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Management of Spontaneous Abortion - American Family Physician

Oct 1, 2005 - Spontaneous abortion, which is the loss of a pregnancy without outside intervention before 20 weeks' gestation, affects up to 20 percent of recognized pregnancies. Spontaneous abortion can be subdivided into threatened abortion, inevitable abortion, incomplete abortion, missed abortion,...

American Family Physician : Article

https://www.aafp.org/afp/2005/1001/p1243.html

Management of Suspected Fetal Macrosomia - American Family Physician

Jan 15, 2001 - Fetal macrosomia, arbitrarily defined as a birth weight of more than 4,000 g (8 lb, 13 oz) complicates more than 10 percent of all pregnancies in the United States. It is associated with increased risks of cesarean section and trauma to the birth canal and the fetus. Fetal macrosomia is...

American Family Physician : Article

https://www.aafp.org/afp/2001/0115/p302.html

Management Options for Early Incomplete Miscarriage - Cochrane for Clinicians - ...

Feb 1, 2011 - For the management of incomplete miscarriage, limited-quality evidence shows that medical treatment with misoprostol (Cytotec), expectant care, and surgical evacuation have a completion of miscarriage success rate between 80 to 99 percent in pregnancies at less than 13 weeks' ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0201/p258.html

Managing Chronic Hypertension in Pregnant Women: ACOG Releases Updated Practice ... Restricted content. Login required.

Dec 15, 2019 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated practice bulletin to outline diagnosis, effects on pregnancy outcomes, and approaches for management based on new evidence.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1215/p782.html

Maternal Obesity and Labor Induction - FPIN's Help Desk Answers - American Family ...

May 15, 2018 - Pregnant women who are obese have nearly double the rate of cesarean delivery, and obesity increases the median duration of active labor by up to four hours when labor is induced. The difference in cesarean delivery rate is larger in obese primigravida patients presenting with cervical ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0515/p671.html

Maternal Pertussis Vaccination During Pregnancy - FPIN's Help Desk Answers - American ...

Apr 1, 2019 - Women should receive the Tdap vaccine during pregnancy regardless of previous immunization history. Infants whose mothers received prenatal immunization had 50% fewer cases of pertussis compared with those whose mothers received postpartum immunization.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2019/0401/p454.html

Maternal Serum Triple Analyte Screening in Pregnancy - American Family Physician

Mar 1, 2002 - According to the American College of Obstetricians and Gynecologists, it has become standard in prenatal care to offer screening tests for neural tube defects and genetic abnormalities. There have been some changes in the recommended method of prenatal screening over the past few years,...

American Family Physician : Article

https://www.aafp.org/afp/2002/0301/p915.html

Maternal Serum Triple Analyte Screening in Pregnancy - Editorials - American Family ...

Aug 15, 2000 - Advertisement << Previous article Next article >> Aug 15, 2000 Issue Editorials Maternal Serum Triple Analyte Screening in Pregnancy SARA CATE, M.D., Central Washington Family Medicine, Yakima, Washington Am Fam Physician. 2000 Aug 15;62(4):738-740. Related Article Genetic...

American Family Physician : Editorials

https://www.aafp.org/afp/2000/0815/p738.html

Medical Methods for First-Trimester Abortion - Cochrane for Clinicians - American ...

Jul 1, 2004 - A regimen that includes mifepristone in a dosage of 200 mg administered orally, followed by misoprostol in a dosage of 800 mcg administered vaginally, is highly effective for medical abortion up to 63 days’ gestation. Side effects include bleeding, pain, nausea, vomiting, and diarrhea. ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2004/0701/p81.html

Membrane Sweeping to Decrease Rates of Postdate Induction - FPIN's Help Desk Answers - ...

Jan 1, 2017 - In uncomplicated pregnancies, membrane sweeping at 38 to 40 weeks' gestation safely decreases the rate of postdate inductions. Membrane sweeping increases the incidence of spontaneous labor, especially in the subsequent seven days, and results in fewer pregnancies extending beyond 41 ...

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/0101/p35.html

Metformin for Improving Maternal and Infant Outcomes in Pregnant Women Who Are Obese - ...

