Obstetrics, PGY2
I.
Rationale
Pregnancy and childbirth are an important part of the family life cycle. The family physician, as the
provider of primary care to individuals and families, is uniquely qualified to guide and deliver
comprehensive, evidence-based maternity care to the pregnant patient and her family. The Emory
Academic Health Center and clinical affiliates expose the resident to a breadth of obstetrical experiences
with diverse patient populations.
This Family Medicine Obstetrics curriculum is offered to residents over the three years of training in both
didactic and clinical settings. The clinical phase consists of two components: the focused rotations at
Grady Memorial Hospital (PGY1) and Emory University Hospital Midtown (PGY2) in obstetrics and family
medicine inpatient service, and the longitudinal component which takes place over time in the family
medicine outpatient clinics and on other rotations where obstetric-related continuity care is provided.
The primary goal of the obstetrics curriculum is to prepare residents with the knowledge, skills, and
professional attitude to be competent in the provision of evidence-based, effective reproductive health c
are to patients.
II.
Competencies
Patient Care
Goals:
1. To communicate effectively and demonstrate caring and respectful behaviors interacting with
patients and their families when gathering essential and accurate reproductive health information,
counseling, and be able to apply this knowledge to the care of the individual patient.
2. To demonstrate the ability to effectively interview and evaluate patients for reproductive health
promotion and treatment using appropriate techniques and skills to enhance the doctor-patient
relationship.
3. To demonstrate sensitivity to and knowledge of the emotional, psychosocial, and cultural aspects of
reproductive health, pregnancy, labor and delivery and parental care of the newborn.
4. To develop and implement patient managements plans using health information technology to
support patient care decisions and patient education.
Objectives:
A. Demonstrate knowledge of and/or ability to perform:
1. New obstetric patient assessment, including history, physical, diagnostic and
screening studies and patient education
2. Estimates of gestational age
3. Risk assessment protocols
4. Routine obstetrics visits, including gestational age specific testing and anticipatory
guidance
5. Biophysical profiles
6. Pre-conceptual, anti/intra/postpartum counseling
B. Provide counseling to patients and their significant others regarding family planning, including:
1. Different methods of birth control
2. Child spacing
3. Role of family members in pregnancy, delivery, and child care
relations and sibling-sibling relations
4. Impact on family members, including spouse-spouse relations, sibling-parent
relations, and sibling-sibling relations
C. Provide counseling in a non-judgmental manner to patients and their significant others
regarding various options for managing an unwanted pregnancy, recognizing that there are
multiple religious, ethical, and moral considerations in this counseling, and if unable to provide
comprehensive counseling, be able to refer to a provider who can.
D. Communicate with a family, the news of fetal loss or congenital anomaly, recognizing the
stages of grief, and appropriately scheduling the family back for follow-up.
E. Provide clear explanatory information and obtain consent on all patients undergoing diagnostic
or therapeutic procedures in a manner understandable to the patient.
F. Discuss the pregnancy, treatment plan, anticipatory guidance, and lactation issues with the
patient and her family in a manner understandable to all of them.
G. Review questions with patients and their families and elicit any concerns they may have.
Learning Activities: (check all that apply)
Attending Rounds
Research Conference
X
Multidisciplinary Rounds
Grand Rounds
Subspecialty Conference
Morning Report
X
Other (specify)
X
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Outpatient Clinics
X
X
Self-study OB Monographs
Direct Patient Care
Resident Seminar
Journal Club
Critical Appraised Topics
Faculty facilitated selfcritique of videotaped
patient encounter
Evaluation Methods: (check all that apply)
X
Attending Evaluation
X
Directly Supervised
Procedures
Morning Report:
Program Director Review
X
In-Training Exam and miniquizzes
X
Supervision and Feedback
Senior resident/faculty
X
360° Evaluation
X
Direct Observation
X
Record Review
Procedure documentation
Sampling patient encounter
notes
X
Other (specify)
Case Presentation
Patient encounter videotape
review
Medical Knowledge
Goals:
1. To provide comprehensive antepartum care, utilizing assessment tools and screening methods for
pregnant patients.
