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Practice number ACOG

Jacquelyn Blackstone, Vanessa K Will, William F Rayburn
OBJECTIVE:  To examine trends of female physicians either pursuing fellowships or in active practice in maternal-fetal medicine (MFM). METHODS:  This observational study examined complete sets of MFM fellows and active members of the Society for Maternal-Fetal Medicine (SMFM) between 1985 and 2016. Databases from SMFM, American College of Obstetricians and Gynecologists (ACOG), and Accreditation Council for Graduate Medical Education were used. Analysis of covariance testing was used to assess interactions over time between groups...
May 7, 2018: American Journal of Perinatology
J Dyer, G Latendresse, E Cole, J Coleman, E Rothwell
Objective The purpose of this study was to examine the content of the first prenatal visit within an academic medical center clinic and to compare the topics discussed to 2014 American College of Obstetrics and Gynecologists guidelines for the initial prenatal visit. Methods Clinical interactions were audio recorded and transcribed (n = 30). A content analysis was used to identify topics discussed during the initial prenatal visit. Topics discussed were then compared to the 2014 ACOG guidelines for adherence...
May 2018: Maternal and Child Health Journal
Sebastian Larion, Steven L Warsof, Letty Romary, Margaret Mlynarczyk, David Peleg, Alfred Z Abuhamad
OBJECTIVES: To report changes in the use of the combined first-trimester screen (FTS) in patients classified as high and low risk for fetal aneuploidy, including after introduction of noninvasive prenatal testing (NIPT). METHODS: A prospectively collected database was reviewed to investigate changes in FTS use before and after American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin No. 77 (Obstet Gynecol 2007; 109:217-227), which recommended that all patients be offered aneuploidy screening, and after NIPT introduction...
August 2015: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
(no author information available yet)
Access to safe abortion hinges upon the availability of trained abortion providers. The American College of Obstetricians and Gynecologists supports education for students in health care fields as well as clinical training for residents and advanced practice clinicians in abortion care in order to increase the availability of trained abortion providers. The American College of Obstetricians and Gynecologists supports the expansion of abortion education and an increase in the number and types of trained abortion providers in order to ensure women's access to safe abortions...
November 2014: Obstetrics and Gynecology
Margaret E Wierman, Wiebke Arlt, Rosemary Basson, Susan R Davis, Karen K Miller, Mohammad H Murad, William Rosner, Nanette Santoro
OBJECTIVE: To update practice guidelines for the therapeutic use of androgens in women. PARTICIPANTS: A Task Force appointed by the Endocrine Society, American Congress of Obestricians and Gynecologists (ACOG), American Society for Reproductive Medicine (ASRM), European Society of Endocrinology (ESE), and International Menopause Society (IMS) consisting of six experts, a methodologist, and a medical writer. EVIDENCE: The Task Force commissioned two systematic reviews of published data and considered several other existing meta-analyses and trials...
October 2014: Journal of Clinical Endocrinology and Metabolism
Jennifer Doyle, Linda Newhouse, Robert Flora, Amy Burkett
Collaboration is an important component of evidence-based practice in modern health care. A number of publications have touted the benefits of "team training" to improve obstetric outcomes during emergent situations. In August 2011, the Ohio sections of the Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN) and the American Congress of Obstetricians and Gynecologists (ACOG) held a joint conference that focused on interdisciplinary education to promote patient safety. This joint venture drew more than 120 attendees, 12 exhibitors and 17 poster displays...
April 2014: Nursing for Women's Health
(no author information available yet)
Vasomotor and vaginal symptoms are cardinal symptoms of menopause. Vasomotor symptoms can be particularly troubling to women and are the most commonly reported menopausal symptoms, with a reported prevalence of 50-82% among U.S. women who experience natural menopause (1, 2). The occurrence of vasomotor symptoms increases during the transition to menopause and peaks approximately 1 year after the final menstrual period (3-5). The purpose of this document is to provide evidence-based guidelines for the treatment of vasomotor and vaginal symptoms related to natural and surgical menopause...
