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https://read.qxmd.com/read/30734934/the-utilization-of-prenatal-microarray-a-survey-of-current-genetic-counseling-practices-and-barriers
#1
Leslie Durham, Ramesha Papanna, Blair Stevens, Sarah Noblin, David Rodriguez-Buritica, S Shahrukh Hashmi, Nevena Krstic
OBJECTIVE: We evaluated what prenatal genetic counselor's (GCs) practices, attitudes, and barriers are in regards to prenatal microarray since the publication of the ACOG and SMFM guidelines for microarray use. METHODS: This was a survey based cross-sectional study of English-speaking, board certified or eligible genetic counselors who currently practice prenatal genetic counseling. RESULTS: Of 192 respondents, 183 (95%) have incorporated CMA into clinical practice with 64% believing that the benefits of CMA outweigh the harms, and 52% agreeing that CMA should be offered to all women regardless of indication...
February 8, 2019: Prenatal Diagnosis
https://read.qxmd.com/read/30681544/acog-practice-bulletin-no-206-use-of-hormonal-contraception-in-women-with-coexisting-medical-conditions
#2
(no author information available yet)
Although numerous studies have addressed the safety and effectiveness of hormonal contraceptive use in healthy women, data regarding women with underlying medical conditions or other special circumstances are limited. The U.S. Medical Eligibility Criteria (USMEC) for Contraceptive Use, 2016 (), which has been endorsed by the American College of Obstetricians and Gynecologists, is a published guideline based on the best available evidence and expert opinion to help health care providers better care for women with chronic medical problems who need contraception...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30681543/acog-practice-bulletin-no-205-vaginal-birth-after-cesarean-delivery
#3
(no author information available yet)
Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level ()...
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
#4
(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/30681537/acog-practice-bulletin-no-206-summary-use-of-hormonal-contraception-in-women-with-coexisting-medical-conditions
#5
(no author information available yet)
Although numerous studies have addressed the safety and effectiveness of hormonal contraceptive use in healthy women, data regarding women with underlying medical conditions or other special circumstances are limited. The U.S. Medical Eligibility Criteria (USMEC) for Contraceptive Use, 2016 (1), which has been endorsed by the American College of Obstetricians and Gynecologists, is a published guideline based on the best available evidence and expert opinion to help health care providers better care for women with chronic medical problems who need contraception...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30681536/acog-practice-bulletin-no-205-summary-vaginal-birth-after-cesarean-delivery
#6
(no author information available yet)
Trial of labor after cesarean delivery (TOLAC) refers to a planned attempt to deliver vaginally by a woman who has had a previous cesarean delivery, regardless of the outcome. This method provides women who desire a vaginal delivery the possibility of achieving that goal-a vaginal birth after cesarean delivery (VBAC). In addition to fulfilling a patient's preference for vaginal delivery, at an individual level, VBAC is associated with decreased maternal morbidity and a decreased risk of complications in future pregnancies as well as a decrease in the overall cesarean delivery rate at the population level (1-3)...
February 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575675/acog-practice-bulletin-no-202-gestational-hypertension-and-preeclampsia
#7
(no author information available yet)
Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2-8% of pregnancies globally (). In Latin America and the Caribbean, hypertensive disorders are responsible for almost 26% of maternal deaths, whereas in Africa and Asia they contribute to 9% of deaths. Although maternal mortality is much lower in high-income countries than in developing countries, 16% of maternal deaths can be attributed to hypertensive disorders ()...
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575668/acog-practice-bulletin-no-202-summary-gestational-hypertension-and-preeclampsia
#8
(no author information available yet)
Hypertensive disorders of pregnancy constitute one of the leading causes of maternal and perinatal mortality worldwide. It has been estimated that preeclampsia complicates 2-8% of pregnancies globally (). In Latin America and the Caribbean, hypertensive disorders are responsible for almost 26% of maternal deaths, whereas in Africa and Asia they contribute to 9% of deaths. Although maternal mortality is much lower in high-income countries than in developing countries, 16% of maternal deaths can be attributed to hypertensive disorders ()...
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575654/acog-committee-opinion-no-723-guidelines-for-diagnostic-imaging-during-pregnancy-and-lactation
#9
Chirag Jain
No abstract text is available yet for this article.
January 2019: Obstetrics and Gynecology
https://read.qxmd.com/read/30575639/acog-committee-opinion-no-767-emergent-therapy-for-acute-onset-severe-hypertension-during-pregnancy-and-the-postpartum-period
#10
(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/30570203/which-risk-factors-for-thromboembolism-should-guide-obstetric-prophylaxis
#11
Alexander M Friedman
A major difference between obstetric venous thromboembolism (VTE) prophylaxis guidelines from the United Kingdom and the United States are that those from the former support extensive risk-factor-based short-term postpartum prophylaxis with heparin while those from the latter are generally nonspecific other than in the setting of thrombophilias or prior VTE events (ACOG Practice Bulletin No. 196: Thromboembolism in pregnancy. 2018 Jul; 132(1):e1-e17). Do other less concerning risk factors justify heparin prophylaxis? A first step in answering this question is quantifying risk...
December 20, 2018: BJOG: An International Journal of Obstetrics and Gynaecology
https://read.qxmd.com/read/30564323/an-interprofessional-approach-to-prevent-recurrent-obstetric-anal-sphincter-injury-oasis-a-case-report
#12
Lydia A Thurston, Jennifer Stone, Megan Mileski, Dalia Abrams, William Huggins
Successful outcomes in this case are consistent with the American College of Obstetricians and Gynecologist (ACOG) guidelines for preventing OASIS. The interprofessional birth care team (IBCT) model exemplified by this case focuses on best practice in promoting a family's preferences for physiologic birth and preventing recurrent OASIS.
December 2018: Clinical Case Reports
https://read.qxmd.com/read/30461693/acog-practice-bulletin-no-201-pregestational-diabetes-mellitus
#13
(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://read.qxmd.com/read/30461689/acog-practice-bulletin-no-201-summary-pregestational-diabetes-mellitus
#14
(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://read.qxmd.com/read/30447552/evidence-based-guidelines-for-vaginal-hysterectomy-of-the-international-society-for-gynecologic-endoscopy-isge
#15
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)...
December 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/30424983/-contraception-for-women-after-40-cngof-contraception-guidelines
#16
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...
December 2018: Gynecologie, Obstetrique, Fertilite & Senologie
https://read.qxmd.com/read/30410829/exercise-during-pregnancy-obstetricians-beliefs-and-recommendations-compared-to-american-congress-of-obstetricians-and-gynecologists-2015-guidelines
#17
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://read.qxmd.com/read/30399104/levels-of-maternal-care-verification-pilot-translating-guidance-into-practice
#18
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://read.qxmd.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
#19
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://read.qxmd.com/read/30258507/management-of-chronic-and-gestational-hypertension-of-pregnancy-a-guide-for-primary-care-nurse-practitioners
#20
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
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