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Trigger Finger, Interventions for Spontaneous Labor, Cardiovascular Disease

Key Clinical Questions and Evidence-Based Answers from American Family Physician
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American Family Physician | Clinical Answers
 

Are nonsteroidal anti-inflammatory drug (NSAID) injections as safe and effective as steroid injections for the treatment of trigger finger?

According to a Cochrane review, in patients with trigger finger, there is no significant difference in outcomes at 12 to 24 weeks—including resolution of symptoms, recurrence, total active motion, residual pain, patient satisfaction, or adverse events—when comparing treatment with NSAID injections vs. corticosteroid injections. Read the full article.

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What outpatient interventions can increase the likelihood of spontaneous labor?

Regular, moderate exercise and breast massage both increase the likelihood of spontaneous labor. Membrane sweeping in the outpatient setting can increase the likelihood of spontaneous labor within 48 hours. Consider outpatient placement of a Foley catheter for cervical ripening in patients who are nulliparous with an unfavorable cervix (full Bishop score of less than 6). Read the full article.

Do mobile phone–based interventions improve patient adherence to medication for primary prevention of cardiovascular disease?

Mobile phone–based interventions improve adherence to cardiovascular medication regimens and may improve blood pressure control, but there is no patient-oriented evidence that these interventions are beneficial. Read the full article.

 

❯ ❯ AFP Clinical Answers distills evidence-based answers to clinical questions from AFP content for use at the point of care. Visit our searchable online collection for more.

 

Tip for Using AFP at the Point of Care

Looking for more information about labor and delivery? You can find more in AFP’s Labor, Delivery, and Postpartum Issues collection and you can sort by discipline or topic. Check out more than 70 other collections in AFP By Topic.

 

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