Category: ACOG

ACOG: Changes in Prenatal Cannabis Use Among Pregnant Individuals From 2012 to 2022

https://journals.lww.com/greenjournal/fulltext/2024/10000/changes_in_prenatal_cannabis_use_among_pregnant.17.aspx Abstract This population-based cross-sectional study analyzed electronic health record data of pregnant individuals in an integrated health care delivery system in California to examine changes in prenatal cannabis use…

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ACOG: Addressing Social and Structural Determinants of Health in the Delivery of Reproductive Health Care

ACOG Committee Statement No. 11 https://journals.lww.com/greenjournal/fulltext/2024/11000/addressing_social_and_structural_determinants_of.27.aspx Abstract Social and structural determinants of health include historical, social, political, and economic forces, many of which are rooted in racism and inequality, that…

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ACOG: Long-Term Risk of Type 2 Diabetes After Preterm Delivery or Hypertensive Disorders of Pregnancy

https://journals.lww.com/greenjournal/abstract/2024/11000/long_term_risk_of_type_2_diabetes_after_preterm.14.aspx OBJECTIVE:  To examine long-term diabetes risk after preterm delivery or hypertensive disorders of pregnancy in a large population-based cohort. METHODS:  This retrospective cohort study included all women with a…

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ACOG: Continuous Glucose Monitoring for Management of Type 2 Diabetes and Perinatal Outcomes

https://journals.lww.com/greenjournal/fulltext/2024/11000/continuous_glucose_monitoring_for_management_of.12.aspx OBJECTIVE:  To evaluate the association between continuous glucose monitoring in pregnant people with type 2 diabetes and perinatal outcomes. METHODS:  This was a retrospective cohort study of pregnant people…

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ACOG: Association Between Metformin Use in Early Gestational or Type 2 Diabetes in Pregnancy and Preterm Preeclampsia

https://journals.lww.com/greenjournal/abstract/2024/11000/association_between_metformin_use_in_early.18.aspx OBJECTIVE:  To estimate the association between maternal metformin use for the treatment of early gestational or pre-existing type 2 diabetes and preterm preeclampsia. METHODS:  This is a planned secondary…

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ACOG Clinical Practice Update: Screening for Gestational and Pregestational Diabetes in Pregnancy and Postpartum

https://journals.lww.com/greenjournal/abstract/9900/screening_for_gestational_and_pregestational.1074.aspx Abstract This Clinical Practice Update reviews current data on screening and diagnostic criteria for pregestational and gestational diabetes mellitus during pregnancy and type 2 diabetes mellitus postpartum. This document…

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ACOG: Pre-existing Diabetes and Stillbirth or Perinatal Mortality: A Systematic Review and Meta-analysis

https://journals.lww.com/greenjournal/abstract/9900/pre_existing_diabetes_and_stillbirth_or_perinatal.1125.aspx OBJECTIVE:  Despite the well-recognized association between pre-existing diabetes mellitus and stillbirth or perinatal mortality, there remain knowledge gaps about the strength of association across different populations. The primary objective…

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ACOG: Association Between Metformin Use in Early Gestational or Type 2 Diabetes in Pregnancy and Preterm Preeclampsia

https://journals.lww.com/greenjournal/abstract/9900/association_between_metformin_use_in_early.1144.aspx OBJECTIVE:  To estimate the association between maternal metformin use for the treatment of early gestational or pre-existing type 2 diabetes and preterm preeclampsia. METHODS:  This is a planned secondary…

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ACOG: Association Between Novel Antiphospholipid Antibodies and Adverse Pregnancy Outcomes

https://journals.lww.com/greenjournal/abstract/9900/association_between_novel_antiphospholipid.1154.aspx OBJECTIVE:  To investigate the value of anti-β2 glycoprotein-I domain 1 (aD1) and antiphosphatidylserine–prothrombin antibodies for predicting adverse pregnancy outcomes in an at-risk population and to describe the relationship among…

