Labor, Delivery, Postpartum

Feb 15, 2006 Issue
Preterm Premature Rupture of Membranes: Diagnosis and Management [Article]

Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks' gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory distress synd...

Dec 15, 2005 Issue
An Approach to the Postpartum Office Visit [Article]

The postpartum period (typically the first six weeks after delivery) may underscore physical and emotional health issues in new mothers. A structured approach to the postpartum office visit ensures that relevant conditions and concerns are discussed and appropriately addressed. Common medical compli...

Nov 15, 2005 Issue
AAFP Releases Guidelines on Trial of Labor After Cesarean Delivery [Practice Guidelines]

The American Academy of Family Physicians (AAFP) has released an evidence-based clinical practice guideline on trial of labor after cesarean delivery (TOLAC).

Oct 1, 2005 Issue
Postnatal Depression [Clinical Evidence Handbook]

What are the effects of drug and nondrug treatments?

Aug 15, 2005 Issue
Patient-Choice Cesarean Delivery [Curbside Consultation]

Patient-choice cesarean delivery, although uncommon in the United States, has become controversial in the medical literature and among pregnant women and their maternity care providers over the past three years.

Jun 15, 2005 Issue
AHRQ Review of Routine Episiotomy in Uncomplicated Births [Practice Guidelines]

A review of the use of routine episiotomy in uncomplicated vaginal births is now available from the Agency for Healthcare Research and Quality (AHRQ).

Jun 1, 2005 Issue
Umbilical Cord Clamping in Preterm Infants [Cochrane for Clinicians]

Many patients request delayed umbilical cord clamping in their birth plans. Delayed cord clamping allows continued perfusion while the baby transitions to newborn circulation. However, when an infant is high risk, physicians frequently clamp and cut the cord early to allow the neonatal resuscitation team quicker access.

May 1, 2005 Issue
Rates of Cesarean Birth and Vaginal Birth After Previous Cesarean Delivery [Practice Guidelines]

Apr 1, 2005 Issue
Effects of Discontinuing Epidurals in Late Labor [Cochrane for Clinicians]

Based on three good studies of 462 patients, discontinuing epidural analgesia in the second stage of labor does not significantly change rates of instrumented delivery or other delivery outcomes, but it increases rates of inadequate pain relief.

Mar 1, 2005 Issue
Use of Beta Agonists in Preterm Labor [Cochrane for Clinicians]

Treatment with betamimetics decreases the number of women with preterm labor who give birth within 48 hours, but it does not decrease the number of births within seven days. Limited evidence suggests that treatment with beta-mimetics does not decrease perinatal death or morbidity.

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