2. To identify common antepartum complications and know how to manage these complications.
3. To deliver appropriate intrapartum care for pregnant patients.
Last Updated March 7, 2013
4.
5.
6.
7.
8.
9.
To
To
To
To
To
To
identify common intrapartum complications and know how to manage these complications.
provide appropriate postpartum care for pregnant patients.
identify postpartum complications and appropriately manage these complications.
provide effective care of the normal newborn.
perform neonatal resuscitation.
recognize ectopic pregnancies and manage them effectively.
Objectives:
A. Demonstrate knowledge of and assist in the performance of:
1. New obstetric patient assessment, including history, physical, diagnostic and
screening studies and patient education
2. Estimates of gestational age
3. Risk assessment protocols
4. Routine obstetrics visits, including gestational age specific testing and anticipatory
guidance
5. Biophysical profiles
6. Pre-conceptual, anti/intra/postpartum counseling
B. Demonstrate knowledge of the following antepartum complications and their managements,
assisting in the management of those that present in the clinical setting:
1. First trimester bleeding
2. Third trimester bleeding
3. Gestational diabetes
4. Pregnancy-induced hypertension, pre-eclampsia, eclampsia
5. IUGR / macrosomia
6. Premature rupture of membranes
7. Pre-term labor
8. Abdominal trauma
9. Advanced maternal age
10. Abnormal AFP
11. Anemia
12. Abdominal pain
13. Sexually transmitted infections
14.UTI/ pyelonephritis
15. Positive group B strep
16. Oligohydramnios
17. Polyhydramnios
18. Abnormal lie
19. Hyperemesis gravidarum
20. Post-date pregnancy
21. Size-date discrepancy
C. Demonstrate knowledge of and/or ability to perform under faculty supervision:
1. Pudendal/local block anesthesia
2. Normal vaginal delivery
3. Placement of Fetal scalp electrode
4. Placement of intrauterine pressure catheter
5. Vacuum/forceps delivery
6. Episiotomy and repair
7. External fetal monitoring
8. Analgesia during pregnancy
9. Determination of rupture of membranes
10. Leopold maneuvers
11. Determination of cervical dilatation, effacement, presentation, station
12. Use of Ultrasound to determine presentation
Last Updated March 7, 2013
13. Stages of labor, and normal labor curve
14. First person assist in Cesarean Section
D. Demonstrate knowledge of the following intrapartum complications and their managements,
managing or assisting in the management of those that present in a clinical setting under
faculty supervision:
1. Prolonged rupture of membranes
2. Abnormal presentation, position
3. Fever
4. Active herpes
5. Labor disorders
6. Meconium
7. Vaginal/cervical lacerations and repair
8. Vacuum delivery
9. Breech delivery
10. Retained placenta
11. Shoulder dystocia
12. Abnormal fetal tracking
E. Demonstrate knowledge and display skills to perform:
1. Manual extraction of placenta
2. First assist of tubal ligation and hysterectomy
F. Demonstrate knowledge and displays skills in the management of post-epidural complications
for:
