Abstract Despite significant changes in management of labor and delivery over the past few decades, operative vaginal birth remains an important component of modern labor management, accounting for 3.3% of…
Read More from ACOG Practice Bulletin No. 219: Operative Vaginal Birth
Abstract Exercise, defined as physical activity consisting of planned, structured, and repetitive bodily movements done to improve one or more components of physical fitness, is an essential element of a…
As coronavirus disease 2019 (COVID-19) rapidly spreads, obstetricians must keep up to date on the latest information; although guidelines for pregnant women have been rapidly developed, many questions remain. ACOG…
March 30, 2020: SMFM, ACOG, AAFP and ACNM issued a statement on the safety of birth in hospitals and birth centers….
ABSTRACT As the world confronts coronavirus disease 2019 (COVID-19), an illness caused by yet another emerging pathogen (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]), obstetric care providers are asking what…
ABSTRACT OBJECTIVE: To develop and validate a predictive risk calculator for cesarean delivery among women undergoing induction of labor. METHODS: We performed a population-based cohort study of all women who…
Abstract Preterm birth occurs in approximately 10% of all births in the United States and is a major contributor to perinatal morbidity and mortality (1–3). Prelabor rupture of membranes (PROM)…
Read More from ACOG Practice Bulletin no. 217: Prelabor Rupture of Membranes
Abstract Stillbirth is one of the most common adverse pregnancy outcomes, occurring in 1 in 160 deliveries in the United States. In developed countries, the most prevalent risk factors associated…
Read More from ACOG Obstetric Care Consensus No. 10: Management of Stillbirth
ABSTRACT: Blunt abdominal trauma is the leading type of traumatic injury in pregnancy, with motor vehicle crashes, falls, and assault being the most common etiologies. Several adverse outcomes can occur…
Abstract Group B streptococcus (GBS) is the leading cause of newborn infection. The primary risk factor for neonatal GBS early-onset disease (EOD) is maternal colonization of the genitourinary and gastrointestinal…
ABSTRACT OBJECTIVE: To evaluate the association between temporary cessation in oxytocin infusion (oxytocin rest) and mode of delivery in women undergoing induction of labor with a protracted latent phase. METHODS:…
ABSTRACT OBJECTIVE: To examine whether the decision and indications for performing intrapartum cesarean delivery vary by time of day. METHODS: We conducted a secondary analysis of a multicenter observational cohort…
The apparent rise and high levels of maternal mortality in the United States have been the subjects of considerable attention in the national press and in the realms of public…
Read More from ACOG: Maternal Mortality Addressing Disparities and Measuring What We Value
Abstract Suspected macrosomia is encountered commonly in obstetric practice. As birth weight increases, the likelihood of labor abnormalities, shoulder dystocia, birth trauma, and permanent injury to the newborn increases. The…
ABSTRACT OBJECTIVE: To examine and compare the validity of three known risk-assessment tools (CMQCC [California Maternal Quality Care Collaborative], AWHONN [Association of Women’s Health, Obstetric and Neonatal Nurses], and NYSBOH…
ABSTRACT Postpartum hemorrhage causes approximately 11% of maternal deaths in the United States and is the leading cause of death that occurs on the day of birth. Importantly, 54–93% of…
Read More from ACOG Committee Opinion, no. 794: Quantitative Blood Loss in Obstetric Hemorrhage
ABSTRACT OBJECTIVE: To evaluate racial and ethnic differences in women’s postpartum pain scores, inpatient opioid administration, and discharge opioid prescriptions. METHODS: We conducted a retrospective cohort study of all deliveries at a…
Read More from ACOG Green Journal: Racial Disparities in Postpartum Pain Management
ABSTRACT OBJECTIVE: To evaluate whether the frequency of pain assessment and treatment differed by patient race and ethnicity for women after cesarean birth. METHODS: We performed a retrospective cohort study of all…
ABSTRACT OBJECTIVE: To evaluate whether women with protracted active phase labor longer than 6 hours have an increased risk of adverse maternal and neonatal outcomes after the implementation of new labor…
ABSTRACT OBJECTIVE: To test the hypothesis that a longer length of time between diagnosis of hypertensive disorders of pregnancy and delivery is associated with increased risk of cardiovascular morbidity in…
ABSTRACT OBJECTIVE: To provide U.S. case-based preeclampsia health care cost estimates for mothers and infants from a U.S. payer perspective, with comparisons with both uncomplicated and hypertensive pregnancies. METHODS: Electronic health record…
Read More from ACOG Green Journal: Maternal and Infant Health Care Costs Related to Preeclampsia
Following publication of the results of the PROLONG trial, The American College of Obstetricians and Gynecologists (ACOG) and the Society of Maternal Fetal Medicine Specialists (SMFM) have each released statements…
ABSTRACT Protocols and checklists have been shown to reduce patient harm through improved standardization and communication. Implementation of protocols and guidelines often is delayed because of lack of health care…
ABSTRACT Barriers to access are one reason for inconsistent or nonuse of contraception. The requirement for a prescription can be an obstacle for some contraceptive users. Several studies have demonstrated…
Read More from ACOG Committee Opinion No. 788: Over-the-Counter Access to Hormonal Contraception
In “Practice Bulletin No. 199: Use of Prophylactic Antibiotics in Labor and Delivery” from the American College of Obstetricians and Gynecologists,1 there is an error on page e107. In Table…
ABSTRACT OBJECTIVE: To examine the current patterns of care for women at high risk for delivery-related morbidity to inform discussions about the feasibility of this regionalized approach. METHODS: We performed a cross-sectional…
ABSTRACT OBJECTIVE: To evaluate whether labor is associated with lower odds of respiratory morbidity among neonates born from 36 to 40 weeks of gestation and to assess whether this association varies…
ABSTRACT OBJECTIVE: To evaluate antenatal risk factors associated with failed induction of labor among obese women to develop a predictive model for induction of labor outcome. METHODS: We conducted a population-based cohort…
ABSTRACT OBJECTIVE: To evaluate the cost effectiveness of various preeclampsia screening and aspirin prophylaxis strategies, including a strategy based on biomarker and ultrasound measures. METHODS: We designed a decision analysis to compare…
ABSTRACT OBJECTIVE: To build a score to predict the risk of cesarean delivery after labor induction with cervical ripening, and to compare its predictive capacities with other already existing scores. METHODS: This…