Mar 1, 2019 - This meta-analysis showed no clear benefit for metformin in reducing the risk of large for gestational age infants. Additionally, there was no difference in important secondary outcomes such as gestational diabetes, hypertensive disease in pregnancy, shoulder dystocia, advanced perineal...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0301/od1.html

Micronutrient Supplementation During Pregnancy - FPIN's Clinical Inquiries - American ...

Aug 1, 2015 - A multimicronutrient supplement is an oral tablet containing the recommended daily allowance of several vitamins and minerals. The World Health Organization does not recommend multimicronutrient supplementation because of the potential for increased neonatal mortality in some situations.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0801/p222.html

Mifepristone Pretreatment Improves Success Rate of Misoprostol for Early Pregnancy Loss...

Dec 1, 2018 - In women with early pregnancy loss between five and 12 weeks' gestation, pretreatment with 200 mcg of oral mifepristone before 800 mcg of vaginal misoprostol increases the likelihood of successful expulsion of the gestational sac.

American Family Physician : POEMs

https://www.aafp.org/afp/2018/1201/p683a.html

Misoprostol for Incomplete First Trimester Miscarriage - Cochrane for Clinicians - ...

Apr 1, 2014 - 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 ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0401/p523.html

Nausea and Vomiting in Early Pregnancy - Clinical Evidence Handbook - American Family ...

Sep 15, 2015 - What are the effects of treatment for hyperemesis gravidarum and nausea and vomiting in early pregnancy?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2015/0915/p516.html

Nausea and Vomiting in Early Pregnancy - Clinical Evidence Handbook - American Family ...

Jul 1, 2003 - What are the effects of treatments for nausea and vomiting in early pregnancy? What are the effects of treatments for hyperemesis gravidarum?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2003/0701/p143.html

Nausea and Vomiting in Pregnancy - American Family Physician

Jul 1, 2003 - Nausea and vomiting of pregnancy, commonly known as 'morning sickness,' affects approximately 80 percent of pregnant women. Although several theories have been proposed, the exact cause remains unclear. Recent research has implicated Helicobacter pylori as one possible cause. Nausea and...

American Family Physician : Article

https://www.aafp.org/afp/2003/0701/p121.html

Nausea and Vomiting of Pregnancy - American Family Physician

Jun 15, 2014 - Nausea and vomiting of pregnancy affects nearly 75% of pregnant women. The exact cause is unknown. In most cases, it is a mild, self-limited condition that can be controlled with conservative measures and has no adverse fetal sequelae. About 1% of women develop hyperemesis gravidarum, ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0615/p965.html

NHBPEP Report on High Blood Pressure in Pregnancy: A Summary for Family Physicians - ...

Jul 15, 2001 - The National High Blood Pressure Education Program's Working Group on High Blood Pressure in Pregnancy recently issued a report implicating hypertension as a complication in 6 to 8 percent of pregnancies. Hypertension in pregnancy is related to one of four conditions: (1) chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0715/p263.html

NPMS Releases Consensus Statement on Venous Thromboembolism During Pregnancy - Practice...

Mar 15, 2017 - The main strategy for preventing VTE-related mortality is thromboprophylaxis, but guidance regarding its use differs across specialties and organizations. For this reason, the National Partnership for Maternal Safety (NPMS), a group made up of a variety of leaders in women's health ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0315/p397.html

Obesity in Pregnancy - Editorials - American Family Physician

May 1, 2013 - 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.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0501/p606.html

Obesity in Pregnancy: Risks and Management - Editorials - American Family Physician

May 1, 2018 - As obesity becomes more common, it is important for all maternity care clinicians to understand the risks and associated management of obesity in pregnancy. Elevated prepregnancy weight increases the absolute risk of many adverse fetal and maternal outcomes.

