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Quantitative Blood Loss in Obstetric Hemorrhage | ACOG

ABSTRACT: Postpartum hemorrhage causes approximately 11% of maternal deaths in the United States and is the leading cause of death that occurs on the day of birth. Importantly, 54–93% of maternal deaths due to obstetric hemorrhage may be preventable. Studies that have evaluated factors associated with identification and treatment of postpartum hemorrhage have found …

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Approaches to Limit Intervention During Labor and Birth | ACOG

Number 766 (Replaces Committee Opinion No. 687, February 2017.Reaffirmed 2021) Committee on Obstetric Practice. The American College of Nurse-Midwives endorses this document. This Committee Opinion was developed by the Committee on Obstetric Practice in collaboration with committee members Allison S. Bryant, MD, MPH and Ann E. Borders, MD, MSc, MPH.

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Depression - Medscape Reference

ACOG Practice Bulletin: Clinical management guidelines for obstetrician-gynecologists number 92, April 2008 (replaces practice bulletin number 87, November 2007). Use of psychiatric medications during pregnancy and lactation. Obstet Gynecol. 2008 Apr. 111(4):1001-20. . …

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Immunization Section Announcements - Florida Department of ...

Integrating Immunizations Into OB/GYN Practice. April 8, 2016—We are pleased to share with our immunization partners the American College of Obstetricians and Gynecologists (ACOG) publication, Committee Opinion, Number 661, April 2016.

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Prepregnancy Counseling | ACOG

Pregnant women with low BMI are at risk of having small-for-gestational-age fetuses and low-birth-weight infants 72. Ideally, weight should be optimized before a woman attempts to becoming pregnant 70, although the health benefits of postponing pregnancy need to be balanced against reduced fecundity with female aging 4 69.

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ACOG Practice Bulletin. Clinical management guidelines for obstetrician-gynecologists. Number 30, September 2001 (replaces Technical Bulletin Number 200, December 1994). Gestational diabetes. Obstet Gynecol. 2001 Sep. 98(3):525-38. . damagecankidney oral medications (

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Guidelines for health care professionals supporting ...

The AAP/ACOG Guidelines for Perinatal Medicine state that the goals of the health care team are to help the family start a normal grief reaction, actualize the loss, acknowledge their grief, assure the family that their feelings are normal and meet the particular needs of each family. Care providers must explore their own attitudes about death ...

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Patient Safety in the Surgical Environment - ACOG

The Universal Protocol. In 2003, the Joint Commission published “Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery” 2.The universal protocol, now included in the chapter on national patient safety goals in the Joint Commission’s accreditation manual, involves the completion of three principal components before initiation …

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Travel During Pregnancy - ACOG

In most cases, pregnant women can travel safely until close to their due dates. But travel may not be recommended for women who have pregnancy complications.If you are planning a trip, talk with your obstetrician–gynecologist (ob-gyn) or other health care professional. And no matter how you choose to travel, think ahead about your comfort and safety.

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Oral Health Care During Pregnancy and Through the ... - ACOG

Number 569 Reaffirmed December 2019. Committee on Health Care for Underserved Women. Reviewed by the Oral Health Care During Pregnancy Advisory Committee. This committee is composed of representatives from the American College of Obstetricians and Gynecologists, the American Dental Association, and the Health Resources and Services Administration’s …

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Management of Genital Herpes in Pregnancy | ACOG

ABSTRACT: Genital herpes simplex virus (HSV) infection during pregnancy poses a risk to the developing fetus and newborn. Genital herpes is common in the United States. Among 14- to 49-year-old females, the prevalence of HSV-2 infection is 15.9%. However, the prevalence of genital herpes infection is higher than that because genital herpes is also caused by HSV-1 1.

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Home | Rosh MFM

Covid-19 Update There is no higher priority to our entire ROSH family then the safety and well being of our Patients and Staff. Last week, two of the nation's leading women's health organizations, the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM), came out in full support of vaccinations for pregnant …

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Tobacco and Nicotine Cessation During Pregnancy | ACOG

Number 807 (Replaces Committee Opinion Number 721, October 2017). Committee on Obstetric Practice. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Obstetric Practice in collaboration with committee member Amy M. Valent, DO, and the American Academy of Family Physicians’ liaison member Beth Choby, MD.

