EUROP. J. OBSTET. GYNEC.
REPROD.
BIOL., 1975, 5/3, 195-201.
EXCERPTA
MEDICA
Book reviews Diabetes
pregnancy and diabetes, but it is a good reference for residents, internists and pediatricians.
und Schwangerschaft
N. Hersig (ed.) Georg Thieme Verlag, Stuttgart, (ix+ 165 pp., 18 Figs., 9 Tables) DM 26.80
G. H. B. Broeders, Den Bosch
1975
Clinical Endocrinology
In the first part of this monograph the author describes the most important aspects and changes in the carbohydrate metabolism of normal and diabetic women during pregnancy. The fetal and neonatal implications of diabetes during pregnancy are reviewed. The author summarizes as briefly as possible the several topics, and gives extensive references. Yet he does not always succeed in giving adequate information, as appears from the chapter on the insulin level in blood plasma (p. 19). The second part of the book is of a practical clinical nature. Here the diagnosis and treatment of diabetes during pregnancy are discussed. A classification of the different stages of diabetes clears the confusing terminology (p. 71). The advantages and disadvantages of oral and venous glucose tolerance tests are explained properly. The scrupulous prescriptions recommended for the treatment of pregnant diabetic women emphasize the great experience of the author. Many times he insists on a multidisciplinary treatment of patients with clinical diabetes mellitus in centers, offering mother, fetus and newborns optimal treatment. A discussion about the value of biochemical analysis of the amniotic fluid and of the quantitation of steroids in the maternal plasma or urine in diabetic pregnant women is missing. The booklet concludes with a short description of the hormonal contraception in diabetic women. This monograph does not offer new leads to those who occupy themselves with the problems around
A. Labhart (ed.) Springer-Verlag, Berlin-Heidelberg-New 1974 (xxxii + 1092 pp., 400 Figs.) DM 125.-; US$51.-
York,
The total field of endocrinology is so extensive that it seems hardly possible to write a textbook on clinical endocrinology that is complete and up to date. In part the author succeeded to accomplish both objectives by keeping the chapters as short as possible but giving - at the end of each chapter -- an extensive and well-organized bibliography which includes references that are not mentioned in the text. Thus, the reader is easily referred to the literature which is important and relevant to the subjects discussed in each chapter, and as such the volume has great value as a source book. Unfortunately, however, this does not go for all the chapters. If one just glances through the chapter on the ovary (chapter X) and one looks, for example, at the figures representing profiles of steroids and gonadotropins during the normal cycle (given as excretion in urine instead of plasma values), one gets the impression that the chapter presents data that are not very up to date. This impression becomes stronger still when reading the chapter (which could be improved), and a look at the list of references confirms that this chapter was not compiled on the