Labor, Delivery, Postpartum

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.

Jun 1, 2007 Issue
Dystocia in Nulliparous Women [Article]

Dystocia is common in nulliparous women and is responsible for more than 50 percent of primary cesarean deliveries. Because cesarean delivery rates continue to rise, physicians providing maternity care should be skilled in the diagnosis, management, and prevention of dystocia. If labor is not progre...

Apr 1, 2007 Issue
ACOG Releases Guideline for Managment of Postpartum Bleeding [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) has reviewed the risks associated with postpartum hemorrhage and released recommendations on its management.

Mar 15, 2007 Issue
ACOG Releases Opinion on Inducing Labor for VBAC [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) has released an updated opinion on inducing labor for vaginal birth after cesarean delivery (VBAC). There is a continued debate regarding whether the induction of labor with or without prostaglandins increases the risk of uterine rupture during labor.

Mar 15, 2007 Issue
Prevention and Management of Postpartum Hemorrhage [Article]

Postpartum hemorrhage, the loss of more than 500 mL of blood after delivery, occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries. Although risk factors and preventive strategies are dearly documented, not all cases are expected or avoidable. Uterine ...

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