1. Postpartum hemorrhage
2. Postpartum infection
3. Postpartum PIH
4. Amniotic fluid embolism
G. Demonstrate knowledge of care of the normal newborn including:
1. Estimating gestational age by Dubowitz criteria
2. Initial physical examination
3. Initial prophylactic medications
4. Initial feeding of the infant in the delivery room
5. Ability to perform circumcisions under faculty supervision
H. Demonstrate correct performance of neonatal resuscitation in the clinical setting.
I. Describe typical signs and symptoms, the work-up, and management of an ectopic pregnancy.
Learning Activities: (check all that apply)
x
Attending Rounds
Research Conference
x
x
Multidisciplinary Rounds
Grand Rounds
Subspecialty Conference
Morning Report
Other (specify)
Self study Ob modules
x
x
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Ambulatory Care Clinic
Evaluation Methods: (check all that apply)
X
Attending Evaluation
X
Directly Supervised
Procedures
Last Updated March 7, 2013
Outpatient Clinics
x
x
x
Direct Patient Care
Resident Seminar
Journal Club
Critical Appraised Topics
Neonatal Resuscitation
and PALS courses
Morning Report: Senior
Resident/Faculty
X
X
Program Director
Review
360° Evaluation
X
In-Training Exam
X
Supervision and Feedback
x
Oral Report
X
Record Review
Medical Record document
review
Other (specify) PALS and
Neonatal Resuscitation
Course exams
X
Case presentation
Practice-Based Learning and Improvement
Goals:
1. To understand the need for and engage in continuing self-education about updates in obstetrics
using information technology and other modes for learning evidence-based care.
2. To identify gaps in obstetrics knowledge and skills and set learning and self
improvement goals.
3. To develop a vision for whether obstetrics may be part of future practice.
Objectives:
A. Discuss the value of including Obstetrics in the practice of Family Medicine.
B. Accept and respond positively to constructive feedback for self- improvement.
C. Construct an educational plan for additional knowledge and skill-building in obstetrics as
indicated, based on self-identified personal knowledge and skills gaps to be prepared for on
anticipated future practice including obstetrics. . If obstetrics are not to be part of a future
practice, describe how the family physician may interact with the pregnant patient and her
family to help ensure the most gain from the experience.
D. Demonstrate leadership in a quality improvement/practice management project to assess the
degree of compliance with an evidence-based or best practice clinical guideline related to
Obstetrics, and report the findings and plans for improvement.
E. Identify sources to which residents may turn for more information or continuing education on
family-centered obstetrics.
Learning Activities: (check all that apply)
Attending Rounds
Research Conference
Multidisciplinary Rounds
Grand Rounds
Subspecialty Conference
Morning Report
Other (specify)
X
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Portfolio development
Evaluation Methods: (check all that apply)
X
Attending Evaluation
Directly Supervised
Procedures
Program Director
In-Training Exam
Review
Quality Improvement
Project presentation
Interpersonal and Communication Skills
Goals:
Last Updated March 7, 2013
Outpatient Clinics
Direct Patient Care
Resident Seminar
Journal Club
Critical Appraised Topics
QI Project
Morning Report
X
Faculty Supervision and
Feedback
1. To learn to communicate efficiently and effectively with obstetric patients and their families, the
health care team and obstetric consultants
2. To communicate and document clearly and completely using written and verbal methods
3. To demonstrate sensitivity to patient and family cultural, lifestyle, race, gender, age, disability issues.
4. To develop effective interpersonal and teaching skills for participation in the healthcare team and for
support of maternity patients and their families including use of language translators.
Objectives:
A. Complete a consultant referral form which contains a complete and succinct summary of the
patient’s diagnosis, accurate description of the problem, the question for the consultant, and
other information pertinent to the referral.
B. Utilize, and facilitate the communication of accurate information effectively with other members
of the health care team, patients and their families in a timely manner.
C. Present patient cases accurately and effectively.
D. Demonstrate an interest in teaching other learners about care of obstetric patients and their
families
E. Effectively, accurately, efficiently document obstetric patient encounters in the medical record.
F. Communicate effectively with obstetric patients and their families.
G. Communicate effectively verbally and in writing with community healthcare partners.
Learning Activities: (check all that apply)
x
Attending Rounds
Research Conference
Multidisciplinary Rounds
Grand Rounds
Subspecialty Conference
Morning Report
Other (specify)
Videotape patient encounter
and self-critique
x
Ethics/Comm Conference
Specialty Conference
Noon Conference
Faculty Supervision
Ambulatory Care Clinic
Outpatient Clinics
x
x
Evaluation Methods: (check all that apply)
x Attending Evaluation
x Directly Supervised Procedures
Program Director Review
x
In-Training Exam
360° Evaluation
x
Other (specify)
x
Checklist evaluation of Patient
interaction videotaped
performance
Patient surveys
Other (specify)
x
Professionalism
Goals:
Last Updated March 7, 2013
Videotape review of patient
encounter
Direct Patient Care
Resident Seminar
Journal Club
Critical Appraised Topics
Focused observation of
faculty professional role
models
Morning Report:
x
Supervision and Feedback
Senior Resident/Faculty
1. To develop a commitment to carrying out professional responsibilities
2. To adhere to ethical principles
3. To develop sensitivity to a diverse patient populations
Objectives:
A. Displays model professional behavior that is patient-centered, team-oriented, compassionate,
ethical and sensitive to patient culture and beliefs.
