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fetal macrosomia

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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

Microsoft PowerPoint - Chapter F SYLL FINAL.pptx labor and delivery (LandD) • On LandD at 04:00:  Vital signs are stable  Ferning/pooling/Nitrazine negative  Fetus active  Electronic fetal monitoring (EFM); Category I tracing  Sterile vaginal exam (SVE) indicates her cervix is 4 cm dilated, 70% effaced, ‐3 station,...

Microsoft PowerPoint - Chapter Q Cesarean FINAL.pptx

...Fetal Indications • Category III or some Category II fetal heart rate tracings • Cord prolapse • HIV with viral loads >1,000 • Active herpes virus • Congenital anomalies • Malpresentation - Transverse lie - Breech - Brow - Face/mentum posterior • Vasa previa 4...

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

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

American Family Physician : Photo Quiz

Newborn Respiratory Distress

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

American Family Physician

Newborn Respiratory Distress - American Family Physician

Dec 1, 2015 - Newborn respiratory distress presents a diagnostic and management challenge. Newborns with respiratory distress commonly exhibit tachypnea with a respiratory rate of more than 60 respirations per minute. They may present with grunting, retractions, nasal flaring, and cyanosis. Common ...

American Family Physician : Article

News in Brief: Week of May 27-31

May 29, 2013 - This roundup includes the following news briefs: FDA Alerts Physicians of Adverse Reactions Linked to Steroid Injections; USPSTF Issues Draft Screening Recommendations for GDM; Medicare Patient Disease Burden Accounts for Higher Costs by Geographic Area; Senate Confirms Tavenner as CMS ...

AAFP News : News in Brief

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


December 1, 2014 USPSTF

American Family Physician


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

American Family Physician


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

American Family Physician

p597.pdf stigmata. Depending on the age of the child, rickets may cause craniotabes, bulbous wrists, and bowing of the extremities. Children with fetal alcohol syndrome present with short stature, low birth weight, poor weight gain, microcephaly, epicanthal folds, smooth philtrum, a flat...

American Family Physician


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

American Family Physician


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

American Family Physician


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

American Family Physician

Postpartum Hemorrhage: Prevention and Treatment

April 1, 2017:Date xx, xxxx

American Family Physician

Postpartum Hemorrhage: Prevention and Treatment - American Family Physician

Apr 1, 2017 - Postpartum hemorrhage is common and can occur in patients without risk factors for hemorrhage. Active management of the third stage of labor should be used routinely to reduce its incidence. Use of oxytocin after delivery of the anterior shoulder is the most important and effective ...

American Family Physician : Article

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

Preconception Care (Position Paper)

May 4, 2018 - Read the AAFP's position paper on preconception care. Preconception care is defined as individualized care for men and women that is focused on reducing maternal and fetal morbidity and mortality.

About AAFP |AAFP Policies and Recommendations : Policies

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

Prevention and Management of Postpartum Hemorrhage - American Family Physician

Mar 15, 2007 - Postpartum hemorrhage, the loss of more than 500 mL of blood after delivery, occurs in up to 18 percent of births and is the most common maternal morbidity in developed countries. Although risk factors and preventive strategies are dearly documented, not all cases are expected or ...

American Family Physician : Article

Rationale for a 39-Week Elective Delivery Policy

...elective delivery of early term pregnan- cies include intolerable maternal discomfort, a poor previous pregnancy outcome, sus- pected fetal macrosomia, history of shoulder dystocia, previous precipitous delivery, the patient lives remotely from the delivering hospital, convenience...

American Family Physician

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

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

Respiratory Distress in the Newborn - American Family Physician

Oct 1, 2007 - The most common etiology of neonatal respiratory distress is transient tachypnea of the newborn; this is triggered by excessive lung fluid, and symptoms usually resolve spontaneously. Respiratory distress syndrome can occur in premature infants as a result of surfactant deficiency and ...

American Family Physician : Article

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