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Doody's Review ServiceReviewer: Robert S. Egerman, MD (University of Tennessee at Memphis College of Medicine)
Description: For the past quarter century, this book has been an institution for physicians in the field of maternal-fetal medicine. This fifth edition, following four years after the last, is no less a standard than the earlier editions. Again the editor has supervised the compilation of an excellent multiauthored resource. Replacing Dr. Thomas Ferris as co-editor is the renowned Dr. Thomas Duffy.
Purpose: The intent of this book is "to provide useful clinical information to the physician who cares for the pregnant woman." The text covers a broad array of diseases seen among gravidas. All aspects of internal medicine are represented and additional chapters are included on obstetric management of the high-risk patient, genetics, the skin in pregnancy, and substance abuse.
Audience: Written predominantly by internists about medical problems complicating pregnancy, the book is directed at those physicians managing pregnant women: perinatologists, general obstetricians-gynecologists, internists, and family medicine practitioners.
Features: The contributors' perspectives and experience are expressed in well written, concise chapters. Pertinent, up-to-date clinical information and therapy is given for a spectrum of diseases. The application of relatively new therapies to complicated pregnancies is addressed, including humalog insulin and low molecular weight heparin. Unlike larger tomes, the weight of the book is ideal and it can be held and read comfortably.
Assessment: Management of the ill gravida and her fetus(es) may require the expertise of several providers. Although no one text can fulfill each physician's needs regarding a given situation, this book is a good place to start. This new edition gives both the obstetrician and the internist an appreciation of the nuances of the other's field and will facilitate the administration of appropriate medical care during this vulnerable period in a woman's life.