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American Family Physician June 15, 2003 Black & Hill	Over-the-Counter Medications in Pregnancy Pregnant women commonly use over-the-counter medications. Although most over-the-counter drugs have an excellent safety profile, some have unproven safety or are known to adversely affect the fetus.
Nurse Practitioner April 2010 Benninger & McCallister	Asthma in pregnancy: Reading between the lines Asthma is one of the most common, chronic medical conditions that can complicate pregnancy, affecting between 4% and 8% of this population.
American Family Physician August 15, 2002 Ward & Zamorski	Benefits and Risks of Psychiatric Medications During Pregnancy Decisions regarding the use of psychiatric medications should be individualized, and the most important factor is usually the patient's level of functioning in the past when she was not taking medications.
American Family Physician June 15, 2002 Stephanie C. Brundage	Preconception Health Care Appropriate preconception health care improves pregnancy outcomes.
Nurse Practitioner September 2010 Moloney & Cranwell-Bruce	Pharmacological Management of Migraine Headaches Migraine is one of the top 20 causes of disability worldwide, occurring in 17.6% of women and 5.7% of men
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 July 1, 2003 Quinlan & Hill	Nausea and Vomiting of Pregnancy Nausea and vomiting of pregnancy, commonly known as "morning sickness," affects approximately 80 percent of pregnant women. Physicians should carefully evaluate patients with nonresolving or worsening symptoms to rule out the most common causes of severe vomiting.
Nurse Practitioner February 2011 Jennifer M. Belavic	Annual Drug Update: 2010 in Review In 2010, the FDA approved several new drugs and new indications for use in primary care. From new therapies for adults with rheumatoid arthritis to a combination drug for benign prostatic hyperplasia, NPs need to be aware of the latest medications now available.
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.
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 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 July 15, 2001	NHBPEP Report on High Blood Pressure in Pregnancy: A Summary for Family Physicians
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 March 1, 2005 Carolyn J. Sachs	Oral Analgesics for Acute Nonspecific Pain Direct comparative studies of acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs) have shown that NSAIDs are more effective than acetaminophen in some situations, but provide equivalent analgesia in others.
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 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 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 Journal of Nursing November 2009	Trauma in Pregnancy A description of the mechanisms of traumatic injury during pregnancy includes a discussion of the normal changes of pregnancy and their implications in the care of pregnant trauma patients, and offers strategies for assessment and treatment.
American Family Physician November 15, 2002 Cynthia M. Williams	Using Medications Appropriately in Older Adults Finding the right balance between too few and too many drugs will help ensure increased longevity, improved overall health, and enhanced functioning and quality of life for the aging population.
American Journal of Nursing October 2008 Lisa M. Cleveland et al.	Lead Hazards for Pregnant Women and Children: Part 1 Research has shown that elevated blood lead levels in pregnant women, even those well below 10 micrograms per deciliter can cause miscarriage, premature birth, low birth weight, and subsequent developmental delays in their children.
Nursing June 2011 Daniel A. Hussar	New Drugs 2011: Part 2 In this article, you'll learn about seven recently approved drugs, including: fingolimod hydrochloride, an oral drug indicated to treat patients with relapsing forms of multiple sclerosis.
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 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).
Managed Care November 2004 Martin Sipkoff	OTC Status for Low-Dose Lovastatin Would Have Widespread Implications The FDA stands poised to approve OTC low-dose statins, following a similar change in United Kingdom.
Nurse Practitioner April 2009 Tamara Zurakowski	The practicalities and pitfalls of polypharmacy A working knowledge of the pharmacokinetics of aging and basic pharmacodynamics of medications in the older adult is needed to appropriately care for elders.
The Family Room Leah Hennen	Pregnancy No-Nos Pregnant? You already know to steer clear of alcohol and cigarettes. Here are other hazards to avoid.
American Family Physician April 15, 2005 Kirkham, Harris & Grzybowski	Evidence-Based Prenatal Care: Part II. Third-Trimester Care and Prevention of Infectious Diseases Recommendations for care, disease screening, labor induction and vaccinations for patients during late pregnancy.
American Family Physician July 1, 2001 Jeanne P. Spencer	Medications in the Breast-Feeding Mother Prescribing medications for a breast-feeding mother requires weighing the benefits of medication use for the mother against the risk of not breast-feeding the infant or the potential risk of exposing the infant to medications...
