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June 23, 1993

Surgical Obstetrics

Author Affiliations

Lake Forest, Ill


by Warren C. Plauché, John C. Morrison, and Mary Jo O'Sullivan, 512 pp, with illus, $85, ISBN 0-7216-3049-9, Philadelphia, Pa, WB Saunders Co, 1992.

JAMA. 1993;269(24):3161-3162. doi:10.1001/jama.1993.03500240105039

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Surgical obstetric knowledge and skill is basic to the well-rounded obstetrician, and the surgical obstetric textbook should, above all, be a lucid and precise recipe for the safe execution of practical maneuvers in obstetrics. The profession has been fortunate in having, since the advent of the accoucheur, a fine tradition of well-written, practical textbooks. The book under review, however, while fulfilling most of the requirements of up-to-date completeness and practicality, has some disappointing lapses, which will be described later.

In his preface, Dr Plauché focuses on the widespread concern that, in our present litigious climate, which has led to increasing reliance on abdominal delivery, the skills of complex vaginal delivery are being neglected in teaching, and he argues for a renaissance of these skills. In a useful chapter on clinical competence in obstetric surgery, he makes a penetrating analysis of the elements of successful teaching and explores methods of assessment