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AAFP Releases Guidelines on Trial of Labor After Cesarean Delivery - Practice ...

Nov 15, 2005 - The American Academy of Family Physicians (AAFP) has released an evidence-based clinical practice guideline on trial of labor after cesarean delivery (TOLAC).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1115/p2126.html

AAP Report on Pregnancy in Adolescents - Practice Guidelines - American Family Physician

Oct 1, 2005 - The American Academy of Pediatrics (AAP) recently published a clinical report on the state of adolescent pregnancy in the United States. The average age at first intercourse is 16 years for males and 17 years for females.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1001/p1398.html

ACOG Addresses Psychosocial Screening in Pregnant Women - Practice Guidelines - ...

Dec 15, 2000 - The American College of Obstetricians and Gynecologists (ACOG) has developed an educational bulletin on perinatal screening and intervention for psychosocial risk factors.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/1215/p2701.html

ACOG Endorces Ultrasonography for Management of Alloimmunization - Practice Guidelines ...

Jan 1, 2007 - According to a practice bulletin by the American College of Obstetricians and Gynecologists (ACOG), advances in ultrasonography have led to new methods of management of alloimmunization in pregnant women and may allow for a more thorough and less invasive workup with fewer maternal and ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0101/p118.html

ACOG Guidelines for Treating Prenatal Hemoglobinopathy - Practice Guidelines - American...

Nov 1, 2005 - The Committee on Practice Bulletins–Obstetrics of the American College of Obstetricians and Gynecologists (ACOG) has released a practice bulletin on screening for and managing hemoglobinopathies during pregnancy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2005/1101/p1917.html

ACOG Guidelines on Antepartum Fetal Surveillance - Practice Guidelines - American ...

Sep 1, 2000 - The American College of Obstetricians and Gynecologists (ACOG) has developed guidelines on antepartum fetal surveillance. The goal of antepartum fetal surveillance is to prevent fetal death.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/0901/p1184.html

ACOG Guidelines on Pregnancy After Bariatric Surgery - Practice Guidelines - American ...

Apr 1, 2010 - Counseling and treating women who become pregnant after bariatric surgery present unique challenges. Although outcomes are generally good, nutritional and surgical complications can arise. The American College of Obstetricians and Gynecologists (ACOG) recently reviewed the available ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2010/0401/p905.html

ACOG Guidelines on Psychiatric Medication Use During Pregnancy and Lactation - Practice...

Sep 15, 2008 - The American College of Obstetricians and Gynecologists (ACOG) has released guidelines on psychiatric medication used by women during pregnancy and lactation. The use of psychotropic medications in these women is a concern because of the risks of adverse perinatal and postnatal outcomes.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0915/p772.html

ACOG Issues Guidelines on Fetal Macrosomia - Practice Guidelines - American Family ...

Jul 1, 2001 - The American College of Obstetricians and Gynecologists (ACOG) has issued new clinical management guidelines on fetal macrosomia. The term fetal macrosomia implies fetal growth beyond a specific weight, regardless of the fetal gestational age.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2001/0701/p169.html

ACOG Issues Recommendations on Assessment of Risk Factors for Preterm Birth - Practice ...

Feb 1, 2002 - The American College of Obstetricians and Gynecologists (ACOG) has issued new recommendations on assessing risk factors for preterm birth. These recommendations discuss risk factors, markers for predicting preterm birth, and clinical considerations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2002/0201/p509.html

ACOG practice bulletin on diagnosing and managing preeclampsia and eclampsia. - ...

Jul 15, 2002 - The American College of Obstetricians and Gynecologists (ACOG) has developed a practice bulletin on the diagnosis and management of preeclampsia and eclampsia.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2002/0715/p330.html

ACOG Practice Bulletin on Management of Herpes in Pregnancy - Practice Guidelines - ...

Jan 15, 2000 - The American College of Obstetricians and Gynecologists (ACOG) has developed a practice bulletin on the management of herpes in pregnancy. The guidelines were designed to help physicians make decisions about appropriate obstetric and gynecologic care.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2000/0115/p556.html

ACOG Practice Bulletin on Thyroid Disease in Pregnancy - Practice Guidelines - American...

