Labor, Delivery, Postpartum

Nov 1, 2020 Issue
Mechanical Methods of Induction of Labor [Cochrane for Clinicians]

Mechanical induction of labor with single or double balloon catheters is similar to induction with vaginal prostaglandin E2 in rates of vaginal delivery achieved within 24 hours, and it has a more favorable safety profile.

Oct 1, 2020 Issue
Antibiotic Prophylaxis for Operative Vaginal Delivery [Medicine by the Numbers]

Current guidelines from the World Health Organization do not recommend routine antibiotic prophylaxis for operative vaginal birth because of insufficient evidence of effectiveness.

Sep 1, 2020 Issue
Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of Spontaneous Preterm Birth [Diagnostic Tests: What Physicians Need to Know]

Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor might benefit ...

Aug 1, 2020 Issue
Fetal Fibronectin Testing in Threatened Preterm Labor [Medicine by the Numbers]

Fetal fibronectin testing is a common clinical test, performed via cervicovaginal secretion swab after 22 weeks of pregnancy, and is used to identify women at increased risk for preterm delivery. Learn more about the benefits and harms of fetal fibronectin testing in threatened preterm labor.

Aug 1, 2020 Issue
Intrapartum Fetal Monitoring [Article]

Continuous electronic fetal monitoring was developed to screen for signs of hypoxic-ischemic encephalopathy, cerebral palsy, and impending fetal death during labor; it is appropriately used in high-risk labor. Structured intermittent auscultation can be used in low-risk labor and can lower operative vaginal and cesarean deliveries; however, structured intermittent auscultation remains difficult to implement because of perceived barriers in nurse staffing and physician oversight.

Jul 15, 2020 Issue
Shoulder Dystocia: Managing an Obstetric Emergency [Article]

Shoulder dystocia is an obstetric emergency. It can lead to neonatal brachial plexus injuries, hypoxia, and maternal trauma. Most cases occur without warning, but prior shoulder dystocia and preexisting or gestational diabetes mellitus increase risk. Each institution should consider the length of time it will take to prepare the operating room for general inhalational anesthesia and abdominal rescue and practice this during simulation exercises.

Jun 1, 2020 Issue
Potential of Fetal Fibronectin Testing to Prevent Preterm Birth [Cochrane for Clinicians]

Fetal fibronectin testing may reduce preterm birth, although the evidence is not strong enough to recommend regular testing.

May 1, 2020 Issue
Tranexamic Acid for Postpartum Hemorrhage [Medicine by the Numbers]

Postpartum hemorrhage is the most common cause of maternal death worldwide. Tranexamic acid is an antifibrinolytic agent that has shown to decrease bleeding in surgical patients and all-cause death in trauma patients. Does early administration of tranexamic acid reduce the rate of death and hysterec...

Oct 15, 2019 Issue
What Family Physicians Can Do to Reduce Maternal Mortality [Editorials]

Family physicians can catalyze efforts to ensure the safety of all people who give birth and to support well-being during the postpartum period.

Oct 15, 2019 Issue
Postpartum Care: An Approach to the Fourth Trimester [Article]

Health issues in the postpartum period may include medical complications, patient concerns, and conditions that may cause future health risks. Treating these issues during the postpartum period is important to the new mother’s immediate and long-term health. Postpartum care should be initiated within three weeks after delivery, and a full assessment should be performed within 12 weeks.

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