B. Demonstrate personal responsibility for compliance with Residency Program policies and
procedures, for responsible management of patient records, follow-up on diagnostic study
results, patient phone requests for information, clarification, and medication.
C. Displays behavior that reflects initiative, punctuality, dependability and responsibility.
D. Completes charting in a timely manner, and maintains up-to-date duty hour, delivery volume and
obstetric procedure documentation.
E. Demonstrate attention to detail and appearance that reflects respect for self, the profession,
patients and families.
Learning Activities: (check all that apply)
Attending Rounds
Research Conference
Multidisciplinary
Rounds
Grand Rounds
Morning Report
Other (specify)
Prepare an EBM Case
Review
Self critique patient
interaction videotape
Ethics/Comm Conference
Outpatient Clinics
x
Specialty Conference
Noon Conference
Resident Seminar
Journal Club
x
Faculty Supervision
Critical Appraised Topics
x
Observe behavior of
faculty role models
Evaluation Methods: (check all that apply)
X
Attending Evaluation
X
Directly Supervised
Procedures
Program Director
Review
X
X
Other(specify)
360° Evaluation
Direct Patient Care
In-Training Exam
Morning Report
X
Faculty Supervision and Feedback
Portfolio
Other(specify)
Videotape review and
facilitated critique
Systems-Based Practice
Goals:
1. To understand the value of obstetrical care in the practice of family medicine and the positive impact
on patients and families.
Last Updated March 7, 2013
2. To identify and utilize community and system resources to support effective and efficient maternity
care.
3. To learn to bill appropriately for services and procedures.
4. To utilize a team approach to patient care and quality improvement practices.
Objectives:
A. Participated actively and effectively in team-based, patient-centered approach to comprehensive
health care for female patients and their families.
B. Meet patient needs or arrange for the comprehensive reproductive health promotion and
management services.
C. Fully utilize community and system resources to optimize high quality reproductive health
management.
D. Demonstrated the interest in teaching less experienced learners how to provide high quality,
patient centered obstetrical care within the healthcare system and community.
E. Utilize appropriate coding and billing procedures and clinic resources for efficient, effective,
patient centered reproductive health services and practice management.
F. Demonstrate sensitivity to cost containment, patient safety, best practices guidelines, and
comparative effectiveness in clinical decisions.
G. Understand the impact on the patient satisfaction, provider satisfaction, practice cost/revenue
and obstetric patient health outcomes in Family Physician practices that offer or choose not to
offer obstetrical services.
H. Take a leadership role in a practice management project on a healthcare systems topic.
Learning Activities: (check all that apply)
x
Attending Rounds
Research Conference
Multidisciplinary
Rounds
Grand Rounds
Subspecialty
Conference
Morning Report
x
x
x
Outpatient Clinics
Ethics/Comm Conference
x
Direct Patient Care
Specialty Conference
Noon Conference
x
x
Resident Seminar
Journal Club
Faculty Supervision
x
Critical Appraised Topics
Other (specify)
Practice Management
project
Evaluation Methods: (check all that apply)
Attending Evaluation
Directly Supervised
Procedures
x
Program Director Review
In-Training Exam
Other(specify)
Other(specify)
III.
Morning Report
x
Faculty Supervision and
Feedback
Portfolio
Project presentation
Instructional Strategies (see above)
A. Observation of obstetrics preceptor role models and upper level resident’s assessment
of actual patients in labor and delivery
B. Management of actual patients in continuity clinic case discussions
C. Ambulatory care conference and core obstetric readings
D. Associated rotations: family medicine, pediatrics, and newborn nursery
Last Updated March 7, 2013
IV.