American Family Physician : Editorials

https://www.aafp.org/afp/2018/0501/p559.html

Obstetric Care of Patients with HIV Disease - American Family Physician

Jan 1, 2001 - Appropriate management of pregnant patients who have human immunodeficiency virus (HIV) disease can have a major impact on maternal and infant health. The goals of therapy are to properly manage the pregnancy, treat the maternal HIV infection and minimize the risk of vertical ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0101/p107.html

Office Management of Early Pregnancy Loss - American Family Physician

Jul 1, 2011 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2011/0701/p75.html

Options for Women with Unintended Pregnancy - American Family Physician

Apr 15, 2015 - Unintended pregnancy refers to unwanted, unplanned, or mistimed pregnancies. One-half of all pregnancies in the United States are unintended, and family physicians are often asked to provide counseling, support, and resources for women with unintended pregnancies. Options include ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0415/p544.html

Oral Health During Pregnancy - American Family Physician

Apr 15, 2008 - Oral health care in pregnancy is often avoided and misunderstood by physicians, dentists, and patients. Evidence-based practice guidelines are still being developed. Research suggests that some prenatal oral conditions may have adverse consequences for the child. Periodontitis is ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0415/p1139.html

Over-the-Counter Medications in Pregnancy - American Family Physician

Oct 15, 2014 - Many pregnant women take over-the-counter (OTC) medications despite the absence of randomized controlled trials to guide their use during pregnancy. Most data come from case-control and cohort studies. In 1979, the U.S. Food and Drug Administration began reviewing all prescription and ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1015/p548.html

Over-the-Counter Medications in Pregnancy - American Family Physician

Jun 15, 2003 - Pregnant women commonly use over-the-counter medications. Although most over-the-counter drugs have an excellent safety profile, some have unproven safety or are known to adversely affect the fetus. The safety profile of some medications may change according to the gestational age of ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2517.html

Perinatal HIV Testing - Editorials - American Family Physician

Mar 1, 2002 - Advertisement << Previous article Next article >> Mar 1, 2002 Issue Editorials Perinatal HIV Testing RICHARD D. FELDMAN, M.D., Indianapolis St. Francis Family Practice Residency Beech Grove, Indiana Am Fam Physician. 2002 Mar 1;65(5):791-795. What is the best approach to achieve...

American Family Physician : Editorials

https://www.aafp.org/afp/2002/0301/p791.html

Placental Alpha Macroglobulin-1 (PartoSure) Immunoassay to Assess the Risk of ... Restricted content. Login required.

Sep 1, 2020 - Placental alpha macroglobulin-1 (PartoSure) is an immunoassay that measures the presence of placental alpha macroglobulin-1 (PAMG-1). PartoSure is used to assess the risk of spontaneous preterm birth and may be a useful adjunct to determine which patients with threatened preterm labor ...

American Family Physician : Diagnostic Tests: What Physicians Need to Know

https://www.aafp.org/afp/2020/0901/p269.html

Planning for Labor and Vaginal Birth After Cesarean Delivery: Guidelines from the AAFP ...

Feb 1, 2015 - This guideline from the American Academy of Family Physicians (AAFP), which provides information on health outcomes associated with labor after cesarean delivery/vaginal birth after cesarean delivery (LAC/VBAC), replaces the 2005 guideline on trial of labor after cesarean delivery. Its ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0201/p197.html

Potential of Fetal Fibronectin Testing to Prevent Preterm Birth - Cochrane for ... Restricted content. Login required.

Jun 1, 2020 - Fetal fibronectin testing may reduce preterm birth, although the evidence is not strong enough to recommend regular testing.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0601/p652.html

Practice Guidelines - Apr 15, 2006 - American Family Physician

Apr 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released an opinion statement on issues specific to pregnancy in obese women. Women who are obese are at increased risk of complications of pregnancy such as gestational hypertension and diabetes, preeclampsia, fetal ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0415/p1471.html

Practice Guidelines - Apr 15, 2006 - American Family Physician

Apr 15, 2006 - The American College of Obstetricians and Gynecologists (ACOG) has released recommendations for screening for Tay-Sachs disease.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/0415/p1471a.html

Practice Guidelines - Aug 1, 2004 - American Family Physician

Aug 1, 2004 - Advertisement << Previous article Next article >> Aug 1, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Aug 1;70(3):601. Nausea and Vomiting in Pregnancy The American College of Obstetricians and Gynecologists (ACOG) has released a new...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p601.html