May 15, 2002 - Guidelines developed by the American College of Obstetricians and Gynecologists (ACOG) discuss changes in thyroid function during pregnancy, hyperthyroidism, hypothyroidism, and clinical considerations; and provides recommendations.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2002/0515/p2158.html

ACOG Publishes Guidelines on Hemoglobinopathies in Pregnancy - Practice Guidelines - ...

Oct 15, 2007 - The American College of Obstetricians and Gynecologists (ACOG) has released recommendations for screening and clinical management of hemoglobinopathies during pregnancy. The ACOG estimates that more than 270 million persons worldwide are heterozygous carriers of hereditary disorders of ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1015/p1229.html

ACOG Releases Bulletin on Managing Cervical Insufficiency - Practice Guidelines - ...

Jan 15, 2004 - The American College of Obstetricians and Gynecologists (ACOG) recently published a clinical management guideline on cervical insufficiency. This report also includes evidence for screening asymptomatic at-risk women.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0115/p436.html

ACOG Releases Guideline on Gestational Diabetes - Practice Guidelines - American Family...

Sep 15, 2014 - Gestational diabetes increases the risk of gestational hypertension, preeclampsia, cesarean delivery, and developing diabetes later in life. The American College of Obstetricians and Gynecologists (ACOG) has released a guideline that provides recommendations based on good-quality ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/0915/p416.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

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

ACOG Releases Guidelines on Managing Herpes in Pregnancy - Practice Guidelines - ...

Feb 1, 2008 - The American College of Obstetricians and Gynecologists (ACOG) has released a practice bulletin to outline the spectrum of maternal and neonatal genital herpes infection and to provide guidelines on managing the infection during pregnancy.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2008/0201/p369.html

ACOG Releases Guidelines on Screening for Fetal Chromosomal Abnormalities - Practice ...

Sep 1, 2007 - The American College of Obstetricians and Gynecologists (ACOG) has developed guidelines that provide recommendations on screening for fetal chromosomal abnormalities.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0901/p712.html

ACOG Updates Recommendations on Vaginal Birth After Previous Cesarean Delivery - ...

Jan 15, 2011 - The rate of cesarean delivery has increased dramatically in the United States over the past four decades, perpetuated somewhat by the dictum once a cesarean, always a cesarean. However, evidence has shown that many women who have had a cesarean delivery can safely deliver vaginally in ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0115/p214.html

Acute and Post-traumatic Stress Disorder After Spontaneous Abortion - American Family ...

Mar 15, 2000 - When a spontaneous abortion is followed by complicated bereavement, the primary care physician may not consider the diagnosis of acute stress disorder or post-traumatic stress disorder. The major difference between these two conditions is that, in acute stress disorder, symptoms such as...

American Family Physician : Article

https://www.aafp.org/afp/2000/0315/p1689.html

Adolescent Pregnancy and Associated Risks: Not Just a Result of Maternal Age - ...

May 1, 2007 - Advertisement << Previous article Next article >> May 1, 2007 Issue Editorials Adolescent Pregnancy and Associated Risks: Not Just a Result of Maternal Age MICHAEL K. MAGILL, MD, and RYAN WILCOX, BA, University of Utah School of Medicine Salt Lake City, Utah Am Fam Physician. 2007...

American Family Physician : Editorials

https://www.aafp.org/afp/2007/0501/p1310.html

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

Antenatal Perineal Massage to Prevent Birth Trauma - Cochrane for Clinicians - American...

Mar 1, 2014 - Antenatal digital perineal massage in the final month of pregnancy is safe and well tolerated. Women who have not had a previous vaginal delivery and perform digital perineal massage in the final month of pregnancy experience less perineal birth trauma, mostly through fewer ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0301/p335.html

Antepartum Omega-3 Fatty Acid Intake and Length of Gestation - Cochrane for Clinicians ... Restricted content. Login required.

Jan 1, 2020 - Omega-3 fatty acids, whether taken as supplements or consumed as part of the diet, reduce the risk of preterm birth (number needed to treat = 68) and early preterm birth (number needed to treat = 55).

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2020/0101/p17.html

Antidepressant Medications in Pregnancy - FPIN's Clinical Inquiries - American Family ...

Dec 1, 2004 - Selective serotonin reuptake inhibitors (SSRIs) are considered first-line agents for the treatment of depression in pregnant women. SSRIs and tricyclic antidepressants (TCAs) are considered safe and effective in pregnant women, although some studies have indicated increased short-term ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2004/1201/p2195.html

Antidepressant Use During Pregnancy - FPIN's Clinical Inquiries - American Family ...

