ACOG Green Journal: Reduction in Cesarean Delivery Rates Associated With a State Quality Collaborative in Maryland

ABSTRACT OBJECTIVE: To assess the extent to which hospitals participating in the MDPQC (Maryland Perinatal-Neonatal Quality Care Collaborative) to reduce primary cesarean deliveries adopted policy and practice changes and the…

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ACOG Green Journal: Evaluation of an Initiative to Decrease the Use of Oxygen Supplementation for Category II Fetal Heart Rate Tracings

ABSTRACT OBJECTIVE: To examine compliance with a guideline to reduce exposure to supplemental oxygen for category II fetal heart rate (FHR) tracings in normally oxygenated laboring patients. METHODS: All patients…

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ACOG Green Journal: Coronavirus Disease 2019 (COVID-19) Pandemic and Pregnancy Outcomes in a U.S. Population

ABSTRACT OBJECTIVE: To examine whether the coronavirus disease 2019 (COVID-19) pandemic altered risk of adverse pregnancy-related outcomes and whether there were differences by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)…

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ACOG Green Journal: Intrapartum Resuscitation Interventions for Category II Fetal Heart Rate Tracings and Improvement to Category I

ABSTRACT OBJECTIVE: To evaluate intrapartum resuscitation interventions and improvement in category II fetal heart rate (FHR) tracings. METHODS: This secondary analysis of a randomized trial of intrapartum fetal electrocardiographic ST-segment…

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ACOG Green Journal: Relationship Between Umbilical Cord Gas Values and Neonatal Outcomes

ABSTRACT OBJECTIVE: To evaluate the relationship between umbilical artery cord gas values and fetal tolerance of labor, as reflected by Apgar score. We hypothesized the existence of wide biological variability…

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ACOG Committee Opinion, Number 826: Protecting and Expanding Medicaid to Improve Women’s Health

Abstract Medicaid, the state–federal health insurance program for individuals with low incomes, serves as a safety net for women throughout the life span. Historically, expansions of Medicaid have been associated…

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ACOG Committee Opinion, Number 828: Indications for Outpatient Antenatal Fetal Surveillance

Abstract The purpose of this Committee Opinion is to offer guidance about indications for and timing and frequency of antenatal fetal surveillance in the outpatient setting. Antenatal fetal surveillance is…

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ACOG Committee Opinion, Number 831: Medically Indicated Late-Preterm and Early-Term Deliveries

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…

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ACOG Practice Bulletin, Number 231: Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies

Abstract The incidence of multifetal gestations in the United States has increased dramatically over the past several decades. For example, the rate of twin births increased 76% between 1980 and…

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ACOG: Delivery Mode After Manual Rotation of Occiput Posterior Fetal Positions

ABSTRACT OBJECTIVE: To evaluate whether manual rotation of fetuses in occiput posterior positions at full dilation increases the rate of spontaneous vaginal delivery. METHODS: In an open, single-center, randomized controlled…

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ACOG: High-Dose Compared With Standard-Dose Oxytocin Regimens to Augment Labor in Nulliparous Women

ABSTRACT OBJECTIVE: To evaluate whether a high-dose oxytocin regimen reduces the risk for primary cesarean birth and other obstetric morbidities when compared with standard dosing. METHODS: In a double-blind randomized…

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