Labor, Delivery, Postpartum

Feb 15, 2017 Issue
Steroids at 34 to 36 Weeks’ and Before Term Cesarean Decrease Respiratory Distress Syndrome [POEMs]

For women admitted for imminent premature delivery at 34 to 36 weeks of gestation, one or two doses of betamethasone or dexamethasone (8 to 12 mg) decrease the likelihood of neonatal respiratory distress syndrome and shorten lengths of stay in the intensive care unit.

Jan 1, 2017 Issue
Membrane Sweeping to Decrease Rates of Postdate Induction [FPIN's Help Desk Answers]

In uncomplicated pregnancies, membrane sweeping at 38 to 40 weeks' gestation safely decreases the rate of postdate inductions. Membrane sweeping increases the incidence of spontaneous labor, especially in the subsequent seven days, and results in fewer pregnancies extending beyond 41 weeks.

May 15, 2016 Issue
Identification and Management of Peripartum Depression [Article]

All women should be screened for depression during and shortly after pregnancy, and depression symptoms should be distinguished from normal baby blues. Learn about available screening questionnaires and commonly prescribed antidepressants.

Apr 1, 2016 Issue
Impact of Antenatal Dietary Education and Supplementation on Maternal and Infant Health Outcomes [Cochrane for Clinicians]

Antenatal dietary education appears to decrease the rate of preterm birth and increase infant birth weight among undernourished women. Providing balanced energy and protein supplements to pregnant women decreases the risk of stillbirth, low birth weight, and having an infant that is small for gestational age (number needed to treat [NNT] = 28).

Mar 1, 2016 Issue
Controlled Cord Traction During the Third Stage of Labor [Medicine by the Numbers]

The overall risk-to-benefit ratio of controlled cord traction is unclear. Find out more.

Feb 15, 2016 Issue
Labor Induction at Term [FPIN's Help Desk Answers]

Oral misoprostol (Cytotec), vaginal and intracervical prostaglandins, and mechanical methods are effective for induction of labor at term. The use of intravenous oxytocin (Pitocin) increases the risk of failure to achieve vaginal delivery at 24 hours and the risk of cesarean delivery compared with p...

Oct 1, 2015 Issue
ACOG Releases Recommendations on Screening for Perinatal Depression [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) has released recommendations on screening women for perinatal depression, with the purpose of increasing awareness of depression and lessening the effects it has on pregnant and post-partum women and their families.

Oct 1, 2015 Issue
Reducing Obstetric Hemorrhage: Recommendations from the National Partnership for Maternal Safety [Practice Guidelines]

A consensus bundle, with recommendations for reducing and managing obstetric hemorrhage and improving overall maternal care, has been published by the National Partnership for Maternal Safety.

Aug 1, 2015 Issue
Management of Spontaneous Vaginal Delivery [Article]

Most births in the United States are normal spontaneous vaginal deliveries, and most women who have had a previous cesarean delivery are candidates for a trial of labor. Learn how to help improve birth outcomes in each stage of labor.

Feb 1, 2015 Issue
Planning for Labor and Vaginal Birth After Cesarean Delivery: Guidelines from the AAFP [Practice Guidelines]

This guideline from the American Academy of Family Physicians (AAFP), which provides information on health outcomes associated with labor after cesarean delivery/vaginal birth after cesarean delivery (LAC/VBAC), replaces the 2005 guideline on trial of labor after cesarean delivery. Its purpose is to...

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