January 2014: Obstetrics and Gynecology
Krystyna Zawilska, Małgorzata M Bała, Piotr Błędowski, Dariusz W Chmielewski, Zygmunt Dobrowolski, Mariusz Frączek, Marzena Frołow, Piotr Gajewski, Tomasz Guzik, Roman Jaeschke, Tomasz Korman, Jan Kotarski, Wojciech Kozubski, Marek Krawczyk, Wiesław Kruszewski, Jerzy Kulikowski, Halina Kutaj-Wąsikowska, Ewa Mayzner-Zawadzka, Przemysław M Mrozikiewicz, Jacek Musiał, Rafał Niżankowski, Tomasz Pasierski, Ryszard Poręba, Witold Tomkowski, Adam Torbicki, Anetta Undas, Tomasz Urbanek, Marek Z Wojtukiewicz, Jarosław Woroń, Jacek Wroński
The overall objective of the Polish guidelines for the prevention and treatment of venous thromboembolism is to increase patient benefit and safety by appropriate prevention and treatment of deep vein thrombosis and pulmonary embolism as well as proper management of the complications associated with antithrombotic and thrombolytic therapy. These guidelines apply to adult trauma, cancer, surgical, and medical patients as well as those at increased risk of venous thromboembolism. Specific recommendations have been formulated for pregnant women, patients requiring surgery while receiving long-term oral anticoagulant treatment, and patients undergoing regional anesthesia and/or analgesia...
2012: Polskie Archiwum Medycyny Wewnętrznej
K L Wilson, J L Czerwinski, J M Hoskovec, S J Noblin, C M Sullivan, A Harbison, M W Campion, K Devary, P Devers, C N Singletary
The BUN and FASTER studies, two prospective multicenter trials in the United States, validated the accuracy and detection rates of first and second trimester screening previously reported abroad. These studies, coupled with the 2007 release of the American College of Obstetricians and Gynecologists (ACOG) Practice Bulletin that endorsed first trimester screening as an alternative to traditional second trimester multiple marker screening, led to an explosion of screening options available to pregnant women. ACOG also recommended that invasive diagnostic testing for chromosome aneuploidy be made available to all women regardless of maternal age...
February 2013: Journal of Genetic Counseling
Victoria A Farrow, Robert L Goldenberg, Ruth Fretts, Jay Schulkin
OBJECTIVE: To assess the psychological impact on US obstetricians when they care for women who have suffered a stillbirth and explore whether demographic (e.g. age, gender) and practice (e.g. number of patients, practice type) variables were related to the extent of psychological impact for obstetricians following stillbirth. METHODS: Using a questionnaire that could be completed in about 20 min, we surveyed 1000 American College of Obstetricians and Gynecologists (ACOG) members...
May 2013: Journal of Maternal-fetal & Neonatal Medicine
(no author information available yet)
Although the risk of venous thromboembolism is increased among oral contraceptive users compared with nonusers who are not pregnant and not taking hormones, and some data have suggested that use of drospirenone-containing pills has a higher risk of venous thromboembolism, this risk is still very low and is much lower than the risk of venous thromboembolism during pregnancy and the immediate postpartum period. When prescribing any oral contraceptive, clinicians should consider a woman's risk factors for venous thromboembolism and refer to the U...
November 2012: Obstetrics and Gynecology
(no author information available yet)
The incidence of cervical cancer in the United States has decreased more than 50% in the past 30 years because of widespread screening with cervical cytology. In 1975, the rate was 14.8 per 100,000 women. By 2008, it had been reduced to 6.6 per 100,000 women. Mortality from the disease has undergone a similar decrease from 5.55 per 100,000 women in 1975 to 2.38 per 100,000 women in 2008 (1). The American Cancer Society (ACS) estimates that there will be 12,170 new cases of cervical cancer in the United States in 2012, with 4,220 deaths from the disease (2)...
November 2012: Obstetrics and Gynecology
(no author information available yet)
Re-entering the practice of obstetrics and gynecology after a period of inactivity can pose a number of obstacles for a physician. Preparing for the leave of absence may help reduce the difficulties physicians may face upon re-entering practice.