May 15, 2011 - There are no studies that have shown any antidepressant to be absolutely safe for use during any stage of pregnancy. The use of selective serotonin reuptake inhibitors (SSRIs) or tricyclic antidepressants (TCAs) during pregnancy does not increase the risk of congenital malformations or ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/0515/p1211.html

Antihypertensive Drug Therapy for Mild to Moderate Hypertension During Pregnancy - ...

Oct 1, 2019 - Compared with placebo, antihypertensive drug therapy for mild to moderate hypertension (defined by the authors as a blood pressure of 140 to 169 mm Hg systolic or 90 to 109 mm Hg diastolic) caused by chronic hypertension, gestational hypertension, or preeclampsia during pregnancy does ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2019/1001/p403.html

Antiviral Agents for Pregnant Women with Genital Herpes - FPIN's Clinical Inquiries - ...

Nov 1, 2005 - There is no evidence that the use of antiviral agents in women who are pregnant and have a history of genital herpes prevents perinatal transmission of herpes simplex virus (HSV) to neonates.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2005/1101/p1807.html

Are Oral Betamimetics Effective Maintenance Therapies After Threatened Preterm Labor? -...

Mar 1, 2007 - There is no evidence to support the use of oral betamimetics for maintenance therapy after treatment for threatened preterm labor, and there is a risk of adverse effects with these drugs.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/0301/p648.html

Aspirin in Low Doses Decreases Preeclampsia Risk - POEMs - American Family Physician

Sep 1, 2014 - Low-dose aspirin—ranging from 60 to 100 mg per day—beginning as early as the second trimester decreases the risk of preeclampsia, preterm birth, and intrauterine growth retardation in women who are at high risk of preeclampsia. No harms to the mother or newborn were identified in the ...

American Family Physician : POEMs

https://www.aafp.org/afp/2014/0901/p331.html

Behavioral Interventions to Promote Breastfeeding: Recommendations and Rationale - U.S....

Jan 15, 2004 - This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on counseling to promote breastfeeding, a new topic for the USPSTF.

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

https://www.aafp.org/afp/2004/0115/p354.html

Benefits and Risks of Psychiatric Medications During Pregnancy - American Family Physician

Aug 15, 2002 - Traditionally, psychiatric medications were withheld during pregnancy because of fear of teratogenic and other effects. The emergence of evidence of the safety of most commonly used psychiatric medications, the availability of this information in the form of online databases, and the ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0815/p629.html

Blunt Trauma in Pregnancy - American Family Physician

Oct 1, 2004 - Trauma is the most common cause of nonobstetric death among pregnant women in the United States. Motor vehicle crashes, domestic violence, and falls are the most common causes of blunt trauma during pregnancy. All pregnant patients with traumatic injury should be assessed formally in a ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1001/p1303.html

Calcium Supplementation for Preventing Hypertensive Disorders in Pregnancy - Cochrane ...

Oct 1, 2015 - High-dose calcium supplementation (i.e., at least 1,000 mg per day) during pregnancy reduces the risk of developing hypertension and preeclampsia. The most significant risk reduction occurs in women at risk of hypertensive disorders and those with low-calcium diets.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/1001/p570.html

Can We Prevent Perinatal Depression in the Primary Care Office? - Editorials - American...

Sep 15, 2019 - Even if we do not provide maternity care, our commitment to the total care of our patients, which includes addressing behavioral medicine needs, allows us to be the ideal physicians to champion interventions to prevent perinatal depression.

American Family Physician : Editorials

https://www.aafp.org/afp/2019/0915/p327.html

CDC Evaluates the Effect of Revised Guidelines on the Prevention of Group B ...

Dec 15, 2007 - Revised guidelines for the prevention of perinatal group B streptococci (GBS) disease were released by the Centers for Disease Control and Prevention (CDC), the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Pediatrics (AAP) in 2002. The CDC has ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/1215/p1878.html

CDC Updates Guidelines for the Prevention of Perinatal GBS Disease - Practice ...

