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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

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

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

https://www.aafp.org/about/policies/all/preconception-care.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

Maternity Care Update - FP Essentials

...Summarize updates in aneuploidy screening including appropriate use of cell-free fetal DNA testing. Define, diagnose, and manage common conditions affecting pregnant patients including hypertension, diabetes, hypothyroidism, depression, and obesity. Summarize changes in...

CME | FP Essentials : Subscriptions

https://www.aafp.org/fpe/2018/0400/467.html

Cesarean Delivery in Family Medicine (Position Paper)

Jan 4, 2018 - Read the AAFP's position on the role of family physicians in delivering maternity care including cesarean delivery.

About AAFP |AAFP Policies and Recommendations : Policies

https://www.aafp.org/about/policies/all/cesarean-delivery.html

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

https://www.aafp.org/afp/2017/0401/p442.html

Diabetes Mellitus: Screening and Diagnosis - American Family Physician

Jan 15, 2016 - Diabetes mellitus is one of the most common diagnoses made by family physicians. Uncontrolled diabetes can lead to blindness, limb amputation, kidney failure, and vascular and heart disease. Screening patients before signs and symptoms develop leads to earlier diagnosis and treatment, ...

American Family Physician : Article

https://www.aafp.org/afp/2016/0115/p103.html

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

https://www.aafp.org/afp/2015/1201/p994.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

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

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

Common Questions About Late-Term and Postterm Pregnancy - American Family Physician

Aug 1, 2014 - Pregnancy is considered late term from 41 weeks, 0 days’ to 41 weeks, 6 days’ gestation, and postterm at 42 weeks’ gestation. Early dating of the pregnancy is important for accurately determining when a pregnancy is late- or postterm, and first-trimester ultrasonography should be ...

American Family Physician : Article

https://www.aafp.org/afp/2014/0801/p160.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

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

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

https://www.aafp.org/news/news-in-brief/20130529wklynewsbrfs.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

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

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

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

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

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

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

Evaluation of Short and Tall Stature in Children - American Family Physician

Sep 1, 2008 - Children and adolescents whose heights and growth velocities deviate from the normal percentiles on standard growth charts present a special challenge to physicians. Height that is less than the 3rd percentile or greater than the 97th percentile is deemed short or tall stature, ...

American Family Physician : Article

https://www.aafp.org/afp/2008/0901/p597.html

Induction of Labor at or Beyond Term - Cochrane for Clinicians - American Family Physician

Sep 1, 2008 - Fetal or neonatal deaths in women who delivered after their due date and before 42 weeks occur at a rate of less than 0.5 percent, regardless of whether labor is induced or spontaneous. Compared with awaiting spontaneous labor, inducing labor between 41 and 42 weeks is associated with ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2008/0901/p581.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

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