Sweet and Howard Minkoff.

51 Rheumatologic and connective tissue disorders in pregnancy.

Gustavo F. Leguizamón and E. Albert Reece.

52 Dermatologic disorders during pregnancy.

Thomas D. Horn and Jerri Hoskyn.

53 Cancer and other neoplasms in pregnancy.

Peter E. Schwartz and Masoud Azodi.

Part XI: Medicosocial Considerations in Pregnancy.

54 Pregnancy before age 20 years and after age 35 years.

Helen H. Kay.

55 Essentials in biostatistics and perinatal epidemiology.

Paula K. Roberson and Benjamin P. Sachs.

56 Sexuality in pregnancy and the postpartum period.

Kirsten von Sydow.

57 Psychiatric problems during pregnancy and the puerperium.

Linda L.M. Worley and Jennifer L. Melville.

58 Ethical and legal dimensions of medicine of the pregnant woman and fetus.

Judith L. Chervenak, Frank A. Chervenak, and Laurence B. McCullough.

Part XII: Obstetric and Peripartal Events.

59 Bleeding in the third trimester.

Lawrence W. Oppenheimer and the late Carl A. Nimrod.

60 Normal and abnormal labor.

Wayne R. Cohen.

61 Operative vaginal delivery.

Edward R. Yeomans.

62 Preterm labor.

Erol Amon and Thomas D. Myles.

63 Prelabor rupture of the membranes.

Joaquin Santolaya-Forgas, Roberto Romero, Jimmy Espinoza, Offer Erez, Lara A. Friel, Juan Pedro Kusanovic, Ray Bahado-Singh, and Jyh Kae Nien.

64 Prolonged pregnancy.

Curtis L. Lowery and Paul Wendel.

65 Anesthesia in the high-risk patient.

Danny Wilkerson and Richard B. Clark.

66 Puerperium and lactation: physiology of the reproductive system.

Judy M. Hopkinson, Pamela D. Berens, and E. Albert Reece.

Part XIII: The Newborn Infant.

67 Premature birth and neurological complications.

Alan Hill.

68 Common problems of the newborn.

Fernando R. Moya and Matthew Laughon.


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