Am Fam Physician. 2024;110(1):95-96
Author disclosure: No relevant financial relationships.
KEY POINTS FOR PRACTICE
• Noninvasive prenatal testing with cell-free DNA for aneuploidy screening is recommended because of its high accuracy.
• Early evaluation of maternal pelvic floor muscle function should be considered because antepartum pelvic floor physical therapy can reduce urinary incontinence in late pregnancy and up to 6 months postpartum.
• To prevent preeclampsia in high-risk patients, 100 to 150 mg of aspirin is recommended because it has stronger evidence of benefit than an 81-mg dose.
• Interpersonal psychotherapy or cognitive behavior therapy are options to help reduce depressive symptoms during pregnancy and the postpartum period.
From the AFP Editors
Despite decreasing birth rates, approximately 3.6 million births occurred in the United States in 2021. Although perinatal infant mortality rates have decreased, maternal deaths have increased. These guidelines from the U.S. Department of Veterans Affairs and U.S. Department of Defense (VA/DoD) update their previous recommendations and reflect a more rigorous development approach. Recommended options represent strong evidence and a distinct likelihood of benefit, whereas suggested options represent weak evidence or a weak likelihood of benefit.
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