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https://www.readbyqxmd.com/read/30461693/acog-practice-bulletin-no-201-pregestational-diabetes-mellitus
#1
(no author information available yet)
Pregestational diabetes mellitus represents one of the most challenging medical complications of pregnancy because of the need for frequent monitoring and adjustment of medications as well as the potential for maternal and fetal complications. This document provides an overview of the current understanding of pregestational diabetes mellitus and suggests management guidelines during pregnancy. Because few well-designed studies have been performed, many of the guidelines are based on expert and consensus opinion...
December 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30461689/acog-practice-bulletin-no-201-summary-pregestational-diabetes-mellitus
#2
(no author information available yet)
Pregestational diabetes mellitus represents one of the most challenging medical complications of pregnancy because of the need for frequent monitoring and adjustment of medications as well as the potential for maternal and fetal complications. This document provides an overview of the current understanding of pregestational diabetes mellitus and suggests management guidelines during pregnancy. Because few well-designed studies have been performed, many of the guidelines are based on expert and consensus opinion...
December 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30447552/evidence-based-guidelines-for-vaginal-hysterectomy-of-the-international-society-for-gynecologic-endoscopy-isge
#3
REVIEW
Andreas Chrysostomou, Dusan Djokovic, William Edridge, Bruno J van Herendael
OBJECTIVE: This project was established by the International Society for Gynecologic Endoscopy (ISGE) to provide evidence-based recommendations on the selection of women in whom vaginal hysterectomy can be safely performed. STUDY DESIGN: The ISGE Task Force for vaginal hysterectomy for non-prolapsed uterus defined key clinical questions that led the literature search and formulation of recommendations. The search included Medline/PubMed and Cochrane Database. English language articles were reviewed from January 2003 to January 2018, in conjunction with reviews published by the American College of Obstetricians and Gynecologists (ACOG) and the American Association of Gynecologic Laparoscopists (AAGL)...
November 1, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/30424983/-contraception-for-women-after-40-cngof-contraception-guidelines
#4
M Lambert, E Begon, C Hocké
INTRODUCTION: Choosing contraception for women over 40 can be sometimes difficult but it is crucial since fertility and pregnancy's risks still exist. It requires a thorough evaluation of the situation, in order to identify any vascular and metabolic risk factors, along with the uterine and mammary benign pathologies already diagnosed. OBJECTIVE: The objective of this review was to elaborate some guidelines for clinical practice regarding contraception's prescription for women over 40...
November 10, 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/30410829/exercise-during-pregnancy-obstetricians-beliefs-and-recommendations-compared-to-american-congress-of-obstetricians-and-gynecologists-2015-guidelines
#5
Lucas D McGee, Carly A Cignetti, Amelia Sutton, Lorie Harper, Candice Dubose, Sara Gould
Purpose Obesity and excessive weight gain during pregnancy is a growing problem, conferring severe health risks for both mother and fetus. Exercise can help combat this epidemic. However, many pregnant women are not meeting the American Congress of Obstetricians and Gynecologists' (ACOG's) 2015 guidelines for exercise during pregnancy. The objective of this study was to evaluate obstetricians' beliefs and recommendations regarding exercise during pregnancy compared to ACOG's 2015 recommendations. Method Obstetricians were recruited via three different forums to complete a twenty-question survey: at a regional conference for Alabama and Mississippi ACOG members, at the University of Alabama at Birmingham's Obstetrics and Gynecology Department's Grand Rounds, and via telephone...
August 25, 2018: Curēus
https://www.readbyqxmd.com/read/30399104/levels-of-maternal-care-verification-pilot-translating-guidance-into-practice
#6
Christopher M Zahn, Arlene Remick, Andrea Catalano, David Goodman, Sarah J Kilpatrick, M Kathryn Menard
Development of systems for perinatal regionalization and for the provision of risk-appropriate maternal care is a key strategy to decrease maternal morbidity and mortality. Regionalized systems pertaining to neonatal care are broadly implemented in many states, but networks for risk-appropriate maternal care are lacking. In response to increases in maternal morbidity and mortality over the past decade, the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) developed and published the levels of maternal care guidelines in 2015...
