• Topic

    Labor, Delivery, and Postpartum Issues

    This collection features the best content from AFP, as identified by the AFP editors, on labor, delivery, and postpartum issues and related topics, including breastfeeding, cesarean delivery, episiotomy, labor pain management, postpartum hemorrhage, preterm labor and birth, shoulder dystocia, umbilical cord blood storage, and vaginal delivery. New research may affect the interpretation and application of this material. Clinical judgment is advised. Note that AFP content published within the past two years is accessible to AAFP members and paid subscribers only.
    Categories

    Procedures/Monitoring

    Editorials and Letters

    Emergencies

    Normal Delivery

    Management of Labor Pain

    Patient Education, Self-Care

    Postpartum Care and Complications

    Preterm Labor/Preterm Premature Rupture of the Membranes

    Abnormal Delivery

    Breastfeeding

    Procedures/Monitoring
    Jul 15, 2022 — Membrane Sweeping at Term to Induce Labor [Medicine by the Numbers]
    Feb 15, 2022 — Cervical Ripening in the Outpatient Setting [Implementing AHRQ Effective Health Care Reviews]
    Feb 15, 2022 — Cervical Ripening and Induction of Labor
    Jun 15, 2021 — Obstetric Lacerations: Prevention and Repair
    Nov 01, 2020 — Mechanical Methods of Induction of Labor [Cochrane for Clinicians]
    Aug 01, 2020 — Intrapartum Fetal Monitoring   Alg   PtEd
    May 01, 2019 — Risks of Elective Labor Induction vs. Expectant Management [FPIN's Help Desk Answers]
    Nov 01, 2018 — Effectiveness of Intrapartum Antibiotics for Meconium-Stained Amniotic Fluid [Medicine by the Numbers]
    Jul 01, 2018 — Staples vs. Sutures After Cesarean Delivery [FPIN's Help Desk Answers]
    May 15, 2018 — Maternal Obesity and Labor Induction [FPIN's Help Desk Answers]
    Mar 01, 2018 — Intercontraction Intervals for Predicting Timing of Labor Evaluation [FPIN's Help Desk Answers]
    Feb 15, 2016 — Labor Induction at Term [FPIN's Help Desk Answers]
    Feb 01, 2015 — Cesarean Delivery: Counseling Issues and Complication Management
    Sep 15, 2014 — Prostaglandins to Induce Labor in Women with Asthma [FPIN's Clinical Inquiries]
    Jun 01, 2013 — Oxytocin Augmentation During Labor with Epidural Analgesia [Cochrane for Clinicians]
    Sep 15, 2011 — Umbilical Cord Blood: A Guide for Primary Care Physicians   Alg   PtEd
    Nov 01, 2010 — Spending Time with Patients in Labor [Curbside Consultation]
    Editorials and Letters
    May 15, 2022 — Credentialing Family Physicians Who Provide Maternity Care [Editorials]
    Jun 01, 2021 — Promoting Safety in Community-Based Birth Settings [Editorials]
    Oct 15, 2019 — What Family Physicians Can Do to Reduce Maternal Mortality [Editorials]
    Dec 15, 2011 — Rationale for a 39-Week Elective Delivery Policy [Editorials]
    Sep 15, 2011 — Umbilical Cord Blood: Importance of Supporting Public Banks [Editorials]
    Feb 01, 2008 — Postpartum Appendicitis Presenting as RUQ Pain [Letters to the Editor]
    Emergencies
    May 15, 2023 — Preventing Postpartum Hemorrhage [FPIN's Clinical Inquiries]
    Apr 15, 2023 — Management of Postpartum Hemorrhage: Recommendations From FIGO [Practice Guidelines]   CME
    Jun 01, 2021 — Oxytocin as First-line Uterotonic Therapy for Postpartum Hemorrhage [Medicine by the Numbers]
