ACOG Green Journal: Making Vital Statistics Count: Preventing U.S. Maternal Deaths Requires Better Data
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National Partnership for Maternal Safety: Consensus Bundle on Safe Reduction of Primary Cesarean Births—Supporting Intended Vaginal Births
ABSTRACT: Cesarean births and associated morbidity and mortality have reached near epidemic proportions. The National Partnership for Maternal Safety under the guidance of the Council on Patient Safety in Women’s…
ACOG: Use of Antihypertensive Medications During Delivery Hospitalizations Complicated by Preeclampsia
OBJECTIVE: To evaluate temporal trends in use of antihypertensive medications during delivery hospitalizations complicated by preeclampsia and risk of maternal stroke over the same time period. Click here to read the…
ACOG Practice Bulletin #190: Gestational Diabetes Mellitus
INTERIM UPDATE: This Practice Bulletin is updated as highlighted to reflect a limited, focused change to clarify and provide additional information on the pharmacologic treatment of gestational diabetes mellitus. ABSTRACT:…
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ACOG News Release: AIM Data Show Early Signs of Improvement in Severe Maternal Morbidity
News release obtained from www.acog.org January 2, 2018 Washington, D.C.—Four states that were the first to join a national initiative aimed at reducing U.S. maternal mortality and morbidity have made promising…
ACOG Practice Bulletin No. 188: Prelabor Rupture of Membranes
ABSTRACT: Preterm delivery occurs in approximately 12% of all births in the United States and is a major factor that contributes to perinatal morbidity and mortality (1, 2). Preterm prelabor…
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ACOG Committee Opinion No. 729: Importance of Social Determinants of Health and Cultural Awareness in the Delivery of Reproductive Health Care
ABSTRACT: Awareness of the broader contexts that influence health supports respectful, patient-centered care that incorporates lived experiences, optimizes health outcomes, improves communication, and can help reduce health and health care inequities….
ACOG Practice Bulletin #186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices
(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…
ACOG Practice Bulletin No. 184: Vaginal Birth After Cesarean Delivery
(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…
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ACOG Practice Bulletin No. 183: Postpartum Hemorrhage
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…
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UPDATE: ACOG Committee Opinion #713, Antenatal Corticosteroid Therapy for Fetal Maturation
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…
ACOG Committee Opinion #718: Update on Immunization and Pregnancy Tetanus Diphtheria and Pertussis Vaccination
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…
ACOG Committee Opinion #717: Sulfonamides, Nitrofurantoin, and Risk of Birth Defects
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…
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ACOG Committee Opinion #712: Intrapartum Management of Intraamniotic Infection
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…
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UPDATE: ACOG Committee Opinion #711: Opioid Use and Opioid Use Disorder in Pregnancy
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…
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ACOG Practice Bulletin No. 180: Gestational Diabetes Mellitus
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…
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CDC Report: Less than half of pregnant women receive TDAP vaccine
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…
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From the Green Journal: Zika Risk and Pregnancy in Clinical Practice: Ongoing Experience as the Outbreak Evolves
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…
ACOG Practice Bulletin #178: Shoulder Dystocia
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…
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UPDATE! ACOG Committee Opinion: Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period
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…
Labetalol Injection Shortage, Estimated Release Dates of late-March and early-April
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…
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ACOG Committee Opinion: Delivery of a Newborn With Meconium-Stained Amniotic Fluid
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…
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AWHONN OK Section Conference – Early Discount Deadline March 15
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…
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ACOG Practice Bulletin 173: Fetal Macrosomia
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….
ACOG Practice Bulletin: Ultrasound in Pregnancy
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,…
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ACOG Committee Opinion: Approaches to Limit Intervention During Labor and Birth
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…
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ACOG Study: A Statewide Progestogen Promotion Program in Ohio
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…
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Updated ACOG Committee Opinion: Delayed Umbilical Cord Clamping After Birth
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…
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ACOG Study: Operationalizing 17a-Hydroxyprogesterone Caproate to Prevent Recurrent Preterm 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…
ACOG Study: Mechanical and Pharmacologic Methods of Labor Induction
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…
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