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fetal macrosomia

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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

https://www.aafp.org/afp/2007/1001/p987.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 Gestational Diabetes Mellitus: Recommendation Statement - U.S. Preventive...

Jul 15, 2009 - The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for gestational diabetes mellitus, before or after 24 weeks' gestation.

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

https://www.aafp.org/afp/2009/0715/p173.html

Screening, Diagnosis, and Management of Gestational Diabetes Mellitus

Date xx, xxxx Scientific

American Family Physician

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

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

Shoulder Dystocia - American Family Physician

Apr 1, 2004 - Shoulder dystocia can be one of the most frightening emergencies in the delivery room. Although many factors have been associated with shoulder dystocia, most cases occur with no warning. Calm and effective management of this emergency is possible with recognition of the impaction and ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0401/p1707.html

Shoulder Dystocia - American Family Physician

...the fetal anterior shoulder impacts against the maternal symphysis following delivery of the vertex. Less commonly, shoulder dys- tocia results from impaction of the posterior shoulder on the sacral promontory.1 The overall incidence of shoulder dystocia varies based on fetal...

American Family Physician

https://www.aafp.org/afp/2004/0401/p1707.pdf

The Abnormal Fontanel - American Family Physician

Jun 15, 2003 - The diagnosis of an abnormal fontanel requires an understanding of the wide variation of normal. At birth, an infant has six fontanels. The anterior fontanel is the largest and most important for clinical evaluation. The average size of the anterior fontanel is 2.1 cm, and the median ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0615/p2547.html

The Abnormal Fontanel - American Family Physician

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

American Family Physician

https://www.aafp.org/afp/2003/0615/p2547.pdf

Tips From Other Journals - American Family Physician

Feb 15, 2010 - ...screening pregnant women for gestational diabetes mellitus. Treating substantially elevated fasting glucose levels reduces the risk of fetal macrosomia and perinatal complications, but it is unclear whether treating mild gestational diabetes (e.g., a normal fasting glucose level,...

American Family Physician : Tip

https://www.aafp.org/afp/2010/0215/p539.html

Tips From Other Journals - American Family Physician

Feb 15, 2003 - ...What Is the Best Management of Fetal Macrosomia? Am Fam Physician. 2003 Feb 15;67(4):838-839. A fetus estimated to weigh more than 4,000 g (8 lb, 11 oz) or above the 90th percentile weight for gestational age is regarded as macrosomic, and the risks of adverse outcomes for both mother...

American Family Physician : Tip

https://www.aafp.org/afp/2003/0215/p838.html

Tips From Other Journals - American Family Physician

Dec 15, 2005 - ...glucose crosses the placenta, and fetal beta cells can produce insulin. If the maternal glucose level is elevated after 12 weeks of gestation, fetal insulin production increases. The growth hormone effects of this insulin lead to fetal macrosomia. About 20 percent of deliveries in...

American Family Physician : Tip

https://www.aafp.org/afp/2005/1215/p2537a.html

Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

Tips From Other Journals - American Family Physician

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

American Family Physician : Tip

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

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

Vacuum-Assisted Vaginal Delivery - American Family Physician

Oct 15, 2008 - The second stage of labor is a dynamic event that may require assistance when maternal efforts fail to effect delivery or when there are nonreassuring fetal heart tones. Therefore, knowing how to perform an operative vaginal delivery with forceps or vacuum is vital for family physicians...

American Family Physician : Article

https://www.aafp.org/afp/2008/1015/p953.html

When Should Pregnant Women with Diabetes Receive Insulin? - Letters to the Editor - ...

Jan 15, 2005 - ...these levels. An article1 in American Family Physician on gestational diabetes cited limited studies claiming to reduce the frequency of macrosomia, which is an indirect measure of a rare event (such as shoulder dystocia or brachial plexus injury with permanent paralysis of an arm)....

American Family Physician : Letter

https://www.aafp.org/afp/2005/0115/p247.html

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