May 1, 2011 - The Centers for Disease Control and Prevention (CDC) published guidelines for the prevention of perinatal group B streptococcus (GBS) disease in 1996; the guidelines were updated in 2002 and again in 2010. The most recent guidelines elaborate on laboratory methods and thresholds for GBS...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2011/0501/p1106.html

Cesarean Delivery: Counseling Issues and Complication Management - American Family ...

Feb 1, 2015 - Nearly one-third of all deliveries in the United States are cesarean deliveries. Compared with spontaneous vaginal delivery, cesarean delivery is associated with increased maternal and neonatal morbidity and mortality. Interventions that decrease the chance of a cesarean delivery ...

American Family Physician : Article

https://www.aafp.org/afp/2015/0201/p178.html

Closing Primary and Prenatal Care Gaps to Prevent Congenital Syphilis - Editorials - ...

Jul 15, 2020 - Family physicians can prevent congenital syphilis by following national screening guidelines; taking accurate, detailed sexual histories; providing evidence-based interventions to people who use injection drugs; and advocating to reduce structural barriers to care.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0715/p78.html

Cochrane for Clinicians - Jul 1, 2006 - American Family Physician

Jul 1, 2006 - Intravenous lidocaine and oral mexiletine provide a modest reduction in neuropathic pain with no indication of serious adverse effects. However, safety data are limited because most studies were of relatively short duration and fewer than 400 patients have been studied in total for each...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0701/p79.html

Cochrane for Clinicians - Jul 1, 2006 - American Family Physician

Jul 1, 2006 - Induction of labor in patients with PROM does not increase the rates of cesarean delivery or operative vaginal delivery. Among patients who are induced there is a slightly lower incidence of chorioamnionitis (relative risk [RR] 0.74; 95% confidence interval [CI], 0.56 to 0.97) and a ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/0701/p79a.html

Cochrane for Clinicians - Mar 1, 2005 - American Family Physician

Mar 1, 2005 - NPH insulin and metformin taken at bedtime appears to be the most favorable combination studied, but this conclusion is based on poor-quality, inconsistent studies that measure disease-oriented outcomes. There are no data on the effect of these drug combinations on patient-oriented ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0301/p899.html

Cochrane for Clinicians - Mar 1, 2005 - American Family Physician

Mar 1, 2005 - Treatment with betamimetics decreases the number of women with preterm labor who give birth within 48 hours, but it does not decrease the number of births within seven days. Limited evidence suggests that treatment with beta-mimetics does not decrease perinatal death or morbidity.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2005/0301/p899a.html

Cochrane for Clinicians - Oct 1, 2007 - American Family Physician

Oct 1, 2007 - Providing early opioid analgesia to patients presenting with acute abdominal pain does not affect or delay management decisions, but it lessens pain intensity as rated by the patient.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1001/p971.html

Cochrane for Clinicians - Oct 1, 2007 - American Family Physician

Oct 1, 2007 - There are no randomized controlled trials (RCTs) of labor induction in women with a low–transverse uterine scar. Observational studies indicate that there is a small increased risk of uterine rupture and adverse fetal outcomes, especially in women induced with prostaglandins. Although ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2007/1001/p971a.html

Common Skin Conditions During Pregnancy - American Family Physician

Jan 15, 2007 - Common skin conditions during pregnancy generally can be separated into three categories: hormone-related, preexisting, and pregnancy-specific. Normal hormone changes during pregnancy may cause benign skin conditions including striae gravidarum (stretch marks); hyperpigmentation (e.g., ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0115/p211.html

Counseling for Breastfeeding - Putting Prevention into Practice - American Family ...

Jul 1, 2004 - Case study: BS, a 26-year-old woman in her second trimester of pregnancy, comes to your office for routine prenatal care. She expresses concern because one of her relatives has told her that she should not breastfeed. You want to recommend breastfeeding and wonder how to counsel her.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2004/0701/p149.html

Counseling Patients with Unintended Pregnancy - Curbside Consultation - American Family...

