Download Operative Obstetrics 2nd Edition 2008 PDF

Download Operative Obstetrics 2nd Edition 2008 PDF
by John Patrick O’Grady (Author), Martin L. Gimovsky (Author), Lucy A. Bayer-Zwirello (Author), Kevin Giordano (Author)

The advancement of medical science brings continuous changes in management, methods of diagnosis and evaluation, and drug therapy.
The editors of and contributors to Operative Obstetrics Second Edition, have closely reviewed the information included in this textbook, consulted appropriate literature, and conferred with experienced clinicians in the effort to provide accurate information and practice recommendations in accordance with the generally accepted standards of medical practice. The reader is cautioned, however, that owing to the rapid changes in the science of medicine and the possibility of human error, the authors of the various chapters, the editors, and the publisher cannot guarantee that all information included in this text is in every respect complete or accurate. We do not accept responsibility for errors, omissions, or results obtained from the use of these data. For these reasons, the reader is encouraged to confirm our practice suggestions with other standard sources. Relying on his or her experience, education, and unique knowledge of the individual patient, the attending physician or certified nurse midwife must determine the best treatment for a specific obstetriccondition.
Recommended drugs and dosing schedules for various medical conditions do appear in this text. Before a drug is administered, however, cliniciansshould review standard compendia of drug information and package insertsfor any changes in drug use or additional warnings of potential adverse reactions or other precautions. To ensure patient safety, caution is especially necessary when the drug in question is new to the practitioner, infrequently administered, or has the potential for serious side effects.

The ten years since the first edition of Operative Obstetrics have witnessed considerable changes in obstetric practice. There has been a continued increase in the rate of cesarean delivery, and the use of minimally-invasive surgery has rapidly gained popularity. Social changes affecting practice have also been significant, prompting a reevaluation of the appropriateness of certain types of operations during pregnancy. This fully-updated edition includes chapters on cesarean delivery, birth injury, ectopic pregnancy, and common surgical complications. It features a new discussion of surgical procedures performed by non-physicians and an updated treatment of fetal surgery. The text also considers complicated and controversial subjects such as cervical insufficiency, pregnancy termination, instrumental delivery, and shoulder dystocia. Each of the four sections includes an in-depth analysis of the important ethical and legal issues underlying practice for the area in question. An expanded appendix reviews legal concepts pertinent to practitioners in the field of obstetrics.

E PROCESS OF EVOLUTION affects not only
the characteristics of a species but also the adaptive technology between a species and its environment.The practice of obstetrics is devoted to maximizingthe ability of each human being to confront the environment and to be part of the creative, modulating path of evolution. It is almost, if not totally, impossible to discern evolutionary human changes within our own lifetimes; however, it is a different story with the technology of our interactions. Obstetrics has changed, and it has changed rapidly. If the earth’s lifetime were compressed into a single 24-hour day, humans would have appeared only 30 seconds ago. I cannot imagine what nanocalculation would be required to measure the history of operative obstetrics, yet that incredibly short measure of geologic time is packed with a geometrically increasing collection of events and stories. The interesting and comprehensive chapter on the history of operative delivery alone is worth the price of this book. Every contemporary obstetrician should know and learn from the history of obstetrics. Some might
argue that this history is truly the past, and that operative obstetrics today is a matter of a few simple choices. Even that judgment, however, must be based on a critical analysis of the operative choices. Only then can the individual obstetrician understand the reasons behind modern decisions.
The modern focus on “evidence-based medicine” all too often fails to recognize the broad base of
knowledge that is the foundation of clinical decision making. This book is an excellent example
of the fact that medical knowledge is more than what we read in the literature. Although medicine
tests the worth of specific procedures with appropriately designed clinical studies, physicians also learn from each and every clinical experience and modify their decisions according to an understanding of the individual patient’s needs. Nowhere is this more important than in operative procedures. The authors of this book have solidified their recommendations
with a comprehensive survey of the literature, but they have filtered this knowledge through the valuable experiences of multiple clinicians, finally offering clinical advice that is meaningful and useful. Obstetric decisions today are not simpler. They are actually more complex, requiring an everexpanding knowledge base. This book provides a knowledge base of operative obstetrics derived from the accomplishments of the past and the experiences of the present. In so doing, it serves an important purpose: to assist obstetricians in achieving the objective of a successful pregnancy and a healthy newborn.

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