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…
ABSTRACT OBJECTIVE: To evaluate outcomes before and after implementation of a risk-stratified heparin-based obstetric thromboprophylaxis protocol. METHODS: We performed a retrospective cohort study of all patients who delivered at our…
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…
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…
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)…
ABSTRACT OBJECTIVE: To assess neonatal intensive care unit (NICU) admissions and neonatal outcomes after water birth or land birth in an alternative birthing center. METHODS: We conducted a prospective observational…
Read More from ACOG Green Journal: Neonatal Outcomes After Delivery in Water
OBJECTIVES To determine the epidemiology and microbiology of early-onset sepsis (EOS) among very preterm infants using a nationally representative cohort from academic and community hospitals to inform empirical antibiotic guidance,…
Read More from Pediatrics: Early-Onset Sepsis Among Very Preterm Infants
ABSTRACT Maternal sepsis is an obstetric emergency and a leading cause of maternal morbidity and mortality. Early recognition in a pregnant or postpartum patient can be a challenge as the…
SUMMARY Pain in the postpartum period is common and considered by many individuals to be both problematic and persistent (1). Pain can interfere with individuals’ ability to care for themselves…
ABSTRACT BACKGROUND: Postpartum hemorrhage is a main cause of maternal mortality worldwide, with rising incidence, thus demanding new treatment approaches. Intrauterine balloon systems with application of intrauterine vacuum are a…
Read More from ACOG Green Journal: Vacuum-Induced Tamponade for Treatment of Postpartum Hemorrhage
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…
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…
Unfortunately, due to the overwhelming surge of hospitalizations caused by the Delta variant during the continuing COVID-19 pandemic, we are cancelling the 2021 District VII Annual District Meeting. All meeting…
Read More from Update on 2021 District VII Annual District Meeting
Washington, D.C. – The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM), the two leading organizations representing specialists in obstetric care, recommend that all pregnant…
Read More from ACOG and SMFM Recommend COVID-19 Vaccination for Pregnant Individuals
Abstract Anemia, the most common hematologic abnormality, is a reduction in the concentration of erythrocytes or hemoglobin in blood. The two most common causes of anemia in pregnancy and the…
Read More from ACOG Practice Bulletin, Number 233: Anemia in Pregnancy