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Acog practice bulletin

Katy B Kozhimannil, Pinar Karaca-Mandic, Cori J Blauer-Peterson, Neel T Shah, Jonathan M Snowden
BACKGROUND: The gap between publishing and implementing guidelines differs based on practice setting, including hospital geography and teaching status. On March 31, 2006, a Practice Bulletin published by the American College of Obstetricians and Gynecologists (ACOG) recommended against the routine use of episiotomy and urged clinicians to make judicious decisions to restrict the use of the procedure. OBJECTIVE: This study investigated changes in trends of episiotomy use before and after the ACOG Practice Guideline was issued in 2006, focusing on differences by hospital geographic location (rural/urban) and teaching status...
January 2017: Joint Commission Journal on Quality and Patient Safety
Deepa Maheswari Narasimhulu, Scarlett Karakash, Jeremy Weedon, Howard Minkoff
Objective To assess patterns of e-health use in pregnancy in an underserved racially diverse inner-city population, and to assess the accuracy of pregnancy-related information obtained from the Internet. Methods A cross sectional study of 503 pregnant/postpartum women belonging to an underserved racially diverse inner-city population who completed a survey regarding e-health use. To assess accuracy, four independent expert-reviewers rated the first 10 webpages on Google searches for each of five questions based upon those in ACOG bulletins...
July 25, 2016: Maternal and Child Health Journal
Meena Khandelwal, Vanitha B Revanasiddappa, Sindy C Moreno, Gunda Simpkins, Stuart Weiner, Thomas Westover
INTRODUCTION: Current ACOG technical bulletin #144, 2014 states "Women with monoamniotic twin gestations should undergo cesarean delivery to avoid an umbilical cord complication of the nonpresenting twin at the time of the initial twin's delivery." To assess feasibility of vaginal delivery, we compared neonatal outcomes after attempted VD versus planned cesarean delivery (CD). METHODS: This retrospective cohort study from 2 tertiary-care centers, reviewed all viable MoMo twin pregnancies beyond 24 weeks gestation, delivered over last 15 years...
May 2016: Obstetrics and Gynecology
Suneet P Chauhan, Ibrahim A Hammad, Katherine L Weyer, Cande V Ananth
OBJECTIVES: The objectives of this review are to (1) ascertain the frequency with which odd ratio (OR) and relative risk (RR) are in the zone of potential bias or interest in the American College of Obstetricians and Gynecologists (ACOG) practice bulletins (PB); (2) the likelihood that false alarms have been linked to recommendations; and (3) if there are differences in obstetric versus gynecological PB, vis-à-vis OR and RR in the zone of bias or interest. DATA SOURCES: We reviewed all ACOG PBs published between May 1999 and March 2014...
April 2016: American Journal of Perinatology
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
Clareana Ghiraldini Geraldes, Márcia Carneiro Saco, Pedro Luiz Spinelli Coelho, Gustavo Lacerda da Silva Calestini, Caio Barbosa Cury, Felipe Fernando Silveira Fuentes, Bárbara Bevilacqua Zeiger, José Marcelo Garcia, Sérgio Floriano de Toledo, Rogério Gomes Dos Reis Guidoni, Maurício Saito, Francisco Lázaro Pereira Sousa, Corintio Mariani Neto
OBJECTIVES: Comparison between two electronic methods of antepartum fetal assessment in hypertensive pregnant women. METHODS: Comparison of conventional cardiotocography tracing and transabdominal fetal electrocardiography with the use of the fetal monitor AN24 (Monica Healthcare), in women with gestational age ⩾34weeks, single fetus, with hypertensive disorders according to the criteria of NHBPEP-2000 at Guilherme Álvaro Hospital - Santos/SP - Brazil (Dec/2013-Jun/2014)...
January 2015: Pregnancy Hypertension
Joshua D Dahlke, Hector Mendez-Figueroa, Lindsay Maggio, Alisse K Hauspurg, Jeffrey D Sperling, Suneet P Chauhan, Dwight J Rouse
OBJECTIVE: The purpose of this study was to compare 4 national guidelines for the prevention and management of postpartum hemorrhage (PPH). STUDY DESIGN: We performed a descriptive analysis of guidelines from the American College of Obstetrician and Gynecologists practice bulletin, the Royal Australian and New Zealand College of Obstetricians and Gynaecologists, the Royal College of Obstetrician and Gynaecologists (RCOG), and the Society of Obstetricians and Gynaecologists of Canada on PPH to determine differences, if any, with regard to definitions, risk factors, prevention, treatment, and resuscitation...
