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Doody's Review ServiceReviewer: Anthony Shanks, MD (Washington University School of Medicine)
Description: This book standardizes the approach to patients with commonly encountered obstetrical problems.
Purpose: The purpose is to provide clinical algorithms for commonly observed obstetrical problems. This is certainly a worthwhile objective and the authors achieve it.
Audience: The audience is residents in training or others where speed is essential in obtaining information, such as triage.
Features: The book is divided into five sections addressing preventive health, antenatal, prenatal, and postnatal maternal and fetal complications. Two-page summaries on each issue succinctly define the problem, present current evidence and treatment options, as well as potential complications and outcomes. The two pages also include a fairly thorough algorithm for diagnosis and treatment which will be particularly helpful for interns in triage. The book is a very easy to read but thorough synopsis of work-up and management options, which reinforces management decisions. It lacks the depth to be an ultimate obstetrical resource. Ideally, this would be a pocket manual that residents could keep with them, and it would be a good book to keep in a triage setting.
Assessment: I would definitely recommend this book, particularly for interns. It might not be as useful for upper levels who are more versed in the literature and comfortable with the diagnostic and management algorithms of common triage and labor and delivery findings.