ITEMS IN AFP WITH KEYWORD:
Labor, Delivery, Postpartum
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).
Mar 1, 2016 Issue
Controlled Cord Traction During the Third Stage of Labor [Medicine by the Numbers]
Oral misoprostol (Cytotec), vaginal and intracervical prostaglandins, and mechanical methods are effective for induction of labor at term. The use of intravenous oxytocin (Pitocin) increases the risk of failure to achieve vaginal delivery at 24 hours and the risk of cesarean delivery compared with p...
Oct 1, 2015 Issue
ACOG Releases Recommendations on Screening for Perinatal Depression [Practice Guidelines]
The American College of Obstetricians and Gynecologists (ACOG) has released recommendations on screening women for perinatal depression, with the purpose of increasing awareness of depression and lessening the effects it has on pregnant and post-partum women and their families.
A consensus bundle, with recommendations for reducing and managing obstetric hemorrhage and improving overall maternal care, has been published by the National Partnership for Maternal Safety.
Most births in the United States are normal spontaneous vaginal deliveries, and most women who have had a previous cesarean delivery are candidates for a trial of labor. Learn how to help improve birth outcomes in each stage of labor.