ITEMS IN AFP WITH KEYWORD:
Labor, Delivery, Postpartum
Feb 1, 2019 Issue
Complementary and Integrative Treatments for Pain Management in Labor [Cochrane for Clinicians]
There is evidence that all of the studied interventions have some benefit in labor, but the evidence is of low to very low quality. Massage, thermal interventions (warm and cold packs), relaxation techniques, yoga, and music reduce pain during latent labor, but not during active labor.
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
There is no difference in the risk of cesarean delivery in women who receive epidural analgesia before 4 to 5 cm cervical dilation compared with later dilation.
Nov 1, 2018 Issue
Effectiveness of Intrapartum Antibiotics for Meconium-Stained Amniotic Fluid [Medicine by the Numbers]
This review concluded that there is insufficient evidence to recommend prophylactic intrapartum antibiotics in laboring women with meconium-stained amniotic fluid because of the lack of difference in rates of neonatal sepsis between the antibiotic and placebo groups.
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.
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.
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.
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.
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.