Obstetric Evidence-Based Guidelines, Second Edition

Obstetric Evidence-Based Guidelines, Second Edition

by Vincenzo Berghella
     
 

This book reviews the evidence for best practice in obstetrics and maternal-fetal medicine. It presents readers with the right information, in the right format, by summarizing evidence in easy-to-use tables and algorithms. Recommendations have linkage to supporting evidence, and quality of evidence and strength of recommendation is stressed. Areas of uncertainty

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Overview

This book reviews the evidence for best practice in obstetrics and maternal-fetal medicine. It presents readers with the right information, in the right format, by summarizing evidence in easy-to-use tables and algorithms. Recommendations have linkage to supporting evidence, and quality of evidence and strength of recommendation is stressed. Areas of uncertainty are recognized, and 'individualized' care suggested. Recommendations based on randomized trials and meta-analyses are highlighted so that clinical outcomes can be improved. The proper use of each guideline is aimed at "make it easy to do it right", so there is appropriate use of proven interventions and no use of harmful interventions. Plenty of evidence is available so that well-informed clinicians can reduce errors (primum non nocere), so the first aim is ultimately to improve the health of mother and fetus by providing quality care.

Editorial Reviews

Doody's Review Service
Reviewer: Anthony Shanks, MD (Washington University School of Medicine)
Description: This book covers all aspects of a typical low-risk pregnancy, including issues involving the antepartum, peripartum, and postpartum states.
Purpose: The purpose is to provide current evaluations of methods used to treat women experiencing low-risk pregnancies.
Audience: The target audience includes anyone who practices obstetrics. Residents, nurse practitioners, and well-established physicians all would find the book helpful.
Features: Separate sections cover antepartum care, labor and delivery, special deliveries (operative vaginal delivery, cesarean delivery), pregnancy complications, and the postpartum setting. There is also a section on gynecological issues related to obstetrics. Important summary points are highlighted in bold in each section, providing ready access to key information. The text flows nicely and the book overall is aesthetically pleasing, although I found myself wishing for more illustrations. The book likely is not intended to be read from beginning to end; rather, it is meant to answer a specific question. So, for example, readers curious about the benefit of oxytocin augmentation in labor would quickly turn to the pertinent chapter where they will find a summary of all of the relevant studies pertaining to that issue. The authors note that dystocia should be cautiously diagnosed earlier than 6 cm, which correlates with recent data and demonstrates how current this book is (and justifying the new edition). However, although chapter 8 presents good information, the discussion of the benefits of laboring down could have included data from Frasier et al. (AJOG 2000) that suggested an increase in low neonatal pH with delayed pushing. In addition to the index, the book provides a practical list of abbreviations.
Assessment: This is a welcome addition to a physician's library. Its use of current studies and easy-to-read format allow for easy fact-checking and referencing. Illustrations would have spruced up the book, but that is a small quibble with such a good book.
From the Publisher
"Obstetric Evidence Based Guidelines is a text that will prove useful to residents and fellows as well as to practicing obstetric clinicians. Furthermore, it can be used as a source for the development of hospital policies for the management of these obstetric problems... The major advantage of this text is that it provides guidelines for the management of commonly encountered obstetric issues in a single book."
—JAMA

"This is a welcome addition to a physician's library. Its use of current studies and easy-to-read format allow for easy fact-checking and referencing."
Doody's Review Service

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Product Details

ISBN-13:
9781841848242
Publisher:
Taylor & Francis
Publication date:
03/15/2012
Series:
Series In Maternal Fetal Medicine Series
Pages:
306
Product dimensions:
8.50(w) x 11.30(h) x 0.90(d)

What People are saying about this

From the Publisher
"Obstetric Evidence Based Guidelines is a text that will prove useful to residents and fellows as well as to practicing obstetric clinicians. Furthermore, it can be used as a source for the development of hospital policies for the management of these obstetric problems... The major advantage of this text is that it provides guidelines for the management of commonly encountered obstetric issues in a single book."
—JAMA

"This is a welcome addition to a physician's library. Its use of current studies and easy-to-read format allow for easy fact-checking and referencing."
Doody's Review Service

Meet the Author

Vincenzo Berghella, MD FACOG director, Division of Maternal–Fetal Medicine, professor, Department of Obstetrics and Gynecology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA

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