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the american congress of obstetrician

Laura L Norrell, Miriam Kuppermann, Michelle N Moghadassi, George F Sawaya
BACKGROUND: The American Congress of Obstetricians and Gynecologists recommends that a pelvic examination be offered to asymptomatic women after an informed discussion with their provider. While the adverse health outcomes the examination averts were not delineated, the organization stated that it helps establish open communication between patients and physicians. Recent surveys have focused on obstetrician-gynecologists' attitudes and beliefs about the examination, but the perspectives of women have not been well characterized...
December 28, 2016: American Journal of Obstetrics and Gynecology
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
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
Komal Bajaj, Enid Y Rivera-Chiauzzi, Colleen Lee, Cynthia Shepard, Peter S Bernstein, Tanya Moore-Murray, Heather Smith, Lisa Nathan, Katie Walker, Cynthia Chazotte, Dena Goffman
Background The World Health Organization's Surgical Safety Checklist has demonstrated significant reduction in surgical morbidity. The American Congress of Obstetricians and Gynecologists District II Safe Motherhood Initiative (SMI) safety bundles include eclampsia and postpartum hemorrhage (PPH) checklists. Objective To determine whether use of the SMI checklists during simulated obstetric emergencies improved completion of critical actions and to elicit feedback to facilitate checklist revision. Study Design During this randomized controlled trial, teams were assigned to use a checklist during one of two emergencies: eclampsia and PPH...
October 2016: American Journal of Perinatology
Armin S Razavi, Stephen T Chasen, Ritu Gyawali, Robin B Kalish
OBJECTIVE: The objective of our study was to evaluate the prevalence and clinical factors associated with hyponatremia in patients with preeclampsia. STUDY DESIGN: This is a descriptive study of all patients who delivered at our institution from 2013 to 2014. Patients with preeclampsia were identified from electronic medical records. Preeclampsia with and without severe features was defined using the criteria outlined in the American Congress of Obstetricians and Gynecologists Hypertension in Pregnancy guidelines...
July 21, 2016: Journal of Perinatal Medicine
Beena D Kamath-Rayne, Paul J Rozance, Robert L Goldenberg, Alan H Jobe
The practice of antenatal corticosteroid administration in pregnancies of 24-34 weeks of gestation that are at risk of preterm delivery was adopted over 20 years after the first randomized clinical trial in humans. It is biologically plausible that antenatal corticosteroid in pregnancies beyond 34 weeks of gestation would reduce rates of respiratory morbidity and neonatal intensive care admission. Mostly guided by the results of a large multicenter randomized trial of antenatal corticosteroid in late preterm infants, the Antenatal Late Preterm Steroids Trial, the American Congress of Obstetricians and Gynecologists has released a practice advisory that the "administration of betamethasone may be considered in women with a singleton pregnancy between 34 0/7 and 36 6/7 weeks of gestation at imminent risk of preterm birth within 7 days...
October 2016: American Journal of Obstetrics and Gynecology
Erin K Smith, Priya Gopalan, Jody B Glance, Pierre N Azzam
LEARNING OBJECTIVES: After participating in this activity, learners should be better able to:• Evaluate the rationale for screening women for postpartum depression• Assess tools for screening for postpartum depression OBJECTIVE: To perform a qualitative literature review on screening for postpartum depression (PPD), as applicable to the general psychiatrist. Results are classified by instrument, timing, and clinical setting of the screen. DATA SOURCES: A literature search was conducted using the PubMed database for English-language articles published since January 1987...
May 2016: Harvard Review of Psychiatry
Ye Shen, Rebecca Rudesill
BACKGROUND: Breastfeeding counseling has been shown to increase the initiation and duration of breastfeeding. The American Congress of Obstetricians and Gynecologists calls for all healthcare workers to educate and encourage women to choose breastfeeding. Despite these recommendations, the reported incidence of prenatal breastfeeding discussions varies widely. Lack of physician education has been speculated to be one of the contributing factors. OBJECTIVE: To assess the impact of a breastfeeding educational intervention on the knowledge and counseling behaviors of OB/GYN resident physicians...
May 2, 2016: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
Heather McKenzie, Debra Domino Pulley
Pathologic changes can occur during pregnancy requiring diagnostic tests and procedures. A preoperative assessment and perioperative planning are essential. Normal physiologic changes include increased cardiac output and decreased functional residual capacity. Perioperative care should follow American Congress of Obstetricians and Gynecologists guidelines. Anesthetic concerns include desaturation during periods of apnea, aspiration, difficult intubation, friable nasal tissue, decreased MAC, and hypotension and/or decreased uterine perfusion from the uterus...
March 2016: Anesthesiology Clinics
Eugene Kinyanda, Helen A Weiss, Margaret Mungherera, Patrick Onyango-Mangen, Emmanuel Ngabirano, Rehema Kajungu, Johnson Kagugube, Wilson Muhwezi, Julius Muron, Vikram Patel
BACKGROUND: Conflict and post-conflict communities in sub-Saharan Africa have a high under recognised problem of intimate partner violence (IPV). Part of the reason for this has been the limited data on IPV from conflict affected sub-Saharan Africa. This paper reports on the prevalence, risk factors and mental health consequences of IPV victimisation in both gender as seen in post-conflict eastern Uganda. METHODS: A cross-sectional survey was carried out in two districts of eastern Uganda...
January 29, 2016: BMC International Health and Human Rights
Anna Burgansky, Donna Montalto, Norain A Siddiqui
The medical literature demonstrates that inadequate hospital protocols or the lack of consistent protocols for diagnosis, management, consultation, and/or referral can lead to confusion and unnecessary variation in patient care. Incongruities in clinical settings have been repeatedly shown to compromise quality of patient outcomes. Accordingly, the development and adoption of standardized protocols as the best practice for addressing incidence of adverse events remains a top priority in health care quality and safety initiatives...