July 2015: American Journal of Obstetrics and Gynecology
Emily N B Myer, Gloria T Too, Ibrahim A Hammad, Shilpa Babbar, Charley E Martin, James B Hill, Sean B Blackwell, Suneet P Chauhan
OBJECTIVE: To compare the obstetric recommendations in American Congress of Obstetricians and Gynecologists (ACOG) practice bulletins (PB) with similar topics in UpToDate (UTD). STUDY DESIGN: We accessed all obstetric PB and cross-searched UTD (May 1999-May 2013). We analyzed only the PB which had corresponding UTD chapter with graded recommendations (level A-C). To assess comparability of recommendations for each obstetric topic, two maternal-fetal medicine (MFM) subspecialists categorized the statement as similar, dissimilar, or incomparable...
April 2015: American Journal of Perinatology
(no author information available yet)
No abstract text is available yet for this article.
April 2000: Obstetrics and Gynecology
(no author information available yet)
The incidence of multifetal gestations in the United States has increased dramatically over the past several decades. The rate of twin births increased 76% between 1980 and 2009, from 18.9 to 33.3 per 1,000 births (). The rate of triplet and higher-order multifetal gestations increased more than 400% during the 1980s and 1990s, peaking at 193.5 per 100,000 births in 1998, followed by a modest decrease to 153.4 per 100,000 births by 2009 (). The increased incidence in multifetal gestations has been attributed to two main factors: 1) a shift toward an older maternal age at conception, when multifetal gestations are more likely to occur naturally, and 2) an increased use of assisted reproductive technology (ART), which is more likely to result in a multifetal gestation ()...
May 2014: Obstetrics and Gynecology
(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
(no author information available yet)
The inability of the uterine cervix to retain a pregnancy in the second trimester is referred to as cervical insufficiency. Controversy exists in the medical literature pertaining to issues of pathophysiology, screening, diagnosis, and management of cervical insufficiency. The purpose of this document is to provide a review of current evidence of cervical insufficiency, including screening of asymptomatic at-risk women, and to offer guidelines on the use of cerclage for management. The diagnosis and management of other cervical issues during pregnancy, such as short cervical length, are discussed more in-depth in other publications of the American College of Obstetricians and Gynecologists...
February 2014: Obstetrics and Gynecology
(no author information available yet)
Inherited thrombophilias are associated with an increased risk of venous thromboembolism and also have been linked to adverse outcomes in pregnancy. However, there is limited evidence to guide screening for and management of these conditions in pregnancy. The purpose of this document is to review common thrombophilias and their association with maternal venous thromboembolism risk and adverse pregnancy outcomes, indications for screening to detect these conditions, and management options in pregnancy.
September 2013: Obstetrics and Gynecology
Lisa Hauk
No abstract text is available yet for this article.
August 15, 2013: American Family Physician
(no author information available yet)
No abstract text is available yet for this article.
June 2013: Obstetrics and Gynecology
(no author information available yet)
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 lack of consensus regarding terminology, etiology, and diagnostic criteria for fetal growth restriction, with uncertainty surrounding the optimal management and timing of delivery for the growth-restricted fetus. An additional challenge is the difficulty in differentiating between the fetus that is constitutionally small and fulfilling its growth potential and the small fetus that is not fulfilling its growth potential because of an underlying pathologic condition...
May 2013: 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
(no author information available yet)
Female and male sterilization are both safe and effective methods of permanent contraception used by more than 220 million couples worldwide . Approximately 600,000 tubal occlusions and 200,000 vasectomies are performed in the United States annually . For women seeking permanent contraception, sterilization obviates the need for user-dependent contraception throughout their reproductive years and provides an excellent alternative for those with medical contraindications to reversible methods. The purpose of this document is to review the evidence for the safety and effectiveness of female sterilization in comparison with male sterilization and other forms of contraception...
February 2013: Obstetrics and Gynecology
Morris Wortman
Endometrial ablation and hysteroscopic myomectomy and polypectomy are having an increasing impact on the care of women with abnormal uterine bleeding (AUB). The complications of these procedures include the late onset of recurrent vaginal bleeding, cyclic lower abdominal pain, hematometra and the inability to adequately sample the endometrium in women with postmenopausal bleeding. According to the 2007 ACOG Practice Bulletin, approximately 24% of women treated with endometrial ablation will undergo hysterectomy within 4 years...
December 2012: Surgical Technology International
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
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