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…
ABSTRACT: The opioid epidemic is a public health crisis, and pregnancy-associated morbidity and mortality due to substance use highlights the need to prioritize substance use as a major patient safety…
ABSTRACT: Maternal mortality and severe maternal morbidity, particularly among women of color, have increased in the United States. The leading medical causes of maternal mortality include cardiovascular disease, infection, and common…
Read More from ACOG Levels of Maternal Care: Obstetric Care Consensus No. 9
ABSTRACT OBJECTIVE: To compare the composite neonatal or maternal adverse outcome among low-risk, parous women at 39–41 weeks of gestation. METHODS: This was a retrospective cohort study using the U.S. vital…
ABSTRACT OBJECTIVE: To evaluate whether initiation of an institutional policy of universal perinatal depression screening was associated with sustained increases in frequency in screening and of depression treatment subsequent to a…
ABSTRACT OBJECTIVE: To compare perinatal and maternal outcomes in low-risk multiparous women who underwent elective induction of labor in the 39th week of gestation with those who were expectantly managed….
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 tracts….
ACOG District II has released a video about implementing SBIRT complete with an example of a provider screening a pregnant woman for substance use. Please view the video here: https://www.youtube.com/watch?v=7S0eUUfXc6o&feature=youtu.be…
ACOG is offering a 1-day course in NYC on December 19, 2019. The course utilizes a strong simulation focus and multiple learning modalities to prepare individuals to lead trainings at…
ABSTRACT OBJECTIVE: To describe the clinical characteristics of stroke and opportunities to improve care in a cohort of preeclampsia-related maternal mortalities in California. METHODS: The California Pregnancy-Associated Mortality Review retrospectively examined a…
Read More from ACOG: Systolic Hypertension, Preeclampsia-Related Mortality, and Stroke in California
ABSTRACT BACKGROUND: Shoulder dystocia is a potential complication of vaginal delivery that increases the chances of injury to the neonate and the mother. The incidence of dystocia can be up to…
Read More from ACOG: Shoulder Shrug Maneuver to Facilitate Delivery During Shoulder Dystocia