Prenatal Care

May 15, 2017 Issue
Folic Acid Supplementation for the Prevention of Neural Tube Defects: Recommendation Statement [U.S. Preventive Services Task Force]

The USPSTF recommends that all women who are planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 μg) of folic acid.

Apr 1, 2017 Issue
Pruritic Rash in Pregnancy [Photo Quiz]

A pregnant woman presented with scattered periumbilical and lower extremity pruritic papules.

Apr 1, 2017 Issue
Vitamin E in Pregnancy [Medicine by the Numbers]

Vitamin E supplementation in pregnant women does not show any benefit among the most patient-important outcomes.

Mar 15, 2017 Issue
NPMS Releases Consensus Statement on Venous Thromboembolism During Pregnancy [Practice Guidelines]

The main strategy for preventing VTE-related mortality is thromboprophylaxis, but guidance regarding its use differs across specialties and organizations. For this reason, the National Partnership for Maternal Safety (NPMS), a group made up of a variety of leaders in women's health care, has created...

Feb 1, 2017 Issue
Physician's Friendship Eases Pain After Pregnancy Loss [Close-ups]

In rural communities, physicians and their patients are uniquely bonded. These relationships can be a source of encouragement and healing.

Jan 1, 2017 Issue
The CDC’s Recommendations to Help Prevent Fetal Alcohol Spectrum Disorders [Editorials]

Alcohol screening and brief intervention, coupled with regular discussion of the patient's reproductive life plan and ready access to effective contraception, can help ensure a healthier next generation while respecting women's autonomy.

Sep 15, 2016 Issue
Helping Pregnant Women Keep Their Jobs [Curbside Consultation]

At 7.5 months pregnant, my patient found herself increasingly uncomfortable at work. Her varicose veins ached from standing on the job, where she was required to work a cash register and walk prescriptions from the pharmacy to the checkout area. I wrote a note to her boss explaining that she was pre...

Sep 15, 2016 Issue
AAFP Releases Position Paper on Preconception care [Practice Guidelines]

The American Academy of Family Physicians (AAFP) has released a position paper providing evidence-based recommendations that address reproductive health care.

Jul 1, 2016 Issue
FDA Implements New Labeling for Medications Used During Pregnancy and Lactation [Editorials]

Deciding which medications to take during pregnancy and lactation can be a complex and individualized decision that should be discussed with a physician. The new PLLR can help remove some of the uncertainty clinicians and patients face by replacing the potentially confusing letter categories with a narrative structure.

Apr 1, 2016 Issue
Impact of Antenatal Dietary Education and Supplementation on Maternal and Infant Health Outcomes [Cochrane for Clinicians]

Antenatal dietary education appears to decrease the rate of preterm birth and increase infant birth weight among undernourished women. Providing balanced energy and protein supplements to pregnant women decreases the risk of stillbirth, low birth weight, and having an infant that is small for gestational age (number needed to treat [NNT] = 28).

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