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The management of the pregnant woman with a medical problem presents the clinician with particular problems. An understanding of how a medical disease affects pregnancy and how any pre-existing medical condition is affected by pregnancy is required. In addition the clinician must take into account the second patient - the fetus - and be aware of how drug therapy and management strategies may influence fetal well-being. With tables, bullet points and boxes of key points, this text deals with the most common and serious medical conditions encountered in pregnancy, with a chapter for each system including heart disease, hypertension, thromboembolism, diabetes, skin problems, and gastrointestinal disease. With substantially updated chapters, this text is mainly in handy note form and concentrates on the differential diagnosis of common symptoms, signs and biochemical abnormalities encountered in pregnancy.