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Book Review
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Volume 341:1402-1403 October 28, 1999 Number 18
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Chesley's Hypertensive Disorders in Pregnancy

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Second edition. Edited by Marshall D. Lindheimer, James M. Roberts, and F. Gary Cunningham. 654 pp., illustrated. Stamford, Conn., Appleton & Lange, 1999. $135. ISBN 0-8385-3970-X.

Preeclampsia remains a lethal enigma of pregnancy. Encompassing more than just hypertension, it can include abnormalities of platelet behavior and clotting mechanisms and of endothelial, hepatic, and renal function. The first edition of Leon Chesley's Hypertensive Disorders in Pregnancy (1978) was a scholarly monograph, written by a scientist with a passionate interest in the condition. Since then, the number of maternal deaths from preeclampsia and eclampsia per million pregnancies has been halved in developed countries. Nevertheless, preeclampsia, together with eclampsia, remains one of the two most frequently cited causes of maternal death in the West.

The second edition is a . . . [Full Text of this Article]




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