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ACOG COMMITTEE OPINION

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https://read.qxmd.com/read/30681546/acog-committee-opinion-no-765-avoidance-of-nonmedically-indicated-early-term-deliveries-and-associated-neonatal-morbidities
#1
(no author information available yet)
There are medical indications in pregnancy for which there is evidence or expert opinion to support delivery versus expectant management in the early-term period. However, the risk of adverse outcomes is greater for neonates delivered in the early-term period compared with neonates delivered at 39 weeks of gestation. In addition to immediate adverse perinatal outcomes, multiple studies have shown increased rates of adverse long-term infant outcomes associated with late-preterm and early-term delivery compared with full-term delivery...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30681545/acog-committee-opinion-no-764-medically-indicated-late-preterm-and-early-term-deliveries
#2
(no author information available yet)
The neonatal risks of late-preterm and early-term births are well established, and the potential neonatal complications associated with elective delivery at less than 39 0/7 weeks of gestation are well described. However, there are a number of maternal, fetal, and placental complications in which either a late-preterm or early-term delivery is warranted. The timing of delivery in such cases must balance the maternal and newborn risks of late-preterm and early-term delivery with the risks associated with further continuation of pregnancy...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30681541/acog-committee-opinion-no-767-summary-emergent-therapy-for-acute-onset-severe-hypertension-during-pregnancy-and-the-postpartum-period
#3
(no author information available yet)
Acute-onset, severe systolic hypertension; severe diastolic hypertension; or both can occur during the prenatal, intrapartum, or postpartum periods. Pregnant women or women in the postpartum period with acute-onset, severe systolic hypertension; severe diastolic hypertension; or both require urgent antihypertensive therapy. Introducing standardized, evidence-based clinical guidelines for the management of patients with preeclampsia and eclampsia has been demonstrated to reduce the incidence of adverse maternal outcomes...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30681540/acog-committee-opinion-no-766-summary-approaches-to-limit-intervention-during-labor-and-birth
#4
(no author information available yet)
Obstetrician-gynecologists, in collaboration with midwives, nurses, patients, and those who support them in labor, can help women meet their goals for labor and birth by using techniques that require minimal interventions and have high rates of patient satisfaction. Many common obstetric practices are of limited or uncertain benefit for low-risk women in spontaneous labor. For women who are in latent labor and are not admitted to the labor unit, a process of shared decision making is recommended to create a plan for self-care activities and coping techniques...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30681539/acog-committee-opinion-no-765-summary-avoidance-of-nonmedically-indicated-early-term-deliveries-and-associated-neonatal-morbidities
#5
(no author information available yet)
There are medical indications in pregnancy for which there is evidence or expert opinion to support delivery versus expectant management in the early-term period. However, the risk of adverse outcomes is greater for neonates delivered in the early-term period compared with neonates delivered at 39 weeks of gestation. In addition to immediate adverse perinatal outcomes, multiple studies have shown increased rates of adverse long-term infant outcomes associated with late-preterm and early-term delivery compared with full-term delivery...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30681538/acog-committee-opinion-no-764-summary-medically-indicated-late-preterm-and-early-term-deliveries
#6
(no author information available yet)
The neonatal risks of late-preterm and early-term births are well established, and the potential neonatal complications associated with elective delivery at less than 39 0/7 weeks of gestation are well described. However, there are a number of maternal, fetal, and placental complications in which either a late-preterm or early-term delivery is warranted. The timing of delivery in such cases must balance the maternal and newborn risks of late-preterm and early-term delivery with the risks associated with further continuation of pregnancy...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30629569/acog-committee-opinion-no-759-ethical-considerations-for-performing-gynecologic-surgery-in-low-resource-settings-abroad
#7
(no author information available yet)
Global surgical care programs present obstetrician-gynecologists with important opportunities to address disparities in women's health and health care worldwide. However, these programs also present a unique set of practical and ethical challenges. Obstetrician-gynecologists are encouraged to participate in surgical care efforts abroad while taking the necessary steps to ensure that their patients can make informed decisions and receive benefit from and are not harmed by their surgical care. In this document, the Committee on Ethics highlights some of the ethical issues that may arise when providing surgical care in low-resource settings to help guide obstetrician-gynecologists in providing the best care possible...
November 2018: Obstetrics and Gynecology
https://read.qxmd.com/read/30629568/acog-committee-opinion-no-758-promoting-healthy-relationships-in-adolescents
#8
(no author information available yet)
Obstetrician-gynecologists have the opportunity to promote healthy relationships by encouraging adolescents to discuss past and present relationships while educating them about respect for themselves and mutual respect for others. Because middle school is a time when some adolescents may develop their first romantic or sexual relationships, it is an ideal timeframe for obstetrician-gynecologists and other health care providers, parents, and guardians to play a role in anticipatory guidance. Creating a nonjudgmental environment and educating staff on the unique concerns of adolescents are helpful ways to provide effective and appropriate care to this group of patients...
November 2018: Obstetrics and Gynecology
https://read.qxmd.com/read/30629567/acog-committee-opinion-no-757-screening-for-perinatal-depression
#9
(no author information available yet)
Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery, is one of the most common medical complications during pregnancy and the postpartum period, affecting one in seven women. It is important to identify pregnant and postpartum women with depression because untreated perinatal depression and other mood disorders can have devastating effects. Several screening instruments have been validated for use during pregnancy and the postpartum period...
