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…
Read More from ACOG: Delivery Mode After Manual Rotation of Occiput Posterior Fetal Positions
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…
ABSTRACT OBJECTIVE: To assess the comparative effectiveness and potential harms of cervical ripening in the outpatient compared with the inpatient setting, or different methods of ripening in the outpatient setting…
ABSTRACT Suicide is the 10th leading cause of death, and, in women, nearly half of all suicide deaths occur during their reproductive years. Suicide is associated with psychiatric illness, especially…
Read More from ACOG: The Collision of Mental Health, Substance Use Disorder, and Suicide
This Practice Advisory was developed by the American College of Obstetricians and Gynecologists in collaboration with Brenna L. Hughes, MD, MSc; Denise J. Jamieson, MD, MPH; Anjali J. Kaimal, MD,…
Read More from ACOG Practice Advisory: Routine Hepatitis C Virus Screening in Pregnant Individuals
IN BRIEF Asking questions and listening carefully using the Palliative Care Ask-Tell-Ask communication paradigm has the potential to enhance communication in normal and complicated pregnancies. PERSPECTIVE I recently cared for…
Read More from ACOG Green Journal: I See You, I Hear You—Only Then, I Speak
Over the past several years, significant attention has been placed on the high maternal morbidity and mortality rate in the United States, with substantial focus on health care professional-, hospital-,…
Read More from ACOG Green Journal: The Fourth Trimester – 12 Weeks Is Not Enough
ABSTRACT Rigorous studies carried out by the National Center for Health Statistics show that previously reported increases in maternal mortality rates in the United States were an artifact of changes…
Read More from ACOG Green Journal: Maternal Mortality in the United States
ABSTRACT In this article, we address the limitations of existing implicit bias interventions as a strategy for achieving maternal health equity. We then focus on how institutionally sanctioned racial stereotyping…
Read More from ACOG Green Journal: Rethinking Bias to Achieve Maternal Health Equity
ABSTRACT OBJECTIVE: To analyze racial and ethnic disparities in failure to rescue (ie, death) associated with severe maternal morbidity and describe temporal trends. METHODS: This was a retrospective cohort study…
ABSTRACT OBJECTIVE: To investigate the association between individual-level and neighborhood-level risk factors and severe maternal morbidity. METHODS: This was a retrospective cohort study of all pregnancies delivered between 2010 and…
ABSTRACT OBJECTIVE: To evaluate the role of prepregnancy obesity as a mediator in the association between race–ethnicity and severe maternal morbidity. METHODS: We conducted an analysis on a population-based retrospective…
ABSTRACT OBJECTIVE: To systematically review the prevalence of antenatal depression and anxiety in women hospitalized in an antepartum unit for obstetric complications. DATA SOURCES: We searched PubMed, EMBASE, CINAHL, PsycINFO,…
ABSTRACT Rigorous studies carried out by the National Center for Health Statistics show that previously reported increases in maternal mortality rates in the United States were an artifact of changes…
ABSTRACT OBJECTIVE: To investigate the association between individual-level and neighborhood-level risk factors and severe maternal morbidity. METHODS: This was a retrospective cohort study of all pregnancies delivered between 2010 and…
ABSTRACT OBJECTIVE: To analyze racial and ethnic disparities in failure to rescue (ie, death) associated with severe maternal morbidity and describe temporal trends. METHODS: This was a retrospective cohort study…
Abstract Trauma is experienced throughout the life span, and traumatic experiences may be remote events or current and ongoing. The health care community continues to learn the many ways in…
Read More from ACOG Committee Opinion, Number 825: Caring for Patients Who Have Experienced Trauma
ACOG’s Webinar on Maternal Cardiac Conditions: Addressing a Leading Cause of Pregnancy-Related Death is now available on demand online. Speakers addressed cardiac contributors to maternal mortality, differentiating normal cardiac changes…
ABSTRACT OBJECTIVE: To describe trends and factors associated with medication administration for opioid use disorder (OUD) and retention in treatment among pregnant women with OUD. METHODS: This is a retrospective,…
ABSTRACT OBJECTIVE: To compare the risk of intrauterine fetal death (20 weeks of gestation or later) and neonatal death among individuals who tested positive for severe acute respiratory syndrome coronavirus…
ABSTRACT BACKGROUND: Studies evaluating the safety and efficacy of currently available vaccines for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) do not include pregnant participants. No data are available to…
ABSTRACT OBJECTIVE: To implement a standardized universal substance use screening process in an outpatient prenatal clinic at an urban tertiary care hospital. METHODS: Using a quality-improvement framework that involved process…
ABSTRACT OBJECTIVE: To evaluate whether breastfeeding and its duration are associated with a reduced risk of low IQ scores or other neurodevelopmental problems. METHODS: We conducted a secondary analysis of…
Read More from ACOG Green Journal: Association of Breastfeeding and Child IQ Score at Age 5 Years
ABSTRACT OBJECTIVE: To assess the comparative effectiveness and potential harms of cervical ripening in the outpatient compared with the inpatient setting, or different methods of ripening in the outpatient setting…
Read More from ACOG Green Journal: Outpatient Cervical Ripening
ABSTRACT Coronavirus disease 2019 (COVID-19) vaccines have begun to be distributed across the United States and to be offered initially to priority groups including health care personnel and persons living…
ABSTRACT Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the virus that causes coronavirus disease 2019 (COVID-19), uses two primary receptors, type II transmembrane serine protease and angiotensin-converting enzyme-2, for priming…
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…
Abstract Fetal growth restriction, also known as intrauterine growth restriction, is a common complication of pregnancy that has been associated with a variety of adverse perinatal outcomes. There is a…
Read More from ACOG Practice Bulletin, Number 227: Fetal Growth Restriction
Abstract Breastfeeding is associated with a decrease in a woman’s risk of breast cancer, ovarian cancer, diabetes mellitus, and hypertensive heart disease. Breastfeeding initiation rates in the United States are…
Read More from ACOG Committee Opinion, Number 820: Breastfeeding Challenges
Abstract Meeting the ethical obligations of informed consent requires that an obstetrician–gynecologist gives the patient adequate, accurate, and understandable information and requires that the patient has the ability to understand…