Evaluation Strategies (see above)
A. Observation of resident by obstetric preceptor (PC, K, PBL, CS, P, SBP)
B. Observation of resident clinical performance and medical record documentation by
clinic preceptor (PC, K, CS, P)
C. Procedure/diagnosis documentation. (PC, K, CS, P)
D. End of rotation evaluation (forms: all competencies)
E. Performance on the Obstetrics section of the in-training exam and mini-quizzes (K)
F. Evaluation of case presentation PC, K, PBL, CS, P, SBP)
V.
Implementation Methods
The Family Medicine PGY#2 Obstetric 6 week block rotation is scheduled at Emory University
Hospital Midtown with the Emory OB/GYN delivery service. The resident is responsible for triage
and management of labor and delivery under the supervision of the Ob-Gyn attending physician,
and to assist in C-sections that occur during the resident’s shifts.
The obstetric curriculum has several components. During all training years, the didactic teaching
sessions includes obstetrics-related presentations. In the PGY-1 year the resident rotates
through the Ob-Gyn department of Grady Memorial Hospital for four weeks. The resident is
responsible for triage of all patients that present to this clinic along with the OB intern. In
addition the resident will be called to all deliveries during the shift. The rotation consists of 12
hour shifts (7pm-7am) Monday through Friday. The resident is required to read the following
monographs (pregnancy care and medical conditions of pregnancy) and to score >90% on the
written exam. It is required that on at least three occasions during this rotation that the
supervisor rechecks the examination of the cervix to document competency in cervical
examination.
In the PGY-2 year the resident rotates through the Emory University Hospital Midtown delivery
suite for a six week rotation. The FM resident is responsible for triage and management of labor
under the supervision of the Ob-Gyn attending physicians. In addition the resident is first assist
on all C-sections that occur during the residents shift. The rotation consists of Monday to Friday
shifts of 7:00 AM to 7:00 PM with call in the family medicine service every fourth night. The
Resident is taught and expected to memorize and use the pneumonic DR C BRAVADO for
interpreting rhythm strips.
Throughout the residency, residents follow their own obstetric patients through their continuity
clinic. These patients are scheduled into the Family Medicine Clinic C beginning in the intern year.
They are followed solely by each individual resident under the supervision of Family Medicine
faculty. These patients deliver at Emory University Hospital Midtown. Each resident is expected
to perform vaginal deliveries, and assist the OB department faculty in C-sections.
Contact Information:
Jessica Arluck, MD
Pic # 10382
Chiefs: Tara Cleary tcleary@emory.edu
Martina Badell mbadel@emory.edu
Emory University Hospital Midtown
550 Peachtree Street, NE
Atlanta, GA 30308
(404) 686 8121 ofc
(404) 778 3527 fax
V. Suggested Readings
Last Updated March 7, 2013
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Managing Adverse Birth Outcomes: Helping Parents and Families Cope
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ACOG, 2008, Vol 199, # 6
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Last Updated March 7, 2013
NHBPEP Report on High Blood Pressure in Pregnancy: A Summary for Family Physicians - July 15,
2001 - American Family Physician http://www.aafp.org/afp/20010715/263.html 07/18/01
Intrauterine Growth Restriction: Identification and Management - August 1998 - American
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of Family Physicians http://www.aafp.org/afp/20000315/tips/25.html 12/01/00
Diagnosing and Managing Ectopic Pregnancy - February 15, 2001 - American Family
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Evaluation of Pregnant Women Exposed to Respiratory Viruses - May 15, 2000 - American
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http://www.aafp.org/afp/20001115/2287.html 11/21/00
Case Studies in Partner Violence - December 1, 1999 - American Academy of Family Physicians
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Current Trends in Cervical Ripening and Labor Induction - August 1999 - American Academy of
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HELLP Syndrome: Recognition and Perinatal Management - September 1, 1999 - American
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External Cephalic Version - September 1, 1998 - American Academy of Family Physicians
http://www.aafp.org/afp/980901ap/coco.html 08/24/01
