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Number Number 186, November 2017

(Replaces Practice Bulletin Number 121, July 2011)

Intrauterine devices and contraceptive implants, also called long-acting reversible contraceptives (LARC), are the most effective reversible contraceptive methods. The major advantage of LARC compared with other reversible contraceptive methods is that they do not require ongoing effort on the part of the patient for long-term and effective use. In addition, after the device is removed, the return of fertility is rapid (1, 2). The purpose of this Practice Bulletin is to provide information for appropriate patient selection and evidence-based recommendations for LARC initiation and management....


2.
October 2017

Number FAQ137, October 2017

What is infertility? Infertility is defined as not having become pregnant after 1 year of having regular sexual intercourse without the use of birth control (see FAQ136 Evaluating Infertility). If you are older than 35 years, an evaluation and possible treatment are recommended after 6 months. If you are older than 40 years, an evaluation and possible treatment are recommended before you reach the 6-month mark.


SP086 Opciones para explorar sobre el alivio del dolor antes del trabajo de parto El trabajo de parto de una mujer es una experiencia individual. Cómo percibe usted el dolor del trabajo de parto depende de muchos factores, tales como el tamaño y la posición del bebé, la intensidad de las contracciones y cómo enfrenta usted el dolor. El dolor que perciba en el trabajo de parto puede ser diferente al dolor de su amiga en esa misma situación. Su dolor puede incluso ser diferente al dolor que sintió durante un trabajo de parto previo. Medicamentos para aliviar el dolor durante el ...


SP069 Fecha prevista del parto La fecha en que el bebé debe nacer—la fecha calculada del parto—se calcula desde el primer día del último período menstrual. La fecha calculada del parto se usa como una guía para examinar el progreso de su embarazo y dar seguimiento al desarrollo del feto. Esta fecha es solo un cálculo de cuándo nacerá el bebé (consulte el cuadro “Cómo se calcula la fecha prevista del parto”). Tenga en cuenta que solo una de cada 20 mujeres (5%) da a luz en la fecha calculada del parto. A menudo se usa una ecografía (ultrasonido) para confirmar la fecha prevista ...


5.
October 2017

Number Number 183, October 2017

(Replaces Practice Bulletin Number 76, October 2006)

Members Only


6.
September 2017

Members Only


Number Number 718, September 2017

(Replaces Committee Opinion 566, June 2013)

ABSTRACT: The overwhelming majority of morbidity and mortality attributable to pertussis infection occurs in infants who are 3 months and younger. Infants do not begin their own vaccine series against pertussis until approximately 2 months of age. This leaves a window of significant vulnerability for newborns, many of whom contract serious pertussis infections from family members and caregivers, especially their mothers, or older siblings, or both. In 2013, the Advisory Committee on Immunization Practices published its updated recommendation that a dose of tetanus toxoid, reduced diphtheria t...


Number Number 717, September 2017

(Replaces Committee Opinion 494, June 2011)

ABSTRACT: The evidence regarding an association between the nitrofuran and sulfonamide classes of antibiotics and birth defects is mixed. As with all patients, antibiotics should be prescribed for pregnant women only for appropriate indications and for the shortest effective duration. During the second and third trimesters, sulfonamides and nitrofurantoins may continue to be used as first-line agents for the treatment and prevention of urinary tract infections and other infections caused by susceptible organisms. Prescribing sulfonamides or nitrofurantoin in the first trimester is still consi...


9.
September 2017

Number AP137, September 2017

Members Only


10.
September 2017

Number FAQ154, September 2017

What is labor induction? Labor induction is the use of medications or other methods to bring on (induce) labor.


American Congress of Obstetricians and Gynecologists
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