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Obstetrics in Family Medicine: A Practical Guide (Current Clinical Practice)

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A few years ago, a medical student who was working with me was struck by a car while crossing the street during her lunch hour. Because she could not walk after the accident, she was taken to the emergency department for evaluation, which included an x-ray of her leg. I met her there just as the radiologist was informing her that she was pregnant. Our radiology department screens all women of childbearing age for pregnancy prior to radiological imaging.

Among the many areas of medical care, few are as potentially joyful as pregnancy. Ironically, it is also the area of medical care that produces more anxiety than almost any other for both patients and providers. As obstetrical care has become more complex and specialized, the care of pregnant women has become an area of concern for an increasingly well-trained and specialized group of providers. Anyone who cares for women, however, will eventually discover the joys and challenges of caring for pregnant women, even if only tangentially.

A significant number of providers are involved in the care of pregnant patients: nurse midwives, nurse practitioners, family physicians, and obstetricians. The list of those who will encounter pregnant patients in their practice is even longer: pediatricians, internists, surgeons, almost any provider who cares for women. An even larger number of future providers will spend some portion of their training in obstetrical settings. Obstetrics in Family Medicine: A Practical Guide is written for all providers who include women in their practice. It is particularly focused on the needs of primary care providers who provide preconception, prenatal, or labor and delivery care. It is also designed to be a concise but reasonably comprehensive resource for primary care providers who may not specifically provide such care but who often have need of such information as their patients ask for it.
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