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of Family Physicians http://www.aafp.org/afp/990501ap/2487.html
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ACOG Obstetrics Guidelines
#263 August 2011
#236 Nov 2009
Replaces #220 (Dec 08)
Policy Statement
Maternity Leave in Normal Pregnancy
Clinical Practice Guideline
Immunization in pregnancy
#235 Oct 2009
Clinical Practice Guideline
Active management of the third stage of
labour: prevention and treatment of postpartum hemorrhage
Replaces #88 (April 2000)
#214 Sept 2008
Clinical Practice Guideline
pregnancy at 41+0 to 42+0 weeks
Last Updated March 7, 2013
Guidelines for the management of
Replaces #15 (Mar 1997)
# 206 Mar 2008
Clinical Practice Guideline
Diagnosis, evaluation and management
of the hypertensive disorders of pregnancy
# 203 Feb 2008
Clinical Practice Guideline Rubella in Pregnancy
# 197 Sept 2007
Clinical Practice Guideline Fetal Health Surveillance: Antepartum
and Intrapartum Consensus Guideline
Replaces #130 (July 2003), #90 (June 2000); #112 (March 2002); and # 112 (April 2002)
#190 April 2007
Replaces #56 (Oct 1996)
Policy Statement
Pospartum Maternal and Newborn Discharge
# 006538 NGC Feb.2008 Asthma in pregnancy. American College of Obstetricians and
gynecologists
Vaginal Birth after Previous Cesarean 2010 National Guideline Clearinghouse
http://guideline.gov/content.aspx?id=23853
Diabetes in pregnancy. Management of diabetes and its complications from pre-conception to the
postnatal period. 2008 Mar. NGC: 007192 National Collaborating Centre for Women’s and
Children’s Health - National Government Agency
http://guideline.gov/content.aspx?id=14324&search=pregnancy
Hypertension in pregnancy. The management of hypertensive disorders during pregnancy. 2010
Aug. NGC: 008073 National Collaborating Centre for Women’s and Children’s Health - National
Government Agency http://guideline.gov/content.aspx?id=24122&search=pregnancy
Practice parameter update: management issues for women with epilepsy—focus on pregnancy
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Standards Subcommittee and Therapeutics and Technology Subcommittee of the American
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VTE, thrombophilia, antithrombotic therapy, and pregnancy: antithrombotic therapy and
prevention of thrombosis, 9th ed: American College of Chest Physicians evidence-based clinical
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Management of Pre-term Birth, Obstetrics and Gynecology Clinics, Vol 39, Issue 1, March 2012
US Preventive Services Task Force Neural Tube defects: Folic Acid for Prevention
Recommendations, May, 2009
http://www.uspreventiveservicestaskforce.org/uspstf/uspsnrfol.htm
FP Practice Endorsed Guidelines and Policies
Trial of Labor After Cesarean (TOLAC), Formerly Trial of Labor Versus Elective Repeat Cesarean
Section for the Woman With a Previous Cesarean Section, March 2005 A Review of the Evidence
and Recommendations by the American Academy of Family Physicians. Available at:
http://www.aafp.org/online/en/home/clinical/clinicalrecs/ob/tolac.html
and
http://www.aafp.org/online/etc/medialib/aafp_org/documents/clinical/clin_recs/tolacpolicy.Par.0001
.File.tmp/clinicalrec_tolac.pdf
TOLAC Shared Patient Provider decision tool:
Last Updated March 7, 2013
http://www.aafp.org/online/etc/medialib/aafp_org/documents/clinical/patient_ed/tolaccolor.Par.0001.File.tmp/TOLAC-color.pdf
Prevention of Perinatal Group B Streptococcal Disease: Revised Guidelines from CDC,
2010 (endorsed by AAFP with reservations) Available at:
http://www.aafp.org/online/etc/medialib/aafp_org/documents/clinical/clin_recs/cdcgbs.Par.0001.Fil
e.tmp/MMWRGroupBStreptococcaldisease11192010.pdf
Circumcision: Position Paper on Neonatal Circumcision
Board Approved: August 2007 Reaffirmed Available at:
http://www.aafp.org/online/en/home/clinical/clinicalrecs/guidelines/Circumcison.ht
ml
Immunizations in Pregnancy from CDC (updated Oct, 2011). Chart and flyer available at:
http://www.cdc.gov/vaccines/pubs/downloads/f_preg_chart.pdf and
http://www.cdc.gov/vaccines/pubs/downloads/f_preg.pdf
AAFP: FP Essentials Monographs and Policies
Genetics Update May 2012 (#396)
http://www.aafp.org/online/en/home/cme/selfstudy/fpe/fpeissues.html
Care of the Pregnant Patient, 2011 (#382)
Society for Maternal/Fetal Medicine: Maternal Fetal Medicine Monograph, High Risk Pregnancy Care
2009 https://www.smfm.org/attachedfiles/SMFMMonograph3.1.pdf
Finley BJ, Harnisch DR. Women’s Genitourinary Conditions. (# 314) AAFP Home Study. Leawood, Kan:
American Academy of Family Physicians, 2005.