November 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30327537/comparing-ethnicity-based-and-expanded-carrier-screening-methods-at-a-single-fertility-center-reveals-significant-differences-in-carrier-rates-and-carrier-couple-rates
#7
Alexandra Peyser, Tomer Singer, Christine Mullin, Sara L Bristow, Amber Gamma, Kenan Onel, Avner Hershlag
PURPOSE: To evaluate the efficiency of expanded carrier screening (ECS) compared with ethnicity-based screening in identifying carriers. METHODS: A total of 4232 infertility patients underwent ECS from a single genetic testing laboratory at our center between June 2013 and July 2015. Self-reported ethnicity was recorded. Carrier rates based on ECS were calculated. In addition, carrier status was determined for two other screening panels: ethnicity-based guidelines or the ECS panel recommended by the American College of Obstetricians and Gynecologists (ACOG) using ECS results...
October 16, 2018: Genetics in Medicine: Official Journal of the American College of Medical Genetics
https://www.readbyqxmd.com/read/30258507/management-of-chronic-and-gestational-hypertension-of-pregnancy-a-guide-for-primary-care-nurse-practitioners
#8
REVIEW
Leah Spiro, Donna Scemons
Aim: The aim of this discussion paper is to outline the guidelines, according to the American Congress of Obstetricians and Gynecologists, about how to manage hypertension before and during pregnancy. Primary providers lack the knowledge to initiate treatment and manage hypertension in patients who are family planning or in the early stages of pregnancy before transferring care to an obstetrician, or perhaps patients who never do transfer care for lack of accessibility or funding. This paper aims to discuss how the Family Nurse Practitioner, or other primary care providers, may safely and efficiently maintain stable blood pressures in patients with hypertension before, during, and after pregnancy...
2018: Open Nursing Journal
https://www.readbyqxmd.com/read/30253316/likelihood-of-cesarean-birth-among-parous-women-after-applying-leading-active-labor-diagnostic-guidelines
#9
Jeremy L Neal, Nancy K Lowe, Julia C Phillippi, Nicole S Carlson, Amy M Knupp, Mary S Dietrich
OBJECTIVES: Hospital admission during early labor may increase women's risk for medical and surgical interventions. However, it is unclear which diagnostic guideline is best suited for identifying the active phase of labor among parous women. Dr. Emanuel Friedman, the United Kingdom's National Institute for Health and Care Excellence (NICE), and the American College of Obstetricians and Gynecologists/Society for Maternal-Fetal Medicine (ACOG/SMFM) support different active labor diagnostic guidelines...
December 2018: Midwifery
https://www.readbyqxmd.com/read/30247363/acog-committee-opinion-no-754-the-utility-of-and-indications-for-routine-pelvic-examination
#10
(no author information available yet)
The pelvic examination has long been considered a fundamental component of the well-woman visit, and many women and gynecologic care providers view this visit as an opportunity to discuss sexual and reproductive health issues. Traditionally, a pelvic examination is performed for asymptomatic women as a screening tool for gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician-gynecologists and patients consider it important in detecting subclinical disease, despite evidence to the contrary...
October 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30247359/acog-committee-opinion-no-754-summary-the-utility-of-and-indications-for-routine-pelvic-examination
#11
(no author information available yet)
The pelvic examination has long been considered a fundamental component of the well-woman visit, and many women and gynecologic care providers view this visit as an opportunity to discuss sexual and reproductive health issues. Traditionally, a pelvic examination is performed for asymptomatic women as a screening tool for gynecologic cancer, infection, and asymptomatic pelvic inflammatory disease; some obstetrician-gynecologists and patients consider it important in detecting subclinical disease, despite evidence to the contrary...
October 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30185092/outcomes-associated-with-trial-of-labor-after-cesarean-in-women-with-one-versus-two-prior-cesarean-deliveries-after-a-change-in-clinical-practice-guidelines-in-an-academic-hospital
#12
Christina Davidson, Patricia Bellows, Utsavi Shah, Lauren Hawley, Kathleen Drexler, Manisha Gandhi, Catherine Eppes, Haleh Sangi-Haghpeykar
OBJECTIVE: In 2010, the American College of Obstetricians & Gynecologists (ACOG) published a new clinical practice guideline on trial of labor after cesarean (TOLAC) that was considered less restrictive. It allowed for offering TOLAC to women with two prior cesarean deliveries, even without a prior vaginal delivery, and for labor induction. As a result, our hospital, a public tertiary care academic center, updated our TOLAC practice guideline to reflect ACOG's new recommendations...
September 5, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/30134425/acog-practice-bulletin-no-199-use-of-prophylactic-antibiotics-in-labor-and-delivery
#13
(no author information available yet)
The use of antibiotics to prevent infections during the antepartum, intrapartum, and postpartum periods is different than the use of antibiotics to treat established infections. For many years, the use of prophylactic antibiotics was thought to have few adverse consequences. Concerns about the emergence of resistant strains of common bacteria, in addition to the emergence of strains with increased virulence, have resulted in increased scrutiny of the use of antibiotics, particularly in the hospital setting...