November 2018: Obstetrics and Gynecology
https://read.qxmd.com/read/30629565/acog-committee-opinion-no-759-summary-ethical-considerations-for-performing-gynecologic-surgery-in-low-resource-settings-abroad
#10
(no author information available yet)
Global surgical care programs present obstetrician-gynecologists with important opportunities to address disparities in women's health and health care worldwide. However, these programs also present a unique set of practical and ethical challenges. Obstetrician-gynecologists are encouraged to participate in surgical care efforts abroad while taking the necessary steps to ensure that their patients can make informed decisions and receive benefit from and are not harmed by their surgical care. In this document, the Committee on Ethics highlights some of the ethical issues that may arise when providing surgical care in low-resource settings to help guide obstetrician-gynecologists in providing the best care possible...
November 2018: Obstetrics and Gynecology
https://read.qxmd.com/read/30629564/acog-committee-opinion-no-758-summary-promoting-healthy-relationships-in-adolescents
#11
(no author information available yet)
Obstetrician-gynecologists have the opportunity to promote healthy relationships by encouraging adolescents to discuss past and present relationships while educating them about respect for themselves and mutual respect for others. Because middle school is a time when some adolescents may develop their first romantic or sexual relationships, it is an ideal timeframe for obstetrician-gynecologists and other health care providers, parents, and guardians to play a role in anticipatory guidance. Creating a nonjudgmental environment and educating staff on the unique concerns of adolescents are helpful ways to provide effective and appropriate care to this group of patients...
November 2018: Obstetrics and Gynecology
https://read.qxmd.com/read/30629563/acog-committee-opinion-no-757-summary-screening-for-perinatal-depression
#12
(no author information available yet)
Perinatal depression, which includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery, is one of the most common medical complications during pregnancy and the postpartum period, affecting one in seven women. It is important to identify pregnant and postpartum women with depression because untreated perinatal depression and other mood disorders can have devastating effects. Several screening instruments have been validated for use during pregnancy and the postpartum period...
November 2018: Obstetrics and Gynecology
https://read.qxmd.com/read/30575680/acog-committee-opinion-no-763-ethical-considerations-for-the-care-of-patients-with-obesity
#13
(no author information available yet)
Obesity is a medical condition that may be associated with bias among health care professionals, and this bias may result in disrespectful or inadequate care of patients with obesity. Obstetrician-gynecologists regularly care for patients with obesity and play an integral role in advocating for best practices in health care and optimizing health outcomes for patients with obesity. Obstetrician-gynecologists should be prepared to care for their patients with obesity in a nonjudgmental manner, being cognizant of the medical and societal implications of obesity...
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575679/acog-committee-opinion-no-762-prepregnancy-counseling
#14
(no author information available yet)
The goal of prepregnancy care is to reduce the risk of adverse health effects for the woman, fetus, and neonate by working with the woman to optimize health, address modifiable risk factors, and provide education about healthy pregnancy. All those planning to initiate a pregnancy should be counseled, including heterosexual, lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender nonconforming individuals. Counseling can begin with the following question: "Would you like to become pregnant in the next year?" Prepregnancy counseling is appropriate whether the reproductive-aged patient is currently using contraception or planning pregnancy...
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575678/acog-committee-opinion-no-761-cesarean-delivery-on-maternal-request
#15
(no author information available yet)
The incidence of cesarean delivery on maternal request and its contribution to the overall increase in the cesarean delivery rate are not well known, but it is estimated that 2.5% of all births in the United States are cesarean delivery on maternal request. Cesarean delivery on maternal request is not a well-recognized clinical entity. The available information that compared the risks and benefits of cesarean delivery on maternal request and planned vaginal delivery does not provide the basis for a recommendation for either mode of delivery...
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575673/acog-committee-opinion-no-763-summary-ethical-considerations-for-the-care-of-patients-with-obesity
#16
(no author information available yet)
Obesity is a medical condition that may be associated with bias among health care professionals, and this bias may result in disrespectful or inadequate care of patients with obesity. Obstetrician-gynecologists regularly care for patients with obesity and play an integral role in advocating for best practices in health care and optimizing health outcomes for patients with obesity. Obstetrician-gynecologists should be prepared to care for their patients with obesity in a nonjudgmental manner, being cognizant of the medical and societal implications of obesity...
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575672/acog-committee-opinion-no-762-summary-prepregnancy-counseling
#17
(no author information available yet)
The goal of prepregnancy care is to reduce the risk of adverse health effects for the woman, fetus, and neonate by working with the woman to optimize health, address modifiable risk factors, and provide education about healthy pregnancy. All those planning to initiate a pregnancy should be counseled, including heterosexual, lesbian, gay, bisexual, transgender, queer, intersex, asexual, and gender nonconforming individuals. Counseling can begin with the following question: "Would you like to become pregnant in the next year?" Prepregnancy counseling is appropriate whether the reproductive-aged patient is currently using contraception or planning pregnancy...
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575671/acog-committee-opinion-no-761-summary-cesarean-delivery-on-maternal-request
#18
(no author information available yet)
The incidence of cesarean delivery on maternal request and its contribution to the overall increase in the cesarean delivery rate are not well known, but it is estimated that 2.5% of all births in the United States are cesarean delivery on maternal request. Cesarean delivery on maternal request is not a well-recognized clinical entity. The available information that compared the risks and benefits of cesarean delivery on maternal request and planned vaginal delivery does not provide the basis for a recommendation for either mode of delivery...
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575656/acog-committee-opinion-no-752-prenatal-and-perinatal-human-immunodeficiency-virus-testing
#19
Lealah Pollock, Deborah Cohan, Christine Chang Pecci, Pooja Mittal
No abstract text is available yet for this article.
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575654/acog-committee-opinion-no-723-guidelines-for-diagnostic-imaging-during-pregnancy-and-lactation
#20
Chirag Jain
No abstract text is available yet for this article.
January 2019: Obstetrics and Gynecology
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