Practice Guidelines - Aug 1, 2004 - American Family Physician

Aug 1, 2004 - Advertisement << Previous article Next article >> Aug 1, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Aug 1;70(3):601. Use of Transcranial Doppler Ultrasonography The Therapeutics and Technology Assessment Subcommittee of the American...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p601a.html

Practice Guidelines - Aug 1, 2004 - American Family Physician

Aug 1, 2004 - Advertisement << Previous article Next article >> Aug 1, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Aug 1;70(3):601-602. Increases in Fluoroquinolone-Resistant Neisseria Gonorrhoeae The Centers for Disease Control and Prevention (CDC) has...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p601b.html

Practice Guidelines - Aug 15, 2007 - American Family Physician

Aug 15, 2007 - New guidelines on the use of selective serotonin reuptake inhibitors (SSRIs) during pregnancy are available from the American College of Obstetricians and Gynecologists (ACOG).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0815/p587.html

Practice Guidelines - Aug 15, 2007 - American Family Physician

Aug 15, 2007 - The Centers for Disease Control and Prevention (CDC) has released a report on the racial differences in patients with end-stage renal disease (ESRD).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0815/p587a.html

Practice Guidelines - Mar 15, 2007 - American Family Physician

Mar 15, 2007 - The American College of Obstetricians and Gynecologists (ACOG) has released an updated opinion on inducing labor for vaginal birth after cesarean delivery (VBAC). There is a continued debate regarding whether the induction of labor with or without prostaglandins increases the risk of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0315/p931a.html

Practice Guidelines - Mar 15, 2007 - American Family Physician

Mar 15, 2007 - The Centers for Disease Control and Prevention (CDC) has published a report on vaccination coverage of children entering school. It analyzed data from 48 states and the District of Columbia for the 2005–2006 school year to determine vaccination rates among children entering school.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0315/p931.html

Practice Guidelines - Oct 1, 2006 - American Family Physician

Oct 1, 2006 - The Centers for Disease Control and Prevention (CDC) analyzed data from the 2004 National Immunization Survey to find current estimates of racial and economic disparities in breastfeeding in the United States.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1001/p1230.html

Practice Guidelines - Oct 1, 2006 - American Family Physician

Oct 1, 2006 - The American College of Obstetricians and Gynecologists (ACOG) Committee on Gynecologic Practice has reviewed the risks of tamoxifen in postmenopausal women and released recommendations on its use in this population.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2006/1001/p1230a.html

Practice Guidelines - Oct 15, 2004 - American Family Physician

Oct 15, 2004 - Advertisement << Previous article Next article >> Oct 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Oct 15;70(8):1592. First-Trimester Screening for Genetic Defects The Committee on Genetics of the American College of Obstetricians and...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1015/p1592.html

Practice Guidelines - Oct 15, 2004 - American Family Physician

Oct 15, 2004 - Advertisement << Previous article Next article >> Oct 15, 2004 Issue Practice Guideline Briefs CARRIE MORANTZ BRIAN TORREY Am Fam Physician. 2004 Oct 15;70(8):1592-1594. CDC Report on Cancer Mortality Surveillance The National Center for Chronic Disease Prevention and Health...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/1015/p1592a.html

Practice Guidelines - Oct 15, 2005 - American Family Physician

Oct 15, 2005 - The Agency for Healthcare Research and Quality (AHRQ) has published an updated version of evidence-based clinical guidelines from the U.S. Preventive Services Task Force (USPSTF).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1015/p1614.html

Practice Guidelines - Oct 15, 2005 - American Family Physician

Oct 15, 2005 - The Centers for Disease Control and Prevention (CDC) has released its report on assisted reproductive technology (ART) procedures conducted in the United States in 2002.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1015/p1614a.html

Predicting the Likelihood of Successful Vaginal Birth After Cesarean Delivery - ...

Oct 15, 2007 - The American College of Obstetricians and Gynecologists and the American Academy of Family Physicians recommend that pregnant women with a single previous cesarean delivery and a low-transverse incision be offered a trial of labor.

