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Postpartum Office Visit

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141. Normal birth

Queensland Clinical Guidelines, Queensland Health and abide by the licence terms. You may not alter or adapt the work in any way. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/3.0/au/deed.en For further information, contact Queensland Clinical Guidelines, RBWH Post Office, Herston Qld 4029, email Guidelines@health.qld.gov.au, phone (07) 3131 6777. For permissions beyond the scope of this licence, contact: Intellectual Property Officer, Queensland Health, GPO Box 48 (...) wellbeing · If RhD negative blood group, review indications for RhD immunoglobulin Assessment (for the first two hours) Alter frequency of observations/assessment as indicated. · Temperature: within the first hour · Pulse, RR, BP: after birth of the placenta · Fundus and lochia: after birth of the placenta, then every 15?30 minutes · Perineum: with first maternal observations · Pain and discomfort · Urine output: monitor voiding postpartum · Examine placenta, membranes and cord Indications

2017 Queensland Health

142. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

: measures, modification; office visits; patient outcome; performance measures; physical activity; potassium intake; protein intake; renin inhibitor; risk reduction: behavior, counseling; screening; sphygmomanometers; spironolactone; therapy; treatment: adherence, compliance, efficacy, outcome, protocol, regimen; weight. Additional relevant studies published through June 2016, during the guideline writing process, were also considered by the writing committee and added to the evidence tables when (...) Conditions e20 3. Classification of BP e21 3.1. Definition of High BP e21 3.2. Lifetime Risk of Hypertension e22 3.3. Prevalence of High BP e22 3.4. Awareness, Treatment, and Control e22 4. Measurement of BP e23 4.1. Accurate Measurement of BP in the Office e23 4.2. Out-of-Office and Self-Monitoring of BP e24 4.3. Ambulatory BP Monitoring e25 4.4. Masked and White Coat Hypertension e26 5. Causes of Hypertension e28 5.1. Genetic Predisposition e28 5.2. Environmental Risk Factors e28 5.2.1. Overweight

2017 American Heart Association

144. Heart Disease and Stroke Statistics 2017 Update: A Report From the American Heart Association

-e603. DOI: 10.1161/CIR.0000000000000485. Expert peer review of AHA Scientific Statements is con- ducted by the AHA Office of Science Operations. For more on AHA statements and guidelines development, visit http:// professional.heart.org/statements. Select the “Guidelines & State- ments” drop-down menu, then click “Publication Development.” Permissions: Multiple copies, modification, alteration, en- hancement, and/or distribution of this document are not permit- ted without the express permission (...) , or status unknown) • NAMCS—physician office visits • National Home and Hospice Care Survey—staff, services, and patients of home health and hospice agencies • NHAMCS—hospital outpatient and ED visits • Nationwide Inpatient Sample of the AHRQ—hospital inpatient discharges, procedures, and charges • National Nursing Home Survey—nursing home residents • National Vital Statistics System—national and state mortality data • WHO —mortality rates by country • YRBSS—health-risk behaviors in youth and young

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2017 American Heart Association

145. Hospital Disaster Preparedness for Obstetricians and Facilities Providing Maternity Care

not reflect the most recent evidence. Any updates to this document can be found on or by calling the ACOG Resource Center. While ACOG makes every effort to present accurate and reliable information, this publication is provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents (...) antepartum, intrapartum, postpartum and neonatal care) warrant special consideration in the event of a disaster. Pregnancy increases the risks of untoward outcomes from various infectious diseases. Trauma during pregnancy presents anatomic and physiologic considerations that often can require increased use of resources such as higher rates of cesarean delivery. Recent evidence suggests that floods and human-influenced environmental disasters increase the risks of spontaneous miscarriages, preterm births

