Applying a lubricant to the perineum can reduce the need for an episiotomy.

While about half of first-time mothers requesting elective cesarean section have a clinically significant fear of childbirth, the other half just have more negative expectations of a vaginal delivery.

Reviewing the latest pros, cons, and contraindications will enable you to better educate patients weighing this option. Newer regimens have higher success rates, fewer side effects, differing doses and routes—and can be used as late as 63 days' gestation, according to these experts. Apr 15, 2008 By:
Michelle M. Isley, MD, Paul Blumenthal, MD, MPH
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Medical abortion update on newer evidence-based regimens of mifepristone and misoprostol compares their effectiveness and side effects to FDA-approved regimen. Patient counseling points are included.

Renal disease and preeclampsia are your two biggest concerns. An expert nephrologist outlines the steps involved in differential diagnosis and management. Apr 1, 2008 By:
Ursula C. Brewster, MD
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Renal disease and preeclampsia are your two biggest concerns. An expert nephrologist outlines the steps involved in differential diagnosis and management.

Are 'Not-for-Profits' providing a reasonable level of defined community benefits? Apr 1, 2008 By:
Charles J. Lockwood, MD

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Are 'Not-for-Profits' providing a reasonable level of defined community benefits?

Women who adhere to a Mediterranean diet during pregnancy are less likely to have children who suffer from wheeze and atopy.

Folic acid may reduce the likelihood of congenital abnormalities by about 15% in children exposed to antiepileptic drugs (AEDs) during the first trimester of pregnancy.

Although confusion persists among practitioners about the impact of pregnancy and female hormones on melanocytic nevi and melanoma, recent studies offer guidance for effective management.

Maternal use of corticosteroids during early pregnancy moderately increases the risk of orofacial clefts in infants.
