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Book Review: Chronic Low Back Pain

Obstetric Anaesthesia; the Complicated Patient, Francis M. lames and A. Scott Wheeler; F. M. Davis & Co.; A.N.Z. Book Co. Pty. Ltd., P.O. Box 459, Brookvale, N.S.W. 2100; $61.95; pp. 372; 240 x 180. Do not be misled by the rather inelegant title; this book is a goldmine of information of the sort that is frequently difficult to find when it is urgently needed. The complicated patients are those women whose pregnancies are abnormal in some way, or who are suffering from some coincidental disease. We are told that complicated pregnancies now account for 30% of all deliveries, and the obstetric anaesthetist must appreciate the problems that may accompany these pregnancies, particularly when anaesthesia is required. As Professor Shnider states in the foreword, there has never been such widespread interest in obstetric anaesthesia as now. In the past few years, half a dozen major textbooks on this subject have been published, but "Obstetric Anaesthesia; The Complicated Patient" is a unique and significant addition to the literature. Twenty-one authors from the United States and Canada have contributed to the sixteen chapters, and unlike some multi-author texts, careful editing has ensured an even presentation and a minimum of repetition or overlap. After two chapters on Foetal Distress and Foetal Monitoring, the subject matter is divided into the major pathological areas; neurological Diseases; Cardiac Diseases; Respiratory Problems; Renal Disease and Endocrine Disease. Diabetes, Bleeding Problems and PregnancyInduced Hypertension are well discussed, and there are chapters on the purely obstetric complications of Preterm Delivery, Breech Presentation and MUltiple Gestation, and Drug Addiction in Mother, Foetus and Newborn. Each chapter stands independently as a review of current knowledge of the subject under discussion; up-to-date, succinct, and authoritative. The book is beautifully produced, with a clear standard format that is used throughout; there are extensive bibliographies after each chapter and the book is well indexed. It is a most impressive reference text that should be available to every obstetric anaesthetist.