AFP: American Family Physician Podcast Episode 227 -- April 2025 -- Part 1 AFP: American Family Physician
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Apr 16, 2025 Discover the intricacies of labor management and find new insights on tackling acute migraines. Learn about the potential of tirzepatide in treating sleep apnea, especially for those struggling with obesity. The discussion also dives into the sensitive topic of unintended pregnancies, emphasizing options counseling for patients. Additionally, explore the role of artificial intelligence in healthcare and weigh the nuances of testosterone replacement therapy in men and its varying impacts.
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Labor Management Recommendations
- Avoid cesarean delivery for latent phase arrest and manage active labor with patience and support.
- Use early amniotomy and upright maternal positions to reduce labor duration and improve outcomes.
Acute Migraine Treatment Tips
- Treat mild to moderate migraines with NSAIDs and use triptans first-line for moderate to severe migraines.
- Try different triptans if the first fails, and use japans or ditans if cardiovascular risks exist.
Terzepatide Benefits for Sleep Apnea
- Use terzepatide to induce weight loss and improve sleep apnea symptoms in obese patients.
- It is particularly helpful for those unable to use PAP therapy or already using it.