Name Instructor Course Date Summary Journal Article: Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues Pregnant women should go for regular prenatal visits, which should be carried by a professional caregiver including midwives, family physicians and obstetricians…
With the help of the caregiver, it is important for pregnant women to calculate the estimated delivery date (EDD) by accurate determination of the last menstrual period (LMP) or through an early ultrasonography, which should be carried routinely to establish EDD and lessen the necessity for labor induction. Additionally, accurate dating is imperative for timing screening tests and interventions, as well as for optimum management of complications. The first three months of pregnancy are a time of formation of fetal organs and fetal vulnerability teratogens is very high. For this reason, there is need for counseling about risk behaviors. Other issues for discussion in early pregnancy include air travel, breastfeeding, exercise, hair treatments, hot tubs and saunas, labor and delivery; medications including prescription over-the-counter and herbal remedies; substance use including alcohol, illicit drugs and smoking; sex and workplace. Performance of history and directed physical examination is also necessary to detect conditions linked to increased maternal and perinatal mortality and morbidity. Prenatal examination also allows for cervical cancer screening, ectopic pregnancy and spontaneous pregnancy loss – ectopic pregnancy should be a consideration with the present of risk factors, bleeding or abdominal pain. ...
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