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Family Medicine Obstetrics

Whether you offer comprehensive pregnancy care in your primary care facility, or provide prenatal and postpartum care, this book delivers the guidance you need to optimize health for both mothers and their babies. It covers all aspects of birth care, from preconception counseling and prenatal care, through labor and delivery (both low-risk and complicated), to postpartum care and the first month of life. The completely revised third edition includes the most up-to- date, evidence-based standards of care. It offers information that is patient centered, prevention oriented, educational, and sensitive to the care of the whole woman and her family.Features a reader-friendly outline/narrative format for ease of use in daily clinical practice. Describes how to care for patients with a wide range of medical conditions during pregnancy as well as pregnancy-related conditions. Takes a whole-family approach to maternity care, with discussions of maternal and paternal adjustment, marital adjustment, sibling adjustment, single-parent families, and return-to-work issues. Provides patient and family education materials on a full range of topics, from nutrition in pregnancy to breastfeeding.Features a section on alternative medicine in maternity care. Provides detailed instruction for a wide array of procedures, including cesarean delivery, perineal repair of simple and complex lacerations, circumcision, assisted deliveries, and amnioinfusion.A continued strong emphasis on evidence-based medicine includes an ongoing summary of Level A recommendations throughout the text.A new chapter summarizes practical applications of how to incorporate continuous quality improvement and enhanced medical safety into the maternity care setting.A new section details which immunizations can be used safely during pregnancy.A section on "Centering Pregnancy" discusses this new model of care and how it incorporates longitudinal group.  
books.google.co.uk
over 6 years ago
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Sudden Maternal Collapse

SUDDEN MATERNAL COLLAPSE Max Brinsmead PhD FRANZCOG July 2011 INTRODUCTION Rare but serious (life threatening) 14 600 per 100,000 births Once every 8 weeks in ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 3be338-MjcwO  
powershow.com
over 6 years ago
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Prolonged lung inflation for neonatal resuscitation | Cochrane

Does the use of sustained (> one second duration) lung inflations compared to standard inflations (≤ one second) improve survival and other important outcomes in newly born infants receiving resuscitation at birth?  
cochrane.org
over 6 years ago
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Routine ultrasound in late pregnancy (after 24 weeks' gestation) to assess the effects on the infant and maternal outcomes | Cochrane

Ultrasound can be used as a clinical diagnostic tool in late pregnancy to assess the baby's condition when there are complications, or to detect problems which may not otherwise be apparent. If such problems are identified this may lead to changes in care and an improved outcome for babies. Carrying out scans on all women is however controversial. Screening all women may mean that the number of interventions is increased without benefit to mothers or babies. Although popular, women may not fully understand the purpose of their scan and may be either falsely reassured, or unprepared for adverse findings. Existing evidence shows that routine ultrasound, after 24 weeks' gestation, in low-risk or unselected women does not provide any benefit for the mother or her baby. Thirteen studies involving 34,980 women who were randomly selected to screening or a control group (no or selective ultrasound, or ultrasound with concealed results) contributed to the review. The quality of trials was satisfactory. There were no differences between groups in the rates of women having additional scans, antenatal admissions, preterm delivery less than 37 weeks, induction of labour, instrumental deliveries or caesarean section. Babies’ birthweight, condition at birth, interventions such as resuscitation, and admission to special care were similar between groups. Infant survival, with or without congenital abnormalities, was no different with and without routine ultrasound screening in late pregnancy. None of the trials reported on the effect of routine ultrasound in late pregnancy on preterm birth less than 34 weeks, maternal psychology or mental development of babies when two years old.  
cochrane.org
over 6 years ago
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Paracetamol (acetaminophen) for prevention or treatment of pain in newborns | Cochrane

Background: Newborn infants have the ability to experience pain. Newborns treated in neonatal intensive care units are exposed to numerous painful procedures. Healthy newborns are exposed to pain if the birth process consists of assisted vaginal birth by vacuum extraction or by forceps and during blood sampling for newborn screening tests.  
cochrane.org
over 6 years ago
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Repeat doses of prenatal corticosteroids for women at risk of preterm birth for preventing neonatal respiratory disease | Cochrane

This review shows that a repeat dose of prenatal corticosteroids given to women who remain at risk of an early birth after an initial course of prenatal corticosteroids helps the baby's lungs and reduces serious health problems in the first few weeks of life.  
cochrane.org
over 6 years ago
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Assisted reproductive technology: an overview of Cochrane Reviews | Cochrane

As many as one in six couples encounter problems with fertility, defined as failure to achieve a clinical pregnancy after regular intercourse for 12 months. Increasingly, couples are turning to assisted reproductive technology (ART) for help with conceiving and ultimately giving birth to a healthy live baby of their own. Fertility treatments are complex and costly, and each assisted reproduction cycle consists of several steps. If one of the steps is incorrectly applied, the stakes are high as conception may not occur. With this in mind, it is important that each step involved in ART is supported by good evidence from well-designed studies. Cochrane reviewers examined the evidence from Cochrane systematic reviews on ART published in The Cochrane Library.  
cochrane.org
over 6 years ago
Www.bmj
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UK children are more than twice as likely to be obese than previous generations, figures show

Children born in the United Kingdom since the 1980s are two to three times more likely to be overweight or obese by age 10 than those in previous generations, shows an analysis of birth cohorts since the 1940s.  
feeds.bmj.com
over 6 years ago
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Postnatal psychosis: ‘I heard voices telling me to kill myself’ - BBC News

Postnatal psychosis is a serious mental illness that usually starts in the days or weeks after birth.  
bbc.co.uk
over 6 years ago
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Quick versus standard vaginal birth when a baby is bottom-down | Cochrane

The best outcomes in childbirth for both mothers and babies are when babies are born head-first. If the baby is in another position, there is a higher risk of complications including the need for caesarean section. In a ‘breech presentation’ the unborn baby is bottom-down instead of head-down. This review looked for evidence about whether a quicker birth might be better in such cases.  
cochrane.org
over 6 years ago
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Planned caesarean section for term breech delivery | Cochrane

Babies are usually born head first. If the baby is in another position the birth may be complicated. In a ‘breech presentation’ the unborn baby is bottom-down instead of head-down. Babies born bottom-first are more likely to be harmed during a normal (vaginal) birth than those born head-first. For instance, the baby might not get enough oxygen during the birth. Having a planned caesarean may reduce these problems. We looked at evidence comparing planned caesarean sections and vaginal births at the normal time of birth.  
cochrane.org
over 6 years ago
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Education about family planning for women who have just given birth | Cochrane

Counseling about family planning is standard for most women who just gave birth. Few providers and researchers have looked at how well the counseling works. We do not know if postpartum women want to use family planning or whether they will return to a health provider for birth control advice. Women may wish to discuss family planning before they have the baby and after they leave the hospital. Women may also prefer to talk about birth control along with other health issues. In this review, we looked at the effects of educational programs about family planning for women who just had a baby.  
cochrane.org
over 6 years ago
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External cephalic version for breech presentation before term | Cochrane

Babies born bottom first (in the breech position) may have more problems during birth than those who are born head first (in the cephalic position) because there may be some delay in birth of the head and pressure on the umbilical cord as the head passes through the birth canal. During an external cephalic version (ECV) a breech baby is turned to the head down position by gently pushing on the mother's abdomen. Research shows that ECV after 37 weeks reduces the number of babies in the breech position at full term, and the number of caesarean sections.  
cochrane.org
over 6 years ago