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
Racial and ethnic disparities exist in both perinatal outcomes and health care quality. For example, black women are three to four times more likely to die from pregnancy-related causes and…
To read the article, click here….
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…
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…
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:…
Read More from ACOG Practice Bulletin #190: Gestational Diabetes Mellitus
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…
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…
Read More from ACOG Practice Bulletin No. 188: Prelabor Rupture of Membranes
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….
(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…