    Jul 15, 2020 — Shoulder Dystocia: Managing an Obstetric Emergency   Alg
    May 01, 2020 — Tranexamic Acid for Postpartum Hemorrhage [Medicine by the Numbers]
    Sep 01, 2018 — Case Report: Successful Maternal and Fetal Outcomes After Uterine Rupture [Letters to the Editor]
    Apr 01, 2017 — Postpartum Hemorrhage: Prevention and Treatment   Alg   Tool
    Oct 01, 2015 — Reducing Obstetric Hemorrhage: Recommendations from the National Partnership for Maternal Safety [Practice Guidelines]
    Normal Delivery
    Jun 15, 2024 — Management of Spontaneous Vaginal Delivery   CME
    Apr 15, 2024 — Does Use of a Peanut Ball Improve Labor Outcomes in Patients With an Epidural? [FPIN's Clinical Inquiries]
    Aug 15, 2023 — Open Glottis During Delivery and Perineal Trauma [FPIN's Clinical Inquiries]
    Jun 01, 2021 — Out-of-Hospital Birth   PtEd
    Apr 01, 2021 — Active vs. Expectant Management in the Third Stage of Labor [Cochrane for Clinicians]
    Jan 15, 2021 — Antepartum Perineal Massage for Intrapartum Lacerations [FPIN's Help Desk Answers]
    Aug 15, 2018 — Safe Reduction of Primary Cesarean Births: National Partnership for Maternal Safety Releases Consensus Bundle [Practice Guidelines]
    Mar 01, 2016 — Controlled Cord Traction During the Third Stage of Labor [Medicine by the Numbers]
    Feb 01, 2015 — Planning for Labor and Vaginal Birth After Cesarean Delivery: Guidelines from the AAFP [Practice Guidelines]
    Mar 01, 2014 — Antenatal Perineal Massage to Prevent Birth Trauma [Cochrane for Clinicians]
    Oct 15, 2007 — Predicting the Likelihood of Successful Vaginal Birth After Cesarean Delivery [Point-of-Care Guides]   POC
    Oct 01, 2002 — Caregiver Support for Women During Childbirth: Does the Presence of a Labor-Support Person Affect Maternal-Child Outcomes? [Cochrane for Clinicians]
    Mar 01, 1998 — Examination of the Placenta
    Management of Labor Pain
    Mar 15, 2021 — Pain Management in Labor   PtEd
    Feb 01, 2019 — Complementary and Integrative Treatments for Pain Management in Labor [Cochrane for Clinicians]
    Nov 01, 2018 — Epidural Analgesia and Risk of Cesarean Delivery [FPIN's Help Desk Answers]
    Jul 01, 2018 — Effects of Prenatal Yoga on Labor Pain [FPIN's Help Desk Answers]
    Patient Education, Self-Care
    Sep 15, 2023 — Depression During and After Pregnancy: When It's More Than the Baby Blues [Information from Your Family Doctor]   FREE
    Jun 01, 2021 — Having a Baby Outside of a Hospital: What You Need to Know [Information from Your Family Doctor]
    Mar 15, 2021 — Managing Pain in Labor [Information from Your Family Doctor]
    Aug 01, 2020 — Intrapartum Fetal Monitoring [Information from Your Family Doctor]
    Aug 01, 2020 — Intrapartum Fetal Monitoring   Alg   PtEd
    Sep 15, 2018 — Helpful Tips for Breastfeeding [Information from Your Family Doctor]   PtEd
    Sep 15, 2011 — Umbilical Cord Blood [Information from Your Family Doctor]   PtEd
    Postpartum Care and Complications
    Feb 15, 2024 — Management of Postpartum Hypertensive Disorders of Pregnancy [Implementing AHRQ Effective Health Care Reviews]   CME
    Nov 15, 2023 — Postpartum Care Up to One Year After Pregnancy: A Systematic Review and Meta-Analysis [Implementing AHRQ Effective Health Care Reviews]   CME
    Sep 15, 2023 — Peripartum Depression: Detection and Treatment   CME   PtEd
