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American Family Physician January 15, 2002 Lorie F. Cram	Genitourinary Infections and Their Association with Preterm Labor By adopting a rational approach to the diagnosis and treatment of genitourinary infections, family physicians can substantially decrease a patient's risk of preterm delivery...
American Family Physician March 15, 2002 Caroline M. Rudnick & Grant S. Hoekzema	Neonatal Herpes Simplex Virus Infections Neonatal herpes simplex virus infections can result in serious morbidity and mortality...
American Family Physician April 1, 2005 Kirkham, Harris & Grzybowski	Evidence-Based Prenatal Care: Part I. General Prenatal Care and Counseling Issues Women should be counseled about the risks associated with pregnancy as well as the benefits of regular prenatal care.
American Family Physician March 1, 2005 Apgar, Greenberg & Yen	Prevention of Group B Streptococcal Disease in the Newborn Group B streptococcus (GBS) is a leading cause of morbidity and mortality among newborns. Universal screening for GBS among women at 35 to 37 weeks of gestation is more effective than administration of intrapartum antibiotics based on risk factors.
American Family Physician May 15, 2002 Alex H. Krist & Amy Crawford-Faucher	Management of Newborns Exposed to Maternal HIV Infection The management of infants whose mothers are infected with the human immunodeficiency virus involves minimizing the risk of vertical transmission of HIV, recognizing neonatal HIV infection early, preventing opportunistic infections, and addressing psychosocial issues...
American Family Physician July 15, 2003 Sur et al.	Vaccinations in Pregnancy Routine vaccines that generally are safe to administer during pregnancy include diphtheria, tetanus, influenza, and hepatitis B. Other vaccines, such as meningococcal and rabies, may be considered.
American Family Physician May 1, 2003 Miller et al.	Update on the Prevention and Treatment of Sexually Transmitted Diseases The Centers for Disease Control and Prevention (CDC) recently published updated guidelines that provide new strategies for the prevention and treatment of sexually transmitted diseases (STDs).
American Family Physician January 1, 2001 Alex H. Krist	Obstetric Care in Patients with HIV Disease Appropriate management of pregnant patients who have human immunodeficiency virus (HIV) disease can have a major impact on maternal and infant health...
American Family Physician May 15, 2005 Briscoe et al.	Management of Pregnancy Beyond 40 Weeks' Gestation Maternal and fetal risks increase with gestational age, but the management of otherwise low-risk prolonged pregnancies is controversial.
American Family Physician May 1, 2004 Daniel Knight	Health Care Screening for Men Who Have Sex with Men Recommendations on health care screenings for men who have sex with men, who are at increased risk for STDs such as HIV infection, anal cancer, and psychologic and behavioral disorders.
American Family Physician January 15, 2006 Ann M. Khalsa	Preventive Counseling, Screening, and Therapy for the Patient with Newly Diagnosed HIV Infection The epidemic of HIV continues, and the infection is converting into a treatable chronic disease; therefore, it is increasingly important for family physicians to be current with and comfortable in providing basic care to patients infected with HIV.
American Family Physician February 15, 2006 Medina & Hill	Preterm Premature Rupture of Membranes: Diagnosis and Management Physicians caring for pregnant patients should be versed in the management of preterm premature rupture of membranes because rapid diagnosis and appropriate management can result in improved outcomes.
American Family Physician November 1, 2003 Turok et al.	Management of Gestational Diabetes Mellitus Although the disorder affects approximately 2.5 percent of pregnant women and has been the subject of extensive research, its diagnosis and management continue to be debated.
American Family Physician July 15, 2004 Joel E. Gallant	HIV Counseling, Testing, and Referral By the year 2005, the CDC seeks to achieve the following: reduce annual new HIV infections from the current estimated 40,000 cases to 20,000 cases through the use of interventions such as counseling, HIV testing, and referral
American Family Physician January 1, 2004 Lin & Kirchner	Hepatitis B Hepatitis B causes significant morbidity and mortality worldwide. Effective vaccines for hepatitis B virus have been available since 1982; infant and childhood vaccination programs introduced in the 1990s have resulted in a marked decrease in new infections.
American Journal of Nursing March 2010 Bradley-Springer et al.	Every Nurse Is an HIV Nurse The evolution of HIV infection into a chronic disease has implications across all clinical care settings. Every nurse should be knowledgeable about the disease in order to provide high-quality care to people with or at risk for HIV.