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Anemia in Pregnancy: ACOG Practice Bulletin, Number 233

Anemia, the most common hematologic abnormality, is a reduction in the concentration of erythrocytes or hemoglobin in blood. The two most common causes of anemia in pregnancy and the puerperium are iron deficiency and acute blood loss. Iron requirements increase during pregnancy, and a failure to ma …

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Prelabor Rupture of Membranes: ACOG Practice Bulletin ...

ficant proportion of preterm births, whereas term PROM occurs in approximately 8% of pregnancies (4–6). The optimal approach to assessment and treatment of women with term and preterm PROM remains challenging. Management decisions depend on gestational age and evaluation of the relative risks of delivery versus the risks (eg, infection, abruptio placentae, and …

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ACOG Practice Bulletin No. 196: Thromboembolism in ...

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Elective Female Genital Cosmetic Surgery - ACOG

In a cross-sectional survey of 395 participants, older women (45–72 years of age) were more likely to consider cosmetic genital surgery than a cohort of younger women (18–44 years) 7; this is not surprising given the societal emphasis on reversing the effects of normal aging. In a prospective study of 33 women who sought labial reduction ...

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Coding | Intrauterine Devices & Implants: A Guide to ...

Coding guidance for specific LARC clinical scenarios can also be found on the ACOG LARC Program website and the ACOG Department of Coding and Nomenclature website. ACOG Fellows and their staff can submit specific coding questions to the ACOG Department of Health Economics and Coding at the coding ticket database. Questions are answered in the ...

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Early Pregnancy Loss | ACOG

Also called the ovum. Embryo: The stage of development that starts at fertilization (joining of an egg and sperm) and lasts up to 8 weeks. Fertilization: A multistep process that joins the egg and the sperm. Genes: Segments of DNA that contain instructions for the development of a person’s physical traits and control of the processes in the ...

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Influenza Vaccination During Pregnancy - ACOG

Introduction. Published data continue to demonstrate the need for influenza vaccination during pregnancy as well as the importance of recommending and providing vaccination in the office 1 2 3 4.During the 2016–2017 influenza season, 53.6% of women reported receiving the influenza vaccine before or during pregnancy 5.Although these numbers reflect significant progress, …

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Second-Trimester Abortion | ACOG

ABSTRACT: In the United States, more than one half of pregnancies are unintended, with 3 in 10 women having an abortion by age 45 years 1.In 2008, 1.2 million abortions occurred in the United States, of which 6.2% took place between 13 weeks of gestation and 15 weeks of gestation, and 4.0% took place at 16 weeks of gestation or later 2 3.Only 1.3% of abortions are performed at …

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Safe Prevention of the Primary Cesarean Delivery | ACOG

Background. In 2011, one in three women who gave birth in the United States did so by cesarean delivery 1.Even though the rates of primary and total cesarean delivery have plateaued recently, there was a rapid increase in cesarean rates from 1996 to 2011 Figure 1.Although cesarean delivery can be life-saving for the fetus, the mother, or both in certain cases, the rapid increase …

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Vaginal yeast infections | Office on Women's Health

800-232-4636

Phone Number: 800-232-4636; National Institute of Allergy and Infectious Diseases (NIAID), NIH, HHS Phone Number: 866-284-4107 (TDD: 800-877-8339) American College of Obstetricians and Gynecologists (ACOG) Phone Number: 800-673-8444; Planned Parenthood Federation of America Phone Number: 800-230-7526

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Compounded Bioidentical Menopausal Hormone Therapy | ACOG

Number 532 (Replaces No. 387, November 2007 and No. 322, November 2005.Reaffirmed 2020) Committee on Gynecologic Practice and the American Society for Reproductive Medicine Practice Committee. This document reflects emerging clinical and scientific advances as of the date issued and is subject to change.

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ACOG Guidance on Thrombophilia in Pregnancy - The ObG Project

Pregnancy is well-known hypercoagulable state and inherited thrombophilias can further increase the risk for maternal venous thromboembolism (VTE). The ACOG recommendations (July 2018) address the different thrombophilias as well as associations with possible adverse pregnancy outcomes.

