ITEMS IN AFP WITH KEYWORD:

Labor, Delivery, Postpartum

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...


Mar 1, 2004 Issue
ACOG Releases Report on Dystocia and Augmentation of Labor [Practice Guidelines]

Dystocia is characterized by the slow and abnormal progression of labor and is the leading indication for primary cesarean delivery in the United States. The American College of Obstetricians and Gynecologists (ACOG) recently published a clinical practice guideline on dystocia and augmentation of labor.


Feb 1, 2004 Issue
ACOG Releases Guidelines for Prophylactic Antibiotic Use in Labor and Delivery [Practice Guidelines]

The American College of Obstetricians and Gynecologists (ACOG) has released a practice bulletin about the use of prophylactic antibiotics during labor and delivery. The bulletin presents a review of clinical situations in which prophylactic antibiotics frequently are prescribed and weighs the eviden...


Oct 15, 2003 Issue
Repair of Obstetric Perineal Lacerations [Article]

Family physicians who deliver babies must frequently repair perineal lacerations after episiotomy or spontaneous obstetric tears. Effective repair requires a knowledge of perineal anatomy and surgical technique. Perineal lacerations are classified according to their depth. Sequelae of obstetric lace...


Sep 15, 2003 Issue
The Nature and Management of Labor Pain: Part I. Nonpharmacologic Pain Relief [Article]

Pain in labor is a nearly universal experience for childbearing women. A recent evidence-based symposium on the nature and management of labor pain brought together family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators to discuss a series of commissioned s...


Sep 15, 2003 Issue
The Nature and Management of Labor Pain: Part II. Pharmacologic Pain Relief [Article]

A group of family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators attended an evidence-based symposium in 2001 on the nature and management of labor pain and discussed a series of systematic reviews that focused on methods of labor pain management. Parenter...


May 15, 2003 Issue
Methods for Cervical Ripening and Induction of Labor [Article]

Induction of labor is common in obstetric practice. According to the most current studies, the rate varies from 9.5 to 33.7 percent of all pregnancies annually. In the absence of a ripe or favorable cervix, a successful vaginal birth is less likely. Therefore, cervical ripening or preparedness for i...


May 15, 2003 Issue
Should Active Management of the Third Stage of Labor Be Routine? [Cochrane for Clinicians]

Active management of the third stage of labor (i.e., administration of a uterotonic medication before the placenta is delivered, early clamping and cutting of the umbilical cord, and application of controlled traction to the cord) is associated with reduced maternal blood loss, fewer cases of postpa...


Oct 1, 2002 Issue
Caregiver Support for Women During Childbirth: Does the Presence of a Labor-Support Person Affect Maternal-Child Outcomes? [Cochrane for Clinicians]

This review indicates that continuous caregiver support during childbirth has a number of benefits with minimal to no risks. It was less likely that women would need pain medications or have an operative vaginal delivery, a cesarean section, or a five-minute Apgar score of less than 7 when they had ...


Sep 1, 2002 Issue
Uterine Rupture: What Family Physicians Need to Know [Article]

Vaginal birth after cesarean section is common in this country. Physicians providing obstetric care should be aware of the potential complications. Uterine rupture occurs in approximately one of every 67 to 500 women (with one prior low-transverse incision) undergoing a trial of labor for vaginal bi...


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