Apr 15, 2015 - Nearly one-half of all pregnancies in the United States are unintended. Risk factors for unintended pregnancy include limited access to contraception, less than a college education, poor social support, age between 20 and 24 years, and black race. Family physicians are often the initial...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0415/p574.html

Diagnosis and Management of Ectopic Pregnancy - American Family Physician

Jul 1, 2014 - Ectopic pregnancy affects 1% to 2% of all pregnancies and is responsible for 9% of pregnancy-related deaths in the United States. When a pregnant patient presents with first-trimester bleeding or abdominal pain, physicians should consider ectopic pregnancy as a possible cause. The ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0701/p34.html

Diagnosis and Management of Gestational Diabetes Mellitus - American Family Physician

Jul 1, 2009 - Gestational diabetes occurs in 5 to 9 percent of pregnancies in the United States and is growing in prevalence. It is a controversial entity, with conflicting guidelines and treatment protocols. Recent studies show that diagnosis and management of this disorder have beneficial effects ...

American Family Physician : Article

https://www.aafp.org/afp/2009/0701/p57.html

Diagnosis and Management of Preeclampsia - American Family Physician

Dec 15, 2004 - Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal morbidity and mortality. Preeclampsia is defined by the new onset of elevated blood pressure ...

American Family Physician : Article

https://www.aafp.org/afp/2004/1215/p2317.html

Down Syndrome: Prenatal Risk Assessment and Diagnosis - American Family Physician

Aug 15, 2000 - Down syndrome (trisomy 21) is the most commonly recognized genetic cause of mental retardation. The risk of trisomy 21 is directly related to maternal age. All forms of prenatal testing for Down syndrome must be voluntary. A nondirective approach should be used when presenting patients ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0815/p825.html

Ectopic Pregnancy - American Family Physician

Feb 15, 2000 - Ectopic pregnancy occurs at a rate of 19.7 cases per 1,000 pregnancies in North America and is a leading cause of maternal mortality in the first trimester. Greater awareness of risk factors and improved technology (biochemical markers and ultrasonography) allow ectopic pregnancy to be ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0215/p1080.html

Ectopic Pregnancy: Diagnosis and Management - American Family Physician Restricted content. Login required.

May 15, 2020 - Ectopic pregnancy occurs when a fertilized ovum implants outside of the uterine cavity. In the United States, the estimated prevalence of ectopic pregnancy is 1% to 2%, and ruptured ectopic pregnancy accounts for 2.7% of pregnancy-related deaths. Risk factors include a history of pelvic...

American Family Physician : Article

https://www.aafp.org/afp/2020/0515/p599.html

Effects of Exercise on Pregnancy - Editorials - American Family Physician

Apr 15, 1998 - Advertisement << Previous article Next article >> Apr 15, 1998 Issue Editorials Effects of Exercise on Pregnancy NIHARIKA KHANNA, M.D., University of Maryland School of Medicine, Baltimore, Maryland Am Fam Physician. 1998 Apr 15;57(8):1764-1772. Related Article The number of women...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0415/p1764.html

Effects of Prenatal Yoga on Labor Pain - FPIN's Help Desk Answers - American Family ...

Jul 1, 2018 - Participation in a prenatal yoga program may help reduce labor pain, but reported effects vary from modest to moderate.

American Family Physician : FPIN's Help Desk Answers

https://www.aafp.org/afp/2018/0701/p49.html

Evaluation of Pregnant Women Exposed to Respiratory Viruses - American Family Physician

May 15, 2000 - Prenatal patients are often exposed to respiratory viruses at home and at work. Understandably, these patients may be concerned and want immediate answers and advice from their physicians. While most women who are exposed to chickenpox are immune, serologic testing can be performed and ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0515/p3065.html

Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues - ...

Apr 1, 2005 - Effective prenatal care should integrate the best available evidence into a model of shared decision making. Pregnant women should be counseled about the risks of smoking and alcohol and drug use. Structured educational programs to promote breastfeeding are effective. Routine fetal ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0401/p1307.html

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

Apr 15, 2005 - All pregnant women should be offered screening for asymptomatic bacteriuria, syphilis, rubella, and hepatitis B and human immunodeficiency virus infection early in pregnancy. Women at increased risk should be tested for hepatitis C infection, gonorrhea, and chlamydia. All women should ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0415/p1555.html

Exercise and Pregnancy Loss - FPIN's Clinical Inquiries - American Family Physician

Apr 1, 2015 - Regular exercise for up to seven or more hours per week (including low-intensity and high-intensity aerobics, jogging, cycling, and swimming) is not associated with increased rates of miscarriage in the first to mid-second trimesters. Patients may continue bending and lifting at work, ...

