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High Risk Pregnancy: Management Options

Stephen R. Carr, MD
JAMA. 1995;273(3):259-260. doi:10.1001/jama.1995.03520270095051.
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I do not envy editors of medical texts. The pace at which new information accrues is rapid and ever increasing. Pity the person who has to bring together information from so many sources in a manner sufficiently timely that it is not outdated by the time it is published.

The editors of this weighty book (more than 1300 pages) have found a way to circumvent the problem of information being outdated by publication time— instead of giving minute detail for each pregnancy complication (detail that will undoubtedly change), they concentrate on an approach to management. Authors supply enough information to provide an understanding of our current state of knowledge about a particular pregnancy problem and to construct a paradigm for evaluation and treatment.

The particular details concerning a disease state may change, but the paradigm, if well constructed, is more durable over time. This type of presentation helps to construct


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