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
Abstract Preterm birth is among the most complex and important challenges in obstetrics. Despite decades of research and clinical advancement, approximately 1 in 10 newborns in the United States is…
Letter from District VII Chair Dear Colleagues and Guests: On behalf of the ACOG District VII Planning Committee, we are excited to invite you to our Annual Meeting scheduled for…
Read More from Register now for: 2021 District VII Annual District Meeting on Sept 24-26, 2021
Abstract Medicaid, the state–federal health insurance program for individuals with low incomes, serves as a safety net for women throughout the life span. Historically, expansions of Medicaid have been associated…
Abstract Sterilization is one of the most effective and popular forms of contraception in the United States, relied upon by 18.6% of women aged 15–49 years using contraception. Nearly half…
Read More from ACOG Committee Opinion, Number 827: Access to Postpartum Sterilization
Abstract The purpose of this Committee Opinion is to offer guidance about indications for and timing and frequency of antenatal fetal surveillance in the outpatient setting. Antenatal fetal surveillance is…