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fetal macrosomia

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afp20200715p84.pdf

...traction of the fetal head does not lead to delivery and additional maneuvers are required to deliver the fetal shoulders.1 Shoulder dystocia is usually attributed to impaction of the anterior shoulder against the maternal symphysis after delivery of the fetal head; less commonly,...

American Family Physician

https://www.aafp.org/afp/2020/0715/afp20200715p84.pdf

Management of Postterm Pregnancy - Practice Guidelines - American Family Physician

Nov 1, 2004 - The Committee on Practice Bulletins—Obstetrics of the American College of Obstetricians and Gynecologists (ACOG) has released a new guideline entitled, Management of Postterm Pregnancy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1101/p1808.html

Screening for Gestational Diabetes Mellitus - U.S. Preventive Services Task Force - ...

Jul 15, 2003 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendation on screening for gestational diabetes and the supporting scientific evidence.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2003/0715/p331.html

afp20141201od1.pdf

December 1, 2014 USPSTF

American Family Physician

https://www.aafp.org/afp/2014/1201/afp20141201od1.pdf

afp20090701p57.pdf

...relative, history of glucose intolerance (including pre- vious gestational diabetes), marked obesity, and a previous infant with macrosomia.9 Screening Expert consensus has put forth a sequential model of testing using a 50-g nonfasting one- hour glucose challenge test between 24...

American Family Physician

https://www.aafp.org/afp/2009/0701/afp20090701p57.pdf

https://www.aafp.org/about/policies/all.pdflist.html

...Although the presence of toxic chemicals in humans’ fetal environment and milk signals the urgent need to reduce community exposure to these pollutants, the weight of the evidence indicates that breastfeeding remains the healthiest option for mothers and babies. Employment...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/policies/AAFP_AllPoliciesApril2019.pdf

Tips From Other Journals - American Family Physician

Feb 15, 2010 - ...screening pregnant women for gestational diabetes mellitus. Treating substantially elevated fasting glucose levels reduces the risk of fetal macrosomia and perinatal complications, but it is unclear whether treating mild gestational diabetes (e.g., a normal fasting glucose level,...

American Family Physician : Tip

https://www.aafp.org/afp/2010/0215/p539.html

Screening for Gestational Diabetes Mellitus: Recommendation Statement - U.S. Preventive...

Jul 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for gestational diabetes mellitus, before or after 24 weeks' gestation.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2009/0715/p173.html

Screening for Gestational Diabetes Mellitus - Putting Prevention into Practice - ...

Mar 1, 2004 - Case study: MT is a 23-year-old woman visiting your office for her initial prenatal checkup. She has a family history of diabetes and is obese. MT developed gestational diabetes mellitus (GDM) during her previous pregnancy, and because she is concerned about having GDM, she asks if she ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2004/0301/p1187.html

Clinical Briefs - Feb 15, 2003 - American Family Physician

Feb 15, 2003 - ...Although fetal macrosomia and maternal diabetes increase the risk of shoulder dystocia, a substantial number of cases occur in women who do not have diabetes and among infants weighing less than 8.8 lb (4,000 g). In one study, the presence of both diabetes and macrosomia predicted...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2003/0215/p887.html

ACOG Releases Guidelines on Management of Post-term Pregnancy - Practice Guidelines - ...

Dec 1, 2004 - Post-term pregnancy is defined as a pregnancy that has extended to or beyond 42 weeks of gestation. The American College of Obstetricians and Gynecologists (ACOG) recently issued guidelines for the clinical management of post-term pregnancy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1201/p2221.html

Management ofGestational Diabetes Mellitus - American Family Physician

...delivery, and future type 2 diabetes. In the fetus or neonate, the disorder is associated with higher rates of perinatal mortality, macrosomia, birth trauma, hyperbilirubinemia, and neo- natal hypoglycemia.5-8 Some studies9-11 have found an association between gesta- tional...

American Family Physician

https://www.aafp.org/afp/2003/1101/afp20031101p1767.pdf

AHRQ Reviews Management of Gestational Diabetes - Practice Guidelines - American Family...

