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Assisted Vaginal Delivery Using the Vacuum Extractor - American Family Physician

Sep 15, 2000 - Vacuum extractors have replaced forceps for many situations in which assistance is required to achieve vaginal delivery. Compared with metal-cup vacuum extractors, soft-cup devices are easier to use and cause fewer neonatal scalp injuries; however, they detach more frequently. Vacuum ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0915/p1316.html

American College of Obstetricians and Gynecologists Updates Breast Cancer Screening ...

Mar 15, 2012 - Breast cancer–related death can be reduced through effective screening, which typically includes imaging, clinical examination, and self-examination or awareness. The American College of Obstetricians and Gynecologists recommends using all three techniques to screen for breast cancer.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0315/p654.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

Interventions to Increase Cervical Cancer Screening Rates - Cochrane for Clinicians - ...

Mar 1, 2012 - Invitation letters are the most studied method of encouraging cervical cancer screening, and they are effective (relative risk [RR] = 1.44; 95% confidence interval [CI], 1.24 to 1.52).1–3 Invitation letters may be more cost-effective than more intensive recruitment efforts (e.g., ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0301/p443.html

Denosumab (Prolia) for Treatment of Postmenopausal Osteoporosis - STEPS - American ...

Feb 15, 2012 - Prolia is an expensive method of preventing osteoporotic hip fractures, and is associated with significant adverse effects. Safer, less expensive options exist for preventing fracture in high-risk women.

American Family Physician : STEPS

https://www.aafp.org/afp/2012/0215/p334.html

Screening Mammography for Reducing Breast Cancer Mortality - FPIN's Clinical Inquiries ...

Jan 15, 2012 - Screening mammography reduces breast cancer mortality in women 40 to 49 years of age who have an average risk of breast cancer.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0115/p176.html

Exercise for Treatment of the Vasomotor Symptoms of Menopause - Cochrane for Clinicians...

Feb 1, 2012 - Although menopausal women who exercise are less likely to report vasomotor symptoms than those who do not, there is insufficient evidence that counseling women to exercise is more effective than no treatment or hormone therapy for vasomotor symptoms of menopause.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2012/0201/p237.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

Postpartum Major Depression: Detection and Treatment - American Family Physician

Apr 15, 1999 - Postpartum major depression occurs in approximately one of 10 childbearing women and is considerably underdiagnosed. If left untreated, the disorder can have serious adverse effects on the mother and her relationship with significant others, and on the child's emotional and psychologic ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0415/p2247.html

AHA Updates Guidelines on CVD Prevention in Women - Practice Guidelines - American ...

Jan 1, 2012 - Major changes addressed in the American Heart Association's (AHA) 2011 guidelines on cardiovascular disease (CVD) are that benefits and risks found in the clinical practice setting were strongly considered, and recommendations were not based solely on benefits found in the clinical ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2012/0101/p70.html

Alternative Therapies for Traditional Disease States: Menopause - American Family ...

Jul 1, 2002 - With growing concern about the use of hormone replacement therapy, some women are looking for alternative treatments for menopausal symptoms and preventing postmenopausal cardiovascular disease and osteoporosis. In observational trials, exercise has been associated with decreased ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0701/p129.html

Impact of Anorexia, Bulimia, and Obesity on the Gynecologic Health of Adolescents - ...

Aug 1, 2001 - Dieting behaviors and nutrition can have an enormous impact on the gynecologic health of adolescents. Teenaged patients with anorexia nervosa can have hypothalamic suppression and amenorrhea. In addition, these adolescents are at high risk of osteoporosis and fractures. Unfortunately, ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0801/p445.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

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

Managing Menopause - American Family Physician

Mar 1, 2000 - Many women will spend one third of their lifetime after menopause. A growing number of options are available for the treatment of menopausal symptoms like vasomotor instability and vaginal atrophy, as well as the long-term health risks such as cardiovascular disease and osteoporosis ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0301/p1391.html

Depression in Women: Diagnostic and Treatment Considerations - American Family Physician

Jul 1, 1999 - Women experience depression twice as often as men. The diagnostic criteria for depression are the same for both sexes, but women with depression more frequently experience guilt, anxiety, increased appetite and sleep, weight gain and comorbid eating disorders. Women may achieve higher ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p225.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

Uterine Fibroid Embolization - American Family Physician

Jun 15, 2000 - Interventional radiologists have performed uterine artery embolization to treat women with emergency uterine bleeding since the 1970s. In this procedure, the physician guides a small angiographic catheter into the uterine arteries and injects a stream of tiny particles that decreases ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0615/p3601.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

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

Newer Pharmacologic Alternatives for Erectile Dysfunction - American Family Physician

Sep 15, 1999 - With the introduction of effective pharmacologic therapies for erectile dysfunction, more men are seeking treatment. The underlying cause of erectile dysfunction is usually a chronic medical illness or a side effect of certain drugs. Less commonly, the problem is psychogenic. Even after...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1159.html

Guide to Mammography Reports: BI-RADS Terminology - Editorials - American Family Physician

Jul 15, 2010 - Mammography reports use specific terminology from the Breast Imaging Reporting and Data System (BI-RADS) to describe findings and to assign a final assessment category. This editorial addresses questions that commonly arise when primary care physicians interpret mammography reports.

