Labor, Delivery, Postpartum

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.

Dec 1, 2004 Issue
ACOG Releases Guidelines on Management of Post-term Pregnancy [Practice Guidelines]

Post-term pregnancy is defined as a pregnancy that has extended to or beyond 42 weeks of gestation. The American College of Obstetricians and Gynecologists (ACOG) recently issued guidelines for the clinical management of post-term pregnancy.

Nov 1, 2004 Issue
Management of Postterm Pregnancy [Practice Guidelines]

The Committee on Practice Bulletins—Obstetrics of the American College of Obstetricians and Gynecologists (ACOG) has released a new guideline entitled, “Management of Postterm Pregnancy.”

Oct 1, 2004 Issue
ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) recently issued clinical management guidelines for vaginal birth after cesarean delivery (VBAC) in various situations.

Jul 15, 2004 Issue
Dystocia and Augmentation of Labor [Practice Guidelines]

Jul 1, 2004 Issue
Medical Methods for First-Trimester Abortion [Cochrane for Clinicians]

A regimen that includes mifepristone in a dosage of 200 mg administered orally, followed by misoprostol in a dosage of 800 mcg administered vaginally, is highly effective for medical abortion up to 63 days’ gestation. Side effects include bleeding, pain, nausea, vomiting, and diarrhea. Serious compl...

Apr 1, 2004 Issue
Shoulder Dystocia [Article]

Shoulder dystocia can be one of the most frightening emergencies in the delivery room. Although many factors have been associated with shoulder dystocia, most cases occur with no warning. Calm and effective management of this emergency is possible with recognition of the impaction and institution of...

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