Labor, Delivery, Postpartum

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...

Apr 15, 1999 Issue
Postpartum Major Depression: Detection and Treatment [Article]

Postpartum major depression occurs in approximately one of 10 childbearing women and is considerably underdiagnosed. If left untreated, the disorder can have serious adverse effects on the mother and her relationship with significant others, and on the child's emotional and psychologic development. ...

Feb 1, 1999 Issue
Preterm Labor [Article]

Preterm labor is the leading cause of perinatal morbidity and mortality in the United States. It is characterized by cervical effacement and/or dilatation and increased uterine irritability before 37 weeks of gestation. Women with a history of preterm labor are at greatest risk. Strategies for reduc...

Nov 15, 1998 Issue
Epidural Analgesia During Labor [Article]

Epidural analgesia is a commonly employed technique of providing pain relief during labor. The number of parturients given intrapartum epidural analgesia is reported to be over 50 percent at many institutions in the United States. The procedure has few contraindications, the primary ones being patie...

Nov 1, 1998 Issue
Common Peripartum Emergencies [Article]

Peripartum emergencies occur in patients with no known risk factors. When the well-being of the fetus is in question, the fetal heart rate pattern may offer etiologic clues. Repetitive late decelerations may signify uteroplacental insufficiency, and a sinusoidal pattern may indicate severe fetal dis...

Sep 1, 1998 Issue
External Cephalic Version [Article]

External cephalic version is a procedure that externally rotates the fetus from a breech presentation to a vertex presentation. External version has made a resurgence in the past 15 years because of a strong safety record and a success rate of about 65 percent. Before the resurgence of the use of ex...

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