American Family Physician : Point-of-Care Guides

https://www.aafp.org/afp/2007/1015/p1192.html

Preeclampsia, Eclampsia, and Hypertension - Clinical Evidence Handbook - American ...

May 15, 2009 - What are the effects of preventive interventions in women at risk of preeclampsia? What are the effects of interventions in women who develop mild to moderate hypertension during pregnancy? What are the effects of interventions in women who develop severe preeclampsia or very high blood...

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2009/0515/p895.html

Pregnancy Myths and Practical Tips - American Family Physician Restricted content. Login required.

Oct 1, 2020 - For many patients, pregnancy is a highly anticipated and exciting phase of life, but it can also be anxiety provoking. Family physicians can resolve some of this anxiety and promote maternal and fetal health by making specific recommendations at prenatal visits. A daily prenatal vitamin...

American Family Physician : Article

https://www.aafp.org/afp/2020/1001/p420.html

Prenatal Care: Examining the Evidence for an Evolving Paradigm - Editorials - American ...

Apr 1, 2005 - Advertisement << Previous article Next article >> Apr 1, 2005 Issue Editorials Prenatal Care: Examining the Evidence for an Evolving Paradigm YINKA OYELESE, M.D., Robert Wood Johnson Medical School at the University of Medicine and Dentistry of New Jersey, New Brunswick, New Jersey...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/0401/p1264.html

Preterm Labor - American Family Physician

Feb 1, 1999 - Preterm labor is the leading cause of perinatal morbidity and mortality in the United States. It is characterized by cervical effacement and/or dilatation and increased uterine irritability before 37 weeks of gestation. Women with a history of preterm labor are at greatest risk. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0201/p593.html

Preterm Labor: Diagnosis and Treatment - American Family Physician

May 15, 1998 - Preterm labor and delivery are among the most challenging obstetric complications encountered by the family physician. In the United States, preterm delivery affects approximately one in 10 births and is the cause of at least 75 percent of neonatal deaths, excluding those related to ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2457.html

Preterm Premature Rupture of Membranes: Diagnosis and Management - American Family ...

Feb 15, 2006 - Preterm premature rupture of membranes is the rupture of membranes during pregnancy before 37 weeks' gestation. It occurs in 3 percent of pregnancies and is the cause of approximately one third of preterm deliveries. It can lead to significant perinatal morbidity, including respiratory ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0215/p659.html

Preventing HIV--a Primary Care Imperative - Editorials - American Family Physician

Jul 15, 2004 - Advertisement << Previous article Next article >> Jul 15, 2004 Issue Preventing HIV—A Primary Care Imperative RONALD H. GOLDSCHMIDT, M.D., San Francisco General Hospital, San Francisco, California. REBECCA E. POAGE, M.D., Georgetown University Medical Center Washington, D.C. Am Fam...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0715/p246.html

Preventing Spontaneous Abortion with Progestin Therapy - Medicine by the Numbers - ...

Jul 1, 2019 - The use of progestin therapy in women with recurrent pregnancy loss appears to reduce the incidence of spontaneous abortion, preterm labor, and stillbirth, and increase the rate of live birth. However, due to issues with the studies the authors were hesitant to give progestin their full...

American Family Physician : Medicine by the Numbers

https://www.aafp.org/afp/2019/0701/od1.html

Prevention of Neonatal Group B Streptococcal Infection - American Family Physician

Jun 1, 1998 - Neonatal group B streptococcal infection is the primary cause of neonatal morbidity related to infection. It can often be prevented by identifying and treating pregnant women who carry group B streptococci or who are at highest risk of transmitting the bacteria to newborns. Increasing ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0601/p2713.html

Prevention of Perinatal Group B Streptococcal Disease: Updated CDC Guideline - American...

Jul 1, 2012 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2012/0701/p59.html

Promoting and Supporting Breast-Feeding - American Family Physician

Apr 1, 2000 - The family physician can significantly influence a mother's decision to breast-feed. Prenatal support, hospital management and subsequent pediatric and maternal visits are all-important components of breast-feeding promotion. Prenatal encouragement increases breast-feeding rates and ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2093.html

Rationale for a 39-Week Elective Delivery Policy - Editorials - American Family Physician

Dec 15, 2011 - 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 ...

