By Vincenzo Berghella

This re-creation of an acclaimed textual content reports the proof for most sensible perform in obstetric drugs, to offer the reader with the fitting info, with applicable use of confirmed interventions and avoidance of ineffectual or destructive ones, and through score the facts of the most important references. the data is gifted within the correct structure by means of summarizing facts succinctly and obviously in tables and algorithms. the purpose is to notify the clinician, to lessen blunders and "to make it effortless to do it right."

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Sample text

21) [6]. One large RCT demonstrated significant reduction in PTB, greater satisfaction with care, and higher breastfeeding initiation at no added cost for group prenatal care over standard care in a group of medically low-risk (but socially at-risk) women in an urban clinic [7]. In this study, group care included, among other interventions, continuity of care from a single provider, patient keeping copies of their records, no waiting time at visits, about 20 hours of provider/ patient time, with 8–10 women in each group session.

Folic acid supplementation is recommended for neural tube defect (NTD) prevention, with 400 µg/day for all women, and 4 mg/day for women with prior children with NTD. All reproductive-age women should be on folic acid (FA) supplementation. Immunity to rubella, varicella, hepatitis B, influenza, tetanus, and pertussis should be assessed at the first prenatal visit. Ideally needed vaccinations should be provided preconception. Influenza vaccine is recommended for pregnant women during flu season.

2006;10(5 suppl):s67–s72. [II-3] 11. Henderson JT, Weisman CS, Grason H. Are two doctors better than one? Women’s physician use and appropriate care. Women Health Issue. 2002;12:138–149. [III] 12. American College of Obstetricians and Gynecologists. Primary and preventive care: Periodic assessments. ACOG Committee Opinion No. 357. Obstet Gynecol. 2006;108:1615–1622. [Review] 13. Jack BW, Culpepper L, Babcock J, et al. Addressing preconception risks identified at the time of a negative pregnancy test: A randomized trial.

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