Article Link ABSTRACT Amniotic fluid embolism (AFE) is a rare, life-threatening obstetric event associated with extremely high maternal and perinatal morbidity and mortality with no known definitive pathophysiologic pathway. Current…
A Randomized Controlled Trial Article Link OBJECTIVE: To compare the efficacy of 162 mg vs 81 mg aspirin daily for the prevention of preterm preeclampsia (less than 37 weeks of…
Read More from ACOG: Comparison of 162 mg and 81 mg Aspirin for Prevention of Preeclampsia
Article Link ABSTRACT OBJECTIVE: To evaluate the risks of neonatal and maternal adverse outcomes in individuals with low-risk, singleton, term breech presentation associated with vaginal compared with cesarean delivery in…
Read More from ACOG: Optimal Mode of Delivery for Individuals With Low-Risk Term Breech Presentation
Article Link OBJECTIVE: To systematically review the use of diuretics to reduce postpartum hypertension among individuals with hypertensive disorders of pregnancy. DATA SOURCES: MEDLINE, EMBASE, CINAHL, and Cochrane Central Register…
Article Link Abstract PURPOSE: The purpose of this document is to provide an evidence-based framework for the evaluation and management of intrapartum fetal heart rate (FHR) patterns. TARGET POPULATION: Pregnant…
Article Link Summary: Cannabis refers to all products derived from the plants Cannabis sativa, Cannabis indica, and Cannabis ruderalis and is the most commonly used illicit drug under U.S. federal law. With increasing…
Read More from ACOG: Cannabis Use During Pregnancy and Lactation – Clinical Concensus
A Systematic Review and Meta-analysis Article Link ABSTRACT OBJECTIVE: To determine the effect of antenatal corticosteroid administration on childhood neurodevelopmental outcomes from studies that have a design that minimized the…
Read More from ACOG: Antenatal Corticosteroids and Child Neurodevelopment
Article Link ABSTRACT Cases of syphilis during pregnancy (maternal syphilis) have risen dramatically in the United States in recent years, with racially minoritized groups experiencing high rates and large increases….
An Analysis of the Pregnancy Risk Assessment Monitoring System, 2016–2022 Article Link ABSTRACT OBJECTIVE: To assess national U.S. trends in self-reported prepregnancy cardiometabolic risk factors and counseling about improving cardiometabolic…
Read More from ACOG: National Trends in Prepregnancy Cardiometabolic Risk and Counseling
Article Link ABSTRACT OBJECTIVE: To perform a meta-analysis of randomized and quasi-randomized trials investigating whether endometrial closure is associated with the risk of uterine scar defects, menstrual symptoms, and associated…
Article Link Abstract This Clinical Practice Update provides guidance related to management of the umbilical cord at birth based on recently published data regarding short, medium, and long deferral of…
Article Link ABSTRACT OBJECTIVE: To evaluate obstetric stakeholders’ attitudes and implementation considerations regarding the adoption of key components of a newly tailored prenatal care recommendation—PATH (Plan for Appropriate Tailored Healthcare…
Read More from ACOG: Stakeholder Perspectives of New Tailored Prenatal Care Delivery
Article Link ABSTRACT Healthy People 2030 aims to decrease low-risk cesarean delivery rates to 23.6% in the United States. In 2023, the national rate was 26.6%, though rates vary widely…
Read More from ACOG: Low-Risk Cesarean Delivery Rates by County of Birth in the United States
Article Link Abstract Background We are lacking data with a high level of evidence on the use of episiotomy during instrumental delivery to prevent anal sphincter injury, which nonetheless presents…
Article Link Abstract This Clinical Practice Update provides revised guidance on the use of nonsurgical hemorrhage-control devices. This document is a focused update of related content in Practice Bulletin No….
Article Link OBJECTIVE: To evaluate demographic, pregnancy, and labor characteristics and perinatal outcomes related to intrapartum cesarean delivery in twin gestations. METHODS: We conducted a population-based retrospective cohort study of…
Article Link ABSTRACT OBJECTIVE: To quantify mortality trends among female individuals of childbearing age (15–49 years) across global regions from 1990 to 2021, systematically evaluating persistent geographic inequities in preventable…
Article Link Abstract Sepsis and septic shock are leading causes of maternal morbidity and mortality. Sepsis complicates an estimated 1 in 1,000 pregnancies and is responsible for 24% of in-hospital…
Read More from ACOG: Sepsis and Septic Shock During Pregnancy and Postpartum
Article Link OBJECTIVE: To evaluate the association between the level of maternity care access and maternal and pregnancy-related mortality. METHODS: This was a cross-sectional analysis of county-level data in the…
Article Link OBJECTIVE: To evaluate the effectiveness of influenza vaccination during pregnancy against influenza in infants during their first 6 months of life. METHODS: We conducted a cohort study among…
Article Link ABSTRACT The expanded maternal comorbidity index developed by Leonard et al uses pre-existing maternal health conditions (eg, hypertension, asthma) to produce a risk score that predicts severe maternal…
A Systematic Review and Meta-analysis Article Link ABSTRACT OBJECTIVE: To perform a meta-analysis of randomized and quasi-randomized trials investigating whether endometrial closure is associated with the risk of uterine scar…
Article Link ABSTRACT Cases of syphilis during pregnancy (maternal syphilis) have risen dramatically in the United States in recent years, with racially minoritized groups experiencing high rates and large increases….
Article Link OBJECTIVE: To evaluate the association between patient-reported social needs and birth outcomes in a large cohort of pregnant people after implementation of a universal screening program. METHODS: We…
Article Link ABSTRACT OBJECTIVE: To examine the association between coronavirus disease 2019 (COVID-19) vaccination and spontaneous abortion. METHODS: We conducted a case–control study of clinically adjudicated spontaneous abortions (case group)…
Read More from ACOG: Coronavirus Disease 2019 (COVID-19) Vaccination and Spontaneous Abortion
Article Link OBJECTIVE: To describe the association between syphilis treatment status and adverse pregnancy and neonatal outcomes among pregnancies complicated by syphilis. METHODS: Six jurisdictions that participated in SET-NET (Surveillance…
A Randomized Controlled Trial Article Link ABSTRACT OBJECTIVE: To compare prophylactic oral cephalexin and metronidazole with placebo for 48 hours after cesarean delivery following membrane rupture on the frequency of…
Article Link ABSTRACT Asthma affects up to 10% of pregnancies and confers risk to both mother and child. Adverse maternal outcomes associated with asthma include preeclampsia, preterm labor, and increased…
Article Link OBJECTIVE: To estimate whether breastfeeding is associated with the estimated risk of long-term atherosclerotic cardiovascular disease (ASCVD) and whether this association varies with prior gestational diabetes mellitus (GDM)….
Read More from ACOG: Association Between Breastfeeding and Long-Term Risk of Cardiovascular Disease
ACOG Clinical Practice Guideline No. 9 Article Link Abstract PURPOSE: The purpose of this document is to review current methods for cervical ripening and to summarize the effectiveness of these…