American Family Physician : Editorials

https://www.aafp.org/afp/2011/1215/p1335.html

Recommendations for Preconception Counseling and Care - American Family Physician

Oct 15, 2013 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2013/1015/p499.html

Recurrent Miscarriage - Clinical Evidence Handbook - American Family Physician

Oct 15, 2008 - What are the effects of treatments for unexplained recurrent miscarriage? What are the effects of treatments for recurrent miscarriage caused by antiphospholipid syndrome?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2008/1015/p977.html

Risk of Preterm Birth with Vaginal Progesterone in Twin Pregnancies - FPIN's Help Desk ...

Nov 1, 2017 - Women with twin pregnancies should not routinely receive vaginal progesterone because it does not reduce the risk of preterm birth. Vaginal progesterone should be administered to reduce adverse neonatal outcomes in women with twin pregnancies and a short cervix (25 mm or less).

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2017/1101/od3.html

Safe Reduction of Primary Cesarean Births: National Partnership for Maternal Safety ...

Aug 15, 2018 - The National Partnership for Maternal Safety has developed a patient safety bundle that outlines important practices that every maternity unit should implement to reduce the number of primary cesarean births and improve care to increase the number of vaginal births.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2018/0815/p258.html

Safety of Radiographic Imaging During Pregnancy - American Family Physician

Apr 1, 1999 - Maternal illness during pregnancy is not uncommon and sometimes requires radiographic imaging for proper diagnosis and treatment. The patient and her physician may be concerned about potential harm to the fetus from radiation exposure. In reality, however, the risks to the developing ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1813.html

Screening and Treatment for Sexually Transmitted Infections in Pregnancy - American ...

Jul 15, 2007 - Many sexually transmitted infections are associated with adverse pregnancy outcomes. The Centers for Disease Control and Prevention recommends screening all pregnant women for human immunodeficiency virus infection as early as possible. Treatment with highly active antiretroviral ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0715/p265.html

Screening for and Treating Asymptomatic Bacterial Vaginosis in Pregnancy - Cochrane for...

Sep 1, 2002 - No. Screening for and treating BV in pregnant women who are at low risk for preterm delivery does not lower the risk of preterm delivery. If this patient were at high risk for preterm delivery (i.e., a history of preterm delivery or underweight before pregnancy), it would be reasonable ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2002/0901/p780.html

Screening for Bacterial Vaginosis in Pregnancy to Prevent Preterm Delivery - Putting ...

Apr 15, 2009 - Case study: E.R., a 23-year-old Mexican-American woman, presents for her first prenatal visit after a positive home pregnancy test. Her last menstrual cycle was 12 weeks ago.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2009/0415/p697.html

Screening for Bacterial Vaginosis in Pregnancy to Prevent Preterm Delivery - U.S. ...

Jul 1, 2008 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations and supporting scientificevidence on screening for bacterial vaginosis in pregnancy to prevent preterm delivery.

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

https://www.aafp.org/afp/2008/0701/p106.html

Screening for Bacterial Vaginosis in Pregnancy: Recommendations and Rationale - U.S. ...

Mar 15, 2002 - This statement summarizes the current U.S. Preventive Services Task Force (USPSTF) recommendations for screening pregnant women for bacterial vaginosis and the supporting scientific evidence.

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

https://www.aafp.org/afp/2002/0315/p1147.html

Screening for Bacterial Vaginosis in Pregnant Persons to Prevent Preterm Delivery: ...

Jul 15, 2020 - The USPSTF recommends against screening for bacterial vaginosis in pregnant persons who are not at increased risk for preterm delivery.

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

https://www.aafp.org/afp/2020/0715/p105.html

Screening for Elevated Blood Lead Levels in Children and Pregnant Women: Recommendation...

Oct 15, 2019 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for elevated blood lead levels in asymptomatic children.

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

https://www.aafp.org/afp/2019/1015/od1.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

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

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

Dec 1, 2014 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for gestational diabetes mellitus (GDM) in asymptomatic pregnant women after 24 weeks of gestation.

