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https://www.readbyqxmd.com/read/27869985/agreement-and-accuracy-using-the-figo-acog-and-nice-cardiotocography-interpretation-guidelines
#1
Susana Santo, Diogo Ayres-De-Campos, Cristina Costa-Santos, William Schnettler, Austin Ugwumadu, Luís Mendes Da Graça
INTRODUCTION: One of the limitations reported with cardiotocography (CTG) is the modest interobserver agreement observed in tracing interpretation. This study compared agreement, reliability and accuracy of CTG interpretation using the FIGO, ACOG and NICE guidelines. MATERIAL AND METHODS: A total of 151 tracings was evaluated by 27 clinicians from three centers where FIGO, ACOG and NICE guidelines were routinely used. Interobserver agreement was evaluated using the proportions of agreement (PA) and reliability with the kappa (k) statistic...
November 21, 2016: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/27862072/views-of-american-ob-gyns-on-the-ethics-of-prenatal-whole-genome-sequencing
#2
Michelle J Bayefsky, Amina White, Paul Wakim, Sara Chandros Hull, David Wasserman, Stephanie Chen, Benjamin E Berkman
OBJECTIVE: Given public demand for genetic information, the potential to perform prenatal whole-genome sequencing (PWGS) non-invasively in the future, and decreasing costs of whole-genome sequencing, it is likely that OB/GYN practice will include PWGS. The goal of this project was to explore OB/GYNs' views on the ethical issues surrounding PWGS and their preparedness for counseling patients on its use. METHODS: A national survey was administered to 2,500 members of ACOG...
November 16, 2016: Prenatal Diagnosis
https://www.readbyqxmd.com/read/27836378/-cervical-pessary-and-spontaneous-preterm-birth
#3
S Brun
OBJECTIVES: To determine the efficacy of the cervical pessary for the prevention of preterm delivery and to propose recommendations. MATERIALS AND METHOD: We searched the MedLine and the Cochrane Library and checked the international guidelines: ACOG and SOGC. RESULTS: The data concerning the efficacy of the cervical pessary for the prevention of preterm birth in a population of asymptomatic women with a singleton pregnancy with a short cervix≤25mm between 20 and 24 weeks 6 days of gestation and in a population of asymptomatic women with a twin pregnancy at high risk of preterm delivery defined by a short cervix are contradictory...
November 8, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27824751/obesity-and-tobacco-cessation-toolkits-practical-tips-and-tools-to-save-lives
#4
Susan D Crowe, Laurie C Gregg, Mark S DeFrancesco
Both obesity and smoking are public health burdens that together contribute to approximately one third of the deaths annually in the United States. In 2015, under the direction of Dr. Mark DeFrancesco, the American College of Obstetricians and Gynecologists convened two workgroups with the purpose of creating toolkits that bring together information that the obstetrician-gynecologist can use to address these preventable health problems. An Obesity Prevention and Treatment Workgroup and a Tobacco and Nicotine Cessation Workgroup developed toolkits on Obesity Prevention and Treatment (www...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27816249/-induced-abortion-guidelines-for-clinical-practice%C3%A2-methods
#5
A Gaudineau, A Agostini, C Vayssière
This work is based on a current review of the literature (Pubmed, Medline, Cochrane library, Cochrane database of systematic reviews, EMBASE, RCOG, ACOG) including meta-analysis, randomised trials, cohorts, reviews, controlled studies published up to 2016 in French or English.
November 2, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27806554/premenstrual-syndrome-and-spousal-social-support-among-women-in-isfahan-city-iran
#6
Hajar Rezaee, Maryam Amidi Mazaheri, Fatemeh Sadrhashemi
Premenstrual Syndrome (PMS) is one of the most common disorders in women known to cause impairment of daily function and relationships with others. This study was down to investigate the premenstrual syndrome, physical activity and spousal social support status among women in Isfahan city. This descriptive-analytical study was down in health centers of Isfahan city in Iran 2015. The study populations were 190 couples in reproductive age; symptoms of premenstrual syndrome and spousal social support information were collected by self-report questionnaires...