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2015/0401/p437.html

Exercise During Pregnancy - American Family Physician

Apr 15, 1998 - Exercise has become a vital part of many women's lives. However, theoretic concerns have been raised about the safety of some forms of exercise during pregnancy. Because of the physiologic changes associated with pregnancy, as well as the hemodynamic response to exercise, some ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0415/p1846.html

Exercise During Pregnancy: What Do We Really Know? - Editorials - American Family ...

Mar 1, 2004 - Advertisement << Previous article Next article >> Mar 1, 2004 Issue Editorials Exercise During Pregnancy: What Do We Really Know? SUSAN SNYDER, M.D. BERNADETTE PENDERGRAPH, M.D. Harbor-UCLA Medical Center, Torrance, California Am Fam Physician. 2004 Mar 1;69(5):1053-1056. As a result...

American Family Physician : Editorials

https://www.aafp.org/afp/2004/0301/p1053.html

Expectant Management vs. Surgical Treatment for Miscarriage - Cochrane for Clinicians -...

Oct 1, 2006 - Expectant management and surgical treatment are safe and effective for first-trimester miscarriage. Among patients who choose expectant management, there is a lower rate of pelvic infection but higher rates of mild bleeding, need for unplanned surgical treatment, and incomplete ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2006/1001/p1125.html

External Cephalic Version - American Family Physician

Sep 1, 1998 - External cephalic version is a procedure that externally rotates the fetus from a breech presentation to a vertex presentation. External version has made a resurgence in the past 15 years because of a strong safety record and a success rate of about 65 percent. Before the resurgence of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0901/p731.html

FDA Implements New Labeling for Medications Used During Pregnancy and Lactation - ...

Jul 1, 2016 - Deciding which medications to take during pregnancy and lactation can be a complex and individualized decision that should be discussed with a physician. The new PLLR can help remove some of the uncertainty clinicians and patients face by replacing the potentially confusing letter ...

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0701/p12.html

Fetal Alcohol Spectrum Disorders - American Family Physician

Jul 15, 2005 - To complement the 2005 Annual Clinical Focus on medical genomics, AFP will be publishing a series of short reviews on genetic syndromes. This series was designed to increase awareness of these diseases so that family physicians can recognize and diagnose children with these disorders ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0715/p279.html

Fetal Aneuploidy: Screening and Diagnostic Testing - American Family Physician Restricted content. Login required.

Apr 15, 2020 - Aneuploidy is the presence of one or more extra chromosomes or the absence of one or more chromosomes. The risk of fetal aneuploidy rises with increasing maternal age. Because fetal aneuploidy can affect any pregnancy, all pregnant women should be offered screening. First-trimester ...

American Family Physician : Article

https://www.aafp.org/afp/2020/0415/p481.html

Folic Acid for the Prevention of Neural Tube Defects - Putting Prevention into Practice...

Dec 15, 2010 - 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.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2010/1215/p1533.html

Folic Acid for the Prevention of Neural Tube Defects: Recommendation Statement - U.S. ...

Dec 15, 2010 - 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.

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

https://www.aafp.org/afp/2010/1215/p1526.html

Folic Acid Supplementation for the Prevention of Neural Tube Defects: Recommendation ...

May 15, 2017 - The USPSTF recommends that all women who are planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 μg) of folic acid.

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

https://www.aafp.org/afp/2017/0515/od4.html

Genitourinary Infections and Their Association with Preterm Labor - American Family ...

Jan 15, 2002 - Genitourinary tract infections are one cause of preterm delivery. Prematurity is one of the leading causes of perinatal mortality in the United States. Uterine contractions may be induced by cytokines and prostaglandins, which are released by microorganisms. Asymptomatic bacteriuria, ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p241.html

Gestational Hypertension and Preeclampsia: A Practice Bulletin from ACOG - Practice ... Restricted content. Login required.

Nov 15, 2019 - Globally, hypertensive disorders of pregnancy are one of the main causes of maternal death. The American College of Obstetricians and Gynecologists has released a practice bulletin to outline diagnosis and treatment recommendations for these conditions.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2019/1115/p649.html

Ginger for the Treatment of Nausea and Vomiting in Pregnancy - FPIN's Clinical ...

Nov 15, 2011 - Ginger can be safely used to reduce nausea and vomiting in pregnancy.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2011/1115/od1.html

Health Effects of Prenatal Radiation Exposure - American Family Physician

Sep 1, 2010 - 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,...