American Family Physician October 15, 2005 John G. Beauman	Genital Herpes: A Review Genital herpes simplex virus infection is a recurrent, lifelong disease with no cure. The strongest predictor for infection is a person's number of lifetime sex partners. Counseling patients about the risk of transmission is crucial and helps prevent the spread of disease and neonatal complications.
Nurse Practitioner December 2009 Gujral & Collantes	Understanding Viral Hepatitis: A guide for primary care Recent advancements in the field of genomics and proteomics technology have given researchers and clinicians more insight on disease pathogenesis and helped create more tailored approaches to the treatment of these conditions.
American Family Physician April 15, 2006 Karl E. Miller	Diagnosis and Treatment of Chlamydia trachomatis Infection Chlamydia trachomatis infection most commonly affects the urogenital tract. In men, the infection usually is symptomatic, with dysuria and a discharge from the penis. Most women with chlamydial infection have minimal or no symptoms, but some develop pelvic inflammatory disease.
Nursing October 2011 Elizabeth Heavey	Obesity in pregnancy: Deliver sensitive care This article addresses the health risks of obesity to mother and baby during pregnancy, labor, and delivery and discusses what you can do to mitigate those risks.
American Family Physician May 15, 2003 Jones et al.	Congenital Toxoplasmosis Approximately 85 percent of women of childbearing age in the United States are susceptible to acute infection with the protozoan parasite Toxoplasma gondii. Transmission of T. gondii to the fetus can result in serious health problems, including mental retardation, seizures, blindness, and death.
American Family Physician June 15, 2006 Brundage & Fitzpatrick	Hepatitis A The introduction of hepatitis A vaccines in 1995 led to a drop in the number of reported cases of hepatitis A and a shift to a higher percentage of cases occurring in older age groups. The hepatitis A virus survives for extended periods in the environment.
American Family Physician December 1, 2004 Owen & Clenney	Management of Vaginitis Common infectious forms of vaginitis include bacterial vaginosis, vulvovaginal candidiasis, and trichomoniasis. In almost all patients with vaginitis, it is important to perform a thorough assessment that includes speculum examination, pH testing, wet-mount and potassium hydroxide (KOH) preparations, and cultures when indicated.
American Family Physician September 15, 2006 Colgan et al.	Asymptomatic Bacteriuria in Adults A common dilemma in clinical medicine is whether to treat asymptomatic patients who present with bacteria in their urine. There are few scenarios in which antibiotic treatment of asymptomatic bacteruria has been shown to improve patient outcomes.
American Family Physician June 15, 2002 Stephanie C. Brundage	Preconception Health Care Appropriate preconception health care improves pregnancy outcomes.
American Journal of Nursing January 2011 Marion Rita Alex	Occupational Hazards for Pregnant Nurses Depending on her working environment, specific immunities, and stage of pregnancy, a pregnant nurse may find it difficult to avoid teratogenic and fetotoxic exposures, as well as working conditions that could jeopardize her pregnancy.
American Family Physician July 1, 2004 Lo Re & Gluckman	Travel Immunizations The approach to vaccine recommendations should be based on a thorough assessment of the risks for travel-related diseases, the time available before trip departure, and current knowledge of the epidemiology of vaccine-preventable diseases.
American Family Physician August 15, 2005 Lawrence Leeman	Curbside Consultation A comparison of patient-choice cesarean delivery and vaginal delivery.
Nursing May 2009 Davenport & Myers	How to Protect Yourself After Body Fluid Exposure Here's how you can minimize the risk of disease transmission if you or a coworker is accidentally exposed to blood or another potentially infectious body fluid.
American Family Physician December 15, 2005 Blenning & Paladine	An Approach to the Postpartum Office Visit The postpartum period (typically the first six weeks after delivery) may underscore physical and emotional health issues in new mothers. A structured approach to the postpartum office visit ensures that relevant conditions and concerns are discussed and appropriately addressed.
American Family Physician December 1, 2002 Sanford R. Kimmel	Vaccine Adverse Events: Separating Myth from Reality Vaccines have turned many childhood diseases into distant memories in industrialized countries. However, questions have been raised about the safety of some vaccines because of rare but serious adverse effects that have been attributed to them.
American Family Physician December 15, 2004 Lana K. Wagner	Diagnosis and Management of Preeclampsia Preeclampsia is a pregnancy-specific multisystem disorder of unknown etiology. The disorder affects approximately 5 to 7 percent of pregnancies and is a significant cause of maternal and fetal morbidity and mortality.
