ITEMS IN AFP WITH KEYWORD:
The differential diagnosis includes threatened abortion, early pregnancy loss, and ectopic pregnancy. Guidelines are available to decrease the likelihood of falsely diagnosing a nonviable pregnancy and of intervening in a desired viable pregnancy. Find out which patients can be managed expectantly and which ones should be treated medically or surgically.
Jan 1, 2019 Issue
Nausea in Pregnancy, Knee Osteoarthritis, Hormone Replacement Therapy, Shingles [AFP Clinical Answers]
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Physiologic changes in pregnancy lead to predictable problems, such as musculoskeletal aches and pains, nasal congestion, and nausea. Some problems are unrelated to the pregnancy but require special considerations because of fetal or maternal risk. The decision of whether and how to treat is based on benefits vs. potential harms and should involve shared decision making.
Participation in a prenatal yoga program may help reduce labor pain, but reported effects vary from modest to moderate.
As obesity becomes more common, it is important for all maternity care clinicians to understand the risks and associated management of obesity in pregnancy. Elevated prepregnancy weight increases the absolute risk of many adverse fetal and maternal outcomes.
Jan 15, 2018 Issue
Screening for Preeclampsia: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.
A 28-year-old white woman comes to your clinic for prenatal care reporting a new-onset severe headache. She is currently pregnant with twins at an estimated gestational age of 22 weeks. Her obstetric history is significant for one previous term singleton vaginal delivery at 24 years of age without complications.
Nov 1, 2017 Issue
Risk of Preterm Birth with Vaginal Progesterone in Twin Pregnancies [FPIN's Help Desk Answers]
Women with twin pregnancies should not routinely receive vaginal progesterone because it does not reduce the risk of preterm birth. Vaginal progesterone should be administered to reduce adverse neonatal outcomes in women with twin pregnancies and a short cervix (25 mm or less).
Alarmingly, the United States is the only developed country with a rising maternal mortality rate; women are more likely to die in or around childbirth now than 20 years ago. Regardless of community, profession, or political affiliation, this should create a sense of urgency for action and solutions.
This study found that maternal antidepressant use during the first trimester of pregnancy is associated with an increased risk of preterm birth, but not SGA, ASD, or ADHD. Another study in the same issue also reported no increased risk of ASD with in utero exposure to selective serotonin reuptake in...