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ACOG: Magnesium Sulfate Before Preterm Birth for Neuroprotection – An Updated Cochrane Systematic Review

https://journals.lww.com/greenjournal/fulltext/2024/08000/magnesium_sulfate_before_preterm_birth_for.7.aspx OBJECTIVE:  To systematically review the evidence for the effectiveness and safety of magnesium sulfate as a fetal neuroprotective agent when given to individuals at risk of preterm birth. DATA…

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ACOG: Evaluation of Statewide Program to Reduce Cesarean Deliveries Among Nulliparous Individuals With Singleton Pregnancies at Term Gestation in Vertex Presentation

Obstetrics & Gynecology (lww.com) OBJECTIVE:  To evaluate the effect of statewide efforts to reduce nulliparous, term, singleton, vertex (NTSV) cesarean delivery rates in California. METHODS:  This was a population-based study…

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ACOG: Congenital Syphilis in Live Births – Adverse Outcomes, Hospital Length of Stay, and Costs

Obstetrics & Gynecology (lww.com) OBJECTIVE:  To examine temporal trends and risk factors for congenital syphilis in newborn hospitalizations and to evaluate the association between adverse outcomes and congenital syphilis and…

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ACOG: Immediate Postpartum Long-Acting Reversible Contraception for Preventing Severe Maternal Morbidity – A Cost-Effective Analysis

Obstetrics & Gynecology (lww.com) OBJECTIVE:  To estimate the cost effectiveness of Medicaid covering immediate postpartum long-acting reversible contraception (LARC) as a strategy to reduce future short interpregnancy interval (IPI), severe…

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ACOG: Optimizing Opioid Prescription Quantity After Cesarean Delivery – A Randomized Controlled Trial

Obstetrics & Gynecology (lww.com) OBJECTIVE:  To test whether an individualized opioid-prescription protocol (IOPP) with a shared decision-making component can be used without compromising postcesarean pain management. METHODS:  In this multicenter…

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ACOG Clinical Practice Update: Update on Criteria for Suspected Diagnosis of Intraamniotic Infection

Obstetrics & Gynecology (lww.com) CLINICAL RECOMMENDATIONSIn summary, although the diagnosis of suspected intraamniotic infection frequently includes maternal fever as a clinical criterion, scenarios exist in which fever in patients with…

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ACOG Clinical Practice Update: Screening for Gestational and Pregestational Diabetes in Pregnancy and Postpartum

Obstetrics & Gynecology (lww.com) CLINICAL RECOMMENDATIONSDiabetes Mellitus Screening at Less Than 24 Weeks of GestationDue to the lack of consistent evidence to indicate neonatal and maternal benefit from early diagnosis…

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ACOG: Mean Arterial Pressure and Neonatal Outcomes in Pregnancies Complicated by Mild Chronic Hypertension

Obstetrics & Gynecology (lww.com) OBJECTIVE:  To estimate the association between mean arterial pressure during pregnancy and neonatal outcomes in participants with chronic hypertension using data from the CHAP (Chronic Hypertension…

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ACOG: Adverse Pregnancy Outcomes and Predicted 30-Year Risk of Maternal Cardiovascular Disease 2–7 Years After Delivery

Adverse Pregnancy Outcomes and Predicted 30-Year Risk of Mat… : Obstetrics & Gynecology (lww.com) OBJECTIVE:  To determine whether adverse pregnancy outcomes are associated with a higher predicted 30-year risk of…

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ACOG: ACOG Recommends Obstetrician-Gynecologists Increase Syphilis Screening for Pregnant Individuals

ACOG Recommends Obstetrician-Gynecologists Increase Syphilis Screening for Pregnant Individuals Washington, D.C.— In the context of the rapidly increasing rates of congenital syphilis across the country, ACOG has issued updated guidance…

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ACOG: Neurodevelopment of Children Whose Mothers Were Randomized to Low-Dose Aspirin During Pregnancy

Neurodevelopment of Children Whose Mothers Were Randomized t… : Obstetrics & Gynecology (lww.com) OBJECTIVE:  Because low-dose aspirin is now commonly prescribed in pregnancy, we sought to assess the association between…

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