ITEMS IN AFP WITH KEYWORD:
Low-dose aspirin—ranging from 60 to 100 mg per day—beginning as early as the second trimester decreases the risk of preeclampsia, preterm birth, and intrauterine growth retardation in women who are at high risk of preeclampsia. No harms to the mother or newborn were identified in the studies.
Induction at 41 weeks’ gestation can lead to small decreases in some risks; however, the risks of expectant management are low until 42 week’s gestation. Learn the benefits vs. risks associated with each option.
Find out how to recognize symptoms, such as bleeding and abdominal pain, and how to discuss with patients the risks and benefits of medical, surgical, or expectant management.
Which treatments are supported by evidence, and when is it appropriate to initiate pharmacologic therapy if nonpharmacologic options are ineffective?
Apr 1, 2014 Issue
Misoprostol for Incomplete First Trimester Miscarriage [Cochrane for Clinicians]
Misoprostol, administered by various routes, is as effective as expectant management and nearly as effective as uterine aspiration. All three options have high success rates for completing miscarriage. Women treated with misoprostol had higher rates of nausea, prolonged bleeding, and unplanned surge...
Thyroid disease is the second most common endocrine disorder affecting women of reproductive age, and when untreated during pregnancy is associated with an increased risk of miscarriage, placental abruption, hypertensive disorders, and growth restriction. Current guidelines recommend targeted screen...
Many elements of routine prenatal care are based on tradition and lack a firm evidence base; however, some elements are supported by more rigorous studies. Correct dating of the pregnancy is critical to prevent unnecessary inductions and to allow for accurate treatment of preterm labor. Physicians s...
Given that nearly one-half of pregnancies are unintended, preconception care should be considered an integral part of primary care for women of reproductive age. Common issues in preconception care include family planning, achieving a healthy body weight, screening and treatment for infectious disea...
Family physicians, even if not providing prenatal care, can play a critical role in maintaining current vaccinations in pregnant women. Learn which vaccinations to consider and which to avoid.
Photo Quiz presents readers with a clinical challenge based on a photograph or other image.