ITEMS IN AFP WITH KEYWORD:

Labor, Delivery, Postpartum

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...


Oct 15, 2008 Issue
Vacuum-Assisted Vaginal Delivery [Article]

The second stage of labor is a dynamic event that may require assistance when maternal efforts fail to effect delivery or when there are nonreassuring fetal heart tones. Therefore, knowing how to perform an operative vaginal delivery with forceps or vacuum is vital for family physicians who provide ...


Sep 1, 2008 Issue
Induction of Labor at or Beyond Term [Cochrane for Clinicians]

Fetal or neonatal deaths in women who delivered after their due date and before 42 weeks occur at a rate of less than 0.5 percent, regardless of whether labor is induced or spontaneous. Compared with awaiting spontaneous labor, inducing labor between 41 and 42 weeks is associated with fewer perinata...


Aug 1, 2008 Issue
Spontaneous Vaginal Delivery [Article]

Vaginal delivery is a natural process that usually does not require significant medical intervention. Management guided by current knowledge of the relevant screening tests and normal labor process can greatly increase the probability of an uncomplicated delivery and postpartum course. All women sho...


Jan 15, 2008 Issue
ACOG Guidelines on Premature Rupture of Membranes [Practice Guidelines]

Guidelines on the management of premature rupture of membranes (PROM) are available from the American College of Obstetricians and Gynecologists (ACOG). PROM occurs in about one third of preterm births and can lead to significant perinatal morbidity and mortality.


Oct 15, 2007 Issue
Predicting the Likelihood of Successful Vaginal Birth After Cesarean Delivery [Point-of-Care Guides]

The American College of Obstetricians and Gynecologists and the American Academy of Family Physicians recommend that pregnant women with a single previous cesarean delivery and a low-transverse incision be offered a trial of labor.


Oct 1, 2007 Issue
Repeat Cesarean Delivery vs. Planned Induction of Labor [Cochrane for Clinicians]

There are no randomized controlled trials (RCTs) of labor induction in women with a low–transverse uterine scar. Observational studies indicate that there is a small increased risk of uterine rupture and adverse fetal outcomes, especially in women induced with prostaglandins. Although induction in t...


Aug 1, 2007 Issue
Cesarean Delivery Rate Hits All-Time High [Practice Guidelines]

According to the Centers for Disease Control and Prevention (CDC), nearly one in three live births in the United States in 2005 was a cesarean delivery, marking the highest U.S. total cesarean rate ever reported.


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