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0715/p114.html

Common Peripartum Emergencies - American Family Physician

Nov 1, 1998 - Peripartum emergencies occur in patients with no known risk factors. When the well-being of the fetus is in question, the fetal heart rate pattern may offer etiologic clues. Repetitive late decelerations may signify uteroplacental insufficiency, and a sinusoidal pattern may indicate ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1101/p1593.html

Breast Cancer Diagnosis and Screening - American Family Physician

Aug 1, 2000 - Approximately 180,000 new cases of breast cancer are diagnosed annually, accounting for about 48,000 deaths per year in the United States. The screening guidelines for the diagnosis of breast cancer are continually changing. Because of increased awareness of the signs and symptoms of ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0801/p596.html

Raloxifene: A Selective Estrogen Receptor Modulator - American Family Physician

Sep 15, 1999 - Raloxifene is a selective estrogen receptor modulator that produces both estrogen-agonistic effects on bone and lipid metabolism and estrogen-antagonistic effects on uterine endometrium and breast tissue. Because of its tissue selectivity, raloxifene may have fewer side effects than are...

American Family Physician : Article

https://www.aafp.org/afp/1999/0915/p1131.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

HPV Testing in the Evaluation of the Minimally Abnormal Papanicolaou Smear - American ...

May 15, 1999 - Minor cytologic abnormalities of the cervix, such as atypical squamous cells of undetermined significance (ASCUS), are vastly more common than high-grade squamous intraepithelial lesions or invasive cancer. Current guidelines for the management of ASCUS include repeating the ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2794.html

Prevention of Osteoporosis and Fractures - American Family Physician

Jul 1, 1999 - Osteoporosis and low bone density are associated with a risk of fracture as a result of even minimally traumatic events. The estimated lifetime risk of osteoporotic fracture is as high as 50 percent, especially in white and Asian women. The use of caffeine, tobacco and steroids is ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p194.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

Initial Management of Breastfeeding - American Family Physician

Sep 15, 2001 - Breast milk is widely accepted as the ideal source of nutrition for infants. In order to ensure success in breastfeeding, it is important that it be initiated as early as possible during the neonatal period. This is facilitated by skin-to-skin contact between the mother and infant ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0915/p981.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

Optimal Management of Cholesterol Levels and the Prevention of Coronary Heart Disease ...

Jan 15, 2002 - Coronary heart disease, the leading cause of death in women, is largely preventable. Lifestyle modifications (e.g., diet and exercise) are the cornerstone of primary and secondary prevention. Elevated levels of low-density lipoprotein cholesterol and triglycerides and low levels of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p217.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

Breast Cancer in Older Women - American Family Physician

Oct 1, 1998 - The American Geriatric Society currently recommends screening mammography for women up to 85 years of age whose life expectancy is three years or longer. The value of clinical breast examinations in older women needs further study. Total mastectomy and partial mastectomy with ...

American Family Physician : Article

https://www.aafp.org/afp/1998/1001/p1163.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

Instruments for Assisted Vaginal Delivery - Cochrane for Clinicians - American Family ...

Jul 1, 2011 - Use of forceps is more likely to result in a vaginal delivery than use of vacuum devices (relative risk [RR] = 1.5; 95% confidence interval [CI], 1.1 to 2.2), but has a higher rate of perineal trauma, tears, pain, and incontinence, and a trend toward more cesarean deliveries. Use of ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2011/0701/p26.html

Health Screening in Older Women - American Family Physician

Apr 1, 1999 - Health screening is an important aspect of health promotion and disease prevention in women over 65 years of age. Screening efforts should address conditions that cause significant morbidity and mortality in this age group. In addition to screening for cardiovascular disease, ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1835.html

New Tests for Cervical Cancer Screening - American Family Physician

Sep 1, 2001 - The Papanicolaou (Pap) smear has been used to screen women for cervical cancer since 1940. Recently, a number of new technologies have been developed to improve the detection of cervical cancer and its precursors. However, there is substantial controversy about whether the new tests ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0901/p780.html

Coronary Artery Disease Prevention: What's Different for Women? - American Family ...

Apr 1, 2001 - Cardiovascular disease is the leading cause of death in women, as well as an important cause of disability, although many women and their physicians underestimate the risk. Exercise, hypertension treatment, smoking cessation and aspirin therapy are effective measures for the primary ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0401/p1393.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

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

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

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

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

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

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

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

Sep 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends biennial screening mammography for women 50 to 74 years of age.

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

https://www.aafp.org/afp/2010/0915/p672.html

Spending Time with Patients in Labor - Curbside Consultation - American Family Physician

Nov 1, 2010 - This scenario raises several key questions that are important not only to patient care, but also to physicians' quality of life and satisfaction with practice. First, what are the critical roles for the family physician during prenatal care, labor, and birth?

American Family Physician : Curbside Consultation

https://www.aafp.org/afp/2010/1101/p1132.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

Current Trends in Cervical Ripening and Labor Induction - American Family Physician

Aug 1, 1999 - Advertisement << Previous article Next article >> Aug 01, 1999 Issue Current Trends in Cervical Ripening and Labor Induction This is a corrected version of the article that appeared in print. JEFFERSON H. HARMAN, JR., LT COL, USAF, MC, FS, Eglin Air Force Base, Florida ANDREW KIM,...

American Family Physician : Article

https://www.aafp.org/afp/1999/0801/p477.html

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