August 26, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27732984/assessing-revitalize-should-the-definition-of-postpartum-hemorrhage-differ-by-mode-of-delivery
#7
Rebecca Feldman Hamm, Eileen Y Wang, Jamie A Bastek, Sindhu K Srinivas
Background Obstetrical hemorrhage is a leading cause of morbidity and mortality, yet is inconsistently defined. In 2014, the American Congress of Obstetricians and Gynecologists (ACOG) reVITALize program redefined postpartum hemorrhage (PPH) as greater than 1,000 mL blood loss regardless of the mode of delivery (MOD). Objective We sought to assess the reVITALize definition's validity by understanding whether the definition of PPH should, as proposed by ACOG, be one value regardless of MOD. Study Design This is a retrospective study of all women who delivered at the hospital of the University of Pennsylvania from October 15, 2013 through December 15, 2013...
October 12, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27650923/evaluation-of-outcomes-associated-with-trial-of-labor-after-cesarean-delivery-after-a-change-in-clinical-practice-guidelines-in-an-academic-hospital
#8
Patricia Bellows, Utsavi Shah, Lauren Hawley, Kathleen Drexler, Manisha Gandhi, Haleh Sangi-Haghpeykar, Christina Davidson
OBJECTIVE: To evaluate maternal-neonatal morbidity for women undergoing trial of labor after cesarean (TOLAC) following clinical practice changes based upon ACOG's 2010 VBAC guideline. STUDY DESIGN: Four-year retrospective cohort analysis around implementation of a hospital guideline in women undergoing TOLAC with a live, cephalic, singleton without lethal anomaly ≥24 weeks and ≥1 prior cesarean. Maternal-neonatal outcomes pre- and post-guideline implementation were compared...
October 16, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27638987/joint-sogc-ccmg-opinion-for-reproductive-genetic-carrier-screening-an-update-for-all-canadian-providers-of-maternity-and-reproductive-healthcare-in-the-era-of-direct-to-consumer-testing
#9
R Douglas Wilson, Isabelle De Bie, Christine M Armour, Richard N Brown, Carla Campagnolo, June C Carroll, Nan Okun, Tanya Nelson, Rhonda Zwingerman, Francois Audibert, Jo-Ann Brock, Richard N Brown, Carla Campagnolo, June C Carroll, Isabelle De Bie, Jo-Ann Johnson, Nan Okun, Melanie Pastruck, Karine Vallée-Pouliot, R Douglas Wilson, Rhonda Zwingerman, Christine Armour, David Chitayat, Isabelle De Bie, Sara Fernandez, Raymond Kim, Josee Lavoie, Norma Leonard, Tanya Nelson, Sherry Taylor, Margot Van Allen, Clara Van Karnebeek
OBJECTIVE: This guideline was written to update Canadian maternity care and reproductive healthcare providers on pre- and postconceptional reproductive carrier screening for women or couples who may be at risk of being carriers for autosomal recessive (AR), autosomal dominant (AD), or X-linked (XL) conditions, with risk of transmission to the fetus. Four previous SOGC- Canadian College of Medical Geneticists (CCMG) guidelines are updated and merged into the current document. INTENDED USERS: All maternity care (most responsible health provider [MRHP]) and paediatric providers; maternity nursing; nurse practitioner; provincial maternity care administrator; medical student; and postgraduate resident year 1-7...
August 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27611803/prenatal-carrier-screening-for-spinal-muscular-atrophy
#10
S Lindsay Wood, Fallon Brewer, Rebecca Ellison, Joseph R Biggio, Rodney K Edwards
Introduction Spinal muscular atrophy (SMA), a neurodegenerative genetic disorder, affects 1:5,000 to 1:10,000 infants. Carrier rates are 1:25 to 1:50. We implemented ACOG-endorsed prenatal SMA screening in mid-2014 and sought to assess uptake, observed carrier rate, and providers' knowledge and attitudes toward genetic conditions and carrier screening. Methods Retrospective cohort study of all patients receiving prenatal genetic counseling at our institution from August 2014 to April 2015. Factors associated with screening uptake were assessed...