Nov 15, 2008 - The Agency for Healthcare Research and Quality (AHRQ) systematically reviewed the literature on the management of gestational diabetes. Gestational diabetes is one of the most common complications of pregnancy, affecting about 7 percent of pregnancies each year in the United States.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/1115/p1217.html

afp20081015p953.pdf

...there are nonreassuring fetal heart tones. therefore, the ability to perform an opera- tive vaginal delivery with forceps or vacuum remains a vital skill for family physicians who provide maternity care. the World health organization considers operative vaginal delivery to be a...

American Family Physician

https://www.aafp.org/afp/2008/1015/afp20081015p953.pdf

Postpartum Hemorrhage: Prevention and Treatment

April 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0401/afp20170401p442.pdf

afp20070315p875.pdf

...Prevention Risk factors for postpartum hemorrhage include a prolonged third stage of labor, mul- tiple delivery, episiotomy, fetal macrosomia, and history of postpartum hemorrhage.3,4,11,12 However, postpartum hemorrhage also occurs in women with no risk factors, so physicians must...

American Family Physician

https://www.aafp.org/afp/2007/0315/afp20070315p875.pdf

afp20040801p489.pdf

...Macrosomia was associated with postprandial glucose higher than 130 mg per dL (7.2 mmol per L) between 29 and 32 weeks of gestation. Basal therapy with glargine (Lantus) provides better A1C and less nocturnal hypoglycemia when compared with bedtime NPH (Novolin N, Humulin N)....

American Family Physician

https://www.aafp.org/afp/2004/0801/afp20040801p489.pdf

ACOG Releases Report on Risk Factors, Causes and Management of Postpartum Hemorrhage - ...

Sep 15, 1998 - ...Risk factors for uterine atony include uterine overdistention secondary to hydramnios, multiple gestation, use of oxytocin, fetal macrosomia, high parity, rapid or prolonged labor, intra-amniotic infection and use of uterine-relaxing agents. Predisposing factors for placenta...

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1998/0915/p1002.html

ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery - Practice ...

Oct 1, 2004 - The American College of Obstetricians and Gynecologists (ACOG) recently issued clinical management guidelines for vaginal birth after cesarean delivery (VBAC) in various situations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1001/p1397.html

When Should Pregnant Women with Diabetes Receive Insulin? - Letters to the Editor - ...

Jan 15, 2005 - ...these levels. An article1 in American Family Physician on gestational diabetes cited limited studies claiming to reduce the frequency of macrosomia, which is an indirect measure of a rare event (such as shoulder dystocia or brachial plexus injury with permanent paralysis of an arm)....

American Family Physician : Letter

https://www.aafp.org/afp/2005/0115/p247.html

New-Onset Digital Clubbing - Photo Quiz - American Family Physician

Jul 1, 2001 - Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

American Family Physician : Photo Quiz

https://www.aafp.org/afp/2001/0701/p141.html

Clinical Briefs - Jul 1, 2001 - American Family Physician

Jul 1, 2001 - ...Previous: ACOG Issues Guidelines on Fetal Macrosomia Next: Women in Medicine View the full table of contents >> Home / Journals / afp / Vol. 64/No. 1(July 1, 2001) / Clinical Briefs: Clinical Briefs...

American Family Physician : Clinical Briefs

https://www.aafp.org/afp/2001/0701/p172.html

Tips From Other Journals - American Family Physician

Feb 15, 2003 - ...What Is the Best Management of Fetal Macrosomia? Am Fam Physician. 2003 Feb 15;67(4):838-839. A fetus estimated to weigh more than 4,000 g (8 lb, 11 oz) or above the 90th percentile weight for gestational age is regarded as macrosomic, and the risks of adverse outcomes for both mother...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0215/p838.html

Tips From Other Journals - American Family Physician

Dec 15, 2005 - ...glucose crosses the placenta, and fetal beta cells can produce insulin. If the maternal glucose level is elevated after 12 weeks of gestation, fetal insulin production increases. The growth hormone effects of this insulin lead to fetal macrosomia. About 20 percent of deliveries in...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1215/p2537a.html

afp20071001p987.pdf

...respira- tory distress, constituting more than 40 per- cent of cases.1 A benign condition, it occurs when residual pulmonary fluid remains in fetal lung tissue after delivery. Prostaglandins released after delivery dilate lymphatic vessels to remove lung fluid as pulmonary circula-...

American Family Physician

https://www.aafp.org/afp/2007/1001/afp20071001p987.pdf

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