    Dec 15, 2021 — Single-Dose Oral NSAIDs and Acetaminophen for Perineal Pain in the Early Postpartum Period [Cochrane for Clinicians]
    Oct 15, 2019 — Postpartum Care: An Approach to the Fourth Trimester
    Oct 01, 2019 — Perinatal Depression: AAP Policy Statement on Recognition and Management [Practice Guidelines]
    Aug 15, 2019 — Cognitive Behavior Therapy for Postpartum Depression [FPIN's Help Desk Answers]
    Sep 01, 2018 — Chewing Gum for Reducing Post-Cesarean Section Ileus [Medicine by the Numbers]
    Jun 01, 2018 — NSAIDs for Postpartum Perineal Pain [FPIN's Help Desk Answers]
    May 01, 2017 — Oral NSAIDs for Perineal Pain in the Early Postpartum Period [Medicine by the Numbers]
    Oct 01, 2015 — ACOG Releases Recommendations on Screening for Perinatal Depression [Practice Guidelines]
    Jun 01, 2014 — Psychosocial and Psychological Interventions for Preventing Postpartum Depression [Cochrane for Clinicians]
    Preterm Labor/Preterm Premature Rupture of the Membranes
    Sep 15, 2022 — Predicting and Preventing Preterm Birth: Recommendations From ACOG [Practice Guidelines]
    Sep 01, 2020 — Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of Spontaneous Preterm Birth [Diagnostic Tests]
    Aug 01, 2020 — Fetal Fibronectin Testing in Threatened Preterm Labor [Medicine by the Numbers]
    Jul 15, 2020 — Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: Recommendation Statement [U.S. Preventive Services Task Force]
    Jun 01, 2020 — Potential of Fetal Fibronectin Testing to Prevent Preterm Birth [Cochrane for Clinicians]
    Mar 15, 2017 — Preterm Labor: Prevention and Management
    Apr 01, 2015 — Magnesium Sulfate for Prevention of Preterm Birth [Cochrane for Clinicians]
    Mar 01, 2007 — Are Oral Betamimetics Effective Maintenance Therapies After Threatened Preterm Labor? [Cochrane for Clinicians]
    Abnormal Delivery
    Oct 01, 2020 — Antibiotic Prophylaxis for Operative Vaginal Delivery [Medicine by the Numbers]
    Jul 01, 2011 — Instruments for Assisted Vaginal Delivery [Cochrane for Clinicians]
    Oct 15, 2008 — Vacuum-Assisted Vaginal Delivery
    Breastfeeding
    Aug 15, 2024 — Supporting the Paradigm Shift: Watchful Waiting for Lactational Mastitis [Editorials]   FREE
    Aug 15, 2024 — Mastitis: Rapid Evidence Review   CME   DDx
    Jul 15, 2024 — Breastfeeding Support for Healthy Mothers and Infants [Cochrane for Clinicians]   CME
    Jan 15, 2024 — Breastfeeding Support for Healthy Mothers and Healthy, Term Infants [Medicine by the Numbers]
    Dec 15, 2022 — Medication Safety in Breastfeeding   CME
    Aug 01, 2019 — Skin-to-Skin Contact for Improved Duration of Breastfeeding [FPIN's Help Desk Answers]
    Sep 15, 2018 — Breastfeeding: Common Questions and Answers   PtEd
    Apr 15, 2017 — Primary Care Interventions to Support Breastfeeding: Recommendation Statement [U.S. Preventive Services Task Force]
    Apr 15, 2017 — Primary Interventions to Support Breastfeeding [Putting Prevention Into Practice]   Tool
    Jul 01, 2016 — FDA Implements New Labeling for Medications Used During Pregnancy and Lactation [Editorials]
    May 01, 2015 — The Maternal Health Benefits of Breastfeeding [Editorials]
    Jan 01, 2015 — AAFP Releases Position Paper on Breastfeeding [Practice Guidelines]

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