Labor, Delivery, Postpartum

Sep 15, 2003 Issue
The Nature and Management of Labor Pain: Part II. Pharmacologic Pain Relief [Article]

A group of family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators attended an evidence-based symposium in 2001 on the nature and management of labor pain and discussed a series of systematic reviews that focused on methods of labor pain management. Parenter...

May 15, 2003 Issue
Methods for Cervical Ripening and Induction of Labor [Article]

Induction of labor is common in obstetric practice. According to the most current studies, the rate varies from 9.5 to 33.7 percent of all pregnancies annually. In the absence of a ripe or favorable cervix, a successful vaginal birth is less likely. Therefore, cervical ripening or preparedness for i...

May 15, 2003 Issue
Should Active Management of the Third Stage of Labor Be Routine? [Cochrane for Clinicians]

Active management of the third stage of labor (i.e., administration of a uterotonic medication before the placenta is delivered, early clamping and cutting of the umbilical cord, and application of controlled traction to the cord) is associated with reduced maternal blood loss, fewer cases of postpa...

Oct 1, 2002 Issue
Caregiver Support for Women During Childbirth: Does the Presence of a Labor-Support Person Affect Maternal-Child Outcomes? [Cochrane for Clinicians]

This review indicates that continuous caregiver support during childbirth has a number of benefits with minimal to no risks. It was less likely that women would need pain medications or have an operative vaginal delivery, a cesarean section, or a five-minute Apgar score of less than 7 when they had ...

Sep 1, 2002 Issue
Uterine Rupture: What Family Physicians Need to Know [Article]

Vaginal birth after cesarean section is common in this country. Physicians providing obstetric care should be aware of the potential complications. Uterine rupture occurs in approximately one of every 67 to 500 women (with one prior low-transverse incision) undergoing a trial of labor for vaginal bi...

Feb 1, 2002 Issue
ACOG Issues Recommendations on Assessment of Risk Factors for Preterm Birth [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) has issued new recommendations on assessing risk factors for preterm birth. These recommendations discuss risk factors, markers for predicting preterm birth, and clinical considerations.

Sep 15, 2000 Issue
Assisted Vaginal Delivery Using the Vacuum Extractor [Article]

Vacuum extractors have replaced forceps for many situations in which assistance is required to achieve vaginal delivery. Compared with metal-cup vacuum extractors, soft-cup devices are easier to use and cause fewer neonatal scalp injuries; however, they detach more frequently. Vacuum extractors can ...

Jul 15, 2000 Issue
ACOG Develops Guidelines for Induction of Labor [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) has issued new guidelines on the induction of labor, which review the current methods of cervical ripening and induction of labor and summarizes the effectiveness of each method on the basis of outcomes research.

Aug 01, 1999 Issue
Current Trends in Cervical Ripening and Labor Induction [Article]

May 1, 1999 Issue
Interpretation of the Electronic Fetal Heart Rate During Labor [Article]

Electronic fetal heart rate monitoring is commonly used to assess fetal well-being during labor. Although detection of fetal compromise is one benefit of fetal monitoring, there are also risks, including false-positive tests that may result in unnecessary surgical intervention. Since variable and in...

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