2017 American College of Obstetricians and Gynecologists

146. Long-Acting Reversible Contraception: Implants and Intrauterine Devices

not to be pregnant. The hospital setting offers convenience for the patient and the health care provider. In addition, women are at risk of an unintended pregnancy in the period immediately after delivery as resumption of ovulation may occur shortly after delivery ( ). Between 40% and 57% of women report having unprotected intercourse before the routine 6-week postpartum visit ( ). Postpartum Intrauterine Device Insertion Immediate postpartum IUD insertion (ie, within 10 minutes after placental delivery (...) the postpartum follow-up visit ( ). The US MEC classifies immediate postpartum IUD insertion as Category 1 except in the case of immediate postpartum LNG-IUD insertion in breastfeeding women, which is MEC Category 2, mainly based on conflicting results in studies of this IUD (see ) (47). Insertion of the copper IUD or a LNG-IUD from 10 minutes after placental delivery up until 4 weeks postpartum is classified as a US MEC Category 2, and insertion at or after 4 weeks postpartum is classified as a US MEC

2017 American College of Obstetricians and Gynecologists

147. Management of Type 2 Diabetes Mellitus

of risk factors and complications is summarized in Table 12. Diet, exercise, and pharmacologic interventions should be initiated for: Hypertension [IA] Cardiovascular risk reduction [IA] Hyperlipidemia [IA] Diabetes complications as indicated Each regular diabetes visit Annually • Blood pressure measured and controlled [IA]. • Check HbA1c every 3 months if on insulin; every 6 months if on oral agents or diet only and well- controlled. [II]. Optimize glycemic control [IA]. • Review and reinforce diet (...) and physical activity [IID]. • Check weight, calculate BMI [IID]. • Feet should be inspected at each visit if neuropathy present. Otherwise visual foot exam and neuropathy evaluation annually [IA]. • Smoking cessation counseling provided for patients with tobacco dependence [IB]. • Review and reinforce key self- management goals (See Table 3) [IA]. • Dilated retinal examination by eye care specialist: if good blood sugar and blood pressure control and previous eye exam was normal, every 2 years

2017 University of Michigan Health System

148. Human Papillomavirus Vaccination

associated with HPV infection. Obstetrician–gynecologists and other health care providers should stress to parents and patients the benefits and safety of HPV vaccination and offer HPV vaccines in their offices. Recommendations and Conclusions The American College of Obstetricians and Gynecologists (the College) makes the following recommendations and conclusions: It is crucial that obstetrician–gynecologists and other health care providers educate parents and patients on the benefits and safety of human (...) papillomavirus (HPV) vaccination and offer HPV vaccines in their offices. A health care provider’s recommendation to vaccinate is a strong influence in parents’ decision making. Obstetrician–gynecologists play a critical role in women’s care and should assess and vaccinate adolescent girls and young women with HPV vaccine during the catch-up period (ages 13–26 years). Obstetrician–gynecologists and other health care providers play a significant role and should educate parents in their decision making

2017 American College of Obstetricians and Gynecologists

149. Commercial Enterprises in Medical Practice

): AMA; 2017. p. 160, 389–90. Available at: . Retrieved March 29, 2017.  Mazzoni SE, Brewer SE, Pyrzanowski JL, Durfee MJ, Dickinson LM, Barnard JG, et al. Effect of a multi-modal intervention on immunization rates in obstetrics and gynecology clinics. Am J Obstet Gynecol 2016;214:617.e1–7. Stechna S, Mravcak S, Schultz P, Santolaya J. The Quick Start Contraception Initiation Method during the 6-week postpartum visit: an efficacious way to improve contraception in Federally Qualified Health Centers (...) , either express or implied. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented. Commercial Enterprises in Medical Practice ABSTRACT: Monetary

2017 American College of Obstetricians and Gynecologists

150. Update on Immunization and Pregnancy Tetanus Diphtheria and Pertussis Vaccination

. While ACOG makes every effort to present accurate and reliable information, this publication is provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect (...) to make sure that each newborn receives the highest possible protection against pertussis at birth. Obstetrician–gynecologists are encouraged to stock and administer the Tdap vaccine in their offices. Partners, family members, and infant caregivers should be offered the Tdap vaccine if they have not previously been vaccinated. Ideally, all family members should be vaccinated at least 2 weeks before coming in contact with the newborn. If not administered during pregnancy, the Tdap vaccine should

