Prenatal Care

May 15, 2005 Issue
Management of Pregnancy Beyond 40 Weeks' Gestation [Article]

A post-term or prolonged pregnancy is one that reaches 42 weeks' gestation; approximately 5 to 10 percent of pregnancies are post-term. Studies have shown a reduction in the number of pregnancies considered post-term when early ultrasound dating is performed. Maternal and fetal risks increase with g...

Apr 15, 2005 Issue
Evidence-Based Prenatal Care: Part II. Third-Trimester Care and Prevention of Infectious Diseases [Article]

All pregnant women should be offered screening for asymptomatic bacteriuria, syphilis, rubella, and hepatitis B and human immunodeficiency virus infection early in pregnancy. Women at increased risk should be tested for hepatitis C infection, gonorrhea, and chlamydia. All women should be questioned ...

Apr 1, 2005 Issue
Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues [Article]

Effective prenatal care should integrate the best available evidence into a model of shared decision making. Pregnant women should be counseled about the risks of smoking and alcohol and drug use. Structured educational programs to promote breastfeeding are effective. Routine fetal heart auscultatio...

Apr 1, 2005 Issue
Pruritic Rash During Pregnancy [Photo Quiz]

Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

Dec 15, 2004 Issue
Diagnosis and Management of Preeclampsia [Article]

Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal morbidity and mortality. Preeclampsia is defined by the new onset of elevated blood pressure and proteinuri...

Oct 15, 2004 Issue
First-Trimester Screening for Genetic Defects [Practice Guidelines]

Oct 1, 2004 Issue
Blunt Trauma in Pregnancy [Article]

Trauma is the most common cause of nonobstetric death among pregnant women in the United States. Motor vehicle crashes, domestic violence, and falls are the most common causes of blunt trauma during pregnancy. All pregnant patients with traumatic injury should be assessed formally in a medical setti...

Jul 1, 2003 Issue
Nausea and Vomiting in Pregnancy [Article]

Nausea and vomiting of pregnancy, commonly known as 'morning sickness,' affects approximately 80 percent of pregnant women. Although several theories have been proposed, the exact cause remains unclear. Recent research has implicated Helicobacter pylori as one possible cause. Nausea and vomiting of ...

Jul 1, 2003 Issue
Nausea and Vomiting in Early Pregnancy [Clinical Evidence Handbook]

What are the effects of treatments for nausea and vomiting in early pregnancy? What are the effects of treatments for hyperemesis gravidarum?

Jun 15, 2003 Issue
Over-the-Counter Medications in Pregnancy [Article]

Pregnant women commonly use over-the-counter medications. Although most over-the-counter drugs have an excellent safety profile, some have unproven safety or are known to adversely affect the fetus. The safety profile of some medications may change according to the gestational age of the fetus. Beca...

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