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ACOG Guideline

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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/27836378/-cervical-pessary-and-spontaneous-preterm-birth
#2
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/27816249/-induced-abortion-guidelines-for-clinical-practice%C3%A2-methods
#3
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/27650923/evaluation-of-outcomes-associated-with-trial-of-labor-after-cesarean-delivery-after-a-change-in-clinical-practice-guidelines-in-an-academic-hospital
#4
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
#5
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/27588713/survey-of-us-obstetrician-opinions-regarding-nipt-use-in-general-practice-implementation-and-barriers
#6
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/27544437/prevalence-of-u-s-pregnant-women-meeting-2015-acog-physical-activity-guidelines
#7
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/27491941/obstetrical-outcomes-of-emergency-compared-with-elective-cervical-cerclage
#8
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/27457392/-posterm-pregnancy
#9
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
https://www.readbyqxmd.com/read/27457114/metabolic-screening-in-patients-with-polycystic-ovary%C3%A2-syndrome-is-largely-underutilized-among-obstetrician-gynecologists
#10
Amy S Dhesi, Katie L Murtough, Jonathan K Lim, Jay Schulkin, Peter G McGovern, Michael L Power, Sara S Morelli
Women with polycystic ovary syndrome have substantially higher rates of insulin resistance, impaired glucose tolerance, type 2 diabetes, dyslipidemia, and metabolic syndrome when compared with women without the disease. Given the high prevalence of these comorbidities, guidelines issued by the American College of Obstetricians and Gynecologists and the Endocrine Society recommend that all women with polycystic ovary syndrome undergo screening for impaired glucose tolerance and dyslipidemia with a 2 hour 75 g oral glucose tolerance test and fasting lipid profile upon diagnosis and also undergo repeat screening every 2-5 years and every 2 years, respectively...
November 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27307503/teen-labiaplasty-a-response-to-the-may-2016-american-college-of-obstetricians-and-gynecologists-acog-recommendations-on-labiaplasty-in-adolescents
#11
Christine A Hamori
Cosmetic genital surgery is on the rise not only in the realm of plastic surgery but also in that of gynecology. Young women below the age of 20 (millennial adolescents) now inquire about procedures to improve the appearance of their genitalia during their annual gynecological visits. The American College of Obstetricians and Gynecologists (ACOG) recently released recommendations for their members to better field cosmetic questions by this subset of patients. These guidelines, albeit somewhat restrictive, acknowledge the field of aesthetic vaginal surgery as a distinct entity for gynecologists...
July 2016: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/27176174/ob-nest-a-novel-approach-to-prenatal-care-21
#12
Yvonne S Butler Tobah, Annie LeBlanc, Megan Branda, Jonathan Inselman, Bobbie Gostout, Abimbola Famuyide
INTRODUCTION: Current prenatal care adheres to a historically fixed schedule of 12 visits during pregnancy. Although reduced prenatal visit bundles have been shown to be safe, patients reported diminished satisfaction and reduced quality of prenatal care. We aimed to evaluate the impact of a program that optimized non-visit care coupled with reduced office visits using a novel prenatal care model (OB Nest) configured to improve patient outcomes. METHODS: We conducted a randomized controlled trial at Mayo Clinic Rochester, a tertiary academic center...
May 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27160962/twin-chorionicity-and-the-risk-of-hypertensive-disorders-gestational-hypertension-and-pre-eclampsia
#13
Pawel Bartnik, Katarzyna Kosinska-Kaczynska, Joanna Kacperczyk, Wojciech Ananicz, Aleksandra Sierocińska, Miroslaw Wielgos, Iwona Szymusik
Twin gestation is known to be a risk factor for hypertensive disorders of pregnancy. However, the relationship between hypertensive disorders (pre-eclampsia (PE) and gestational hypertension (GH)) and chorionicity of twin pregnancy is unclear, and published data is conflicting. We decided to analyze the relationship between placentation and prevalence of hypertensive disorders. It was a retrospective cohort study. 312 twin pregnancies delivered between 2009 and 2014 were analyzed, 79 of which were monochorionic and 233 dichorionic...
August 2016: Twin Research and Human Genetics: the Official Journal of the International Society for Twin Studies
https://www.readbyqxmd.com/read/27023800/fetal-heart-rate-monitoring-category-3-during-the-2nd-stage-of-labor-is-an-independent-predictor-of-fetal-acidosis
#14
Tali Silberstein, Eyal Sheiner, Shimrit Yaniv Salem, Batel Hamou, Barak Aricha, Yael Baumfeld, Zehava Yohay, Debora Elharar, Inbal Idan, David Yohay
OBJECTIVE: To determine whether fetal heart rate (FHR) monitoring categories during the 1st and 2nd stage of labor can predict arterial cord pH <7.2. MATERIALS AND METHODS: A case control study was conducted including 653 consecutive term deliveries (37 weeks gestation and above) that were divided according to fetal pH ≤ 7.2 (n = 315) and fetal pH > 7.2 (n = 338). Deliveries occurred during the year 2013 in tertiary medical center, where arterial cord pH is routinely taken after birth...
