Labor, Delivery, Postpartum

Mar 1, 2007 Issue
Are Oral Betamimetics Effective Maintenance Therapies After Threatened Preterm Labor? [Cochrane for Clinicians]

There is no evidence to support the use of oral betamimetics for maintenance therapy after treatment for threatened preterm labor, and there is a risk of adverse effects with these drugs.

Dec 1, 2006 Issue
ACOG Recommends that Physicians Restrict Use of Episiotomy [Practice Guidelines]

According to a practice bulletin from the American College of Obstetricians and Gynecologists (ACOG), prophylactic use of episiotomy does not result in maternal or fetal benefit and should be restricted.

Oct 1, 2006 Issue
Expectant Management vs. Surgical Treatment for Miscarriage [Cochrane for Clinicians]

Expectant management and surgical treatment are safe and effective for first-trimester miscarriage. Among patients who choose expectant management, there is a lower rate of pelvic infection but higher rates of mild bleeding, need for unplanned surgical treatment, and incomplete miscarriage.

Jul 1, 2006 Issue
Planned Early Birth vs. Expectant Management for PROM [Cochrane for Clinicians]

Induction of labor in patients with PROM does not increase the rates of cesarean delivery or operative vaginal delivery. Among patients who are induced there is a slightly lower incidence of chorioamnionitis (relative risk [RR] 0.74; 95% confidence interval [CI], 0.56 to 0.97) and a lower rate of in...

Mar 15, 2006 Issue
Preventing Postpartum Hemorrhage: Managing the Third Stage of Labor [Article]

Postpartum hemorrhage is a significant cause of maternal morbidity and mortality. Most postpartum hemorrhages are caused by uterine atony and occur in the immediate postpartum period. Expectant or physiologic management of the third stage of labor has been compared with active management in several ...

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.

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