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

https://www.aafp.org/afp/2014/1201/od1.html

Screening for Hepatitis B Virus in Pregnant Women - Putting Prevention into Practice - ... Restricted content. Login required.

Jan 15, 2020 - A 33-year-old U.S.-born pregnant clinician comes to your office for a first prenatal visit. Her most recent menstrual period was six weeks ago, and she has been taking prenatal vitamins for the past eight weeks. She was pregnant once more than two years ago, and at the time she screened...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2020/0115/p115.html

Screening for Hepatitis B Virus Infection in Pregnancy: Reaffirmation Recommendation ...

Feb 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

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

https://www.aafp.org/afp/2010/0215/p502.html

Screening for Hepatitis B Virus Infection in Pregnant Women: Recommendation Statement -...

Jan 15, 2020 - The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit.

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

https://www.aafp.org/afp/2020/0115/p112.html

Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to ...

Jan 15, 2016 - A 28-year-old woman presents for a routine antepartum visit. She is 33 weeks pregnant and also has a four-year-old son. She has no particular problems, and the findings from your examination are unremarkable. She asks if her blood iron level should be tested.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2016/0115/p137.html

Screening for Iron Deficiency Anemia and Iron Supplementation in Pregnant Women to ...

Jan 15, 2016 - The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for iron deficiency anemia in pregnant women to prevent adverse maternal health and birth outcomes.

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

https://www.aafp.org/afp/2016/0115/p133.html

Screening for Iron Deficiency Anemia, Including Iron Supplementations for Children and ...

Aug 1, 2006 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for iron deficiency anemia and the supporting scientific evidence.

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

https://www.aafp.org/afp/2006/0801/p461.html

Screening for Preeclampsia - Putting Prevention into Practice - American Family Physician

Jan 15, 2018 - A 28-year-old white woman comes to your clinic for prenatal care reporting a new-onset severe headache. She is currently pregnant with twins at an estimated gestational age of 22 weeks. Her obstetric history is significant for one previous term singleton vaginal delivery at 24 years of ...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2018/0115/p117.html

Screening for Preeclampsia: Recommendation Statement - U.S. Preventive Services Task ...

Jan 15, 2018 - The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.

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

https://www.aafp.org/afp/2018/0115/od1.html

Screening for Rh(D) Incompatibility: Recommended Statement - U.S. Preventive Services ...

Sep 15, 2005 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening for Rh(D) incompatibility and the supporting scientific evidence and updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2d ed.

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

https://www.aafp.org/afp/2005/0915/p1087.html

Screening for Syphilis Infection in Pregnancy: Reaffirmation Recommendation Statement -...

Jan 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends that physicians screen all pregnant women for syphilis infection.

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

https://www.aafp.org/afp/2010/0115/od1.html

Screening, Diagnosis, and Management of Gestational Diabetes Mellitus - American Family...

Apr 1, 2015 - Gestational diabetes mellitus (GDM) affects approximately 6% of pregnancies in the United States, and it is increasing in prevalence. Pregnant women without known diabetes mellitus should be screened for GDM after 24 weeks of gestation. Treatment of GDM results in a statistically ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0401/p460.html

Second Trimester Pregnancy Loss - American Family Physician

Nov 1, 2007 - Second trimester pregnancy loss is uncommon, but it should be regarded as an important event in a woman's obstetric history. Fetal abnormalities, including chromosomal problems, and maternal anatomic factors, immunologic factors, infection, and thrombophilia should be considered; ...

American Family Physician : Article

https://www.aafp.org/afp/2007/1101/p1341.html

Self-Administered GBS Testing in Pregnant Women - FPIN's Clinical Inquiries - American ...

Nov 15, 2014 - There is no difference in the sensitivity of swabs for detecting GBS when collected by patients vs. physicians; therefore, either method can be used. Patients do not express a consistent preference for self-collection of samples vs. collection by a physician.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2014/1115/p729.html

The CDC’s Recommendations to Help Prevent Fetal Alcohol Spectrum Disorders - Editorials...

Jan 1, 2017 - Alcohol screening and brief intervention, coupled with regular discussion of the patient's reproductive life plan and ready access to effective contraception, can help ensure a healthier next generation while respecting women's autonomy.