American Family Physician : Article

https://www.aafp.org/afp/2010/0901/p488.html

HELLP Syndrome: Recognition and Perinatal Management - American Family Physician

Sep 1, 1999 - HELLP, a syndrome characterized by hemolysis, elevated liver enzyme levels and a low platelet count, is an obstetric complication that is frequently misdiagnosed at initial presentation. Many investigators consider the syndrome to be a variant of preeclampsia, but it may be a separate ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0901/p829.html

Helping Pregnant Women Keep Their Jobs - Curbside Consultation - American Family Physician

Sep 15, 2016 - At 7.5 months pregnant, my patient found herself increasingly uncomfortable at work. Her varicose veins ached from standing on the job, where she was required to work a cash register and walk prescriptions from the pharmacy to the checkout area. I wrote a note to her boss explaining ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2016/0915/p494.html

High Blood Pressure in Pregnancy - Editorials - American Family Physician

Jul 15, 2001 - Advertisement << Previous article Next article >> Jul 15, 2001 Issue Editorials High Blood Pressure in Pregnancy LEE A. GREEN, M.D., University of Michigan Medical School Ann Arbor, Michigan Am Fam Physician. 2001 Jul 15;64(2):225-226. Related Article In an article1 in this issue...

American Family Physician : Editorials

https://www.aafp.org/afp/2001/0715/p225.html

Hypertensive Disorders of Pregnancy - American Family Physician

Jan 15, 2016 - Elevated blood pressure in pregnancy may represent chronic hypertension (occurring before 20 weeks’ gestation or persisting longer than 12 weeks after delivery), gestational hypertension (occurring after 20 weeks’ gestation), preeclampsia, or preeclampsia superimposed on chronic ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0115/p121.html

Hypertensive Disorders of Pregnancy - American Family Physician

Jul 1, 2008 - The National High Blood Pressure Education Program Working Group on High Blood Pressure in Pregnancy has defined four categories of hypertension in pregnancy: chronic hypertension, gestational hypertension, preeclampsia, and preeclampsia superimposed on chronic hypertension. A maternal ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0701/p93.html

Immunizations in Pregnancy - Editorials - American Family Physician

Jun 15, 2013 - Family physicians, even if not providing prenatal care, can play a critical role in maintaining current vaccinations in pregnant women. Learn which vaccinations to consider and which to avoid.

American Family Physician : Editorials

https://www.aafp.org/afp/2013/0615/p828.html

Immunizations in Pregnancy: Updated Recommendations - Editorials - American Family ...

Aug 15, 2020 - Important new data on the immunology of immunization in pregnancy provide greater support for and information on the provision and timing of these immunizations.

American Family Physician : Editorials

https://www.aafp.org/afp/2020/0815/p205.html

Increasing Patient Access to VBAC: New NIH and ACOG Recommendations - Editorials - ...

Jan 15, 2011 - 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.

American Family Physician : Editorials

https://www.aafp.org/afp/2011/0115/p121.html

Information on Medication Use in Pregnancy - Editorials - American Family Physician

Jun 15, 2003 - Advertisement << Previous article Next article >> Jun 15, 2003 Issue Editorials Information on Medication Use in Pregnancy KATHLEEN UHL, M.D., DIANNE L. KENNEDY, M.P.H., R.PH., and SANDRA L. KWEDER, M.D., U.S. Food and Drug Administration Rockville, Maryland Am Fam Physician. 2003...

American Family Physician : Editorials

https://www.aafp.org/afp/2003/0615/p2476.html

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

Jul 1, 2004 - Advertisement << Previous article Next article >> Jul 1, 2004 Issue Cochrane Briefs Am Fam Physician. 2004 Jul 1;70(1):84. Intensive Management of Gestational Diabetes Clinical Question Does intensive management of gestational diabetes improve outcomes? Evidence-Based Answer There is...

American Family Physician : Cochrane for Clinicians

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

Interventions to Prevent Perinatal Depression - Putting Prevention into Practice - ...

Sep 15, 2019 - A 25-year-old woman presents to your office after having recently missed her period. A urine pregnancy test confirms that she is pregnant. She takes acyclovir for suppression of genital herpes, which she acquired as a teenager. She reports a history of depression and sexual abuse during...