March 2016: Seminars in Perinatology
Alexander M Friedman, Mary E D'Alton
While venous thromboembolism (VTE) is a leading cause of severe maternal morbidity and mortality, maternal death from VTE is amenable to prevention. Thromboprophylaxis is the most readily implementable means of systematically reducing the maternal death rate, and protocols that identify at-risk women have led to a significant reduction in maternal deaths from VTE. Strategies to prevent VTE require minimal resources. A multidisciplinary working group convened as part of American Congress of Obstetricians and Gynecologists' District II Safe Motherhood Initiative reviewed research evidence and major society thromboprophylaxis guidelines and identified clinical strategies to reduce maternal VTE risk...
March 2016: Seminars in Perinatology
Shilpa Babbar, James B Hill, Karen B Williams, Maria Pinon, Suneet P Chauhan, Dev Maulik
BACKGROUND: In 2012, yoga was practiced by 20 million Americans, of whom 82% were women. A recent literature review on prenatal yoga noted a reduction in some pregnancy complications (ie, preterm birth, lumbar pain, and growth restriction) in those who practiced yoga; to date, there is no evidence on fetal response after yoga. OBJECTIVES: We aimed to characterize the acute changes in maternal and fetal response to prenatal yoga exercises using common standardized tests to assess the well-being of the maternal-fetal unit...
March 2016: American Journal of Obstetrics and Gynecology
T Kawakita, U M Reddy, H J Landy, S N Iqbal, C-C Huang, K L Grantz
OBJECTIVES: To estimate the incidence and risk of complications associated with a fetal scalp electrode and to determine whether its application in the setting of operative vaginal delivery was associated with increased neonatal morbidity. DESIGN: Retrospective cohort study. SETTING: Twelve clinical centers with 19 hospitals across nine American Congress of Obstetricians and Gynecologists US districts. POPULATION: Women in the USA...
October 2016: BJOG: An International Journal of Obstetrics and Gynaecology
Jennifer L Ridgeway, Annie LeBlanc, Megan Branda, Roger W Harms, Megan A Morris, Kate Nesbitt, Bobbie S Gostout, Lenae M Barkey, Susan M Sobolewski, Ellen Brodrick, Jonathan Inselman, Anne Baron, Angela Sivly, Misty Baker, Dawn Finnie, Rajeev Chaudhry, Abimbola O Famuyide
BACKGROUND: Most low-risk pregnant women receive the standard model of prenatal care with frequent office visits. Research suggests that a reduced schedule of visits among low-risk women could be implemented without increasing adverse maternal or fetal outcomes, but patient satisfaction with these models varies. We aim to determine the effectiveness and feasibility of a new prenatal care model (OB Nest) that enhances a reduced visit model by adding virtual connections that improve continuity of care and patient-directed access to care...
December 2, 2015: BMC Pregnancy and Childbirth
Hyun Soo Park, Won Joon Seong, Joon Seok Hong, Hyun-Joo Seol, Han Sung Hwang, Kunwoo Kim, Hyun Sun Ko, Dong-Wook Kwak, Soo-Young Oh, Moon Young Kim, Sa Jin Kim
OBJECTIVE: To analyze practice patterns and checklists of second trimester ultrasonography, and to investigate management plans when soft markers are detected among Korean Society of Ultrasound in Obstetrics and Gynecology (KSUOG) members. METHODS: An internet-based self-administered questionnaire survey was designed. KSUOG members were invited to the survey. Checklists of the second trimester ultrasonography were also requested. In the questionnaire survey, general practice patterns of the second trimester ultrasonography and management schemes of soft markers were asked...
November 2015: Obstetrics & Gynecology Science
Sarah Appleton, Amy Nacht
We examine a newly designed, interdisciplinary education program and clinical rotation for the first-year obstetrics and gynecology resident, implemented at the University of Colorado, Denver, Colorado, between the College of Nursing midwifery faculty and the School of Medicine Department of Obstetrics and Gynecology. The barriers to program development, along with the advantages and disadvantages of collaboration between nursing and medical schools, are reviewed. The clinical experience, consisting of 5 clinical shifts, was designed using the conceptual model of collaborative intelligence...
November 2015: Journal of Midwifery & Women's Health
Tyler M Muffly, Kelsey Webster, Christine Conageski, Maryam Guiahi
OBJECTIVE: The authors attempted to understand the manuscript publication rate and predictors of publication of abstracts presented at obstetrical and gynecologic society meetings. METHODS: In 2013, the authors obtained the text of all 2005 abstracts presented at a major generalist- and fellowship-associated society meetings. In this cross-sectional study, a search was completed for publication and identified possible predictors. RESULTS: The authors examined 1405 abstracts; the overall full-text publication rate was 54% (755/1405 publications) and the mean (SD) time to publication was 25...
March 2016: Female Pelvic Medicine & Reconstructive Surgery
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
Tanya L Kowalczyk Mullins, Rachel J Miller, Eric S Mullins
The International Federation of Gynecology and Obstetrics and the American Congress of Obstetricians and Gynecologists support the use of new terminology for abnormal uterine bleeding (AUB) to consistently categorize AUB by etiology. The term AUB can be further classified as AUB/heavy menstrual bleeding (HMB) (replacing the term "menorrhagia") or AUB/intermenstrual bleeding (replacing the term "metrorrhagia"). Although many cases of AUB in adolescent women are attributable to immaturity of the hypothalamic-pituitary-ovarian axis, underlying bleeding disorders should be considered in women with AUB/HMB...
September 2015: Pediatric Annals
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