AFP: American Family Physician Podcast Episode 236 -- August 2025 -- Part 2 AFP: American Family Physician
Aug 29, 2025
Dive into the latest in family medicine with discussions on insightful contraceptive care strategies and the impact of delayed pushing during labor. Learn about the significance of treating male partners in bacterial vaginosis cases. Discover essential tips for discharging premature infants from the NICU, emphasizing caregiver education and nutritional needs. Explore common medical conditions, such as thumb tendinitis and the therapeutic benefits of pets for anxiety. It's a whirlwind of valuable insights for healthcare professionals!
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Patient-Centered Contraceptive Counseling
- Do prioritize patient-centered contraceptive counseling starting with rapport and preferences, not a menu of options.
- Do perform only necessary exams and check blood pressure before estrogen-containing methods to avoid delaying care.
Minimize Barriers To Starting Contraception
- Do avoid routine pelvic exams, STI testing, or pregnancy tests before starting most contraceptives unless clinically indicated.
- Do offer one-year prescriptions, self-administered subcutaneous depot injections, and same-day access to reduce barriers.
Manage IUD Insertion Pain Thoughtfully
- Offer topical lidocaine or a paracervical block to reduce IUD insertion pain though they don't improve placement success.
- Avoid routine misoprostol for first-time IUD placement because of increased side effects.