Labor, Delivery, Postpartum

Sep 1, 2018 Issue
Chewing Gum for Reducing Post-Cesarean Section Ileus [Medicine by the Numbers]

Although the current body of literature suggests a need for higher-quality, more robust research, the simplicity, frugality, and safety of chewing gum makes it a viable option to offer women undergoing cesarean section.

Aug 15, 2018 Issue
Safe Reduction of Primary Cesarean Births: National Partnership for Maternal Safety Releases Consensus Bundle [Practice Guidelines]

The National Partnership for Maternal Safety has developed a patient safety bundle that outlines important practices that every maternity unit should implement to reduce the number of primary cesarean births and improve care to increase the number of vaginal births.

Jun 1, 2018 Issue
NSAIDs for Postpartum Perineal Pain [FPIN's Help Desk Answers]

Women with third- or fourth-degree perineal lacerations or who received an episiotomy can be given oral NSAIDs to reduce perineal pain in the first six hours postpartum.

May 15, 2018 Issue
Maternal Obesity and Labor Induction [FPIN's Help Desk Answers]

Pregnant women who are obese have nearly double the rate of cesarean delivery, and obesity increases the median duration of active labor by up to four hours when labor is induced. The difference in cesarean delivery rate is larger in obese primigravida patients presenting with cervical dilation of less than 1 cm.

Mar 1, 2018 Issue
Intercontraction Intervals for Predicting Timing of Labor Evaluation [FPIN's Help Desk Answers]

Women at term who have at least 12 contractions per hour are more likely to be diagnosed with active labor within 24 hours. A reduction in the interval between contractions is associated with the onset of active labor.

Oct 15, 2017 Issue
Tranexamic Acid Decreased Death from Bleeding but Not All-Cause Mortality in Women with Postpartum Hemorrhage [POEMs]

In this really large study, tranexamic acid did not decrease the frequency of the primary outcome of death or hysterectomy in women with postpartum hemorrhage. However, there was a very small reduction in the rate of death from bleeding in the women treated with tranexamic acid.

May 1, 2017 Issue
Oral NSAIDs for Perineal Pain in the Early Postpartum Period [Medicine by the Numbers]

Oral nonsteroidal anti-inflammatory drugs were able to adequately relieve perineal pain for many postpartum women at four hours and longer.

Apr 1, 2017 Issue
Postpartum Hemorrhage: Prevention and Treatment [Article]

Rapid care from thoroughly trained teams is credited with helping to prevent and reduce the severity of postpartum hemorrhages. Components of an effective response to these life-threatening occurrences are outlined in this review.

Mar 15, 2017 Issue
Preterm Labor: Prevention and Management [Article]

Clinical diagnosis of preterm labor is made if there are regular contractions and concomitant cervical change. Learn how to determine if delivery is likely imminent and which interventions are effective.

Feb 15, 2017 Issue
Steroids at 34 to 36 Weeks’ and Before Term Cesarean Decrease Respiratory Distress Syndrome [POEMs]

For women admitted for imminent premature delivery at 34 to 36 weeks of gestation, one or two doses of betamethasone or dexamethasone (8 to 12 mg) decrease the likelihood of neonatal respiratory distress syndrome and shorten lengths of stay in the intensive care unit.

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