Racial and Ethnic Disparities in Primary Cesarean Birth and Adverse Outcomes Among Low-Risk Nulliparous People OBJECTIVE: To compare trend of primary cesarean delivery rate and composite neonatal and maternal adverse…
Urine Drug Screening for Isolated Marijuana Use in Labor and Delivery Units Isolated marijuana use is frequently used as an indication for urine drug screening in labor and delivery…
Read More from ACOG: Urine Drug Screening for Isolated Marijuana Use in Labor and Delivery Units
Using Longitudinally Linked Data to Measure Severe Maternal Morbidity Beyond the Birth Hospitalization in California Most studies of severe maternal morbidity (SMM) include only cases that occur during birth hospitalizations….
Pregnancy-Associated Homicide and Suicide OBJECTIVE: To analyze differences in the demographic and social factors associated with pregnancy-associated violent deaths due to homicide compared with suicide by pregnancy timing. METHODS: This…
Read More from ACOG: Pregnancy-Associated Homicide and Suicide
ABSTRACT Since May 2022, more than 6,900 cases of monkeypox virus infection have been reported in 52 countries. The World Health Organization is planning to rename the virus and its…
The American College of Obstetricians and Gynecologist (ACOG) just released its first-ever public service announcement (PSA)! Please help spread this important, life-saving message to get vaccinated during pregnancy by sharing: https://www.acog.org/…/COVID-19-Vaccines-Safe-Proven… We know…
Read More from ACOG releases COVID-19 Vaccine PSA and Information
This Practice Advisory was developed by the American College of Obstetricians and Gynecologists’ Immunization, Infectious Disease, and Public Health Preparedness Expert Work Group in collaboration with Laura E. Riley, MD;…
Key Recommendations The American College of Obstetricians and Gynecologists (ACOG) strongly recommends that pregnant individuals be vaccinated against COVID-19. Given the potential for severe illness and death during pregnancy, completion…
Read More from ACOG: COVID-19 Vaccines and Pregnancy: Conversation Guide
Background Low-dose aspirin has been used during pregnancy most commonly to prevent or delay the onset of preeclampsia 1. The previous recommendation from the American College of Obstetricians and Gynecologists…
Intrauterine resuscitation in the setting of a Category II or III fetal heart tracing is addressed in Practice Bulletin No. 106, “Intrapartum Fetal Heart Rate Monitoring: Nomenclature, Interpretation, and General…
ABSTRACT Substance use in pregnancy is common; nearly one of five of pregnant individuals have past-month nicotine, alcohol, or illicit substance use, and more than one in 10 meet criteria…
Accounting for adverse events and outcomes related to maternity is fundamental to measuring the health of populations and the systems for delivering medical care. Traditionally, maternal mortality has been such…
ABSTRACT A central question for patients and clinicians is whether potential benefits of pharmacologic treatments for perinatal mental health disorders outweigh potential harms. Given lack of consensus on best practices,…
Read More from ACOG: Pharmacologic Treatment for Perinatal Mental Health Disorders
ABSTRACT OBJECTIVE: To evaluate whether outpatient cervical ripening with a balloon catheter results in a shorter amount of time in the labor and delivery unit when compared with use in…
Read More from ACOG: Outpatient Cervical Ripening with Balloon Catheters
ABSTRACT OBJECTIVE: To estimate the prevalence of pregnancy-associated deaths due to drugs, suicide, and homicide nationwide from 2010 to 2019. METHODS: Using U.S. death certificate records from 2010 to 2019…
ABSTRACT OBJECTIVE: To assess whether application of a standard algorithm to hospitalizations in the prenatal and postpartum (42 days) periods increases identification of severe maternal morbidity (SMM) beyond analysis of…
Read More from ACOG: Using Longitudinally Linked Data to Measure Severe Maternal Morbidity
ABSTRACT OBJECTIVE: To assess variations in low-risk cesarean delivery rates in the United States using the Society for Maternal-Fetal Medicine (SMFM) definition of low-risk for cesarean delivery and to identify…
ABSTRACT In the United States, postpartum hemorrhage is a leading preventable cause of maternal mortality and morbidity. To reduce morbidity from postpartum hemorrhage, risk assessment is an important starting point…
Read More from ACOG: Current State and Future Direction of Postpartum Hemorrhage Risk Assessment
ABSTRACT OBJECTIVE: To assess whether Pfannenstiel skin incision compared with vertical skin incision was associated with postcesarean delivery wound complications in morbidly obese women. METHODS: We assembled a retrospective cohort…
ABSTRACT OBJECTIVE: To compare the prospective risk of stillbirth between women with and without a stillbirth in their first pregnancy. METHODS: We conducted a cohort study using perinatal data from…
Read More from ACOG: Risk of Recurrent Stillbirth in Subsequent Pregnancies
INTRODUCTION Episiotomy, an incision through the perineum to facilitate delivery, is a common obstetric procedure.1 For decades, evidence has shown that routine episiotomy has unclear benefit but substantial risk of…
ABSTRACT OBJECTIVE: To evaluate race and ethnicity differences in cesarean birth and maternal morbidity in low-risk nulliparous people at term. METHODS: We conducted a secondary analysis of a randomized trial…
ABSTRACT This review summarizes high-quality evidence supporting delayed umbilical cord clamping to promote placental transfusion to preterm and term neonates. In preterm neonates, delayed cord clamping may decrease mortality and…
Read More from ACOG: Management of Placental Transfusion to Neonates After Delivery
ABSTRACT OBJECTIVE: To assess the prevalence of posttraumatic stress disorder (PTSD) symptoms and identify characteristics associated with it 2 months after singleton vaginal delivery at or near term. METHODS: We…
Read More from ACOG: Posttraumatic Stress Disorder Symptoms 2 Months After Vaginal Delivery
ABSTRACT OBJECTIVE: To evaluate immune responses to coronavirus disease 2019 (COVID-19) mRNA-based vaccines present in breast milk and transfer of the immune responses to breastfeeding infants. METHODS: We enrolled 30…
SMFM and ACOG recommend that pregnant people receive a COVID-19 booster shot at least 6 months after their primary series for mRNA-based vaccines (ie, Pfizer or Moderna) and at least…
ABSTRACT Three coronavirus disease 2019 (COVID-19) vaccines have been authorized for use in the United States; specifically, the Pfizer–BioNTech, Moderna, and Johnson & Johnson–Janssen COVID-19 vaccines were granted emergency use…
The new Hospital Inpatient Quality Reporting Programs’ Maternal Morbidity Structural Measure starts data collection on October 1, 2021. In the FY 2022 Inpatient Prospective Payment System (IPPS) Final Rule released…
This Consult has been endorsed by the American College of Obstetricians and Gynecologists (ACOG). The administration of antenatal corticosteroids has been widely adopted as the standard of care in the…
ABSTRACT OBJECTIVE: To evaluate the associations of depressive symptoms and antidepressant use during pregnancy with the risks of preterm birth, low birth weight, small for gestational age (SGA), and low…