Nursing October 2009 Yvonne D'Arcy	Overturning barriers to pain relief in older adults This article will describe how to lower the barriers to effective pain control in older patients and provide practical tips for helping them receive the full benefit from pharmacologic and nonpharmacologic therapies.
American Family Physician May 15, 2004 Schrager & Potter	Diethylstilbestrol Exposure The dangers and uses of Diethylstilbestrol (DES) and its effect on those women given the drug and their female offspring.
American Family Physician September 15, 2003	Pregnancy: Prenatal Care What will happen during prenatal visits?... What should I eat?... Is it okay to take medicine?... How long can I keep working?... What about exercise?... Is it okay to have sex?... What can I do to feel better while I'm pregnant?... etc.
American Family Physician November 15, 2003 Jones et al.	Common Problems in Patients Recovering from Chemical Dependency This article describes how to care for patients recovering from chemical dependency, including special concerns that arise during the treatment of common medical conditions, to avoid adverse outcomes or relapse into addiction.
Health May 18, 2009 Hallie Levine Sklar	Babies After 40: The Hidden Health Risks of Mid-Life Pregnancy The number of women giving birth into their 40s and 50s and beyond is at record highs
BusinessWeek May 23, 2005 Carol Marie Cropper	Counter Intelligence Nonprescription drugs can often be just as strong as prescription drugs; in fact, many of them used to be just that. So, to use over-the-counter drugs safely, educate yourself about dosage, possible interactions, and even ingredients.
American Family Physician September 1, 2006 Gardiner & Dvorkin	Promoting Medication Adherence in Children The problem of getting children to follow a treatment regimen is widespread and is frustrating for physicians. Having the child participate in devising the plan improves adherence.
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 January 15, 2007 Pollock et al.	Appropriate Prescribing of Medications: An Eight-Step Approach These eight steps, along with ongoing self-directed learning, compose a systematic approach to prescribing that is efficient and practical for the family physician.
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 November 1, 2000	Diary from a Week in Practice Family physicians need to become skilled at helping patients find the information on the Web that can be beneficial... Antihistamine use during pregnancy... In the case of natural medicines, the time for testing and regulation by FDA is past due... Antidepressants and smoking cessation...
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 October 1, 2005 Griebel et al.	Management of Spontaneous Abortion Physicians should realize the importance of providing care that is sensitive to the medical and psychologic aspects of a couple who experiences spontaneous abortion (also referred to as miscarriage).
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...
American Family Physician November 1, 2005 Lozeau & Potter	Diagnosis and Management of Ectopic Pregnancy If a woman of reproductive age presents with abdominal pain, vaginal bleeding, syncope, or hypotension, the physician should perform a pregnancy test. If the patient is pregnant, the physician should perform a work-up to detect possible ectopic or ruptured ectopic pregnancy.
Managed Care October 2004 Martin Sipkoff	Not So Much of a Reach: Let Sick Pay Less for Drugs The idea is radical and simple: Those who need medication the most should pay the least. There is evidence that this is cost-effective.
AboutSafety March 29, 2001	The Effects Of Workplace Hazards On Female Reproductive Health Examples of chemical and physical reproductive hazards for women in the workplace include cancer treatment drugs, carbon disulfide, lead, ionizing radiation like X-rays and gamma rays, and strenuous physical labor like prolonged standing and heavy lifting.
Health May 2007 Josh Garskof	Could Painkillers be Hurting Your Heart? Heed warning labels on over-the-counter medicines to prevent further damage.
American Family Physician November 15, 2000 Randy Ellen Wertheimer	Emergency Postcoital Contraception Emergency postcoital contraception, a method used to prevent pregnancy after unprotected sexual intercourse, is a highly effective but underutilized birth control option....
American Journal of Nursing November 2008 Lisa M. Cleveland et al.	Lead Hazards for Pregnant Women and Children Part 2 Recommendations for prenatal screening and strategies for dealing with lead exposure when it occurs: education, reduction in environmental exposure, treatment options, and developmental surveillance.
American Family Physician July 1, 2006 Lesnewski & Prine	Initiating Hormonal Contraception Physicians can help patients improve their use of birth control by providing anticipatory guidance about the most common side effects, giving comprehensive information about available choices, and honoring women's preferences.
American Journal of Nursing December 2009 Kathleen A. Whitney	Placental Site Trophoblastic Tumor Positive pregnancy tests can result from medical conditions other than pregnancy, including various cancers, such as placental site trophoblastic tumor.