American Family Physician : Editorials

https://www.aafp.org/afp/2017/0101/p6.html

The Maternal Health Benefits of Breastfeeding - Editorials - American Family Physician

May 1, 2015 - Advertisement << Previous article Next article >> May 1, 2015 Issue Editorials The Maternal Health Benefits of Breastfeeding ELEANOR B. SCHWARZ, MD, MS, University of California–Davis, Sacramento, California MELISSA NOTHNAGLE, MD, MSC, Brown University, Providence, Rhode Island Am...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0501/p602.html

The Pregnant Patient: Managing Common Acute Medical Problems - American Family Physician

Nov 1, 2018 - Women often see their primary care physicians for common acute conditions during pregnancy. These conditions may be caused by pregnancy (obstetric problems) or worsened by pregnancy (obstetrically aggravated problems), or they may require special consideration during pregnancy because ...

American Family Physician : Article

https://www.aafp.org/afp/2018/1101/p595.html

Thoughts on the Prevention of Neonatal Group B Streptococcal Infection - Editorials - ...

Jun 1, 1998 - Advertisement << Previous article Next article >> Jun 1, 1998 Issue Editorials Thoughts on the Prevention of Neonatal Group B Streptococcal Infection MARK DEUTCHMAN, M.D., University of Colorado Health Sciences Center, Denver, Colorado Am Fam Physician. 1998 Jun 1;57(11):2602-2606....

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0601/p2602.html

Thyroid Disease in Pregnancy - American Family Physician

Feb 15, 2014 - 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 ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0215/p273.html

Trauma in Pregnancy: Assessment, Management, and Prevention - American Family Physician

Nov 15, 2014 - Trauma complicates one in 12 pregnancies, and is the leading nonobstetric cause of death among pregnant women. The most common traumatic injuries are motor vehicle crashes, assaults, falls, and intimate partner violence. Nine out of 10 traumatic injuries during pregnancy are classified ...

American Family Physician : Article

https://www.aafp.org/afp/2014/1115/p717.html

Treatment of HSV Infection in Late Pregnancy - FPIN's Clinical Inquiries - American ...

Feb 15, 2012 - Pregnant women with a primary or recurrent episode of genital HSV infection who are later than 36 weeks of gestation should be treated with acyclovir (Zovirax) or valacyclovir (Valtrex) for viral suppression.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0215/p390.html

Treatment of Threatened Miscarriage with Progestogens - Cochrane for Clinicians - ...

Sep 1, 2019 - Progestogens reduce the risk of miscarriage when compared with placebo in patients with threatened miscarriage (number needed to treat [NNT] = 10.) Use of progestogens poses no significant risks to mother or baby.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/0901/p279.html

Trial of Labor After Cesarean Delivery: The Making of a Recommendation - Editorials - ...

Nov 15, 2005 - Advertisement << Previous article Next article >> Nov 15, 2005 Issue Editorials Trial of Labor After Cesarean Delivery: The Making of a Recommendation ERIC WALL, M.D., M.P.H., LifeWise Health Plan of Oregon, Portland, Oregon RICHARD ROBERTS, M.D., J.D., University of Wisconsin...

American Family Physician : Editorials

https://www.aafp.org/afp/2005/1115/p1980.html

Update on Prenatal Care - American Family Physician

Feb 1, 2014 - 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....

American Family Physician : Article

https://www.aafp.org/afp/2014/0201/p199.html

Urinary Tract Infections During Pregnancy - American Family Physician

Feb 1, 2000 - Urinary tract infections are common during pregnancy, and the most common causative organism is Escherichia coli. Asymptomatic bacteriuria can lead to the development of cystitis or pyelonephritis. All pregnant women should be screened for bacteriuria and subsequently treated with ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0201/p713.html

Vaccinations in Pregnancy - American Family Physician

Jul 15, 2003 - Adult immunization rates have fallen short of national goals partly because of misconceptions about the safety and benefits of current vaccines. The danger of these misconceptions is magnified during pregnancy, when concerned physicians are hesitant to administer vaccines and patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0715/p299.html

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