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Assessment and Care of the Fetus: Physiological, Clinical, and Medicolegal Principles

Jay D. Iams, MD
JAMA. 1990;264(18):2451. doi:10.1001/jama.1990.03450180117044.
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Is there a need for another obstetric text? Haven't we just seen the publication of the widely acclaimed 18th edition of Williams Obstetrics? And could any challenger to the long reign of Williams do any better than Gabbe, Niebyl, and Simpson have done with Obstetrics: Normal and Problem Pregnancies? Hasn't the definitive textbook of maternal-fetal medicine (as opposed to obstetrics, if that is possible) been recently published, in its second edition no less, by Creasy and Resnick? Why try to enter a field already filled with excellence? Eden and Boehm have produced a solid and useful text, but these questions remain unanswered after reading it.

The stated goal in the preface is a text that emphasizes fetal rather than maternal care and that emphasizes medicolegal considerations in clinical decision making. Toward the first of these ends, there are few direct references to maternal illnesses. For example, there are no specific


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