ABSTRACT Recent evidence supports the use of an early, short course of glucocorticoids in patients with COVID-19 who require mechanical ventilation or oxygen support. As the number of coronavirus disease…
ABSTRACT OBJECTIVE: To evaluate characteristics associated with adverse outcomes in low-risk nulliparous women randomized to elective labor induction at 39 weeks of gestation or expectant management. METHODS: We conducted a…
ABSTRACT OBJECTIVE: To assess whether outpatient cervical ripening with a transcervical Foley catheter in nulliparous women undergoing elective labor induction shortens the time from admission to delivery. METHODS: We performed…
Read More from ACOG: Outpatient Foley Catheter for Induction of Labor in Nulliparous Women
ABSTRACT BACKGROUND: Postpartum hemorrhage is a leading cause of maternal morbidity and mortality worldwide, with uterine atony responsible in 80% of cases. In intractable cases, hysterectomy is the final treatment,…
ABSTRACT OBJECTIVE: To assess trends in polysubstance use among pregnant women with opioid use disorder in the United States. METHODS: We conducted a time trend analysis of pooled, cross-sectional data…
Maternal morbidity attributable to substance use is high, and illicit substance use in pregnancy occurs regardless of racial or socioeconomic status.1–4 National guidelines promote universal screening for substance use in…
Read More from ACOG: Toxicology Testing in Pregnancy Evaluating the Role of Social Profiling
ABSTRACT OBJECTIVE: To develop and validate an expanded obstetric comorbidity score for predicting severe maternal morbidity that can be applied consistently across contemporary U.S. patient discharge data sets. METHODS: Discharge…
INTRODUCTION Timely access to care, including cesarean delivery, is critical for optimizing obstetric and neonatal outcomes. The Lancet Commission on Global Surgery defines access to timely essential surgery as the…
Read More from ACOG: Travel Time to Access Obstetric and Neonatal Care in the United States
From the American Academy of Family Physicians; American College of Nurse-Midwives; American College of Obstetricians and Gynecologists; and Association of Women’s Health, Obstetric and Neonatal Nurses, read our joint Call…
Abstract 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…
Read More from ACOG Practice Bulletin No. 22: Gestational Hypertension and Preeclampsia
As the coronavirus disease 2019 (COVID-19) pandemic evolves across the globe, there is increasing interest in screening and surveillance for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), known to cause…
Abstract OBJECTIVE: To evaluate the relationship between maternal body mass index (BMI) at delivery and rates of early-onset and late-onset hypertensive disorders of pregnancy. METHODS: We performed a population-based, retrospective…
ACOG Green Journal offers a number of articles on COVID-19 on their site. Browse through COVID-19 articles published by Obstetrics & Gynecology….
ABSTRACT OBJECTIVE: To identify characteristics associated with vaginal delivery compared with cesarean delivery after labor induction among women with hypertensive disorders of pregnancy and to develop and validate a prediction…
ABSTRACT OBJECTIVE: To assess whether there is a relationship between evening, night, and weekend births and severe unexpected neonatal morbidity in low-risk term singleton births. METHODS: We conducted a population-based,…
Abstract Pregnant women should be advised of the significant perinatal risks associated with tobacco use, including orofacial clefts, fetal growth restriction, placenta previa, abruptio placentae, preterm prelabor rupture of membranes,…
Read More from ACOG Committee Opinion No. 807: Tobacco and Nicotine Cessation During Pregnancy
Abstract Genital herpes simplex virus (HSV) infection during pregnancy poses a risk to the developing fetus and newborn. Genital herpes is common in the United States. Among 14- to 49-year-old…
Read More from ACOG Practice Bulletin No. 220: Management of Genital Herpes in Pregnancy
Abstract In the United States, there is a widespread belief that the overall cesarean birth rate is higher than necessary. Efforts are being directed toward decreasing the number of these…
Read More from ACOG Practice Bulletin No. 221: External Cephalic Version
ABSTRACT Coronavirus disease 2019 (COVID-19) is a novel infectious disease that started in Wuhan, China, and has rapidly spread all across the world. With limited ability to contain the virus…
ABSTRACT The present coronavirus disease 2019 (COVID-19) pandemic is affecting pregnant patients worldwide. Although it appears that the severity of disease is reduced in pregnant patients, some are likely to…
ABSTRACT The coronavirus disease 2019 (COVID-19) pandemic is a public health emergency requiring significant changes in obstetric and gynecologic health care delivery to minimize the risk of transmission to healthy…
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…
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 OBJECTIVE: To examine preventable pregnancy-related deaths in Louisiana by race and ethnicity and maternal level of care to inform quality improvement efforts. METHODS: We conducted a retrospective observational descriptive…
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 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: 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