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fetal macrosomia

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afp20180501p559.pdf

...weight increases the absolute risk of many adverse fetal and maternal outcomes (Table 12). Obe- sity during pregnancy also increases the odds of spontaneous and recurrent miscarriages, subop- timal ultrasound screening for fetal anomalies, congenital heart and neural tube defects,...

American Family Physician

https://www.aafp.org/afp/2018/0501/afp20180501p559.pdf

The Abnormal Fontanel - American Family Physician

...toward the periphery. These irregular bone islands are remodeled into flattened sheets of bone by osteoblast and osteoclast activity. During fetal and postnatal life, the membranous bones enlarge by resorption centrally and by apposition of new layers at the edges of the sutures.5...

American Family Physician

https://www.aafp.org/afp/2003/0615/afp20030615p2547.pdf

Newborn Respiratory Distress

...Postdelivery prostaglandin release distends lymphatic vessels, which removes lung fluid as pulmonary circula- tion increases with the initial fetal breath. Cesarean delivery without labor bypasses this process and is therefore a risk factor for TTN.25 Surfactant deficiency may play...

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p994.pdf

Diabetes Mellitus: Screening and Diagnosis

January 15, 2016 Scientific

American Family Physician

https://www.aafp.org/afp/2016/0115/afp20160115p103.pdf

ACOG Releases Report on Dystocia and Augmentation of Labor - Practice Guidelines - ...

Mar 1, 2004 - Dystocia is characterized by the slow and abnormal progression of labor and is the leading indication for primary cesarean delivery in the United States. The American College of Obstetricians and Gynecologists (ACOG) recently published a clinical practice guideline on dystocia and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0301/p1290.html

ACOG Releases Guideline on Gestational Diabetes

September 15, 2014 Practice Guidelines

American Family Physician

https://www.aafp.org/afp/2014/0915/afp20140915p416.pdf

Tips From Other Journals - American Family Physician

Oct 1, 2005 - ...and fetal tolerability of mifepristone were assessed. The study included 346 patients. There were no significant differences between the treatment groups in demographics or medical and obstetric history. The main indications for labor induction were post-term, hypertension, fetal...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1001/p1384.html

Intensive Management of Gestational Diabetes - Cochrane for Clinicians - American ...

Sep 1, 2004 - There is not enough evidence to support dietary or drug treatment in patients with gestational diabetes.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0901/p866.html

Intensive Management of Gestational Diabetes - Cochrane for Clinicians - American ...

Jul 1, 2004 - ...Gestational diabetes and impaired glucose tolerance are associated with macrosomia and may be associated with increased risk for cesarean delivery, shoulder dystocia, and birth trauma. Although preexisting diabetes has been shown to increase the risk of poor perinatal outcomes, it...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0701/p84.html

Tips From Other Journals - American Family Physician

Mar 1, 2002 - ...conditions later in life and face a range of complications during pregnancy, including hypertension, preeclampsia, and cesarean delivery. Macrosomia is more common in infants exposed to GDM, as are the risks of operative delivery, shoulder dystocia, birth trauma, and obesity during...

American Family Physician : Tip

https://www.aafp.org/afp/2002/0301/p964.html

ACOG Updates Recommendations on Vaginal Birth After Previous Cesarean Delivery

...MACROSOMIA Women attempting TOLAC with a macrosomic fetus (greater than 4,000 to 4,500 g [8 lb, 13 oz to 9 lb, 15 oz]) have a lower likelihood of successful VBAC than those who have a nonmacrosomic fetus. Women who have had a previous cesarean delivery because of dystocia also...

American Family Physician

https://www.aafp.org/afp/2011/0115/afp20110115p214.pdf

Evidence-Based Prenatal Care: Part II. Third-Trimester Care and Prevention of ...

...Gestational Diabetes Gestational diabetes is associated with hyper- tensive disorders, macrosomia, shoulder dys- tocia, and higher rates of cesarean delivery and diabetes later in life for the mother. The incidence of gestational diabetes is estimated at 2 to 5 percent.51 Screening...

American Family Physician

https://www.aafp.org/afp/2005/0415/afp20050415p1555.pdf

Tips From Other Journals - American Family Physician

Jun 1, 2000 - ...Effect of Glycemic Control on Fetal Growth Am Fam Physician. 2000 Jun 1;61(11):3389-3390. Macrosomia is the major cause of fetal morbidity and mortality in women with type 1 diabetes (formerly known as insulin-dependent diabetes). Even in the best obstetric centers, up to 40...

American Family Physician : Tip

https://www.aafp.org/afp/2000/0601/p3389a.html

Labor Induction: A Decade of Change - Editorials - American Family Physician

May 15, 2003 - ...yet the change in incidence rates varies considerably by indication. Macrosomia has increased the most as an indication, 22.5-fold since 1980, despite evidence that induction for suspected macrosomia has shown potential benefit only in women with type 1 diabetes mellitus.5,6...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0515/p2076.html

Tips From Other Journals - American Family Physician

Aug 1, 2002 - ...diabetes stresses good glycemic control during pregnancy to reduce macrosomia and tight control during labor and delivery to minimize maternal and infant hypoglycemia. Taylor and colleagues studied predictors of macrosomia and neonatal hypoglycemia in 107 pregnancies in...

American Family Physician : Tip

https://www.aafp.org/afp/2002/0801/p505.html

ACOG Releases Practice Pattern on Shoulder Dystocia - Special Medical Reports - ...

May 15, 1998 - ...ACOG reports that macrosomia and maternal diabetes appear to be the two risk factors most often associated with shoulder dystocia. However, a large number of cases occur among women who do not have diabetes and among infants with birth weights of less than 4,000 g (8 lb, 13 oz)....

American Family Physician : Special Medical Reports

https://www.aafp.org/afp/1998/0515/p2546.html

Tips From Other Journals - American Family Physician

Oct 15, 2006 - ...occurs in up to 14 percent of mothers. Successful treatment of gestational diabetes is associated with reduced serious maternal and fetal morbidity. Oral glyburide (Micronase) is as effective as insulin in achieving glycemic control and is associated with birth weights similar to...

American Family Physician : Tip

https://www.aafp.org/afp/2006/1015/p1420a.html

Tips From Other Journals - American Family Physician

Oct 15, 2000 - ...sonographic examinations. The other cases included one or more indications, such as risk for macrosomia (30 mothers), risk for growth restriction (61 mothers) and suspected fetal abnormality (22 cases). Sonograms obtained before 37 weeks resulted in fewer errors in predicting true...

American Family Physician : Tip

https://www.aafp.org/afp/2000/1015/p1880.html

Tips From Other Journals - American Family Physician

Apr 15, 2001 - ...if diet alone does not normalize blood sugar levels The use of oral sulfonylureas is not recommended in pregnancy because of the risk of fetal anomalies and neonatal hypoglycemia. However, the data on which this recommendation is based are from studies with older, first-generation...

American Family Physician : Tip

https://www.aafp.org/afp/2001/0415/p1616.html

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