Call to Action: Prevention, Recognition, and Treatment of Opioid Use Disorder in Obstetrics
A call to action by Elinore F. McCance-Katz, MD, PhD and Jerome Adams, MD, MPH. Click here to read the editorial….
ACOG: Intrapartum Glucose Management in Women With Gestational Diabetes Mellitus
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…
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ACOG Practice Bulletin No. 212: Pregnancy and Heart Disease
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…
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ACOG: Accuracy of Three Screening Tools for Prenatal Substance Use
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…
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ACOG: Medication-Assisted Treatment Use Among Pregnant Women With Opioid Use Disorder
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…
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ACOG Committee Opinion #778: Newborn Screening and the Role of the Obstetrician-Gynecologist
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…
Register now for ACOG’s free, 1 CME credit webinar: Caring for Pregnant and Breastfeeding Women with Opioid Use Disorder on Tuesday, June 11, 2019
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,…
ACOG Committee Opinion No. 772: Immunization Implementation Strategies for Obstetrician–Gynecologists
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…
ACOG Committee Opinion No. 771: Umbilical Cord Blood Banking
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…
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ACOG: Association of a Delayed Cord-Clamping Protocol With Hyperbilirubinemia in Term Neonates
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…
Council on Patient Safety in Women’s Health Care launches new Voices of Impact video
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,…
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ACOG: Safety Assessment of a Large-Scale Improvement Collaborative to Reduce Nulliparous Cesarean Delivery Rates
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…
ACOG: Multimodal Stepwise Approach to Reducing In-Hospital Opioid Use After Cesarean Delivery – A Quality Improvement Initiative
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…
ACOG Committee Opinion No. 775: Nonobstetric Surgery During Pregnancy
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….
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ACOG: Neonatal and Maternal Morbidity Among Low-Risk Nulliparous Women at 39–41 Weeks of Gestation
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…
ACOG Practice Bulletin No. 209: Obstetric Analgesia and Anesthesia
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…
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ACOG Green Journal: In Pursuit of Value-Based Maternity Care
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….
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ACOG Green Journal: Elective Induction at 39 Weeks of Gestation and the Implications of a Large, Multicenter, Randomized Controlled Trial
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…
ACOG Committee Opinion No. 765 Avoidance of Nonmedically Indicated Early-Term Deliveries and Associated Neonatal Morbidities
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…
ACOG Committee Opinion No. 764 Medically Indicated Late-Preterm and Early-Term Deliveries
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 well…
ACOG Practice Bulletin No. 205 Vaginal Birth After Cesarean Delivery
Abstract: Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome….
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ACOG Practice Bulletin No. 204 Fetal Growth Restriction
Abstract: Fetal growth restriction, also known as intrauterine growth restriction, is a common complication of pregnancy that has been associated with a variety of adverse perinatal outcomes. There is a…
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ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia
Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2–8% of pregnancies globally (1). In Latin…
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ACOG Green Journal: Obstetrician–Gynecologists’ Strategies to Address Vaccine Refusal Among Pregnant Women
OBJECTIVE: To describe 1) obstetrician–gynecologists’ (ob-gyns’) perceptions of the frequency of vaccine refusal among pregnant patients and perceived reasons for refusal and 2) ob-gyns’ strategies used when encountering vaccine refusal and…
ACOG Green Journal: Evaluation of a Quality Improvement Intervention That Eliminated Routine Use of Opioids After Cesarean Delivery
OBJECTIVE: To evaluate the effects of eliminating the routine use of oral opioids for postcesarean delivery analgesia on postcesarean opioid consumption. METHODS: At a tertiary care center, we implemented a quality improvement…
ACOG Committee Opinion No. 767 Emergent Therapy for Acute-Onset, Severe Hypertension
ACOG Committee Opinion No. 767 Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period ABSTRACT: Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the…
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ACOG Committee Opinion No. 766 Approaches to Limit Intervention During Labor and Birth
ABSTRACT: Obstetrician–gynecologists, in collaboration with midwives, nurses, patients, and those who support them in labor, can help women meet their goals for labor and birth by using techniques that require minimal…
ACOG Green Journal: Draft Opioid-Prescribing Guidelines for Uncomplicated Normal Spontaneous Vaginal Birth
Women who experience an uncomplicated vaginal delivery have acute intrapartum pain and variable pain in the immediate postpartum period. Although the Centers for Disease Control and Prevention (CDC) has urged…
ACOG Committee Opinion No. 757: Screening for Perinatal Depression
ABSTRACT: Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery, is one of the most common medical complications during…
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ACOG Green Journal: Racial and Ethnic Disparities in the Incidence of Severe Maternal Morbidity in the US, 2012–2015
OBJECTIVE: To describe racial and ethnic disparities in the incidence of severe maternal morbidity during delivery hospitalizations in the United States. METHODS: We conducted a pooled, cross-sectional analysis of 2012–2015 data from…