Items in AFP with MESH term: Cesarean Section

Management of Pregnancy Beyond 40 Weeks' Gestation - Article

ABSTRACT: A post-term or prolonged pregnancy is one that reaches 42 weeks' gestation; approximately 5 to 10 percent of pregnancies are post-term. Studies have shown a reduction in the number of pregnancies considered post-term when early ultrasound dating is performed. Maternal and fetal risks increase with gestational age, but the management of otherwise low-risk prolonged pregnancies is controversial. Antenatal surveillance with fetal kick counts, nonstress testing, amniotic fluid index measurement, and biophysical profiles is used, although no data show that monitoring improves outcomes. Studies show a reduction in the rate of cesarean deliveries and possibly in neonatal mortality with a policy of routine labor induction at 41 weeks' gestation.


Management of Suspected Fetal Macrosomia - Article

ABSTRACT: Fetal macrosomia, arbitrarily defined as a birth weight of more than 4,000 g (8 lb, 13 oz) complicates more than 10 percent of all pregnancies in the United States. It is associated with increased risks of cesarean section and trauma to the birth canal and the fetus. Fetal macrosomia is difficult to predict, and clinical and ultrasonographic estimates of fetal weight are prone to error. Elective cesarean section for suspected macrosomia results in a high number of unnecessary procedures, and early induction of labor to limit fetal growth may result in a substantial increase in the cesarean section rate because of failed inductions. Pregnancies complicated by fetal macrosomia are best managed expectantly. When labor fails to progress as expected, the possibility of fetopelvic disproportion should be considered within the context of the best estimate of the fetal weight.


The Unexpected When Expecting - Close-ups


ACOG Issues Guidelines on Fetal Macrosomia - Practice Guidelines


Patient-Choice Cesarean Delivery - Curbside Consultation


Trial of Labor After Cesarean Delivery: The Making of a Recommendation - Editorials


Cutaneous Abdominal Nodule After Cesarean Delivery - Photo Quiz


ACOG Practice Bulletin on Management of Herpes in Pregnancy - Practice Guidelines


Treatment of HSV Infection in Late Pregnancy - FPIN's Clinical Inquiries



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