NSAIDs for Postpartum Perineal Pain - FPIN's Help Desk Answers - American Family Physician
Jun 1, 2018 - Women with third- or fourth-degree perineal lacerations or who received an episiotomy can be given oral NSAIDs to reduce perineal pain in the first six hours postpartum.
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2018/0601/od3.html
The Nature and Management of Labor Pain: Part I. Nonpharmacologic Pain Relief - ...
Sep 15, 2003 - Pain in labor is a nearly universal experience for childbearing women. A recent evidence-based symposium on the nature and management of labor pain brought together family physicians, obstetricians, midwives, obstetric anesthesiologists, and childbirth educators to discuss a series of ...
American Family Physician : Article
https://www.aafp.org/afp/2003/0915/p1109.html
Membrane Sweeping to Decrease Rates of Postdate Induction - FPIN's Help Desk Answers - ...
Jan 1, 2017 - In uncomplicated pregnancies, membrane sweeping at 38 to 40 weeks' gestation safely decreases the rate of postdate inductions. Membrane sweeping increases the incidence of spontaneous labor, especially in the subsequent seven days, and results in fewer pregnancies extending beyond 41 ...
American Family Physician : FPIN's Help Desk Answers
https://www.aafp.org/afp/2017/0101/p35.html
Epidural Analgesia During Labor - American Family Physician
Nov 15, 1998 - Epidural analgesia is a commonly employed technique of providing pain relief during labor. The number of parturients given intrapartum epidural analgesia is reported to be over 50 percent at many institutions in the United States. The procedure has few contraindications, the primary ...
American Family Physician : Article
https://www.aafp.org/afp/1998/1115/p1785.html
Management of Suspected Fetal Macrosomia - American Family Physician
Jan 15, 2001 - Fetal macrosomia, arbitrarily defined as a birth weight of more than 4,000 g (8 lb, 13 oz) complicates more than 10 percent of all pregnancies in the United States. It is associated with increased risks of cesarean section and trauma to the birth canal and the fetus. Fetal macrosomia is...
American Family Physician : Article
https://www.aafp.org/afp/2001/0115/p302.html
Preterm Labor: Diagnosis and Treatment - American Family Physician
May 15, 1998 - Preterm labor and delivery are among the most challenging obstetric complications encountered by the family physician. In the United States, preterm delivery affects approximately one in 10 births and is the cause of at least 75 percent of neonatal deaths, excluding those related to ...
American Family Physician : Article
https://www.aafp.org/afp/1998/0515/p2457.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
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
Epidural Analgesia for Labor Pain - Cochrane for Clinicians - American Family Physician
Aug 1, 2012 - Compared with other types of analgesia or no analgesia, epidurals offered better pain relief, but were associated with a longer second stage of labor and increased risk of instrumental vaginal delivery, maternal fever, and oxytocin (Pitocin) administration. There were no statistically ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2012/0801/p241.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
Transcervical Amnioinfusion - American Family Physician
Feb 1, 1998 - Amnioinfusion is being used to treat intrapartum problems known to be associated with fetal compromise, including prophylactic treatment of oligohydramnios during labor and after premature rupture of the membranes, treatment of severe variable decelerations during labor and reducing the...
American Family Physician : Article
https://www.aafp.org/afp/1998/0201/p504.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
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
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
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
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
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
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
Caregiver Support for Women During Childbirth: Does the Presence of a Labor-Support ...
Oct 1, 2002 - This review indicates that continuous caregiver support during childbirth has a number of benefits with minimal to no risks. It was less likely that women would need pain medications or have an operative vaginal delivery, a cesarean section, or a five-minute Apgar score of less than 7 ...
American Family Physician : Cochrane for Clinicians
https://www.aafp.org/afp/2002/1001/p1205.html
The ALSO Article Series - Editorials - American Family Physician
Apr 1, 2004 - ...CHARLES J. CARTER, M.D.Atlanta Medical Center Family Medicine Residency Morrow, Georgia BARBARA APGAR, M.D., M.S.University of Michigan Medical Center Ann Arbor, Michigan Am Fam Physician. 2004 Apr 1;69(7):1610-1613. In this issue of American Family Physician, we begin an article...
American Family Physician : Editorials
https://www.aafp.org/afp/2004/0401/p1610.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
Vaginal Misoprostol for Cervical Ripening in Term Pregnancy - FPIN's Clinical Inquiries...
Feb 1, 2006 - Low-dose (25 mcg) intravaginal misoprostol appears to be safe and effective for cervical ripening in term pregnancy for patients without a history of cesarean section. Compared with other cervical ripening methods, misoprostol has an increased rate of vaginal delivery within 24 hours ...
American Family Physician : FPIN's Clinical Inquiries
https://www.aafp.org/afp/2006/0201/p511.html
Vacuum Extraction: A Necessary Skill - Editorials - American Family Physician
Sep 15, 2000 - ...state unequivocally that vacuum should be applied intermittently—on during contractions, off between contractions—and for a specified number of pulls, minutes or pop-offs. One randomized, controlled trial12 using the M-type cup helps answer this question, showing no difference in...
American Family Physician : Editorials
https://www.aafp.org/afp/2000/0915/p1269.html
Why Are We Using Electronic Fetal Monitoring? - Editorials - American Family Physician
May 1, 1999 - ...However, more recently, a number of systematic reviews of randomized controlled trials have been published that do not support the routine use of EFM, especially in low-risk women.2–5 The data show that neurologic abnormalities are not caused by intermittent episodes of asphyxia...
American Family Physician : Editorials
https://www.aafp.org/afp/1999/0501/p2416.html