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Pregnancy Loss: Medical Therapeutics and Practical Considerations

Alex S. Tulsky, MD
JAMA. 1987;258(18):2596. doi:10.1001/jama.1987.03400180130051.
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This timely book addresses a topic that many of us would prefer to ignore and, indeed, have ignored for too many years, for reasons that are complex and even unpleasant to contemplate. In brief, it is a presentation of the psychosocioeconomic upheaval that may, and often does, accompany the loss of a pregnancy, whether by miscarriage, immaturity, prematurity, eccyesis, or stillbirth. Furthermore, it offers sound advice on recognizing this upheaval and dealing with it in the best long-range interest of the woman and her family, as well as the physician and other health care attendants.

I well remember, many years ago, from the stratospheric vantage of an obstetrics house officer in a large Eastern hospital, how odd I thought it was that a certain group of Orthodox Jews, who used that hospital for their medical needs, insisted on giving a ritual burial to what I saw simply as the first-trimester


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