Soldat LG, Batra CP, Murad E. Medical Conditions in Pregnancy. (#316) AAFP Home Study. Leawood,
Kan: American Academy of Family Physicians, 2005.
Pauwels J, Olifer L, Huntington J, Church L. Reproductive Health Update. (#340), AAFP Home Study.
Leawood, Kan: American Academy of Family Physicians, 2007.
Texts:
Cunningham F, Williams JW. Williams Obstetrics. 23nd ed. New York, N.Y.: McGraw-Hill Medical,
2010. Available Books at Ovid at Emory HS Library
Gibbs R, Kirlan B et al Danforth’s Obstetrics and Gynecology. 10th ed. Philadelphia, Pa.: Lippincott
Williams & Wilkins, 2008. Available Books at Ovid at Emory HSC Library
American Academy of Pediatrics, American College of Obstetricians and Gynecologists. Guidelines
for Perinatal Care. 6th ed, Elk Grove Village, Ill.: American Academy of Pediatrics, 2007.
Creasy RK, Resnik R, Iams JD. Maternal-Fetal Medicine: Principles and Practice. 6th ed.
Philadelphia, Pa.: Saunders, 2009. (Via MD Consult at Emory Health Sciences Library)
Weiner: Drugs for Pregnant and Lactating Women, 2nd ed, 2009.
(MD Consult thru Emory HSc Library)
Brunt, B Evidence-Based Competency Management for the Obstetrics Unit, 2nd ed, 2008
(R2 Library)
Gabbe SG, Niebyl JR, Simpson JL. Obstetrics: Normal and Problem Pregnancies. 6th ed.
Philadelphia, Pa.: Churchill Livingstone/Elsevier, 2012.
(Available at MD Consult)
Last Updated March 7, 2013
Speroff L, Fritz MA. Clinical Gynecologic Endocrinology and Infertility. 8th ed. Philadelphia, Pa.:
Lippincott Williams & Wilkins, 2011. (Books at OVID)
.
Websites:
The Center for Disease Control and Prevention
http//:www.cdc.gov/reproductivehealth/MaternalInfantHealth/ (revised 1/19/12)
http//:www.cdc.gov/women/ (modified, 2012)
http://www.womenshealth.gov/ http://www.womenshealth.gov/publications/ourpublications/breastfeeding-guide/(Breast feeding)
http://www.womenshealth.gov/publications/our-publications/pregnancy-dos-donts.pdf (Pregnancy)
http://www.womenshealth.gov/publications/our-publications/pregnancy_food_donts.pdf Nutrition)
Association of Maternal and Child Health Programs
http://www.amchp.org
American College of Obstetricians and Gynecologists
http://www.acog.org
National Guideline Clearinghouse
http:/www.guideline/index.aspx
American Pregnancy Association (Tools and Pt Ed)
http://www.americanpregnancy.org/
Last Updated March 7, 2013