May 2012: Obstetrics and Gynecology
William F Rayburn, Jeffrey C Klagholz, Cristina Murray-Krezan, Lana E Dowell, Albert L Strunk
OBJECTIVE: To develop effective policies addressing access to health care for all women in the United States, we report the distribution of the American Congress of Obstetricians and Gynecologists (ACOG) Fellows and Junior Fellows in practice at county and state levels. METHODS: Data were gathered from the 2010 U.S. County Census File for adult women (aged 15 years or older) and reproductive-aged women (15-44 years old) and from the 2010 membership roster of ACOG...
May 2012: Obstetrics and Gynecology
Britta L Anderson, Albert L Strunk, Jay Schulkin
The purpose of this study was to assess malpractice concerns, career satisfaction, defensive medicine, experience with liability lawsuits, and changes in breast care practices among obstetricians and gynecologists (ob-gyns) who provide breast care. Four hundred ACOG Fellows were randomly selected and invited to participate, 247 (62%) responded. A majority of responders had increased the number of referrals for the diagnosis of breast abnormalities (58.9%) and treatment of breast disease (53.6%) due to fears and concerns regarding malpractice...
May 2011: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
(no author information available yet)
The increased use of screening tests has led to the identification of large numbers of women with human immunodeficiency virus (HIV). Consequently, there is an increased role for obstetrician-gynecologists in caring for infected women. Women infected with HIV are living longer, healthier lives and, therefore, the need for routine gynecologic care has increased. The purpose of this document is to educate clinicians about routine HIV screening practices as well as basic women's health screening and care, family planning, and preconception care for women who are infected with HIV...
December 2010: Obstetrics and Gynecology
Adriana M Aguilar, Daniela S Satragno, Néstor E Vain, Edgardo G Szyld, Luis M Prudent
UNLABELLED: Based on the results of two large RCTs, guidelines from NRP/AAP, ILCOR, ACOG, and from Argentinean scientific societies for intrapartum and postpartum management of pregnancies with Meconium Stained Amniotic Fluid (MSAF) have radically changed. However, there are no data as to current delivery room management of infants born through MSAF. OBJECTIVES: 1) To assess current delivery room approaches in infants born through MSAF in Argentina; 2) To evaluate the adherence to NRP/AAP recommendations among different centers...
February 2010: Archivos Argentinos de Pediatría
Patricia Perfetto, Danish Siddiqui, Amy Niederhauser, Everett F Magann, James Hill, Suneet P Chauhan
We compared the types (A, B, or C) of recommendations and levels (I, II, III, or others) of references in the original versus revised practice bulletins (PBs). American College of Obstetricians and Gynecologists (ACOG) compendiums and Web site were used to obtain the PBs. Chi-square test for trend or Wilcoxon matched-pairs tests were used. From December 1998 to December 2008, ACOG published 78 PBs, of which 24% (19) have been revised. Neither the median numbers of recommendations per PB (8 to 10; P = 0.235) nor the type ( P = 0...
September 2010: American Journal of Perinatology
L Lewis Wall, Douglas Brown
Commercial interests are reshaping the practice of gynecological surgery by promoting the use of trochar-and-mesh surgical "kits" for the treatment of stress incontinence and pelvic organ prolapse. In this article, we discuss the ethical implications of changes in surgical practice that are driven by commercial interests. We point out the dangers inherent in the adoption of new procedures without adequate and documented evidence to support their safety and efficacy. We discuss the most recent American College of Obstetricians and Gynecologists (ACOG) Practice Bulletins on pelvic organ prolapse (numbers 79 and 85) which were altered without explanation to downplay the experimental nature of these commercial products...
July 2009: International Urogynecology Journal and Pelvic Floor Dysfunction
(no author information available yet)
The recommendations for endocarditis prophylaxis from the American Heart Association have changed for three main reasons: 1) most cases of endocarditis are not attributable to an invasive procedure but rather are the result of randomly occurring bacteremia from routine daily activities; 2) prophylaxis may only prevent a small number of cases of infective endocarditis in women undergoing genitourinary procedures; and 3) the risk of antibiotic associated adverse events exceeds the benefit, if any, from prophylactic antibiotic therapy...
November 2008: Obstetrics and Gynecology
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