American Family Physician February 15, 2003	Antiviral Drugs in the Immunocompetent Host: Part I. Treatment of Hepatitis, Cytomegalovirus, and Herpes Infections
American Family Physician July 1, 2000 Monica Preboth	Practice Guidelines ACIP Issues Recommendations for the 2000-2001 Influenza Season
American Family Physician March 15, 2004	Clinical Inquiries Does Screening for Tuberculosis in Children Decrease Morbidity or Mortality?
American Family Physician January 15, 2001 Mark A. Zamorski & Wendy S. Biggs	Management of Suspected Fetal Macrosomia Fetal macrosomia, arbitrarily defined as a birth weight of more than 4,000 g (8 lb, 13 oz) complicates more than 10 percent of all pregnancies in the United States. Pregnancies complicated by fetal macrosomia are best managed expectantly...
American Family Physician March 15, 2002	Herpes During Pregnancy--What It Means, What to Expect What is a genital herpes infection?... What if I have herpes and become pregnant?... What if I get herpes during pregnancy?... Where can I find more information on genital herpes infections?...
American Family Physician March 1, 2002 J. Christopher Graves	Maternal Serum Triple Analyte Screening in Pregnancy According to the American College of Obstetricians and Gynecologists, it has become standard in prenatal care to offer screening tests for neural tube defects and genetic abnormalities...
American Family Physician April 15, 2005	Infections During Pregnancy: What You Should Know A patient hand-out detailing what a patient should do if they become ill during pregnancy, possible tests they may need as well prevention suggestions.
American Family Physician June 15, 2002	How to Prepare for Pregnancy Why is it important to prepare for pregnancy?... When should I see my doctor?... Is exercise okay?... Should I take vitamins?... Do I need to change my diet?... What else should I avoid?... What do I need to know about genetic diseases?... etc.
American Family Physician December 15, 2000 Toni Lapp	ACOG Addresses Psychosocial Screening in Pregnant Women Recognizing the broad range of psychosocial issues that pregnant women face is an important step toward improving women's health and birth outcomes...
Managed Care November 2001 John Morrison	Telemedicine: Cost-Effective Management of High-Risk Pregnancy Following an episode of preterm labor, use of telemedicine services can be a cost-effective tool to improve pregnancy outcome...
American Family Physician October 1, 2004 Nancy Beth Grossman	Blunt Trauma in Pregnancy Trauma is the most common cause of nonobstetric death among pregnant women in the United States. Electronic fetal monitoring currently is the most accurate measure of fetal status after trauma, although the optimal duration of monitoring has not been established.
American Family Physician March 1, 2004	Effects of Automobile Crashes Occurring During Pregnancy Increased automobile travel by pregnant women increases the likelihood of fetal injury or pregnancy complications from crashes, but relatively little is known about the factors involved in such outcomes.
American Family Physician January 15, 2007 Tunzi & Gray	Common Skin Conditions During Pregnancy Most skin conditions resolve postpartum and only require symptomatic treatment. However, there are specific treatments for some conditions (e.g., melasma, intrahepatic cholestasis of pregnancy, impetigo herpetiformis, pruritic folliculitis of pregnancy).
American Family Physician September 15, 2003	Respiratory Infections During Pregnancy What is a viral respiratory infection?... What if I am exposed to a viral respiratory infection while I am pregnant?... What should I do if I am exposed to chickenpox?... What should I do if I am exposed to fifth disease?... etc.
American Family Physician January 15, 2001 Charles P. Mouton	Common Infections in Older Adults Despite advances in antibiotic therapy, infectious diseases continue to be a major cause of mortality in older adults. The diagnostic and therapeutic nuances of managing infections in older adults create special challenges for physicians...
American Family Physician October 15, 2004 As-Sanie, Gantt & Rosenthal	Pregnancy Prevention in Adolescents The family physician plays a key role by engaging adolescent patients in confidential, open, and nonthreatening discussions of reproductive health, responsible sexual behavior, and contraceptive use.
Nursing January 2011 Carl A. Kirton	HIV: The Changing Epidemic Since its emergence in the early 1980s, HIV infection in the United States has evolved from an acute debilitating condition to a chronic, treatable illness.
American Family Physician February 1, 2007 Servey et al.	Clinical Presentations of Parvovirus B19 Infection Generally, erythema infectiosum is self-limited and does not require treatment. Patients with arthralgia may require nonsteroidal anti-inflammatory drug treatment.