June 13, 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26608977/qualitative-analysis-of-diagnostic-value-of-24-h-proteinuria-for-preeclampsia
#15
Xu Zhuang, Yun-Yan Chen, Qiong Zhou, Jian-Hua Lin
BACKGROUND: Preeclampsia (PE) is a serious idiopathic disease posing a threat to both mothers and fetuses' lives during pregnancy, whose main diagnostic criteria include hypertension with proteinuria. However, American College of Obstetricians and Gynecologists (ACOG) updated the diagnostic criteria for PE and reduced the diagnostic value of proteinuria for patients with PE. Qualitative analysis of the diagnostic value of 24-h proteinuria for patients with PE in China was conducted to evaluate the diagnostic criteria value in the latest ACOG guideline...
November 20, 2015: Chinese Medical Journal
https://www.readbyqxmd.com/read/26600834/the-effectiveness-of-using-misoprostol-with-and-without-letrozole-for-successful-medical-abortion-a-randomized-placebo-controlled-clinical-trial
#16
Elham Naghshineh, Zahra Allame, Faezah Farhat
BACKGROUND: In developing countries it is important to the exploration of available and safe regimens for medical abortion. The present study was designed to assess the effect of letrozole compared to placebo pretreatment followed by sublingual misoprostol for therapeutic abortion in eligible women with gestational age less than 17 weeks. MATERIALS AND METHODS: In this randomized control trail, 130 women eligible for legal abortions were randomly divided into two groups of case and controls...
June 2015: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
https://www.readbyqxmd.com/read/26588255/cost-effectiveness-analysis-of-a-multivariate-index-assay-compared-to-modified-american-college-of-obstetricians-and-gynecologists-criteria-and-ca-125-in-the-triage-of-women-with-adnexal-masses
#17
G K Forde, J Hornberger, S Michalopoulos, R E Bristow
OBJECTIVE: To evaluate the cost-effectiveness of the multivariate index assay (MIA) for use in triaging women with an adnexal mass relative to modified American College of Obstetricians and Gynecologists (mACOG) referral guidelines and CA-125 testing alone. METHODS: The MIA triage algorithm was based on qualitative serum testing of five biomarkers: transthyretin, apolipoprotein, A-1, 2-microglobulin, transferrin, and CA-125. An economic analysis was developed to evaluate the clinical and cost implications of adopting MIA in clinical practice versus the mACOG referral guidelines and CA-125 alone, over a lifetime horizon, from the perspective of the public payer...
2016: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/26444727/association-of-serum-n-terminal-pro-brain-natriuretic-peptide-levels-with-the-severity-of-preeclampsia
#18
Murat Bakacak, Salih Serin, Onder Ercan, Bülent Köstü, Zeyneb Bakacak, Hakan Kiran
OBJECTIVE: To investigate whether serum N-terminal pro-brain natriuretic peptide (NT-proBNP) levels could be used as a marker to determine the severity of preeclampsia. METHODS: This prospective cohort study included pregnant women with preeclampsia and severe preeclampsia and normotensive pregnant controls admitted between January 2013 and July 2014. Preeclampsia was graded according to the recently revised criteria of the American College of Obstetricians and Gynecologists (ACOG)...
September 2016: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/26436618/screening-pelvic-examinations-in-adult-women-grand-rounds-discussion-from-the-beth-israel-deaconess-medical-center
#19
Risa B Burns, Jennifer E Potter, Hope A Ricciotti, Eileen E Reynolds
Pelvic examinations have historically been a part of regular preventive care. However, because women can now be screened for cervical cancer at intervals up to every 5 years, the question of whether women need to be seen annually for routine pelvic examinations has arisen. In July 2014, the American College of Physicians (ACP) issued a guideline presenting the available evidence on screening for pathologic conditions using pelvic examination in adult, asymptomatic women at average risk. The American College of Obstetricians and Gynecologists (ACOG) Committee on Gynecologic Practice had previously issued a committee opinion in August 2012 on the need for annual examinations and provided guidelines on important elements of this procedure, including when to examine asymptomatic women...
October 6, 2015: Annals of Internal Medicine
https://www.readbyqxmd.com/read/26435300/a-comparison-of-recommendations-for-pharmacologic-thromboembolism-prophylaxis-after-caesarean-delivery-from-three-major-guidelines
#20
K L Palmerola, M E D'Alton, C O Brock, A M Friedman
OBJECTIVE: Guidelines for pharmacologic obstetric venous thromboembolism (VTE) prophylaxis from the American Congress of Obstetricians (ACOG), the Royal College of Obstetricians and Gynaecologists (RCOG), and the American College of Chest Physicians (Chest) vary significantly. The objective of this study was to determine the practical implications of these recommendations in terms of prophylaxis rates for a tertiary obstetric population. STUDY DESIGN: Cross-sectional...
December 2016: BJOG: An International Journal of Obstetrics and Gynaecology
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