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The Book Forum
June 16, 1978

Pain Control in Obstetrics

Author Affiliations

American Medical Association Chicago

JAMA. 1978;239(24):2608. doi:10.1001/jama.1978.03280510092033

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Dr Abouleish, assisted by seven contributors, has put together a wellrounded text on pain control in obstetrics. The book is divided into three sections: anatomy and physiology of pain control in parturition, techniques of obstetric anesthesia, and care of the newborn. Throughout, there is laudable concern for the psychological impact of labor and delivery.

The basic science section deals well with the altered circulation and respiration during pregnancy, and the way the cardiovascular system compensates for anesthetic blockade. Local anesthetics and their maternal and fetal effects receive particularly detailed consideration because of their importance in obstetric anesthesia. Other aspects of parturition are presented with an eye to problems of special concern to anesthesiologists/p vomiting and aspiration, amniotic fluid embolism, placental transfer of drugs, and complete care of the neonate.

Perhaps the greatest strength of this book is the second section, where techniques of conduction anesthesia for parturition are discussed and

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