Family Medicine

Substance Use Disorder in Pregnancy, Part 2

In the US, drug and opioid overdose deaths have nearly quadrupled over the last decade. Synthetic opioid-related deaths increased 850% in women. Nearly 85% of pregnancies in women with opioid use disorder are unintended. During pregnancy, chronic untreated substance and…

Substance Use Disorder in Pregnancy, Part 1

In the US, drug and opioid overdose deaths have nearly quadrupled over the last decade. Synthetic opioid-related deaths increased 850% in women. Nearly 85% of pregnancies in women with substance use disorder (SUD) are unintended. During pregnancy, chronic untreated substance…

OP Malpresentation: A Precarious Situation

Fetal malpresentation is defined as a fetus presenting at birth in a non-vertex presentation as either occiput transverse (OT) or occiput posterior (OP). This condition occurs 15% to 25% at term and 5% to 12% at birth, frequently increases risk…

NAS and NOWS, Part 2

The diagnosis of a substance use or opioid use disorder during pregnancy is linked to complications for the mother, fetus, and newborn. Chronically drug exposed fetuses are at high risk for neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome…

NAS and NOWS, Part 1

The diagnosis of a substance use or opioid use disorder during pregnancy is linked to complications for the mother, fetus, and newborn. Chronically drug exposed fetuses are at high risk for neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome…

Promoting Vaginal Birth, Part 3: Interventions

Cesarean delivery rates have steadily increased over the past few decades without an equivalent improvement in maternal or neonatal outcomes and the use of non-invasive interventions to promote vaginal birth seems to be a lost art. This is part 3…

Promoting Vaginal Birth, Part 2: Professional Recommendations

Concerns related to the high cesarean birth rate in the United States have driven the development of safety initiatives that focus on promoting vaginal birth. Knowledge of current professional recommendations and guidelines related to the safe promotion of vaginal birth…

Promoting Vaginal Birth, Part 1: Overview

Cesarean delivery rates have steadily increased over the past few decades without an equivalent improvement in maternal or neonatal outcomes. A large percentage of Ob/Gyn malpractice claims are related to cesarean delivery. This activity is the first of a 3-part…