October 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27606778/pregnancy-outcomes-in-women-with-preeclampsia-superimposed-on-chronic-hypertension-with-and-without-severe-features
#11
Hind N Moussa, Mateo G Leon, Ana Marti, Alissar Chediak, Claudia Pedroza, Sean C Blackwell, Baha M Sibai
Objective The American Congress of Obstetricians and Gynecologists (ACOG) task force on hypertension in pregnancy introduced a new definition of superimposed preeclampsia (SIP) adding severe features (SF) as new criteria to define severe disease. They also recommended that those with SIP be delivered ≥ 37 weeks, whereas those with SF be delivered ≤ 34 weeks. Our aim was to investigate the validity of this new definition by comparing adverse pregnancy outcomes in SIP with (SIP-SF) and without SF (SIP)...
September 8, 2016: American Journal of Perinatology
https://www.readbyqxmd.com/read/27595176/-neonatal-eucapnic-ph-at-birth-application-in-a-cohort-of-5392%C3%A2-neonates
#12
C Racinet, J-F Peresse, G Richalet, C Corne, P Ouellet
OBJECTIVE: To apply a newly concept of neonatal eucapnic pH at birth [pH euc (n)] and compare its contribution towards conventional criteria of severe metabolic acidosis. METHODS: Analysis of a cohort of 5392 neonates from 2010 to 2014 in a level 1 maternity. clinical data (birth weight, gestational age, mode of delivery, APGAR score) were collected from archived files. Biological data were collected from umbilical cord blood, consisting of pH, PCO2, Base deficit, lactate...
September 2016: Gynécologie, Obstétrique & Fertilité
https://www.readbyqxmd.com/read/27588713/survey-of-us-obstetrician-opinions-regarding-nipt-use-in-general-practice-implementation-and-barriers
#13
Justin Brewer, Lisa Demers, Thomas Musci
OBJECTIVE: To evaluate the knowledge and opinions of US obstetric providers who use noninvasive prenatal testing (NIPT) to understand current utilization and guide future best practices. METHODS: A questionnaire was designed to assess the level of knowledge and attitudes of OBGYNs toward screening options for aneuploidy, with a focus on NIPT. Initial questions evaluated obstetrician demographics, practice type, and NIPT familiarity. Subsequent questions were designed to solicit current practices regarding aneuploidy screening as well as opinions, experiences, and implications of NIPT...
September 2, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27559272/influenza-vaccination-among-pregnant-women-patient-beliefs-and-medical-provider-practices
#14
Lauren M Stark, Michael L Power, Mark Turrentine, Renee Samelson, Maryam M Siddiqui, Michael J Paglia, Emmie R Strassberg, Elizabeth Kelly, Katie L Murtough, Jay Schulkin
ACOG's research department recruited four medical centers to participate in a study on the attitudes and practices of medical providers and pregnant patients regarding influenza vaccination. Medical providers and patients were given voluntary surveys and medical record data was collected over two flu seasons, from 2013 to 2015. Discrepancies between self-reports of medical providers and patients and medical records were observed. Nearly 80% of patients self-reported accepting the influenza vaccine, but medical record data only reported 36% of patients accepting the vaccine...
2016: Infectious Diseases in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27544437/prevalence-of-u-s-pregnant-women-meeting-2015-acog-physical-activity-guidelines
#15
Kathryn R Hesketh, Kelly R Evenson
No abstract text is available yet for this article.
September 2016: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27530804/first-stage-of-labour-management-practices-a-survey-of-australian-obstetric-providers
#16
Louise White, Nigel Lee, Michael Beckmann
AIMS: To report on the opinions and reported practices of Australian obstetricians and general practice (GP) obstetricians, in the definition and management of spontaneous first stage of labour, in low-risk nulliparous women. MATERIALS AND METHODS: Cross-sectional survey sent electronically to all Australian Specialist obstetricians (FRANZCOG) and Diplomates. Respondents answered questions regarding care of nulliparous women in spontaneous labour at term across three domains: (i) practitioners' characteristics; (ii) current practice; (iii) opinion regarding joint statement by ACOG/SMFM (Society of Maternal Fetal Medicine) 'Safe prevention of primary caesarean section'...
