Labor, Delivery, Postpartum

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...

Feb 1, 2015 Issue
Cesarean Delivery: Counseling Issues and Complication Management [Article]

Learn about common indications; postoperative care recommendations; and early postoperative complications, which are typically infectious.

Nov 15, 2014 Issue
Self-Administered GBS Testing in Pregnant Women [FPIN's Clinical Inquiries]

There is no difference in the sensitivity of swabs for detecting GBS when collected by patients vs. physicians; therefore, either method can be used. Patients do not express a consistent preference for self-collection of samples vs. collection by a physician.

Sep 15, 2014 Issue
Prostaglandins to Induce Labor in Women with Asthma [FPIN's Clinical Inquiries]

There is little evidence evaluating whether prostaglandins used to induce labor increase the risk of bronchospasm in patients with asthma. The use of dinoprostone to induce labor is not associated with asthma exacerbations or reduced oxygen saturation in patients with active asthma or a history of asthma.

Jun 1, 2014 Issue
Psychosocial and Psychological Interventions for Preventing Postpartum Depression [Cochrane for Clinicians]

A range of prevention strategies can reduce the risk of postpartum depression, but more study is needed to determine which interventions are most effective.

Mar 1, 2014 Issue
Antenatal Perineal Massage to Prevent Birth Trauma [Cochrane for Clinicians]

Antenatal digital perineal massage in the final month of pregnancy is safe and well tolerated. Women who have not had a previous vaginal delivery and perform digital perineal massage in the final month of pregnancy experience less perineal birth trauma, mostly through fewer episiotomies, than those ...

Mar 1, 2014 Issue
Pelvic Floor Muscle Training Does Not Reduce Postpartum Urinary Incontinence [POEMs]

This intervention, which included primiparous women with and without urinary incontinence at six weeks post-partum, demonstrated that intensive supervised pelvic floor muscle training did not reduce the prevalence of urinary incontinence at six months. These results are noteworthy because the trial was well designed and the results were unexpected.

Jun 1, 2013 Issue
Oxytocin Augmentation During Labor with Epidural Analgesia [Cochrane for Clinicians]

Oxytocin augmentation does not reduce the frequency of cesarean delivery, instrumental vaginal delivery, or the combined outcome of both. Oxytocin also has no effect on low five-minute Apgar scores, postpartum hemorrhage, uterine hyperstimulation, or neonatal intensive care unit admission.

Jun 1, 2013 Issue
Contraceptive Education for Women After Childbirth [Cochrane for Clinicians]

Postpartum education may increase contraceptive use and reduce unplanned repeat pregnancies, although the evidence is mixed. The optimal timing and content of educational programs are not known.

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