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2019/0915/p365.html

Interventions to Prevent Perinatal Depression: Recommendation Statement - U.S. ...

Sep 15, 2019 - The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.

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

https://www.aafp.org/afp/2019/0915/od1.html

Intrauterine Growth Restriction: Identification and Management - American Family Physician

Aug 1, 1998 - Intrauterine growth restriction (IUGR) is a common diagnosis in obstetrics and carries an increased risk of perinatal mortality and morbidity. Identification of IUGR is crucial because proper evaluation and management can result in a favorable outcome. Certain pregnancies are at high ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0801/p453.html

Intrauterine Growth Retardation - American Family Physician

Oct 15, 1998 - Intrauterine growth retardation (IUGR), which is defined as less than 10 percent of predicted fetal weight for gestational age, may result in significant fetal morbidity and mortality if not properly diagnosed. The condition is most commonly caused by inadequate maternal-fetal ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1015/p1384.html

Late Pregnancy Bleeding - American Family Physician

Apr 15, 2007 - Effective management of vaginal bleeding in late pregnancy requires recognition of potentially serious conditions, including placenta previa, placental abruption, and vasa previa. Placenta previa is commonly diagnosed on routine ultrasonography before 20 weeks' gestation, but in nearly ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0415/p1199.html

Late Presentation to Prenatal Care - Curbside Consultation - American Family Physician

Sep 1, 2015 - Pregnancy carries concrete and immediate risks that need to be addressed and managed in a timely fashion. Patients who initiate prenatal care late in pregnancy tend to present with a challenging variety of concerns, encompassing the full range of their medical, psychosocial, and ...

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2015/0901/p391.html

Liver Disease in Pregnancy - American Family Physician

Feb 15, 1999 - Acute viral hepatitis is the most common cause of jaundice in pregnancy. The course of acute hepatitis is unaffected by pregnancy, except in patients with hepatitis E and disseminated herpes simplex infections, in which maternal and fetal mortality rates are significantly increased. ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0215/p829.html

Low-Dose Aspirin Use for the Prevention of Morbidity and Mortality from Preeclampsia: ...

Mar 1, 2015 - The U.S. Preventive Services Task Force (USPSTF) recommends the use of low-dose aspirin (81 mg per day) as preventive medication after 12 weeks of gestation in women who are at high risk of preeclampsia.

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

https://www.aafp.org/afp/2015/0301/od1.html

Magnesium Sulfate and Other Anticonvulsants for Women with Preeclampsia - Cochrane for ...

Jun 1, 2011 - Magnesium sulfate should be considered first-line treatment to prevent eclamptic seizures during labor.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0601/p1269.html

Magnesium Sulfate for Prevention of Preterm Birth - Cochrane for Clinicians - American ...

Apr 1, 2015 - Magnesium sulfate does not delay delivery when used in patients with preterm labor. Although magnesium sulfate is not associated with any serious adverse maternal outcomes, it may be associated with an increase in total fetal, neonatal, and infant mortality.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2015/0401/p444.html

Management of Bacterial Vaginosis During Pregnancy - Editorials - American Family ...

Mar 15, 1998 - Advertisement << Previous article Next article >> Mar 15, 1998 Issue Editorials Management of Bacterial Vaginosis During Pregnancy DARON G. FERRIS, M.D., Medical College of Georgia, Augusta, Georgia Am Fam Physician. 1998 Mar 15;57(6):1215-1228. Related Article From a clinician's...

American Family Physician : Editorials

https://www.aafp.org/afp/1998/0315/p1215.html

Management of Gestational Diabetes Mellitus - American Family Physician

Nov 1, 2003 - Gestational diabetes mellitus is a common but controversial disorder. While no large randomized controlled trials show that screening for and treating gestational diabetes affect perinatal outcomes, multiple studies have documented an increase in adverse pregnancy outcomes in patients ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1101/p1767.html

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

Management of Pregnancy Beyond 40 Weeks' Gestation - American Family Physician

May 15, 2005 - A post-term or prolonged pregnancy is one that reaches 42 weeks' gestation; approximately 5 to 10 percent of pregnancies are post-term. Studies have shown a reduction in the number of pregnancies considered post-term when early ultrasound dating is performed. Maternal and fetal risks ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0515/p1935.html

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