Prenatal Care

May 1, 2013 Issue
Obesity in Pregnancy [Editorials]

Obesity is increasingly common among pregnant women, and it can cause significant risk to mother and fetus. Family physicians who provide prenatal care should also be familiar with recommendations for the management of obesity in pregnancy.

Mar 1, 2013 Issue
Vitamin D Supplementation for Women During Pregnancy [Cochrane for Clinicians]

In several small, low-quality trials, vitamin D supplementation in pregnancy was associated with a statistically nonsignificant trend toward a decreased risk of low birth weight. There is insufficient evidence to recommend routine vitamin D supplementation in pregnancy.

Jul 1, 2012 Issue
Prevention of Perinatal Group B Streptococcal Disease: Updated CDC Guideline [Article]

Group B streptococcus is the leading cause of early-onset neonatal sepsis in the United States. Universal screening is recommended for pregnant women at 35 to 37 weeks’ gestation. The Centers for Disease Control and Prevention recently updated its guideline for the prevention of early-onset neonatal...

Dec 15, 2011 Issue
Rationale for a 39-Week Elective Delivery Policy [Editorials]

Several organizations have called for obstetric care professionals to decrease the number of elective (non-medically indicated) deliveries before an estimated gestational age of 39 weeks to prevent iatrogenic neonatal harm. Approximately one out of every three births in the United States occurs betw...

Sep 15, 2011 Issue
Umbilical Cord Blood: Importance of Supporting Public Banks [Editorials]

Umbilical cord blood, which is rich in hematopoietic progenitor and stem cells, has become a major alternative donor source for blood and marrow transplantation in patients with leukemia, bone marrow failure, and immune disorders. In many cases, it is the only timely option for therapy.

Jul 1, 2011 Issue
Office Management of Early Pregnancy Loss [Article]

The management of early pregnancy loss used to be based largely in the hospital setting, but it has shifted to the outpatient setting, allowing women to remain under the care of their family physician throughout the miscarriage process. Up to 15 percent of recognized pregnancies end in miscarriage, ...

Jan 15, 2011 Issue
Increasing Patient Access to VBAC: New NIH and ACOG Recommendations [Editorials]

The increasing rate of cesarean deliveries and the lack of access to TOLAC have created a major public health concern. Maternal morbidity and mortality seem to be increasing in the United States, partly as a result of the increase in repeat cesarean deliveries.

Dec 15, 2010 Issue
Folic Acid for the Prevention of Neural Tube Defects: Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) recommends that all women planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 mcg) of folic acid.

Dec 15, 2010 Issue
Folic Acid for the Prevention of Neural Tube Defects [Putting Prevention into Practice]

Case study: A 36-year-old recently married woman comes to your office for a routine gynecologic examination. She tells you that she has been in generally good health since her last visit.

Sep 1, 2010 Issue
Health Effects of Prenatal Radiation Exposure [Article]

Pregnant women are at risk of exposure to nonionizing and ionizing radiation resulting from necessary medical procedures, workplace exposure, and diagnostic or therapeutic interventions before the pregnancy is known. Nonionizing radiation includes microwave, ultrasound, radio frequency, and electrom...

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