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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ACOG Green Journal: The Contrast of Color: Why the Black Community Continues to Suffer Health Disparities

ABSTRACT The evidence of racial health disparities is profound. Much attention has been given to the disparity in maternal morbidity and mortality experienced by Black mothers. The disparity in Black…

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ACOG Green Journal: Racial and Ethnic Disparities in Reproductive Health Services and Outcomes, 2020

ABSTRACT Racial and ethnic disparities in women’s health have existed for decades, despite efforts to strengthen women’s reproductive health access and utilization. Recent guidance by the American College of Obstetricians…

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ACOG Green Journal: Evolving the Preconception Health Framework: A Call for Reproductive and Sexual Health Equity

ABSTRACT Over the past decade, increasing attention has been paid to intervening in individuals’ health in the “preconception” period as an approach to optimizing pregnancy outcomes. Increasing attention to the…

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NEW ACOG eModule with 7 FREE CME: Implementing the Obstetric Care for Women With Opioid Use Disorder (OUD) Patient Safety Bundle

AIM is excited to announce the release of the newest ACOG eModule, Implementing the Obstetric Care for Women With Opioid Use Disorder (OUD) Patient Safety Bundle. The module is available…

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ACOG is hosting a free webinar, “Maternal Cardiac Conditions: Addressing a Leading Cause of Pregnancy-Related Death”

In observation of American Heart Month, ACOG is hosting a webinar, “Maternal Cardiac Conditions: Addressing a Leading Cause of Pregnancy-Related Death” on Wednesday, February 24, 2021 at 11:00 AM CST….

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Leaders in Women’s Health Encourage Health Workers to Receive the COVID-19 Vaccine – Vaccination is the Key to Preventing New Infections

ACNM, ACOG, ASRM, AWHONN, NPWH, SMFM, and SOGH have released a joint statement to encourage health workers to receive the COVID-19 vaccine. During the COVID-19 pandemic, public health measures such…

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ACOG Green Journal: Hospital-Level Variation in the Frequency of Cesarean Delivery Among Nulliparous Women Who Undergo Labor Induction

ABSTRACT OBJECTIVE: To evaluate the use of administrative data for identification of labor induction and to estimate the variation in cesarean delivery rates among low-risk women who underwent labor induction….

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ACOG Green Journal: Prevalence of Home Births and Associated Risk Profile and Maternal Characteristics, 2016–2018

ABSTRACT OBJECTIVE: To estimate the prevalence of pregnancies that meet the low-risk criteria for planned home births and describe geographic and maternal characteristics of home births compared with hospital births….

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ACOG Green Journal: Intrauterine Vacuum-Induced Hemorrhage-Control Device for Rapid Treatment of Postpartum Hemorrhage

ABSTRACT OBJECTIVE: To evaluate the effectiveness and safety of an intrauterine vacuum-induced hemorrhage-control device for postpartum hemorrhage treatment. METHODS: A multicenter, prospective, single-arm treatment study of a novel intrauterine device…

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ACOG Green Journal: Management of Postpartum Hemorrhage With a Mini-Sponge Tamponade Device

ABSTRACT BACKGROUND: Postpartum hemorrhage is a leading cause of maternal mortality globally. A tamponade agent that can be quickly and easily placed in a range of settings could advance the…

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ACOG Green Journal: Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Environmental Contamination and Childbirth

INTRODUCTION Childbirth is the most common reason for hospitalization in the United States (3.9 million/year).1,2 The prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among patients admitted for…

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ACOG Green Journal: Improved Outcomes With an Enhanced Recovery Approach to Cesarean Delivery

ABSTRACT OBJECTIVE: To examine the results of a quality-improvement study that implemented an enhanced recovery after surgery (ERAS) program for cesarean delivery. METHODS: A pre–post design was used to assess…

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ACOG: Corticosteroids in the Management of Pregnant Patients With Coronavirus Disease (COVID-19)

ABSTRACT Recent evidence supports the use of an early, short course of glucocorticoids in patients with COVID-19 who require mechanical ventilation or oxygen support. As the number of coronavirus disease…

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ACOG: Elective Labor Induction at 39 Weeks of Gestation Compared With Expectant Management: Factors Associated With Adverse Outcomes in Low-Risk Nulliparous Women

ABSTRACT OBJECTIVE: To evaluate characteristics associated with adverse outcomes in low-risk nulliparous women randomized to elective labor induction at 39 weeks of gestation or expectant management. METHODS: We conducted a…

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ACOG: Customized Probability of Vaginal Delivery With Induction of Labor and Expectant Management in Nulliparous Women at 39 Weeks of Gestation

ABSTRACT OBJECTIVE: To develop models to predict vaginal delivery in low-risk, nulliparous women contemplating elective induction of labor or expectant management at 39 weeks of gestation. METHODS: We conducted a…

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ACOG: Outpatient Foley Catheter for Induction of Labor in Nulliparous Women

ABSTRACT OBJECTIVE: To assess whether outpatient cervical ripening with a transcervical Foley catheter in nulliparous women undergoing elective labor induction shortens the time from admission to delivery. METHODS: We performed…

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