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…
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…
Abstract The goal of antepartum fetal surveillance is to reduce the risk of stillbirth. Antepartum fetal surveillance techniques based on assessment of fetal heart rate (FHR) patterns have been in…
Read More from ACOG Practice Bulletin, Number 229: Antepartum Fetal Surveillance
Abstract Obstetrician–gynecologists are the leading experts in the health care of women, and obesity is the most common medical condition in women of reproductive age. Obesity in women is such…
Read More from ACOG Practice Bulletin, Number 230: Obesity in Pregnancy
Abstract The incidence of multifetal gestations in the United States has increased dramatically over the past several decades. For example, the rate of twin births increased 76% between 1980 and…
ABSTRACT OBJECTIVE: To estimate the risk of maternal and neonatal sepsis associated with chorioamnionitis. DATA SOURCES: PubMed, BIOSIS, and ClinicalTrials.gov databases were systematically searched for full-text articles in English from…
Read More from ACOG: Chorioamnionitis and Risk for Maternal and Neonatal Sepsis
ABSTRACT OBJECTIVE: To evaluate whether manual rotation of fetuses in occiput posterior positions at full dilation increases the rate of spontaneous vaginal delivery. METHODS: In an open, single-center, randomized controlled…
Read More from ACOG: Delivery Mode After Manual Rotation of Occiput Posterior Fetal Positions
ABSTRACT OBJECTIVE: To evaluate whether a high-dose oxytocin regimen reduces the risk for primary cesarean birth and other obstetric morbidities when compared with standard dosing. METHODS: In a double-blind randomized…
ABSTRACT OBJECTIVE: To assess the comparative effectiveness and potential harms of cervical ripening in the outpatient compared with the inpatient setting, or different methods of ripening in the outpatient setting…
ABSTRACT Suicide is the 10th leading cause of death, and, in women, nearly half of all suicide deaths occur during their reproductive years. Suicide is associated with psychiatric illness, especially…
Read More from ACOG: The Collision of Mental Health, Substance Use Disorder, and Suicide
This Practice Advisory was developed by the American College of Obstetricians and Gynecologists in collaboration with Brenna L. Hughes, MD, MSc; Denise J. Jamieson, MD, MPH; Anjali J. Kaimal, MD,…
Read More from ACOG Practice Advisory: Routine Hepatitis C Virus Screening in Pregnant Individuals
IN BRIEF Asking questions and listening carefully using the Palliative Care Ask-Tell-Ask communication paradigm has the potential to enhance communication in normal and complicated pregnancies. PERSPECTIVE I recently cared for…
Read More from ACOG Green Journal: I See You, I Hear You—Only Then, I Speak
Over the past several years, significant attention has been placed on the high maternal morbidity and mortality rate in the United States, with substantial focus on health care professional-, hospital-,…
Read More from ACOG Green Journal: The Fourth Trimester – 12 Weeks Is Not Enough
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…
Read More from ACOG Green Journal: Maternal Mortality in the United States
ABSTRACT In this article, we address the limitations of existing implicit bias interventions as a strategy for achieving maternal health equity. We then focus on how institutionally sanctioned racial stereotyping…
Read More from ACOG Green Journal: Rethinking Bias to Achieve Maternal Health Equity
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…
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…