(Replaces Practice Bulletin Number 121, July 2011) Intrauterine devices and contraceptive implants, also called long-acting reversible contraceptives (LARC), are the most effective reversible contraceptive methods. The major advantage of LARC…
(Replaces Practice Bulletin Number 115, August 2010) Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous…
Read More from ACOG Practice Bulletin No. 184: Vaginal Birth After Cesarean Delivery
Maternal hemorrhage, defined as a cumulative blood loss of greater than or equal to 1,000 mL or blood loss accompanied by signs or symptoms of hypovolemia within 24 hours after…
Read More from ACOG Practice Bulletin No. 183: Postpartum Hemorrhage
INTERIM UPDATE: This Committee Opinion has been updated to reflect a limited focused change to clarify that, among specific populations, antenatal corticosteroids should be administered when a woman is at…
ABSTRACT: The overwhelming majority of morbidity and mortality attributable to pertussis infection occurs in infants who are 3 months and younger. Infants do not begin their own vaccine series against…
ABSTRACT: The evidence regarding an association between the nitrofuran and sulfonamide classes of antibiotics and birth defects is mixed. As with all patients, antibiotics should be prescribed for pregnant women…
Read More from ACOG Committee Opinion #717: Sulfonamides, Nitrofurantoin, and Risk of Birth Defects
ABSTRACT: Intraamniotic infection, also known as chorioamnionitis, is an infection with resultant inflammation of any combination of the amniotic fluid, placenta, fetus, fetal membranes, or decidua. Intraamniotic infection is a…
Read More from ACOG Committee Opinion #712: Intrapartum Management of Intraamniotic Infection
ABSTRACT: Opioid use in pregnancy has escalated dramatically in recent years, paralleling the epidemic observed in the general population. To combat the opioid epidemic, all health care providers need to…
Read More from UPDATE: ACOG Committee Opinion #711: Opioid Use and Opioid Use Disorder in Pregnancy
ABSTRACT: Gestational diabetes mellitus (GDM) is one of the most common medical complications of pregnancy. However, debate continues to surround the diagnosis and treatment of GDM despite several recent large-scale…
Read More from ACOG Practice Bulletin No. 180: Gestational Diabetes Mellitus
A recent survey conducted by the Center for Disease Control and Prevention (CDC) indicated that while Tdap vaccination in pregnancy is on the rise, only 48.8% of women surveyed in…
Read More from CDC Report: Less than half of pregnant women receive TDAP vaccine
Click here for FREE full article. OBJECTIVE: To describe a single U.S. perinatal center’s ongoing experience with evaluating pregnant patients with potential exposure to Zika virus infection. METHODS: This is…
Abstract Shoulder dystocia is an unpredictable and unpreventable obstetric emergency that places the pregnant woman and fetus at risk of injury. Studies have shown that prepregnancy, antepartum, and intrapartum risk…
Read More from ACOG Practice Bulletin #178: Shoulder Dystocia
ABSTRACT: Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the prenatal, intrapartum, or postpartum periods. Pregnant women or women in the postpartum period with acute-onset, severe…
ASHP and Drugs.com are reporting a shortage of labetalol injection due to increased demand and manufacturing delays. This will likely impact the care of pregnant women and postpartum women with…
Read More from Labetalol Injection Shortage, Estimated Release Dates of late-March and early-April
Abstract: In 2006, the American Academy of Pediatrics and the American Heart Association published the 2005 guidelines on neonatal resuscitation. Before the 2005 guidelines, management of a newborn with meconium-stained…
Read More from ACOG Committee Opinion: Delivery of a Newborn With Meconium-Stained Amniotic Fluid
The AWHONN OK Section Conference is being held April 6th and 7th at the Saint Francis Education Center in Tulsa, Oklahoma. Register before March 15th to avoid the $25 late…
Read More from AWHONN OK Section Conference – Early Discount Deadline March 15
Abstract: Suspected fetal macrosomia is encountered commonly in obstetric practice. As birth weight increases, the likelihood of labor abnormalities, shoulder dystocia, birth trauma, and permanent injury to the neonate increases….
Obstetric ultrasonography is an important and common part of obstetric care in the United States. The purpose of this document is to present information and evidence regarding the methodology of,…
Read More from ACOG Practice Bulletin: Ultrasound in Pregnancy
ABSTRACT: Obstetrician–gynecologists, in collaboration with midwives, nurses, patients, and those who support them in labor, can help women meet their goals for labor and birth by using techniques that are…
Read More from ACOG Committee Opinion: Approaches to Limit Intervention During Labor and Birth
OBJECTIVE: To promote use of progestogen therapy to reduce premature births in Ohio by 10%. METHODS: The Ohio Perinatal Quality Collaborative initiated a quality improvement project in 2014 working with…
Read More from ACOG Study: A Statewide Progestogen Promotion Program in Ohio
The American College of Obstetricians and Gynecologists has updated its recommendation on delayed cord clamping, expanding the recommendation of delayed cord clamping for both term and preterm infants. From the…
Read More from Updated ACOG Committee Opinion: Delayed Umbilical Cord Clamping After Birth
Each year in the United States, more than 500,000 neonates are born before 37 weeks of gestation. Women who have experienced a previous preterm birth are at high risk of…
OBJECTIVE: To evaluate the effectiveness of four commonly used induction methods. METHODS: This randomized trial compared four induction methods: misoprostol alone, Foley alone, misoprostol–cervical Foley concurrently, and Foley–oxytocin concurrently. Women…
Read More from ACOG Study: Mechanical and Pharmacologic Methods of Labor Induction
According to the CDC, only about half of pregnant women receive the flu shot even though they recommend that ALL pregnant women receive the flu shot. Here are some resources…
INTERIM UPDATE: This Practice Bulletin, Management of Preterm Labor, is updated to reflect a limited, focused change in the gestational age at which to consider antenatal corticosteroids, including administration during…
Read More from ACOG Practice Bulletin Interim Update: Management of Preterm Labor
OBJECTIVE: To investigate factors associated with differential state maternal mortality ratios and to quantitate the contribution of various demographic factors to such variation. CONCLUSION: Interstate differences in maternal mortality ratios…
ABSTRACT: This document builds upon recommendations from peer organizations and outlines a process for identifying maternal cases that should be reviewed. Severe maternal morbidity is associated with a high rate…
Read More from Obstetric Care Consensus: Severe Maternal Morbidity: Screening and Review
Published ahead-of-print in Obstetrics & Gynecology: Recent Increases in the U.S. Maternal Mortality Rate: Disentangling Trends From Measurement Issues Authors: Marian F. MacDorman, PhD, Eugene Declercq, PhD, Howard Cabral, PhD,…
Read More from ACOG Study: Recent Increases in the U.S. Maternal Mortality Rate
The American College of Obstetricians and Gynecologists (ACOG) has just released Committee Opinion #670: Immediate Postpartum Long-Acting Reversible Contraception. This is being published in the August issue of the Green…
Read More from ACOG Committee Opinion: Immediate Postpartum LARC
Kartik K. Venkatesh, MD, PhD, Laura Riley, MD, Victor M. Castro, MS, Roy H. Perlis, MD, MSc, and Anjali J. Kaimal, MD, MAS OBJECTIVE: To evaluate the association of antenatal…