August 17, 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27520381/the-diagnosis-of-pre-eclampsia-using-two-revised-classifications-in-the-finnish-pre-eclampsia-consortium-finnpec-cohort
#17
Jenni Kallela, Tiina Jääskeläinen, Eija Kortelainen, Seppo Heinonen, Eero Kajantie, Juha Kere, Katja Kivinen, Anneli Pouta, Hannele Laivuori
BACKGROUND: The Finnish Pre-eclampsia Consortium (FINNPEC) case-control cohort consisting of 1447 pre-eclamptic and 1068 non-pre-eclamptic women was recruited during 2008-2011 to study genetic background of pre-eclampsia and foetal growth. Pre-eclampsia was defined by hypertension and proteinuria according to the American College of Obstetricians and Gynecologists (ACOG) 2002 classification. The ACOG Task Force Report on Hypertension in Pregnancy (2013) and The International Society for the Study of Hypertension in Pregnancy (ISSHP) (2014) have published new classifications, in which proteinuria is not necessary for diagnosis when specific symptoms are present...
August 12, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27491941/obstetrical-outcomes-of-emergency-compared-with-elective-cervical-cerclage
#18
Ohad Gluck, Yossi Mizrachi, Shimon Ginath, Jacob Bar, Ron Sagiv
OBJECTIVE: To study obstetric outcomes of emergency cerclage compared with elective cerclage. STUDY DESIGN: Retrospective cohort study of pregnancy outcomes of patients who underwent cervical cerclage, performed according to ACOG guidelines, between January 2006 and December 2014. Patients who underwent emergency cerclage, due to cervical shortening or cervical dilation (emergency cerclage group) were compared with patients who underwent history-indicated cerclage (elective cerclage group)...
August 23, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/27479987/project-tendr-targeting-environmental-neuro-developmental-risks-the-tendr-consensus-statement
#19
Deborah Bennett, David C Bellinger, Linda S Birnbaum, Asa Bradman, Aimin Chen, Deborah A Cory-Slechta, Stephanie M Engel, M Daniele Fallin, Alycia Halladay, Russ Hauser, Irva Hertz-Picciotto, Carol F Kwiatkowski, Bruce P Lanphear, Emily Marquez, Melanie Marty, Jennifer McPartland, Craig J Newschaffer, Devon Payne-Sturges, Heather B Patisaul, Frederica P Perera, Beate Ritz, Jennifer Sass, Susan L Schantz, Thomas F Webster, Robin M Whyatt, Tracey J Woodruff, R Thomas Zoeller, Laura Anderko, Carla Campbell, Jeanne A Conry, Nathaniel DeNicola, Robert M Gould, Deborah Hirtz, Katie Huffling, Philip J Landrigan, Arthur Lavin, Mark Miller, Mark A Mitchell, Leslie Rubin, Ted Schettler, Ho Luong Tran, Annie Acosta, Charlotte Brody, Elise Miller, Pamela Miller, Maureen Swanson, Nsedu Obot Witherspoon
No abstract text is available yet for this article.
July 1, 2016: Environmental Health Perspectives
https://www.readbyqxmd.com/read/27457392/-posterm-pregnancy
#20
A Měchurová
UNLABELLED: This review presents the up-to-date information from published resources on the issue of Posterm pregnancy (Medline, Cochrane Database, ACOG, RCOG, SOGC) and complements the presented guidelines. The most of resources are using the term "postterm pregnancy" for pregnancy reaching or exceeding 42+0 weeks and days of gestation, while late pregnancy is defined as a period in between 41+0 and 41+6.The exact determination of gestational age is necessary for exact diagnosis and appropriate management of late and postterm pregnancy, because these pregnancies have increased risk of perinatal morbidity and mortality...
April 2016: Ceská Gynekologie
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