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
A call to action by Elinore F. McCance-Katz, MD, PhD and Jerome Adams, MD, MPH. Click here to read the editorial….
ABSTRACT OBJECTIVE: To assess the effect of tight compared with liberalized intrapartum maternal glucose management on neonatal hypoglycemia risk in pregnancies complicated by gestational diabetes mellitus (GDM). METHODS: This was a randomized…
Read More from ACOG: Intrapartum Glucose Management in Women With Gestational Diabetes Mellitus
ABSTRACT: Maternal heart disease has emerged as a major threat to safe motherhood and women’s long-term cardiovascular health. In the United States, disease and dysfunction of the heart and vascular…
Read More from ACOG Practice Bulletin No. 212: Pregnancy and Heart Disease
Reference: Coleman-Cowger, Victoria H., PhD; Oga, Emmanuel A., MD, MPH; Peters, Erica N., PhD; Trocin, Kathleen E., MPH; Koszowski, Bartosz, PharmD, PhD; Mark, Katrina, MD. Accuracy of Three Screening Tools…
Read More from ACOG: Accuracy of Three Screening Tools for Prenatal Substance Use
ABSTRACT OBJECTIVE: To evaluate temporal trends in medication-assisted treatment use among pregnant women with opioid use disorder. METHODS: We conducted a retrospective cohort study using Pennsylvania Medicaid administrative data. Trends in medication-assisted…
Read More from ACOG: Medication-Assisted Treatment Use Among Pregnant Women With Opioid Use Disorder
ABSTRACT: Newborn screening is the largest genetic screening program in the United States, with approximately 4 million infants screened annually. Newborn screening is a mandatory state-based public health program that…
Please join the American College of Obstetricians and Gynecologists (ACOG) for an upcoming free, 1 CME credit webinar, Caring for Pregnant and Breastfeeding Women with Opioid Use Disorder on Tuesday,…
ABSTRACT: Immunization against vaccine-preventable diseases is an essential component of women’s primary and preventive health care. Many studies have shown that a recommendation from an obstetrician–gynecologist or other health care provider…
ABSTRACT: Since the first successful umbilical cord blood transplant in 1988, it has been estimated that more than 35,000 transplants have been performed in children and adults for the correction of…
Read More from ACOG Committee Opinion No. 771: Umbilical Cord Blood Banking
OBJECTIVE: To evaluate the implementation of a delayed cord-clamping protocol at an academic medical center, and its short-term associations on term neonates. METHODS: This was a retrospective cohort study of women aged…
The goal of the Voices of Impact video series is to elevate the voices of women and families who have experienced severe maternal events. By putting voices to the numbers,…
Read More from Council on Patient Safety in Women’s Health Care launches new Voices of Impact video
OBJECTIVE: To evaluate maternal and neonatal safety measures in a large-scale quality improvement program associated with reductions in nulliparous, term, singleton, vertex cesarean delivery rates. METHODS: This is a cross-sectional study of…
OBJECTIVE: To evaluate the association of a standardized, structured approach to in-hospital postcesarean delivery pain management with maternal opioid use after cesarean delivery. METHODS: We conducted a retrospective cohort study of women…
ABSTRACT: The American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women….
Read More from ACOG Committee Opinion No. 775: Nonobstetric Surgery During Pregnancy
OBJECTIVE: To use a large national database to compare composite maternal or neonatal morbidity among low-risk, full-term women. METHODS: This cohort study, using the U.S. vital statistics datasets (2011–2015), evaluated low-risk…
Labor causes severe pain for many women. There is no other circumstance in which it is considered acceptable for an individual to experience untreated severe pain that is amenable to…
Read More from ACOG Practice Bulletin No. 209: Obstetric Analgesia and Anesthesia
ABSTRACT: Value-based care has become the new paradigm for clinical practice, with significant implications for maternity services, where there is a large opportunity to provide better care at lower cost….
Read More from ACOG Green Journal: In Pursuit of Value-Based Maternity Care
ABSTRACT: On August 8, 2018, Grobman et al published the findings from the ARRIVE (A Randomized Trial of Induction Versus Expectant Management) trial, a large randomized controlled trial of elective…
ABSTRACT: There are medical indications in pregnancy for which there is evidence or expert opinion to support delivery versus expectant management in the early-term period. However, the risk of adverse outcomes…