OBJECTIVE: To evaluate maternal and neonatal safety measures in a large-scale quality improvement program associated with reductions in nulliparous, term, singleton, vertex cesarean delivery rates. METHODS: This is a cross-sectional study of…
OBJECTIVE: To evaluate the association of a standardized, structured approach to in-hospital postcesarean delivery pain management with maternal opioid use after cesarean delivery. METHODS: We conducted a retrospective cohort study of women…
ABSTRACT: The American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women….
Read More from ACOG Committee Opinion No. 775: Nonobstetric Surgery During Pregnancy
OBJECTIVE: To use a large national database to compare composite maternal or neonatal morbidity among low-risk, full-term women. METHODS: This cohort study, using the U.S. vital statistics datasets (2011–2015), evaluated low-risk…
Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to…
Read More from ACOG Practice Bulletin No. 209: Obstetric Analgesia and Anesthesia
ABSTRACT: Value-based care has become the new paradigm for clinical practice, with significant implications for maternity services, where there is a large opportunity to provide better care at lower cost….
Read More from ACOG Green Journal: In Pursuit of Value-Based Maternity Care
ABSTRACT: On August 8, 2018, Grobman et al published the findings from the ARRIVE (A Randomized Trial of Induction Versus Expectant Management) trial, a large randomized controlled trial of elective…
ABSTRACT: There are medical indications in pregnancy for which there is evidence or expert opinion to support delivery versus expectant management in the early-term period. However, the risk of adverse outcomes…
ABSTRACT: The neonatal risks of late-preterm and early-term births are well established, and the potential neonatal complications associated with elective delivery at less than 39 0/7 weeks of gestation are well…
Abstract: Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome….
Read More from ACOG Practice Bulletin No. 205 Vaginal Birth After Cesarean Delivery
Abstract: Fetal growth restriction, also known as intrauterine growth restriction, is a common complication of pregnancy that has been associated with a variety of adverse perinatal outcomes. There is a…
Read More from ACOG Practice Bulletin No. 204 Fetal Growth Restriction
Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2–8% of pregnancies globally (1). In Latin…
Read More from ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia
OBJECTIVE: To describe 1) obstetrician–gynecologists’ (ob-gyns’) perceptions of the frequency of vaccine refusal among pregnant patients and perceived reasons for refusal and 2) ob-gyns’ strategies used when encountering vaccine refusal and…
OBJECTIVE: To evaluate the effects of eliminating the routine use of oral opioids for postcesarean delivery analgesia on postcesarean opioid consumption. METHODS: At a tertiary care center, we implemented a quality improvement…
ACOG Committee Opinion No. 767 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…
Read More from ACOG Committee Opinion No. 767 Emergent Therapy for Acute-Onset, Severe Hypertension
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 require minimal…
Women who experience an uncomplicated vaginal delivery have acute intrapartum pain and variable pain in the immediate postpartum period. Although the Centers for Disease Control and Prevention (CDC) has urged…
ABSTRACT: Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery, is one of the most common medical complications during…
Read More from ACOG Committee Opinion No. 757: Screening for Perinatal Depression
OBJECTIVE: To describe racial and ethnic disparities in the incidence of severe maternal morbidity during delivery hospitalizations in the United States. METHODS: We conducted a pooled, cross-sectional analysis of 2012–2015 data from…
Washington, DC – The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) released the following statement in response to the results of “A Randomized Trial of…
ABSTRACT: The use of antibiotics to prevent infections during the antepartum, intrapartum, and postpartum periods is different than the use of antibiotics to treat established infections. For many years, the…
Read More from ACOG Practice Bulletin 199: Use of Prophylactic Antibiotics in Labor and Delivery
ABSTRACT: Lacerations are common after vaginal birth. Trauma can occur on the cervix, vagina, and vulva, including the labial, periclitoral, and periurethral regions, and the perineum. Most of these lacerations…
ABSTRACT: Inherited thrombophilias are associated with an increased risk of venous thromboembolism and have been linked to adverse outcomes in pregnancy. However, there is limited evidence to guide screening for…
Read More from ACOG Practice Bulletin No. 197: Inherited Thrombophilias in Pregnancy
ABSTRACT: Women who are pregnant or in the postpartum period have a fourfold to fivefold increased risk of thromboembolism compared with nonpregnant women (1, 2). Approximately 80% of thromboembolic events…
Read More from ACOG Practice Bulletin No. 196: Thromboembolism in Pregnancy
ABSTRACT: Low-dose aspirin has been used during pregnancy, most commonly to prevent or delay the onset of preeclampsia. The American College of Obstetricians and Gynecologists issued the Hypertension in Pregnancy…
Read More from ACOG Committee Opinion #743: Low-Dose Aspirin Use During Pregnancy
ABSTRACT This month we focus on current research in postpartum hemorrhage. Dr. Dunsmoor-Su discusses five recent publications, which are concluded with a “bottom line” that is a take-home message. A…
Read More from ACOG: New Insights and Strategies for PPH – Best Articles From the Past Year
ABSTRACT: Immunization is an essential part of care for adults, including pregnant women. Influenza vaccination for pregnant women is especially important because pregnant women who contract influenza are at greater risk…
Read More from ACOG Committee Opinion No. 741: Maternal Immunization
ABSTRACT: The weeks following birth are a critical period for a woman and her infant, setting the stage for long-term health and well-being. To optimize the health of women and…
Read More from ACOG Committee Opinion No. 736: Optimizing Postpartum Care
ABSTRACT: Pain and fatigue are the most common problems reported by women in the early postpartum period. Pain can interfere with a woman’s ability to care for herself and her infant….
Read More from ACOG Committee Opinion No. 742: Postpartum Pain Management
The weeks following birth are a critical period for a woman and her infant, setting the stage for long-term health and well-being. To optimize the health of women and infants,…
Read More from ACOG Committee Opinion No. 736: Optimizing Postpartum Care