ACOG Green Journal: Racial and Ethnic Disparities in Death Associated With Severe Maternal Morbidity in the United States

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…

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ACOG Green Journal: Individual-Level and Neighborhood-Level Risk Factors for Severe Maternal Morbidity

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…

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ACOG Green Journal: Contribution of Prepregnancy Obesity to Racial and Ethnic Disparities in Severe Maternal Morbidity

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…

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ACOG Green Journal: Prevalence of Depression or Anxiety During Antepartum Hospitalizations for Obstetric Complications

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,…

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ACOG Green Journal: Maternal Mortality in the United States – Recent Trends, Current Status, and Future Considerations

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…

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ACOG Green Journal: Individual-Level and Neighborhood-Level Risk Factors for Severe Maternal Morbidity

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…

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ACOG Green Journal: Racial and Ethnic Disparities in Death Associated With Severe Maternal Morbidity in the United States

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…

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ACOG’s Webinar on Maternal Cardiac Conditions: Addressing a Leading Cause of Pregnancy-Related Death is now available

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…

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ACOG Green Journal: Predictors of Initiation of Medication for Opioid Use Disorder and Retention in Treatment Among U.S. Pregnant Women, 2013–2017

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,…

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ACOG Green Journal: Adverse Pregnancy Outcomes Among Individuals With and Without Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)

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…

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ACOG Green Journal: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Antibodies in Neonatal Cord Blood After Vaccination in Pregnancy

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…

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ACOG Green Journal: Implementation of a Universal Screening Process for Substance Use in Pregnancy

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…

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ACOG Green Journal: Coronavirus Disease 2019 (COVID-19) Vaccines and Pregnancy: What Obstetricians Need to Know

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…

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ACOG Green Journal: Sex, Hormones, Immune Functions, and Susceptibility to Coronavirus Disease 2019 (COVID-19)–Related Morbidity

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…

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ACOG Committee Opinion, Number 818: 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 Committee Opinion, Number 819: Informed Consent and Shared Decision Making in Obstetrics and Gynecology

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…

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ACOG Green Journal: Risk Factors for Atonic Postpartum Hemorrhage: A Systematic Review and Meta-analysis

ABSTRACT OBJECTIVE: To identify and quantify risk factors for atonic postpartum hemorrhage. DATA SOURCES: PubMed, CINAHL, EMBASE, Web of Science, and and ClinicalTrials.gov databases were searched for English language studies…

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ACOG Green Journal: Severe Maternal Morbidity and Risk of Mortality Beyond the Postpartum Period

ABSTRACT OBJECTIVE: To examine long-term risks of mortality after a pregnancy complicated by severe maternal morbidity. METHODS: We analyzed a longitudinal cohort of 1,229,306 women who delivered in the province…

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ACOG Green Journal: Semiautonomous Treatment Algorithm for the Management of Severe Hypertension in Pregnancy

ABSTRACT OBJECTIVE: To evaluate whether implementation of a semiautonomous treatment algorithm was associated with improved compliance with American College of Obstetricians and Gynecologists guidelines for rapid administration of antihypertensive therapy…

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ACOG Green Journal: Maternal and Perinatal Outcomes of Expectant Management of Full-Term, Low-Risk, Nulliparous Patients

ABSTRACT OBJECTIVE: To compare risks of maternal and perinatal outcomes by completed week of gestation from 39 weeks in low-risk nulliparous patients undergoing expectant management. METHODS: We conducted a secondary…

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ACOG Green Journal: Long-term Clinical Outcome of Major Adverse Vascular Events After Hypertensive Disorders of Pregnancy

ABSTRACT OBJECTIVE: To assess the association between hypertensive disorders of pregnancy and adverse events after pregnancy, including chronic kidney disease and major adverse cardiovascular events (cerebrovascular accident, coronary artery disease,…

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