ITEMS IN AFP WITH KEYWORD:

Labor, Delivery, Postpartum

Mar 1, 2012 Issue
Labor Analgesia [Article]

Regional analgesia has become the most common method of pain relief used during labor in the United States. Epidural and spinal analgesia are two types of regional analgesia. With epidural analgesia, an indwelling catheter is directed into the epidural space, and the patient receives a continuous in...


Dec 15, 2011 Issue
CDC Updates Recommendations for Contraceptive Use in the Postpartum Period [Practice Guidelines]

Initiating appropriate contraception in the postpartum period is important to avoid negative outcomes related to short birth intervals. The Centers for Disease Control and Prevention (CDC) recently reevaluated the safety of contraceptive use in the postpartum period.


Jul 1, 2011 Issue
Instruments for Assisted Vaginal Delivery [Cochrane for Clinicians]

Use of forceps is more likely to result in a vaginal delivery than use of vacuum devices (relative risk [RR] = 1.5; 95% confidence interval [CI], 1.1 to 2.2), but has a higher rate of perineal trauma, tears, pain, and incontinence, and a trend toward more cesarean deliveries. Use of metal-cup vacuum...


Jun 1, 2011 Issue
Magnesium Sulfate and Other Anticonvulsants for Women with Preeclampsia [Cochrane for Clinicians]

Magnesium sulfate should be considered first-line treatment to prevent eclamptic seizures during labor.


Jan 15, 2011 Issue
ACOG Updates Recommendations on Vaginal Birth After Previous Cesarean Delivery [Practice Guidelines]

The rate of cesarean delivery has increased dramatically in the United States over the past four decades, perpetuated somewhat by the dictum “once a cesarean, always a cesarean.” However, evidence has shown that many women who have had a cesarean delivery can safely deliver vaginally in subsequent p...


Nov 1, 2010 Issue
Spending Time with Patients in Labor [Curbside Consultation]

This scenario raises several key questions that are important not only to patient care, but also to physicians' quality of life and satisfaction with practice. First, what are the critical roles for the family physician during prenatal care, labor, and birth?


Oct 15, 2010 Issue
Postpartum Major Depression [Article]

Postpartum major depression is a disorder that is often unrecognized and must be distinguished from “baby blues.” Antenatal depressive symptoms, a history of major depressive disorder, or previous postpartum major depression significantly increase the risk of postpartum major depression. Screening...


Feb 15, 2010 Issue
Preterm Labor [Article]

Preventing preterm delivery remains one of the great challenges in modern medicine. Preterm birth rates continue to increase and accounted for 12.7 percent of all U.S. births in 2005. The etiology of preterm delivery is unclear, but is likely to be complex and influenced by genetics and environmenta...


Feb 1, 2010 Issue
Upright vs. Recumbent Maternal Position During First Stage of Labor [Cochrane for Clinicians]

Upright positions include sitting, standing, walking, and kneeling. Based on heterogenous results, women who maintained upright positions had a first stage of labor that was about one hour less than women who were supine or reclined. There were no differences in type of delivery, and there were insu...


Dec 15, 2009 Issue
Intrapartum Fetal Monitoring [Article]

Continuous electronic fetal monitoring was developed in the 1960s to assist in the diagnosis of fetal hypoxia during labor. Continuous electronic fetal monitoring has been shown to reduce the incidence of neonatal seizures, but there has been no beneficial effect in decreasing cerebral palsy or neon...


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