ITEMS IN AFP WITH KEYWORD:
Labor, Delivery, 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.
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.
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.
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.
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.
Jan 1, 2017 Issue
Membrane Sweeping to Decrease Rates of Postdate Induction [FPIN's Help Desk Answers]
In uncomplicated pregnancies, membrane sweeping at 38 to 40 weeks' gestation safely decreases the rate of postdate inductions. Membrane sweeping increases the incidence of spontaneous labor, especially in the subsequent seven days, and results in fewer pregnancies extending beyond 41 weeks.
All women should be screened for depression during and shortly after pregnancy, and depression symptoms should be distinguished from normal baby blues. Learn about available screening questionnaires and commonly prescribed antidepressants.
Antenatal dietary education appears to decrease the rate of preterm birth and increase infant birth weight among undernourished women. Providing balanced energy and protein supplements to pregnant women decreases the risk of stillbirth, low birth weight, and having an infant that is small for gestational age (number needed to treat [NNT] = 28).