ITEMS IN AFP WITH KEYWORD:
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...
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.
A pregnant woman presented with scattered periumbilical and lower extremity pruritic papules.
Vitamin E supplementation in pregnant women does not show any benefit among the most patient-important outcomes.
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...
In rural communities, physicians and their patients are uniquely bonded. These relationships can be a source of encouragement and healing.
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.