2017 American College of Obstetricians and Gynecologists

151. Opioid Use and Opioid Use Disorder in Pregnancy

to this document can be found on or by calling the ACOG Resource Center. While ACOG makes every effort to present accurate and reliable information, this publication is provided “as is” without any warranty of accuracy, reliability, or otherwise, either express or implied. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect (...) and treat women with substance use disorders. Substance use disorders affect women across all racial and ethnic groups and all socioeconomic groups, and affect women in rural, urban, and suburban populations. Therefore, it is essential that screening be universal. Screening for substance use should be a part of comprehensive obstetric care and should be done at the first prenatal visit in partnership with the pregnant woman. Patients who use opioids during pregnancy represent a diverse group

2017 American College of Obstetricians and Gynecologists

152. Smoking Cessation During Pregnancy

of the available evidence is poor, and well-designed trials are needed to understand the health effects of these products; their role, if any, in smoking cessation; and their effects on pregnant women and their fetuses. Coding Office visits specifically addressing smoking cessation may be billed, but not all payers reimburse for counseling outside of the global pregnancy care package and some do not cover preventive services at all. Under the health care reform, physicians will be reimbursed for the provision (...) , either express or implied. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented. INTERIM UPDATE: This Committee Opinion is updated as highlighted

2017 American College of Obstetricians and Gynecologists

153. HTA of smoking cessation interventions

) of smoking cessation interventions Health Information and Quality Authority 8 Ms Dilly O’Brien Assistant Principal Officer, Tobacco & Alcohol Control Unit, Department of Health Mr Kevin O’Hagan Health Promotion Manager, Irish Cancer Society Mr Bernard O’Sullivan President of Cork COPD Support Group and member of COPD Support Ireland Mr Damien Peelo Executive Director, COPD Support Ireland Prof James Raftery Professor of Health Technology Assessment, University of Southampton, UK Dr Máirín Ryan Director (...) Addiction Group Health Pricing Office (HPO), HSE Health Products Regulatory Authority (HPRA) Ms Joan Heffernan, HIQA Smoking Cessation Practitioners Forum, HSE Irish Pharmaceutical Healthcare Association (IPHA) National Cancer Registry Ireland (NCRI) Mr Ahmed Kotb, Royal College of Surgeons in Ireland (RCSI) Research & Development and Health Analytics Division, Department of Health Ms Pauline Kent, Smoking Cessation Co-ordinator, Sligo University Hospital Dr Jogin Thakore and Mr Derry Houlihan, St

2017 Health Information and Quality Authority

154. European Society of Endocrinology Clinical practice guidelines for the care of girls and women with Turner syndrome

, including TTE at 4- to 8-week intervals during pregnancy and during the first 6 months postpartum (⨁◯◯◯). R 3.13. We suggest that CMR imaging (without gadolinium) should be performed during pregnancy when there is suspicion of disease of the distal ascending aorta, aortic arch or descending aorta (⨁◯◯◯). R 3.14. We recommend that blood pressure control is strict (135/85 mmHg) in all pregnant women with TS (⨁◯◯◯). R 3.15. We suggest that during pregnancy, prophylactic surgery is reasonable in case

2017 European Society of Endocrinology

155. Guidance addressing all aspects of the care of people with schizophrenia and related disorders. Includes correct diagnosis, symptom relief and recovery of social function

in Australia and New Zealand. It aims to encourage all clinicians to adopt best practice principles. The recommendations represent the consensus of a group of Australian and New Zealand experts in the management of schizophrenia and related disorders. It is intended mainly for psychiatrists, psychiatry trainees, resident medical officers and hospital interns in psychiatry. It may also be useful to general practitioners (GPs), mental health nurses, other clinicians who work with people with schizophrenia

2016 Royal Australian and New Zealand College of Psychiatrists

156. Canadian Consensus on Female Nutrition: Adolescence, Reproduction, Menopause, and Beyond

of Reproductive Aging Workshop + 10 staging system for reproductive aging in women. FMP: final menstrual period; FSH, follicle-stimulating hormone; AMH, anti-mullerian hormone Abstract Objectives To provide health care professionals in Canada with the basic knowledge and tools to provide nutrition guidance to women through their lifecycle. Outcomes Optimal nutrition through the female lifecycle was evaluated, with specific focus on adolescence, pre-conception, pregnancy, postpartum, menopause, and beyond (...) by measuring serum 25(OH)D is not necessary for the general population but should be carried out in high risk women such as those with a history of fractures, malabsorption, renal disease, or using medications that impact vitamin D or bone metabolism (e.g., chronic steroid use, anticonvulsant therapy). (III-A) 10. During routine visits, advise all women of reproductive age about the benefits of adequate intake of folate from foods (e.g., dark green, leafy vegetables and legumes) and folic acid