September 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30134424/acog-practice-bulletin-no-198-prevention-and-management-of-obstetric-lacerations-at-vaginal-delivery
#14
(no author information available yet)
Lacerations are common after vaginal birth. Trauma can occur on the cervix, vagina, and vulva, including the labial, periclitoral, and periurethral regions, and the perineum. Most of these lacerations do not result in adverse functional outcomes. Severe perineal lacerations, extending into or through the anal sphincter complex, although less frequent, are more commonly associated with increased risk of pelvic floor injury, fecal and urinary incontinence, pain, and sexual dysfunction with symptoms that may persist or be present many years after giving birth...
September 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30134418/acog-practice-bulletin-no-199-summary-use-of-prophylactic-antibiotics-in-labor-and-delivery
#15
(no author information available yet)
The use of antibiotics to prevent infections during the antepartum, intrapartum, and postpartum periods is different than the use of antibiotics to treat established infections. For many years, the use of prophylactic antibiotics was thought to have few adverse consequences. Concerns about the emergence of resistant strains of common bacteria, in addition to the emergence of strains with increased virulence, have resulted in increased scrutiny of the use of antibiotics, particularly in the hospital setting...
September 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30134417/acog-practice-bulletin-no-198-summary-prevention-and-management-of-obstetric-lacerations-at-vaginal-delivery
#16
(no author information available yet)
Lacerations are common after vaginal birth. Trauma can occur on the cervix, vagina, and vulva, including the labial, periclitoral, and periurethral regions, and the perineum. Most of these lacerations do not result in adverse functional outcomes. Severe perineal lacerations, extending into or through the anal sphincter complex, although less frequent, are more commonly associated with increased risk of pelvic floor injury, fecal and urinary incontinence, pain, and sexual dysfunction with symptoms that may persist or be present many years after giving birth...
September 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30045211/acog-committee-opinion-no-745-mode-of-term-singleton-breech-delivery
#17
(no author information available yet)
There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation. The number of practitioners with the skills and experience to perform vaginal breech delivery has decreased. The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider. Obstetrician-gynecologists and other obstetric care providers should offer external cephalic version as an alternative to planned cesarean for a woman who has a term singleton breech fetus, desires a planned vaginal delivery of a vertex-presenting fetus, and has no contraindications...
August 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30045205/acog-committee-opinion-no-745-summary-mode-of-term-singleton-breech-delivery
#18
(no author information available yet)
There is a trend in the United States to perform cesarean delivery for term singleton fetuses in a breech presentation. The number of practitioners with the skills and experience to perform vaginal breech delivery has decreased. The decision regarding the mode of delivery should consider patient wishes and the experience of the health care provider. Obstetrician-gynecologists and other obstetric care providers should offer external cephalic version as an alternative to planned cesarean for a woman who has a term singleton breech fetus, desires a planned vaginal delivery of a vertex-presenting fetus, and has no contraindications...
August 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29940314/noncytotoxic-related-primary-ovarian-insufficiency-in-adolescents-multicenter-case-series-and-review
#19
Lauren Kanner, Julie C E Hakim, Christina Davis Kankanamge, Vrunda Patel, Vivian Yu, Emily Podany, Veronica Gomez-Lobo
STUDY OBJECTIVE: Primary ovarian insufficiency (POI) in adolescents not due to cytotoxic therapy has not been well studied. Causes of POI have been described in adults, but adolescents might represent a unique subset necessitating a targeted approach to diagnosis, workup, and treatment. We sought to better characterize adolescent POI through a descriptive multicenter study. DESIGN: Case series of patients with POI. SETTING: Six tertiary care institutions...
June 27, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29939940/acog-committee-opinion-no-743-low-dose-aspirin-use-during-pregnancy
#20
(no author information available yet)
Low-dose aspirin has been used during pregnancy, most commonly to prevent or delay the onset of preeclampsia. The American College of Obstetricians and Gynecologists issued the Hypertension in Pregnancy Task Force Report recommending daily low-dose aspirin beginning in the late first trimester for women with a history of early-onset preeclampsia and preterm delivery at less than 34 0/7 weeks of gestation, or for women with more than one prior pregnancy complicated by preeclampsia. The U.S. Preventive Services Task Force published a similar guideline, although the list of indications for low-dose aspirin use was more expansive...
July 2018: Obstetrics and Gynecology
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