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Management of Preterm Labor | ACOG

ABSTRACT: Preterm birth is the leading cause of neonatal mortality and the most common reason for antenatal hospitalization 1 2 3 4.In the United States, approximately 12% of all live births occur before term, and preterm labor preceded approximately 50% of these preterm births 5 6.Although the causes of preterm labor are not well understood, the burden of preterm births …

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Multifetal Pregnancy Reduction | ACOG

Introduction. Multifetal pregnancy reduction is defined as a first-trimester or early second-trimester procedure for reducing the total number of fetuses in a multifetal pregnancy by one or more 1.In most cases, the involved gestations will be higher-order multifetal pregnancies, defined by the presence of three or more fetuses. Throughout the document, multifetal pregnancy …

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Osteoporosis - ACOG

All women aged 65 years or older should have a BMD test. Women who are younger than 65 years and past menopause should have a BMD test if they have had a bone fracture because of fragile bones or have other risk factors for osteoporosis, such as rheumatoid arthritis, smoking, alcoholism, a history of hip fracture in a parent, or a body weight less than 127 pounds.

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Optimizing Postpartum Care | ACOG

Number 736 (Replaces Committee Opinion Number 666, June 2016. Reaffirmed 2021) ... one in four postpartum women did not have a phone number for a health care provider to contact for any concerns about ... The U.S. National Library of Medicine’s LactMed is a free online resource that provides high-quality guidance on medication safety during ...

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Updated ACOG Guidance on Gestational Diabetes - The ObG ...

SUMMARY: ACOG released updated guidance on gestational diabetes (GDM), which has become increasingly prevalent worldwide. Class A1GDM refers to diet-controlled GDM. Class A2GDM refers to the clinical scenario where medications are required. Highlights and changes from the previous practice bulletin include the following:

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ACOG Recommendations: When to Deliver Medically ...

ACOG states; Timing of delivery should be individualized based on prior surgical details (if available) and the clinical situation. Fetal Conditions . Oligohydramnios (DVP <2cm) isolated and uncomplicated : 36w0d – 37w6d (or at time of diagnosis if later) Polyhydramnios (otherwise uncomplicated): 39w0d – 39w6d

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COVID Clinical | SMFM.org - The Society for Maternal-Fetal ...

SMFM and ACOG wrote a letter to the CDC as a follow-up to a phone conversation regarding PPE for obstetric care personnel in the labor and delivery unit. On the call, SMFM and ACOG expressed concern that CDC guidance is being interpreted to suggest that OB care clinicians need not wear N95 masks and face shields when attending to patients with ...

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Preimplantation Genetic Testing | ACOG

ABSTRACT: Preimplantation genetic testing comprises a group of genetic assays used to evaluate embryos before transfer to the uterus. Preimplantation genetic testing-monogenic is targeted to single gene disorders, and preimplantation genetic testing-aneuploidy is a broader test that screens for aneuploidy in all chromosomes, including the 22 pairs of …

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The Apgar Score | ACOG

Introduction. In 1952, Dr. Virginia Apgar devised a scoring system that was a rapid method of assessing the clinical status of the newborn infant at 1 minute of age and the need for prompt intervention to establish breathing 1.A second report evaluating a larger number of patients was published in 1958 2.This scoring system provided a standardized assessment for infants after …

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Committee Opinion | ACOG

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For additional quantities, please contact sales@acog.org or call toll-free from U.S.: (800) 762-2264 or (240) 547-2156 (Monday through Friday, 8:30 a.m. to 5 p.m. ET)

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Gestational Diabetes | ACOG

Diabetes mellitus (also called “diabetes”) is a condition in which too much glucose (sugar) stays in the blood instead of being used for energy. Health problems can occur when blood sugar is too high. Some women develop diabetes for the first time during pregnancy. This condition is called gestational diabetes (GD).Women with GD need special care both during and after pregnancy.

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Urinary tract infections | Office on Women's Health

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For more information about UTIs, call the OWH Helpline at 1-800-994-9662 or contact the following organizations: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), NIH, HHS Phone Number: 1-800-891-5390; American College of Obstetricians and Gynecologists (ACOG) Phone Number: 1-800-673-8444; American Urogynecologic Society

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Health Care for Transgender and Gender Diverse ... - ACOG

Number 823 (Replaces Committee Opinion 512, December 2011, and Committee Opinion 685, January 2017) Committee on Gynecologic Practice and Committee on Health Care for Underserved Women. This Committee Opinion was developed by the American College of Obstetricians and Gynecologists’ Committee on Gynecologic Practice and Committee on …

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