2016 Society of Obstetricians and Gynaecologists of Canada

157. Clinical Practice Guidelines on Hypertension

minutes before measurement. 3. Use a cuff with a bladder 12-13 cm x 35 cm in size. A cuff with a larger bladder should be used for large upper arms; where a thigh cuff should be used for extremely large arms. 4. When using the auscultatory method, use the disappearance of phase V Korotkoff sounds to measure the diastolic BP. 5. Measure the BP in both arms at the first visit; subsequently re-measure BP on the arm with the higher reading, if applicable. 6. Take 2 or more readings separated by 2 minutes (...) hypertension, do not use drug treatment to decrease the diastolic BP to below 80 mmHg. 128 Grade D, Level 4 D Treat pregnant women with chronic hypertension using methyldopa, labetalol, nifedipine, or a combination thereof. 128 Grade D, Level 4 GPP Methyldopa, labetolol, and nifedipine are also considered safe for use during breastfeeding postpartum. GPP 55 Diuretics of all types are less often used during pregnancy, because of possible concerns about depletion of the intravascular volume; they might also

2017 Ministry of Health, Singapore

158. Integrating Tobacco Interventions into Daily Practice

Officer, Registered Nurses’ Association of Ontario The Registered Nurses’ Association of Ontario (RNAO) is delighted to present the third edition of the clinical Best Practice Guideline Integrating Tobacco Interventions into Daily Practice. Evidence- based practice supports the excellence in service that health professionals are committed to delivering every day. RNAO is pleased to provide this key resource. We offer our heartfelt thanks to the many stakeholders who are making our vision for best (...) . Governments at home and abroad have joined in this journey. Together, we are building a culture of evidence-based practice. We invite you to share this guideline with your colleagues from other professions, because we have so much to learn from one another. Together, we must ensure that the public receives the best possible care every time they come into contact with us—making them the real winners in this important effort. Doris Grinspun, RN, MSN, PhD, LLD (Hon), O. ONT. Chief Executive Officer

2017 Registered Nurses' Association of Ontario

159. Advocacy Interventions to Reduce or Eliminate Violence and Promote the Physical and Psychosocial Wellbeing of Women Who Experience Intimate Partner Abuse: A Systematic Review

Group Methods Therese Pigott, Loyola University, USA Emily Tanner-Smith, Vanderbilt University, USA Chief Executive Officer Howard White, The Campbell Collaboration Managing Editor Karianne Thune Hammerstrøm, The Campbell Collaboration Co-Chairs Crime and Justice David B. Wilson, George Mason University, USA Peter Neyroud, University of Cambridge, UK Education Sarah Miller, Queen's University Belfast, UK Gary W. Ritter, University of Arkansas, USA Social Welfare Brandy Maynard, Saint Louis (...) and cycle of violence, a danger assessment to assess risks and consider preventive options, 88 The Campbell Collaboration | www.campbellcollaboration.org development of safety plan, and a list of community resources; delivered over 4 to 8 prenatal sessions plus 2 postpartum booster sessions, each session averaged 50 ± 15 minutes (depending on how many of the 4 risk conditions were addressed) Control Women received usual prenatal care, as determined by the standard procedures at the each prenatal care

2016 Campbell Collaboration

160. Safe midwifery staffing for maternity settings

settings (NG4) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 12 of 671 1 Recommendations Recommendations The recommendations in this guideline cover all aspects of care provided by a midwife employed to provide NHS-funded maternity care in: all maternity services (for example, clinics, home visits, maternity units) all settings where maternity care is provided (for example, home, community, free-standing (...) , in all: maternity services (for example, pre-conception, antenatal, intrapartum and postnatal services, clinics, home visits and maternity units) Safe midwifery staffing for maternity settings (NG4) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 13 of 67settings where maternity care is provided (for example, home, community, free- standing and alongside midwifery-led units, hospitals including obstetric units, day

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

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