ITEMS IN AFP WITH KEYWORD:

Labor, Delivery, Postpartum

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...


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.


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